…With Sun Phobia

blue soapbox  Want to raise eyebrows?  Try telling people you sunbathe.

What with fear of skin cancer, the compromised ozone layer, and the premature wrinkling caused by too much exposure, sunbathing has fallen so far out of favor in the last few decades that you might as well admit you chain-smoke unfiltered Camels.

I’m naturally pale, like Woody Allen, who put it this way: “I don’t tan.  I don’t burn.  I stroke.”  I’ve always avoided the sun, especially since I’ve had to get little pre-cancerous bumps removed from my hands and face.

But then I found out that like many Americans, I was low on vitamin D, which in my case had led to the soft-bone condition known as osteomalacia, or rickets.   Meanwhile, chronic inflammation had caused me to need a total hip replacement fairly young, and left me with a limited ability to do the weight-bearing exercise that helps protect bones over time.  Maybe my slide into osteopenia and osteoporosis was inevitable, but no way did the D deficit help.

After my hip replacement, the surgeon told me my bones were shockingly mushy, but—get this—didn’t say anything about my needing therapeutic D.  Um, I guess he’d never heard of rickets?  Just a well-regarded bone guy, after all, and this was way back in 1994.

D functions more like a hormone than like a vitamin, and contrary to myth, you may not get enough from drinking milk and walking a block to mail a letter.  Vitamin D deficiency puts you at higher risk for certain cancers, multiple sclerosis, hypertension, and various autoimmune diseases including Type I diabetes.  Serious stuff.  It’s not surprising that sun phobia is promoted by a more than one billion-dollar sun protection industry, but dermatologists?  They’re doctors, right?

At my endocrinologist’s recommendation, I not only pop therapeutic doses of D twice daily, but also make a point of having brief sun sessions without sunscreen (covering up my already-overexposed face and hands with hat and sun gloves).  No one seems to know for sure whether ingesting D in pill form is as good as manufacturing it yourself via sun exposure, so I’m covering all my bases.

I’ve explained my situation to my dermatologist, who checks me every six months and has given me the green light on sunbathing.  She figures that since I’ve never had a sunning habit before, the skin I’m exposing has heretofore been largely undamaged, and that my bone health is the major issue.  And the fact is, the most deadly forms of skin cancer generally either appear in non-sun-exposed areas (e.g., between the toes), or result from severe sunburns in childhood (i.e., the damage is already done).

Random thought: are the dermatologists, endocrinologists and orthopedists planning to collaborate on this issue any time soon?

As for me, my D levels are now good, my immune system seems stronger than ever, and I’m preserving what bone I’ve got.  Sunbathing feels great, too.

Oh, and did I mention I’ve got a tan for the first time in my life?  Medicinal purposes only, you understand.

Published in Piedmont Post August 19, 2009

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3 Responses to “…With Sun Phobia”

  1. jacquelinenh Says:

    Wow, I hope your D regimen will give you some results. Have you ever formally had your vitamin D levels checked to see how low they had fallen? I am on the brink of begging for a test (or finding someplace that will allow me to order the tests). More on vitamin D here, if you are interested… (from Women to Women)… Preventing vitamin D deficiency – the new breakthrough in women’s health?

    • Lisa Braver Moss Says:

      Hi Jacqueline, many thanks for writing and for the link to that excellent article. Mostly what I’ve noticed is that my immune system is way better (I used to pick up every bug that came along). I have had my levels checked, and they’re good now (very responsive to the regimen), but I don’t remember how low they’d fallen previously, only that it was significant enough to raise a red flag with the endocrinologist. The cool thing is that there’s now a simple blood test, which I believe has only been available in recent years. Also, even if you don’t take a test, you can just supplement with over-the-counter tabs. Best wishes and thanks again.

  2. Barbara Says:

    My daughter only got somewhat better with fixing her thyroid levels. Her endocrinologist tested for D and found her very low, even though she was outside at least an hour every day and seldom with sunscreen. So now she takes a huge monthly D pill, and a large daily dose, and she’s sick less often. Of course, she still gets sick, and Bellingham, WA in winter allows for very little sun. But she’s better than in Berkeley before dosing up on D.

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