It is so hard on all loved ones when a family member becomes ill. It makes you realize how precious life is and how important it is to maintain your health. With all major illnesses the first thing you need to do is take a deep breath and be thankful for all the wonderful people in your life and the professionals who are trying their best to help you and your spouse. Then you need to come up with a plan to maximize the outcomes.

The first thing to do is follow your physician’s orders. Yes, I said orders not recommendations or suggestions. When your husband was in the hospital the physician wrote orders to be followed by the nurses and staff. They weren’t maybes or suggestions but orders. There is no such thing as noncompliance in the hospital but there is such a thing with patients and physician orders. If you want the best outcome follow your physician’s orders. They will want him to follow a diet, exercise, rehabilitation program and medication regime. Noncompliance will decrease the chance for the best outcome. As physicians we want to see our patient’s quality of life to be the best it can be and it is so hard to witness noncompliance and see a worse outcome.

Vitamin D deficiency has been linked to cardiovascular disease for a long time. The studies on supplementation have been somewhat mixed in part due to study design. A study published on January 3 2018 (Med Clin) randomized cardiac patients to vitamin D supplementation and their usual medication or just their usual medication and the results were encouraging.

Among patients who had low levels of Vitamin D3 (<50nmol/L) almost 27% had major adverse cardiac events compared to 0% with vitamin D levels over 50nm0l/L. This was a prospective randomized study so it certainly demonstrates that there may be a huge benefit to Vitamin D3 supplementation for patients with coronary heart disease.

It is well established that vitamin D3 is necessary for bone and teeth health. It is also well established that the majority of Americans do not get enough Vitamin D3. We simply can’t make enough from sun exposure. The farther away from the equator we live, the less likely we are to be able to absorb enough of the suns rays. In winter it is particularly challenging and some studies have shown that it is nearly impossible even if we spent all day in the winter sun. In the summer we put sunscreen on and again it limits our exposure to the sun’s rays.

Supplementation is really the only way to get enough vitamin D3.It is such an important vitamin linked to good cardiovascular health, maintaining a good blood glucose level, supports the immune system and many more important functions.

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