Hey guys, Axe here. I want to talk aboutthe many benefits of vitamin D as well as vitamin D deficiency. So many people are strugglingwith vitamin D deficiency. In fact, according to a lot of medical studies today, they'reshowing that quite possibly the top deficiency we have in America is a vitamin D deficiency,and for a lot of us there are several reasons for that. But let me talk about the symptomsof vitamin D deficiency. I'm then going to get into what's causing vitamin D deficiency,then go over the best foods, supplements and things you can do to correct this type ofissue. But first and foremost, the big thing thatcan cause or the big symptoms you might have
with a vitamin D deficiency are immune issues.If you have a weakened immune system, that could be correlated with a vitamin D deficiency.If you have candida or bacterial overgrowth, it can be caused from a vitamin D deficiency.If you struggle with let's say emotional ups and downs, like depression and anxiety, thatcan be a cause. Hormone imbalance, major cause of vitamin D deficiency. If you have troubleputting on muscle or losing weight, those are all correlated with a vitamin D deficiency.If you have weak bones or teeth, osteoporosis or osteopenia, those are warning signs youhave a vitamin D deficiency. So again, you can see there are a lot of things and I didn't even get into certain other
things like cancer and diabetes and heartdisease but those are all warning signs you could have a vitamin D deficiency. Vitamin D is responsible for really supportinga healthy immune response, digestive health, hormone balance, and here's a key thing toremember. Vitamin D is not just a vitamin. It's also a pro hormone. So it's responsiblefor so many hormone producing reactions within your body. You've got to have vitamin D. Now here are the biggest causes of vitaminD deficiency. Number one is not getting enough sunlight. The sun should be your number onesource of vitamin D. We live in a world today
where we live inside, especially if you'rein the northern states, whether it be in Canada or northern US or northern Europe. But ifyou are not getting outside enough and not getting enough direct sunlight on your skin,that will create a vitamin D deficiency. So starting off, the majority of people are vitaminD deficient because we don't get outside enough. And the other thing can be certain chemicals,especially things that are plastic in nature, those can block vitamin D absorption. So ifyou're drinking out of plastic bottles that have something called BPA, that's bisphenolA, that can cause vitamin D deficiency and really affect the way vitamin D is absorbedand utilized and created by your liver in
your body. The other thing is toxicity. If you're exposedto toxins on a regular basis, that affects the liver. Your liver is actually responsiblefor producing and creating vitamin D within your body. So again, toxicity another majorcause of vitamin D deficiency. So if you want to start to correct vitaminD deficiency and see improvements in your immune function, in your metabolism, in yourhormones and things like your thyroid and your adrenal glands and improving your overallmood and bone strength, you've got to get more vitamin D.
Again, your number one source by far is sunlight.I recommend getting outside 20 minutes to 30 minutes every single day. Even if it'scold outside, getting a little bit of sun on your face and hands, it's so importantfor getting Vitamin D. So again, number one is get sunlight 20 to 30 minutes a day. Now, apart from that, certain foods will containsmall amounts of vitamin D. Number one source will be wild caught salmon or fish, so againgetting wild caught fish on a regular basis. Also, raw fermented milk, like a goat's milkyogurt, may have small amounts of vitamin D, as will mushrooms and eggs. But again,you're going to get very small amount in diet.
Vaginitis Candida BV Trichomoniasis Wet Mount Whiff Test Vaginal pH Trich Albicans gardnerella
Distinguished future physicians welcome toStomp on Step 1 the only free tutorials series that helps you study more efficiently by focusingon the highest yield material. I'm Brian McDaniel and I will be your guide on thisjourney through vulvovaginal infections. This is the 3rd tutorial in my playlist covering allof microbio. Vulvovaginitis (AKA Vaginitis) is inflammationof the lower genital tract. It is usually due to infection, but there are a wide varietyof causes. During this tutorial we will focus on the 3 most important causes of vulvovaginitisfor the medical board exam (trichomonas, candida and BV). However, you should know that othertypes of vaginitis include mechanical irritation,
allergic reactions (to soaps or feminine products)and a variety of other infections. Atrophic Vaginitis is a common cause of vaginitis inpostmenopausal women and we will cover that in a later tutorial in the GYN section. Gonorrheaand Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis. GCwill be covered later in its own tutorial. We will start with a few different tests thatwe will use to differentiate between the different infections.Wet Prep (AKA Wet Mount Test) is a microscopic examination of vaginal discharge used to differentiatebetween different types of vulvovaginitis. The vaginal specimen is obtained using a speculumand a que tip similar to how one gets a pap
smear. Then the specimen is rubbed onto aglass slide. One half of the slide has a drop of saline added to it while the other halfof the slide has a drop of 1020% KOH (Potassium hydroxide) added to it.When Saline is added it makes it easier to view clue cells for BV flagellated motilecells for trichomonas. The KOH kills bacteria and vaginal cells leavingonly yeast cells. This makes it easier to view the psuedohyphae and budding yeast presentduring vulvovaginal candidiasis. KOH is also alkalotic so it can be used fora â€œWhiff Test.â€� In this scenario when the alkalotic KOH is added to a sample containingBV it will create an amine or fishy smell.
This is a similar principle behind how thesmell of BV can increase after unprotected sex since semen is alkalotic. The normal vaginal pH for a reproductive agewoman is about 4, while the normal vaginal pH before puberty and after menopause is about7. During puberty there is an estrogen guided increase in the growth lactobacilli flora.These bacteria break down glycogen into lactic acid which lowers pH from about 7 to about4. Now that you know the normal values you can apply it to diseases. Usually, BacterialVaginosis Trichomonas have alkalotic pH (gt;4.5 in reproductive age women) while candidahas normal pH (lt;4.5). pH paper can be tested
by using pH paper on vaginal discharge. You can see here at the top right corner thatI give BV a high yield rating of 3 on a scale from 1 to 10. If you want to learn more about that ratingsystem you can go to my website or click on this orange box here if you are watching thistutorial on a computer. Bacterial Vaginosis (AKA BV) is a polymicrobialinfection caused by the overgrowth of normal flora. The key bacteria in this infectionis gram negative Gardnerella Vaginalis. Clue cells are visible on the saline portionof a wet prep. A Clue Cell is a sloughed mucosal
squamous epithelial cell covered in many adherentcoccoid bacteria (Gardenerella Vaginalis). Here is a picture comparing normal squamousepithelial cells with a few scattered lactobacill to squamous cells that are covered in thousandsof adherent garenerella bacteria. Here is one more pic. You can see on the leftwe have a normal squamos epithelial cell with a few WBCs. On the right we have the darkerClue cells. Finally I have a photomicrograph to look atin case you see that on your test. A thinwatery graywhite discharge is presentA fouls smell is present and often described as an Amine Odor or Fishy Smell. This smellis intensified after unprotected intercourse