AMA #61: Sun exposure, sunscreen, and skin health: relationship between sun exposure and skin cancer, vitamin D production, and photoaging, how to choose a sunscreen, and more

Peter Attia

Jul 1, 2024

Episode description

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In this “Ask Me Anything” (AMA) episode, Peter delves into two topics that have generated a lot of questions over the years: skin cancer and sunscreen. He begins by exploring the basics of UV radiation, discussing its effects on vitamin D conversion, photoaging, and its role in skin cancer. He examines various skin types, discussing their implications for sun exposure and vitamin D levels, as well as how to determine where you fall on the skin type scale. He then delves into the various types of skin cancer, with a particular emphasis on melanoma, exploring its complex relationship with UV exposure and other contributing risk factors. Additionally, he covers tanning beds, the importance of early skin cancer detection through regular skin checks, and the often confusing topic of sunscreen. He explains how sunscreen affects UV radiation and skin cancer risk, what SPF levels to choose, the differences between organic and mineral sunscreens, and what to consider when selecting the best sunscreen for your needs.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #61 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • The impact of UV radiation on the skin [2:00];

  • Understanding solar UV: from the electromagnetic spectrum to skin health [3:45];

  • The role of sunlight in vitamin D production [8:30];

  • Factors contributing to vitamin D deficiency: insufficient UV exposure, magnesium levels, and more [9:45];

  • Sun exposure needs for different skin types, and the limitations of current studies in defining vitamin D deficiency [12:45]

Episode description

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter’s Weekly Newsletter

In this “Ask Me Anything” (AMA) episode, Peter delves into two topics that have generated a lot of questions over the years: skin cancer and sunscreen. He begins by exploring the basics of UV radiation, discussing its effects on vitamin D conversion, photoaging, and its role in skin cancer. He examines various skin types, discussing their implications for sun exposure and vitamin D levels, as well as how to determine where you fall on the skin type scale. He then delves into the various types of skin cancer, with a particular emphasis on melanoma, exploring its complex relationship with UV exposure and other contributing risk factors. Additionally, he covers tanning beds, the importance of early skin cancer detection through regular skin checks, and the often confusing topic of sunscreen. He explains how sunscreen affects UV radiation and skin cancer risk, what SPF levels to choose, the differences between organic and mineral sunscreens, and what to consider when selecting the best sunscreen for your needs.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #61 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • The impact of UV radiation on the skin [2:00];

  • Understanding solar UV: from the electromagnetic spectrum to skin health [3:45];

  • The role of sunlight in vitamin D production [8:30];

  • Factors contributing to vitamin D deficiency: insufficient UV exposure, magnesium levels, and more [9:45];

  • Sun exposure needs for different skin types, and the limitations of current studies in defining vitamin D deficiency [12:45]

Mindsip insights from this episode:

Ensure optimal magnesium levels to enhance vitamin D metabolism

Suboptimal magnesium levels can lead to low vitamin D because magnesium is a required cofactor for its enzymatic conversion and metabolism.

Rethink microwave radiation fears compared to sunlight exposure

Fearing radiation from a microwave is illogical, as its waves are longer and contain less energy than the visible light we are constantly exposed to.

Address obesity to improve vitamin D availability

Obesity is a risk factor for low vitamin D because excess fat tissue sequesters the fat-soluble vitamin, making it less available in the bloodstream.

Recognize vitamin D deficiency as below 30 ng/mL

Many medical labs define vitamin D deficiency as below 15 ng/mL, whereas in practice, a level below 30 ng/mL is considered deficient.

Differentiate UVB and UVA for effective sun protection

UVB radiation is only 5% of the sun's UV but causes sunburn and vitamin D conversion, while the other 95%, UVA, penetrates deeper into the skin.

Protect skin from sun to prevent photoaging

A compelling photo of a truck driver shows dramatic premature aging on the left side of his face, which was consistently exposed to the sun for 32 years.

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