Vitamin A

Vitamin A

Vitamin A is an essential vitamin that the body needs for growth and development. It is also vital for cell recognition, vision, immune function, and reproduction.

It also helps the heart, lungs, kidneys, and other organs function correctly.

Vitamin A deficiency is rare, If it happens, it can lead to eye problems, including night blindness.

Types 

Vitamin A occurs in different forms. The list below will provide more detail.

  • Preformed vitamin A occurs in meat, fish, and dairy produce.
  • Provitamin A is present in fruits, vegetables, and other plant-based products.
  • Retinol is the main active form of vitamin A in the blood. Retinyl palmitate is the storage form of the vitamin.
  • Beta-carotene is a provitamin, or a precursor of vitamin A that occurs in plants — especially dark colored fruits and vegetables and oily fruits.

Benefits

Vitamin A contributes to various bodily functions and helps prevent a range of problems, including:

  • night blindness
  • infections, especially in the throat, chest, and abdomen
  • follicular hyperkeratosis, which can lead to dry, bumpy skin
  • fertility issues
  • delayed growth in children

Food sources

The form of vitamin A will depend on the source. 

For example, ready-made retinol — which is the active form of vitamin A — only comes from animal sources.

The richest sources of retinol include:

  • organ meats, such as liver
  • fatty fish, such as tuna and herring
  • milk and cheese
  • eggs

Plant-based foods contain carotenoids, which are antioxidant forms of vitamin A. The body converts these into retinol as it needs. Carotenoid is an orange pigment that contributes to the color of certain fruits and vegetables.

Fruit and vegetable sources that are rich in carotenoids are often orange. They include:

  • pumpkin
  • carrots
  • squash
  • sweet potato
  • red peppers

Plant foods that are rich in beta-carotene include dark green leafy vegetables, such as:

  • broccoli
  • spinach

Recommended intake

The recommended intake of vitamin A varies according to age. People also need more during pregnancy and while breastfeeding.

It is available in several forms, and the vitamin A content in foods is often measured as retinol activity equivalents (RAEs).

One RAE is equal to:

  • 1 microgram (mcg) of retinol
  • 12 mcg of beta-carotene from food
  • 2 mcg of beta-carotene from supplements
  • 3.33 international units of vitamin A

 

Aleksandra Georgieva, MD

The sunshine vitamin Vitamin D

The sunshine vitamin Vitamin D

Vitamin D is the only vitamin that our bodies can produce on their own, because it is synthesized in the skin when exposed to the sun. Vitamin D acts as a hormone and affects many different processes that take place in our bodies: it regulates calcium and phosphate metabolism, stimulates bone mineralization, and increases and improves the immune system’s resistance to infections. It is essential for the normal growth and regeneration of bones and teeth and for the functioning of the immune system.

What is the role of vitamin D in our body?

  • Maintains optimal levels of phosphorus and calcium.
  • Enables the functioning of the skeletal muscles.
  • Maintains the optimal functioning of the immune system.
  • Improves the functioning of the heart.

 

Sources of vitamin D

  • Vitamin D can be synthesized in the skin, but for this to happen, our body needs a certain amount of daylight, i.e. UVB rays. Exposure to the sun for more than 15 minutes during the day is usually enough for the body to produce the required daily dose of vitamin D. During late autumn and winter, UVB rays are usually not strong enough to allow the body to meet its daily needs with vitamin D in this way.
  • Small part of the vitamin can be consumed through food, usually around 10%. Foods that contain the highest amounts of vitamin D are mushrooms, eggs and fish. Dairy products like cheese, butter, milk, etc. contain less vitamin D.

Vitamin D deficiency
The lack of vitamin D, i.e. hypovitaminosis, can lead to disruption of the function of a number of organs and processes that take place in our bodies. How can you recognize vitamin D deficiency?

  • Muscle and bone pain
  • You often have feelings of sadness

Mood changes can be associated with a lack of vitamin D in the body. Serotonin, the hormone responsible for mood, is stimulated by the amount of vitamin D.

  • Fatigue and sleepiness

Lack of vitamin D can cause chronic fatigue.

  • Digestion problems

Vitamin D helps our digestive system absorb fats properly. Its deficiency can lead to several intestinal problems such as: gluten intolerance, inflammatory bowel disease and Crohn’s disease.

If you notice some or all of the symptoms listed above and suspect vitamin D hypovitaminosis, consult your family doctor who will help you choose vitamin D supplements most suitable for you and your lifestyle in appropriate recommended doses.

Aleksandra Georgieva, MD

Vitamin C

Vitamin C

Vitamin C, also known as L-ascorbic acid, is a water-soluble vitamin that is naturally present in some foods, added to others, and available as a dietary supplement. Humans, unlike most animals, are unable to synthesize vitamin C endogenously, so it is an essential dietary component.

Sources of Vitamin C
Fruits and vegetables are the best sources of vitamin C. Citrus fruits, tomatoes and tomato juice, and potatoes are major contributors of vitamin C. Other good food sources include red and green peppers, kiwifruit, broccoli, strawberries, brussels sprouts etc. The content of vitamin C in food may be reduced by prolonged storage and by cooking because ascorbic acid is water soluble and is destroyed by heat. Fortunately, many of the best food sources of vitamin C, such as fruits and vegetables, are usually consumed raw. Consuming five varied servings of fruits and vegetables a day can provide more than 200 mg of vitamin C.

The body needs vitamin C for various functions. Here are some of them:

  • It helps the body produce collagen, L-carnitine, and some neurotransmitters.
  • As an antioxidant, it helps remove unwanted substances known as reactive oxidative species (ROS) from the body.
  • It helps the body absorb iron.
  • It boosts the immune system.
  • It enhances wound healing.

ROS are substances such as free radicals that result from natural bodily processes, exposure to pollution, and other factors. They can lead to oxidative stress, which can, in turn, cause cell damage.

Vitamin C’s antioxidant activity may help reduce inflammation and lower the risk of developing various conditions, including some types of cancer.

Signs and Symptoms of Vitamin C Deficiency
Low levels of vitamin C in the body can lead to scurvy. Symptoms of scurvy include swollen joints, bleeding gums and loose teeth, anemia, tiredness, easy bruising and rough, bumpy skin. It’s important that scurvy is treated. Scurvy is easily treated by adding some vitamin C to your diet through fresh fruit and vegetables. A GP may also recommend taking vitamin C supplements (also called ascorbic acid) until you feel better. Most people treated for scurvy feel better within 48 hours and make a full recovery within 2 weeks.

Aleksandra Georgieva, MD

Vitamin B12

Vitamin B12

Vitamin B12 is an important source of energy for humans. Vitamin B12 protects the body from tumors, especially those forms that result from smoking. Vitamin B12 also protects the body from various toxins and allergens. It participates in the construction of creatine, adrenaline, nitrogen bases, nucleic acids, proteins and other biologically active substances. With the help of protein ingredients of stomach juice, vitamin B12 is absorbed by the small intestine in the blood.

Vitamin B12-rich foods
Vitamin B12 is not synthesized by plants or animals. Vitamin B12 is synthesized only by some bacteria. For humans, the main source of vitamin B12 are products of animal origin: liver, kidneys, heart, muscle, beef and pork. Vitamin B12 is accumulated in these parts of the body, which is produced by bacteria. Another good source of vitamin B12 are fish and eggs.

Recommended daily intake
If there are no medical problems that require the introduction of large amounts of vitamin B12 (in which case, the use of this vitamin has to be under medical supervision), a dose of 5–50 micrograms per day is recommended in adults.

Vitamin B12 deficiency
Vitamin B12 deficiency in the body is known to cause nerve disorders. Due to a lack of this vitamin, megaloblastic anemia may occur. It is caused by a secondary deficit of reduced folates. There is evidence that large parts of the population can suffer from vitamin B12 deficiency, even in the absence of visible signs (such as anemia).

Aleksandra Georgieva, MD

Vitamin B6

Vitamin B6

Vitamin B6 (also known as pyridoxine) is a water-soluble vitamin. This means that our body cannot store it for a long time and it needs to be constantly ingested, mainly through diet.

Foods rich in vitamin B6
Vitamin B6 is found in seeds, grains, wheat and cornmeal, brewer’s yeast, liver, kidneys, meat, and to some extent in milk, eggs, and green leafy vegetables. Microorganisms in human intestines synthesize 0.5-0.7 milligrams of vitamin B6 per day. Large amounts of vitamin B6 are found in the liver, less in the muscles, kidneys, brain and other tissues. Storing food in tin cans, roasting or boiling meat and alcohol can destroy this vitamin.

Daily intake of vitamin B6
The daily requirement of vitamin B6 for an adult is 1-2 mg, greater amounts can cause toxic nerve damage. Medicinal doses of vitamins, which can range up to 400 milligrams per day, are used in the treatment of isoniazid-induced neuropathy, anemia, and PMS. However, they must be applied strictly in consultation with a doctor.

Symptoms of vitamin B6 deficiency
Lack of vitamin B6 can cause anemia, nervous system disorders and various skin problems. This vitamin is especially important for women during pregnancy, and also acts as a premenstrual discomfort reliever. However, most important of all is the role of vitamin B6 in the immune system. Vitamin B6 deficiency causes changes in the function of the nervous system.

Aleksandra Georgieva, MD