* That's for light skinned folks.
* I suspect the difference between 51°N and 56°N (ie, Scotland) in such a study would be much larger than most would think.
* From the authors: "It is important to note that this should be undertaken in the middle of the day, with exposure of lower arms and lower legs to maximise benefit."
I grew up In Edmonton Alberta, and in the winter not only is there not much benefit from sun exposure, but: the sun does not warm you. The sun feels cold even at full-bright noon.
Each blood test I get i'm within range (pretty much right in the middle) for everything. I take zero supplements. I eat a variety of things over the course of the week, always somewhat balanced (i eat more veggies than the average american i'd say and perhaps way more fruits). I exercise, with a shirt on (lol). Sometimes for many hours, sometimes for 30min. Totals hours over the course of the week. I take zero supplements normally. I see these as an option or for specific cases rather than "the daily pill" (in fact, the "daily pill" things scare me a bit, I'd rather not rely on pills - the science don't seem clear enough and the things you can buy are definitely unclear)
Every now and then i crave specific things like orange juice (ie high vitamin C contents).
All that to say best way to know is probably to test, but also, if you go bike 20min shirtless every 3 days and walk 20min a day I assume you don't get nearly as much vitamin D as I do, so it kinda makes sense to me. But still depends on the person, how much sun, yada yada.
Also you haven’t mentioned your skin tone. Persons with darker skin will obviously have a harder time synthesizing vitamin D from sunlight. Fortunately the PNW is rich in salmon, one of the few good natural dietary sources of vitamin D, which certainly helped earlier peoples to maintain their health.
I've also started adding more salmon into my diet. A 100g serving seems to be about 500 IU of vitamin D. Apparently fat helps with absorption of vitamin D, so it seems like a good way to get it. Still, not sure it would be enough, and I'm not willing to forego the supplement this winter to see where I'd end up.
Sadly there is only a couple of weeks left in the PNW where you can get any useful level of vitamin D (not because of rain but because of the suns position in the sky). However if you try again next summer and get to a high level, it takes sometime to drop over winter.
To add additional anecdote: I've taken dozens of different supplements and nootropics on an experimental basis over my life.
Vitamin D is the ONLY one I still take because it consistently makes me feel better.
This still might not provide adequate vitamin D. But I think the demonization of fat is part of the Vitamin D problem.
() Pale skin may be a recent evolutionary trait of some humans, less than 20,000 years old.
At the end of it I did one of those mail-in vitamin D tests, and it put me at 40 ng/mL. Depending on the source, that's very bottom edge of the acceptable range.
Walking around with your shirt off feels pretty weird, and I can't imagine most people would even be willing to do that. And of course it's getting into the rainy season here in the pacific northwest, so there's no sun exposure to be had no matter what you do.
Seems like, at least for someone like me who works indoors, supplementing is the only option to stay within a healthy range. I figure humans are just not adapted to wearing a lot of clothing and staying indoors all the time. I'm now taking 5000 IU per day, and I plan to take another test in a few months. Subjectively I can say that I feel far better than I did a few months ago, but that could be placebo or due to other factors. Still, I'm pretty convinced I should be supplementing vitamin D.