Vitamin D for joints: benefits and use

Vitamin D for joints: benefits and use

Section 1: The role of vitamin D in the body and its connection with the health of the joints

Vitamin D, also known as “solar vitamin,” is a fat -soluble vitamin that plays a key role in maintaining the overall health of the body. Its main function is to regulate the exchange of calcium and phosphorus, minerals necessary for the formation and maintenance of strong bones and teeth. However, in addition to its role in bone tissue, vitamin D has a significant effect on other body systems, including the immune system, muscle function and health of the cardiovascular system. The disadvantage of vitamin D can lead to serious consequences, such as rickets in children and osteomulation in adults, characterized by weakness and softening of bones.

In recent years, studies have increasingly emphasize the relationship between vitamin D and joint health. The joints, which are complex structures that provide mobility and flexibility of the skeleton consist of bones, cartilage, ligaments and joint fluid. Cartilage, smooth tissue covering the ends of the bones, allows them to slide relative to each other while driving, and the articular fluid provides lubrication and nutrition of cartilage. Various factors, such as age, injuries, overweight and genetic predisposition, can lead to damage to the joints and the development of diseases, such as osteoarthritis and rheumatoid arthritis.

Osteoarthritis, the most common form of arthritis, is characterized by the gradual destruction of cartilage in the joints. This leads to pain, stiffness, limitation of mobility and, ultimately, to disability. Rheumatoid arthritis, autoimmune disease, causes inflammation of the joints, leading to damage to cartilage and bones.

Vitamin D plays an important role in maintaining joint health due to its anti -inflammatory and immunomodulating properties. It helps to reduce the level of inflammatory cytokines, molecules, which enhance the inflammatory process in the joints. In addition, vitamin D affects the differentiation and function of chondrocytes, cells responsible for maintaining cartilage health. A sufficient level of vitamin D can help slow down the destruction of cartilage and alleviate the symptoms of arthritis.

Section 2: Vitamin D effects on the joints

The mechanisms with which vitamin D has its beneficial effect on the joints is not fully studied, but modern studies have revealed several key routes:

  • Regulation of inflammatory processes: Vitamin D has a powerful anti -inflammatory effect. It reduces the production of pro-inflammatory cytokines, such as Interleukin-1 (IL-1), Interlayykin-6 (IL-6) and a factor in Alpha’s necrosis (TNF-α), which play a key role in the development and progression of arthritis. A decrease in these cytokines leads to a decrease in inflammation in the joints, relieve pain and improve mobility. Vitamin D also helps to increase the production of anti-inflammatory cytokines, such as Interleukin-10 (IL-10), which help to suppress inflammatory reactions.

  • Impact of chondrocytes: Chondrocytes, cells forming cartilage, express vitamin D (VDR) receptors. Activation of these receptors with vitamin D stimulates the synthesis of components of the extracellular matrix of cartilage, such as type II collagen and proteoglycans that are necessary to maintain its structure and function. In addition, vitamin D promotes the differentiation of chondrocytes, turning them into mature cells that can effectively restore damaged cartilage. He also inhibits apoptosis (programmable cell death) of chondrocytes, protecting them from destruction.

  • Maintaining bone tissue health: Vitamin D plays a key role in maintaining the health of bone tissue surrounding the joints. It contributes to the absorption of calcium in the intestines and regulates its exchange in bones, ensuring their strength and resistance to damage. Strong bones support the joints and reduce the load on the cartilage, which helps to prevent the development of osteoarthritis. The deficiency of vitamin D leads to weakening of bones (osteoporosis), which increases the risk of fractures and damage to the joints.

  • Regulation of the immune system: Vitamin D is an important immunomodulator. It regulates the activity of immune cells, such as T cells and B cells that play a role in the development of autoimmune diseases, such as rheumatoid arthritis. Vitamin D helps suppress autoimmune reactions, reducing joint inflammation and slowing the progression of the disease. It also enhances the function of immune cells responsible for the fight against infections, which helps to prevent the development of infectious arthritis.

  • Influence on muscle power: Vitamin D plays an important role in maintaining muscle strength and function. Strong muscles support the joints and reduce the load on them, which helps to prevent the development of osteoarthritis. The lack of vitamin D leads to muscle weakness (myopathy), which increases the risk of falling and damage to the joints.

Section 3: The effect of vitamin D deficiency on joint health

Vitamin D deficiency is a common problem around the world, especially in regions with limited sunlight and among people with dark skin. The lack of vitamin D has a negative effect on the health of the joints, increasing the risk of developing various diseases:

  • Osteoarthritis: Studies have shown that people with a low level of vitamin D have an increased risk of development and progression of osteoarthritis. Vitamin D deficiency can contribute to the destruction of cartilage, increased pain and limiting mobility in the joints. The low level of vitamin D is also associated with a more severe course of osteoarthritis.

  • Rheumatoid arthritis: Vitamin D deficiency can increase the risk of rheumatoid arthritis and enhance its symptoms. The deficiency of vitamin D can disrupt the regulation of the immune system, contributing to the development of autoimmune reactions, which lead to inflammation of the joints.

  • Joint pain: The disadvantage of vitamin D can cause non -specific pains in the joints and muscles that can be mistaken for the symptoms of arthritis. Joint pains associated with vitamin D deficiency are often accompanied by fatigue and weakness.

  • Risk of fractures: Vitamin D deficiency leads to a weakening of bones (osteoporosis), which increases the risk of fractures, especially in the elderly. Fractures near the joints can lead to damage to the joints and the development of arthritis.

  • Healing deterioration: Vitamin D plays an important role in the healing of bones and soft tissues. Vitamin D deficiency can slow down the healing of fractures and damage to the ligaments and tendons surrounding the joints.

Section 4: Symptoms of vitamin D deficiency associated with joints

Symptoms of vitamin D deficiency can be diverse and often non -specific, which complicates its diagnosis. However, some symptoms may indicate the relationship of vitamin D deficiency to joint problems:

  • Joint pain: The most common symptom of vitamin D deficiency associated with joints is joint pain. Pain can be stupid, aching or sharp, and can occur in various joints, including knees, hips, back and shoulders.

  • Joints of joints: The stiffness of the joints, especially in the morning or after the periods of inaction, can also be a sign of vitamin D deficiency. Statement can limit the mobility of the joints and impede the fulfillment of everyday tasks.

  • Muscle weakness: Muscular weakness, especially in the legs, can accompany joint pain with vitamin D deficiency. Muscle weakness can complicate walking, climbing the stairs and other physical exercises.

  • Fatigue: Fatigue and weakness are also common symptoms of vitamin D deficiency. Fatigue can be constant and not pass after rest.

  • Bone pain: In severe cases of vitamin D deficiency, pain in the bones can occur, especially in the bones of the pelvis, ribs and legs. Bone pain can be very intense and disabled.

  • Frequent fractures: In people with a long deficiency of vitamin D, the risk of fractures, especially thigh fractures, spine and wrists, is increased.

Section 5: Diagnosis of vitamin D deficiency

Diagnosis of vitamin D deficiency is based on a blood test, which measures the level of 25-hydroxyvitamin D (25 (OH) D). 25 (OH) D is the main form of vitamin D, circulating in the blood, and reflects vitamin D reserves in the body.

  • Normal level: Level 25 (OH) D above 30 ng/ml (75 nmol/l) is considered normal and sufficient to maintain the health of bones and joints.

  • Insufficient level: Level 25 (OH) D from 20 to 30 ng/ml (50-75 nmol/l) is considered insufficient and can lead to a deterioration in bones and joints.

  • Deficiency: Level 25 (OH) D below 20 ng/ml (50 nmol/l) is considered deficiency and requires treatment.

It is important to note that the optimal level of vitamin D can vary depending on age, health status and other factors. It is recommended to consult a doctor to determine the target level of vitamin D and develop an individual treatment plan.

Section 6: Ways to increase vitamin D levels

There are three main ways to increase the level of vitamin D in the body:

  • Sunlight: Under the influence of sunlight, the skin synthesizes vitamin D. It is recommended to spend at least 15-20 minutes a day in the sun, especially in the summer months. However, it is important to consider that the amount of vitamin D synthesized by the skin depends on many factors, including the time of day, season, breadth, cloudiness, skin color and the use of sunscreen. Sunscous cream blocks ultraviolet rays necessary for the synthesis of vitamin D.

  • Food products: Some foods contain vitamin D, although their content is usually small. Good sources of vitamin D are fatty fish (salmon, tuna, herring), egg yolks, liver and enriched products, such as milk, yogurt and cereals.

  • Vitamin D supplements: Vitamin D additives are an effective way to increase vitamin D levels, especially for people with vitamin D deficiency or for those who do not receive enough sunlight or vitamin D from food. There are two main forms of vitamin D in addition: vitamin D2 (ergocalciferol) and vitamin D3 (cholegalciferol). Vitamin D3 is more effective in increasing the level of vitamin D in the blood than vitamin D2.

Section 7: Vitamin D dosage for joint health

The recommended daily dose of vitamin D depends on the age, state of health and level of vitamin D in the blood.

  • Adults: For most adults, it is recommended to take 600-800 IU (international units) of vitamin D per day.

  • Elderly people: Older people who have increased risk of vitamin D and osteoporosis deficiency are recommended to take 800-1000 vitamin D per day.

  • People with vitamin D deficiency: People with vitamin D deficiency may require a higher dose of vitamin D to restore the normal level of vitamin D in the blood. The doctor can prescribe a shock dose of vitamin D, for example, 50,000 IU per week for several weeks, and then switch to a maintenance dose.

  • People with arthritis: People with arthritis may need a higher dose of vitamin D to alleviate the symptoms and slow down the progression of the disease. However, it is necessary to consult a doctor to determine the optimal dose of vitamin D.

It is important to note that taking too high doses of vitamin D can be dangerous and lead to hypervitaminosis D, which can cause nausea, vomiting, weakness and damage to the kidneys. It is recommended not to exceed the upper permissible limit of vitamin D consumption, which is 4000 IU per day for most adults.

Section 8: Vitamin D with osteoarthritis

Osteoarthritis, as already noted, is the most common form of arthritis, characterized by the destruction of cartilage in the joints. Studies show that vitamin D can play an important role in the prevention and treatment of osteoarthritis.

  • Prevention: A sufficient level of vitamin D can help prevent the development of osteoarthritis, strengthening bones and cartilage and reducing inflammation in the joints. Studies have shown that people with a high level of vitamin D have a lower risk of osteoarthritis.

  • Treatment: Vitamin D can help alleviate the symptoms of osteoarthritis, such as pain, constraint and limitation of mobility. Studies have shown that taking vitamin D additives can reduce pain and improve joint function in people with osteoarthritis. Vitamin D can also slow down the progression of osteoarthritis, protecting the cartilage from further destruction.

However, it is important to note that vitamin D is not a replacement for traditional methods of treatment of osteoarthritis, such as physiotherapy, exercises and drugs. Vitamin D should be considered as an addition to traditional treatment methods.

Section 9: Vitamin D with rheumatoid arthritis

Rheumatoid arthritis, an autoimmune disease causing joint inflammation, can also be associated with vitamin D deficiency. Studies show that vitamin D can play a role in regulating the immune system and reducing inflammation with rheumatoid arthritis.

  • Immunomodulation: Vitamin D helps regulate the activity of immune cells, such as T cells and B cells that play a role in the development of rheumatoid arthritis. Vitamin D can suppress autoimmune reactions, reducing joint inflammation and slowing down the progression of the disease.

  • Reduced inflammation: Vitamin D has an anti-inflammatory effect and can reduce the level of inflammatory cytokines, such as IL-1, IL-6 and TNF-α, which play a key role in the development of rheumatoid arthritis.

  • Relief of symptoms: Studies have shown that taking vitamin D additives can alleviate the symptoms of rheumatoid arthritis, such as pain, stiffness and fatigue.

However, it is important to note that vitamin D is not a cure for rheumatoid arthritis. Vitamin D should be considered as an addition to traditional methods for the treatment of rheumatoid arthritis, such as medicine, physiotherapy and a change in lifestyle.

Section 10: Vitamin D and other forms of arthritis

In addition to osteoarthritis and rheumatoid arthritis, vitamin D can play a role in other forms of arthritis, such as psoriatic arthritis and ankylosing spondylitis.

  • Psoriatic arthritis: Psoriatic arthritis, inflammatory joint disease associated with psoriasis, may be associated with vitamin D. Vitamin D can help reduce inflammation and alleviate the symptoms of psoriatic arthritis.

  • Ankylosing spondylitis: Ankylosing spondylitis, an inflammatory disease of the spine, may be associated with vitamin D. Vitamin D can help reduce inflammation and improve the function of the spine in people with ankylosing spondylitis.

Further studies are needed to fully understand the role of vitamin D in various forms of arthritis.

Section 11: Safety of using vitamin D

Vitamin D is generally safe when taking recommended doses. However, taking too high doses of vitamin D can be dangerous and lead to hypervitaminosis D.

  • Hypervitaminosis D: Hypervitaminosis D can cause nausea, vomiting, weakness, constipation, increased blood calcium levels (hypercalcemia) and kidney damage. In severe cases, hypervitaminosis D can lead to coma and death.

  • Interactions with drugs: Vitamin D can interact with some drugs such as digoxin, thiazide diuretics and antacids containing aluminum.

It is recommended to consult a doctor before taking vitamin D additives, especially if you have any diseases or take any medication.

Section 12: Recommendations for the use of vitamin D for joint health

To get the maximum benefit from vitamin D for the health of the joints, it is recommended to follow the following recommendations:

  • Support a sufficient level of vitamin D: Take a blood test for vitamin D and take vitamin D additives if you have insufficient vitamin D.

  • Get enough sunlight: Spend in the sun for at least 15-20 minutes a day, especially in the summer months.

  • Eat products rich in vitamin D: Include oily fish, egg yolks and enriched products in your diet.

  • Maintain healthy weight: Excess weight increases the load on the joints and can contribute to the development of arthritis.

  • Regularly engage in physical exercises: Physical exercises strengthen the muscles that support joints and improve their function.

  • Consult a doctor: Consult a doctor to determine the optimal dose of vitamin D and develop an individual treatment plan for arthritis.

Section 13: New studies of vitamin D and joints of the joints

Studies of vitamin D and joint health continue, and new data appear constantly.

  • The effect of vitamin D on the intestinal microbia: New studies show that vitamin D can affect the composition of the intestinal microbioma, which, in turn, can affect inflammation and immune system.

  • The influence of vitamin D on genetics: New studies show that vitamin D can affect the expression of genes associated with the inflammation and health of the joints.

  • An individual approach to the use of vitamin D: New studies emphasize the need for an individual approach to the use of vitamin D, given the age, state of health, genetics and other factors.

Section 14: Alternative sources of vitamin D

In addition to sunlight, food and additives, there are alternative sources of vitamin D, such as ultraviolet lamps.

  • Ultraviolet lamps: Ultraviolet lamps emitting UVB-rays can stimulate the synthesis of vitamin D in the skin. However, the use of ultraviolet lamps should be controlled and limited to avoid skin damage.

Section 15: Vitamin D and joint prevention

Vitamin D is not only important for the treatment and prevention of arthritis, but can also play a role in the prevention of joint injuries.

  • Muscle strengthening: Vitamin D plays an important role in maintaining muscle strength and function. Strong muscles support the joints and reduce the risk of injuries.

  • Improving coordination: Vitamin D can improve coordination and balance, which reduces the risk of falling and injuries.

  • Strengthening bones: Vitamin D strengthens the bones, which reduces the risk of fractures that can lead to damage to the joints.

Section 16: Vitamin D and sport

Vitamin D plays an important role in the health of the joints of athletes, who are at risk of injuries and joint overloads.

  • Recovery after training: Vitamin D can help in restoration after training, reducing inflammation and muscle pain.

  • Performance: A sufficient level of vitamin D can improve sports indicators, such as strength, endurance and speed.

Section 17: Vitamin D and age -related joint changes

With age, the joints are subjected to degenerative changes, which can lead to the development of osteoarthritis and other joint diseases. Vitamin D can help slow down these age -related changes.

  • Carriage protection: Vitamin D can protect cartilage from destruction, supporting its structure and function.

  • Strengthening bones: Vitamin D strengthens the bones, which reduces the load on the joints and prevents the development of osteoarthritis.

Section 18: diet rich in vitamin D for joint health

A balanced diet rich in vitamin D is an important part of maintaining joint health.

  • Fat fish: Salmon, tuna, herring and other types of fat fish are excellent sources of vitamin D.

  • Egg yolks: Egg yolks contain vitamin D, although in smaller quantities than fatty fish.

  • Enriched products: Milk, yogurt, cereals and other products are often enriched with vitamin D.

Section 19: Other nutrients important for joint health

In addition to vitamin D, there are other nutrients that are important for joint health, such as:

  • Calcium: Calcium is necessary for the formation and maintenance of strong bones.

  • Collagen: Collagen is the main component of cartilage.

  • Omega-3 fatty acids: Omega-3 fatty acids have anti-inflammatory effects.

Section 20: myths and errors about vitamin D and joints of the joints

There are many myths and misconceptions about vitamin D and joint health.

  • Myth: Vitamin D treats all forms of arthritis.

  • Reality: Vitamin D can help relieve arthritis symptoms, but is not a medicine.

  • Myth: The more vitamin D, the better.

  • Reality: Taking too high doses of vitamin D can be dangerous.

  • Myth: Only older people need vitamin D.

  • Reality: Vitamin D is important for people of all ages.

Section 21: Vitamin D and the quality of life of patients with joint diseases

Increasing the level of vitamin D and its maintenance within the norm helps to improve the quality of life of patients with joint diseases. Reducing the pain syndrome, an increase in mobility and a decrease in fatigue allow patients to lead a more active lifestyle and participate in everyday activities.

Section 22: Conclusion on the role of vitamin D in maintaining joint health based on modern research

Modern studies confirm the important role of vitamin D in maintaining joint health. A sufficient level of vitamin D helps prevent the development and progression of arthritis, alleviate symptoms, improve joint function and improve the quality of life.

Section 23: future areas of studies of vitamin D and joints of the joints

Future studies will be aimed at further studying the mechanisms of vitamin D on the joints, determining the optimal dose of vitamin D for various groups of the population, developing new methods of treating arthritis using vitamin D and studying the effects of vitamin D on intestinal microbias and genetics.

Section 24: Tips for choosing vitamin D additives

When choosing vitamin D additives, attention should be paid to the following factors:

  • Vitamin D: Choose vitamin D3 (cholecalciferol), which is more effective than vitamin D2 (ergocalciferol).

  • Dosage: Choose additives with a dosage corresponding to your needs.

  • Quality: Choose additives from reliable manufacturers who are testing for quality and cleanliness.

  • Availability of certificates: Pay attention to the availability of quality certificates from independent organizations.

Section 25: Vitamin D and an integrated approach to the treatment of joint diseases

Vitamin D should be considered as part of an integrated approach to the treatment of joint diseases, which includes:

  • Medication: Taking drugs prescribed by a doctor.

  • Physiotherapy: Performing exercises and other procedures aimed at improving joint function.

  • Life change change: Maintaining healthy weight, regular physical exercises and a balanced diet.

  • Alternative treatment methods: Acupuncture, massage and other treatment methods that can help alleviate the symptoms of arthritis.

Section 26: The relationship of vitamin D and inflammatory diseases of the intestine (OKK) and their effect on the health of the joints.

Chronic inflammatory intestinal diseases, such as the disease of the crown and ulcerative colitis, are often associated with vitamin D deficiency and extraneous manifestations, including arthritis. Inflammation in the intestine can contribute to systemic inflammation affecting the joints. The intake of vitamin D during BAC can help reduce inflammation and improve the general condition, which positively affects the health of the joints.

Section 27: Vitamin D and the risks of developing autoimmune diseases affecting joints.

Some studies indicate a relationship between vitamin D deficiency and an increased risk of developing autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus that affect the joints. A sufficient level of vitamin D can contribute to the regulation of the immune system and a decrease in the risk of developing these diseases.

Section 28: Gender features of the influence of vitamin D on the health of the joints.

There are some data on gender differences in the effect of vitamin D on the health of the joints. For example, women more often suffer from osteoarthritis and osteoporosis, which may be associated with a lower level of vitamin D. Also, hormonal changes associated with menopause can affect the absorption of vitamin D and the health of bones and joints.

Section 29: The role of vitamin D in recovery after joint operations (for example, endoprosthetics).

After joint operations, such as endoprosthetics, vitamin D plays an important role in restoring bone tissue and healing wounds. A sufficient level of vitamin D helps to strengthen the bones around the prosthesis and reduce the risk of complications.

Section 30: The influence of the geographical location and lifestyle on the level of vitamin D and joint health.

The geographical location (breadth) and lifestyle have a significant impact on the level of vitamin D and joint health. People living in the northern regions with limited sunlight, as well as those who lead a sedentary lifestyle and are rarely in the open air, are at a higher risk of vitamin D deficiency and joint problems.

Section 31: Vitamin D and connection with back pain

Some studies show that vitamin D deficiency can be associated with chronic back pain. Vitamin D plays a role in maintaining the health of the bones of the spine and the muscles of the back, and its disadvantage can contribute to the development of pain and discomfort.

Section 32: The role of vitamin D in the health of the temporomandibular joint (TMS)

Vitamin D plays a role in maintaining the health of the temporomandibular joint (TMS), providing the normal function of bones and muscles surrounding the joint. The deficiency of vitamin D can contribute to the development of intake dysfunction, manifested by pain, clicking and limiting the mobility of the jaw.

Section 33: Vitamin D and gout (inflammatory arthritis caused by uric acid crystals)

Some studies show that vitamin D deficiency can be associated with an increased risk of gout, inflammatory arthritis caused by uric acid crystals. Vitamin D can affect the level of uric acid in the blood and inflammatory processes associated with gout.

Section 34: Vitamin D and chondroprotectors: joint use for joint health.

The joint use of vitamin D and chondroprotectors (glucosamine and chondroitin) can be effective for maintaining joint health, especially with osteoarthritis. Chondroprotectors contribute to the restoration of cartilage, and vitamin D maintains bone health and reduces inflammation.

Section 35: the influence of vitamin D on the development of the musculoskeletal system in children and adolescents and the prevention of joint diseases in the future.

A sufficient level of vitamin D in childhood and adolescence plays an important role in the development of the musculoskeletal system and the prevention of joint diseases in the future. Vitamin D provides normal growth of bones and muscles, reduces the risk of rickets and other diseases that can affect the health of joints in adulthood.

Section 36: Vitamin D value for people involved in heavy physical labor, and the prevention of occupational joint diseases.

People involved in heavy physical labor are at risk of occupational joint diseases, such as osteoarthritis and tendonitis. Vitamin D plays an important role in maintaining the health of bones, muscles and ligaments, which helps to prevent the development of these diseases and reduce the risk of injuries.

Section 37: The effect of seasonal changes on vitamin D level and joint health. Recommendations for maintaining the optimal level of vitamin D throughout the year.

The level of vitamin D can vary significantly throughout the year, reaching a minimum in the winter months, when sunlight is not enough. To maintain the optimal level of vitamin D and joint health, it is recommended to take vitamin D additives in the winter months and increase the time of stay in the sun in the summer months.

Section 38: Vitamin D and the effect on the psychological state of patients with joint diseases.

Chronic pain and limitation of mobility associated with diseases of the joints can negatively affect the psychological state of patients, leading to depression, anxiety and a decrease in the quality of life. Some studies show that vitamin D can have a positive effect on the mood and cognitive functions, which helps to improve the psychological state of patients with joint diseases.

Section 39: The role of vitamin D in the regulation of the level of calcium and phosphorus, important for the health of the joints.

Vitamin D plays a key role in the regulation of the level of calcium and phosphorus in the blood, which are important minerals for the formation and maintenance of strong bones. The lack of vitamin D leads to a violation of the absorption of calcium and phosphorus, which can contribute to the weakening of bones and the development of joint diseases.

Section 40: Vitamin D and connection with metabolic syndrome and its effect on joint health.

Metabolic syndrome, characterized by insulin resistance, obesity, increased levels of triglycerides and arterial hypertension, is often associated with vitamin D deficiency and increased risk of joint diseases, such as osteoarthritis. Vitamin D can have a positive effect on metabolic parameters, reducing the risk of developing metabolic syndrome and its complications, including joint diseases.

Section 41: Vitamin D and its effect on the production of synovial fluid in the joints.

The synovial fluid filling the joint cavity plays an important role in lubrication and nutrition of cartilage. Some studies show that vitamin D can influence the production of synovial fluid, ensuring the normal functioning of the joints.

Section 42: The role of vitamin D in maintaining the health of ligaments and tendons around the joints.

Vitamin D is not only important for the health of bones and cartilage, but also plays a role in maintaining the health of ligaments and tendons surrounding the joints. The ligaments and tendons provide the stability of the joint and the transmission of strength from muscles to bones. A sufficient level of vitamin D helps to strengthen the ligaments and tendons, reducing the risk of injuries.

** Section 43: the effect of smoking and alcohol consumption

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