**my take-home from lecture: give 100,000 IU's vit A with vaccine if pt not preg
**sign up for CDC notices (check)
interesting news from BBC: meningitis C vaccine wears off in teens
http://news.bbc.co.uk/2/hi/health/8668182.stm
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What do you suspect if your patient chronically has canker sores in her mouth?
gluten enteropathy

What is the biggest difference between modern human diets and that of paleolithic humans?
we eat more grass family foods now
(wheat, corn, barley, oats, rice, ie: grains, agriculture)

What is the natural expiration age for humans?
somewhere between 110 and 120 years of age

What are the top five causes of death in the US?
CV dz, CA, medical care, DM, stroke
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from http://www.pathguy.com/meltdown.txt
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Where is the thyroid?
anterior neck C5-T1
though it can slip down the neck and into the thorax in some older folks

How much does a normal thyroid weigh?
10-20grams

What nutrient is concentrated in the thyroid?
iodine

What nutrient is it important to take if you are exposed to a nuclear radiation accident?
iodine, in the form of potassium iodide tablets, seaweed, bladderwrack
Japanese after Hiroshima/Nagasaki survived better with big seaweed diet
immediately, to prevent the thyroid from uptaking too much radioactive iodine
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He's now saying that cod liver oil has too much vitamin A in it, and that while nearly everyone in the US is vitamin D deficient, some 5% of us have too much vitamin A, or "vitamin A toxicity". Vitamin A toxicity causes a person to be susceptible to infections. So instead of consuming cod liver oil in the winter to maintain vitamin D levels, he recommends getting sunshine on your skin. He says if this is not an option, "the next best choice would be exposure to UVB rays from safe tanning beds, and if that is not possible then one should resort to a high quality vitamin D3 supplement." Me, I'm doing these last two options. My vitamin D level, tested a couple of weeks ago, was 29. My doc recommends a level between 50-90. I'm taking Biotics Research Corporation brand Bio-D-Mulsion Forte, two drops a day, and going to a tanning place. I got burned the last time I went to the tanning beds, though, so I'm still working out the bugs. And the tanning bed people want you to think that UVB is bad, and charge you more for beds that have less. If you go this route, do some research and don't believe all that you are told!

SOURCE:
http://articles.mercola.com/sites/articles/archive/2008/12/23/important-cod-liver-oil-update.aspx
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Mercola offers this article:
http://articles.mercola.com/sites/articles/archive/2008/11/25/why-sunlight-is-your-best-source-of-vitamin-d.aspx

He says that a study on people with repeated respiratory infections found that cod liver oil also contains vitamin A, and that vitamin D and A compete with each other metabolically, so if you have too much vitamin A in your vitamin D supplement, you are not getting as much use out of the D. "Vitamin A and vitamin D compete for each other’s function. For example, even the vitamin A in a single serving of liver can impair vitamin D’s rapid intestinal calcium response." Mercola calls the amounts of vitamin A in the supplements "detrimental".

A separate study from the New York City Department of Health and Mental Hygiene suggests that one form of vitamin D (calcitriol, aka 1,25-dihydroxyvitamin D) may be one of your body's main protections against damage from low levels of radiation. Calcitriol is the active form of vitamin D might be an appropriate protective agent before or after a low-level nuclear incident!! Calcitriol is involved in cell cycle regulation, hence affects proliferation, differentiation, encourages apoptosis and autophagy, and inhibits angiogenesis.

1. Vitamins: small, low molecular weight, organic mols required for normal function, most we don't synthesize, classified as fat or water soluble.

Which vitamins are derived from isopentenyl pyrophosphate? Vitamin A (terpene), D, E, K, cholesterol
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