There does seem to be a pattern for many people (myself included) where symptoms of both vA toxicity and deficiency are present, such as say, keratosis pilaris. I know Dr. Smith's take on this is it's simply vA toxicity but the hypothesis more in line with mainstream science is that it's a symptom of deficiency, specifically of retinoic acid, which is the active form of vA. Now, going off of that idea, the dominant hypothesis outside of Dr. Smith's network is that this is a result of impaired ADH and ALDH enzymes. When they are impaired, alcohols and aldehydes are not broken down, so you don't get retinoic acid (in the small and very controlled manner) that the body needs, but the alcohols and aldehydes accumulate, since they don't magically disappear. This buildup then causes chronic vA toxicity since it doesn't matter if you took a large dose at once or over time, if you didn't break it down and excrete it, you will have too much in the body.
So, from this we can draw a few points and ask some questions:
1. This hypothesis could explain how chronic vA toxicity can happen even if vA isn't necessarily a poison, bar none, and why some people experience relief on lower vA diets and lower intake of other alcohols, such as ethanol.
2. This would suggest that a low vA diet is a bandaid that is effective but doesn't necessarily solve the underlying issue.
3. How would one go about improving ADH/ALDH function so that they could eat the variety of food they need for all their nutrients and for some measure of enjoyment without suffering the accumulation of vA and a deficiency in RA when consumed in reasonable amounts? (Sorry low vA die hards, but rice, beans, beef, and salt are not the only foods healthy people should ever eat, and enjoying your food is not a sin)
It's not some religions faith in the idea driving this, or cult following a single guy. There isn't a die hard I am aware of who is going to argue that you shouldn't be enjoying your food or limiting it to beef, beans and rice. Saying this just gives the impression you bear a grudge/ hold resentment.
The studies which support the idea that retinol is essential, and hence a vitamin, are very poor, their conclusions poor. And counting the ideas further, we now have Grant and others now having so little serum retinol that it cannot feasibly be essential for health. Grant's experimental gerbils were also healthy before they were accidentally cooked.
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