The Sunshine Vitamin: A Missing Link Between Leaky Gut and a Leaky Heart

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Shirtless man in his fifties on a sunny hillside path with his face and chest turned toward the sun

Vitamin D is called the sunshine vitamin for a reason. And new research gives us another reason to pay attention to it.

A 2026 paper published in Diseases explores the relationship between vitamin D, intestinal barrier integrity, the gut microbiome, inflammation, and cardiovascular disease.

The connection is important because your gut and your heart are not separate.

When the intestinal barrier becomes dysfunctional—what most people call leaky gut—microbial products can cross the intestinal barrier and contribute to immune activation and systemic inflammation. That inflammatory environment can affect the endothelium and the health of your blood vessels.

Leaky gut can contribute to what I call a leaky heart. And vitamin D may be an important part of that relationship. I have written before about how your gut may be the hidden driver of heart disease.

Vitamin D Is About Much More Than Bones

Most people were taught that vitamin D is important for calcium and strong bones. That is true, but incomplete.

Vitamin D signaling is involved in immune regulation, intestinal barrier function, inflammation, and cardiovascular physiology. The 2026 review discusses evidence connecting vitamin D deficiency with changes in gut microbial composition, impaired intestinal barrier integrity, increased inflammatory signaling, and cardiovascular disease.

In other words, low vitamin D status may be one piece of an unhealthy gut-heart environment.

That matters. Because instead of asking only, “How do we lower cholesterol?” I want to ask: why is the vascular environment becoming unhealthy in the first place?

The gut may be part of the answer. Vitamin D may be part of the answer. And sunshine is where humans have traditionally gotten much of the signal that drives vitamin D production.

Man and woman in their fifties walking a sunlit park trail in activewear with bare arms and shoulders in the sun

Get Outside

Modern humans spend an extraordinary amount of time indoors. We work indoors. Exercise indoors. Eat indoors. Then stay awake after sunset surrounded by artificial light.

Our ancestors lived under the sun. Sun exposure enables the skin to synthesize vitamin D, while natural light exposure also influences circadian biology and other physiological systems.

That is why sunshine is a major part of my 100 Year Heart Method. Get outside. Get appropriate sun exposure while avoiding burns. Stop treating sunlight like something humans were designed to avoid.

Woman preparing fresh wild salmon fillets with herbs and lemon in a home kitchen

Sunshine + Animal Foods

The other major piece is nutrient-dense animal food. Vitamin D is naturally found in relatively few foods, with fatty seafood and certain animal foods among the important dietary sources.

That is one reason animal foods are another major part of my 100 Year Heart Method. I recommend nose-to-tail nutrition, including nutrient-dense organ meats. Kickstart My Heart makes that easy by providing New Zealand elk liver, heart, and kidney.

And for marine nutrition, my favorite is Wild Salmon Roe. Salmon roe provides vitamin D along with EPA, DHA, phospholipids, choline, astaxanthin, and other naturally occurring nutrients in a whole-food matrix. I have also written about why wild salmon roe is my favorite supplement for eye health.

The message does not need to be complicated. Get sunshine. Eat nutrient-dense animal foods.

  • Your gut needs nutrients.
  • Your immune system needs nutrients.
  • Your blood vessels need nutrients.
  • Your heart needs nutrients.

And vitamin D appears to sit at an important intersection between several of these systems.

Woman in a workout tank and man hiking a sunlit coastal trail with bare arms and shoulders in full sun

Build Your 100 Year Heart

Sunshine and animal foods have always been part of the human story. They are also major parts of my 100 Year Heart Method.

  • Get outside.
  • Eat organs.
  • Eat seafood.
  • Build a healthier gut.
  • Build healthier blood vessels.

You can read the 2026 paper in Diseases for yourself. And if you want to know where your own vitamin D status, gut health, and cardiovascular markers actually stand, test—do not guess. Schedule a free heart health discovery call and we will look at the whole picture with you. You can also see what I consider the best supplement for your heart.

Frequently Asked Questions

What does vitamin D have to do with heart health?

Vitamin D signaling is involved in immune regulation, intestinal barrier function, inflammation, and cardiovascular physiology. A 2026 review in Diseases discusses evidence connecting vitamin D deficiency with changes in gut microbial composition, impaired intestinal barrier integrity, increased inflammatory signaling, and cardiovascular disease.

What is a “leaky heart”?

It is my term for what can follow a leaky gut. When the intestinal barrier becomes dysfunctional, microbial products can cross it and contribute to immune activation and systemic inflammation. That inflammatory environment can affect the endothelium and the health of your blood vessels.

Can I get enough vitamin D from food alone?

Vitamin D is naturally found in relatively few foods. Fatty seafood and certain animal foods are among the important dietary sources, which is why I recommend nose-to-tail nutrition and wild salmon roe alongside appropriate sun exposure.

How much sun exposure do I need?

Get outside and get appropriate sun exposure while avoiding burns. Needs vary by skin type, latitude, and season, so this is something to work through with a clinician who knows your history.

Which foods does Dr. Wolfson recommend for vitamin D and marine nutrients?

Nutrient-dense organ meats such as those in Kickstart My Heart, and Wild Salmon Roe, which provides vitamin D along with EPA, DHA, phospholipids, choline, and astaxanthin in a whole-food matrix.

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About Dr. Keith Smigiel NP, DC

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Dr. Keith Smigiel is a regenerative medicine physician and pain management specialist. He takes an integrative approach to medicine, focusing on customized solutions tailored to individual needs. Using advanced, non-surgical treatments, Dr. Smigiel stimulates your body’s ability to naturally heal itself.

Dr. Smigiel helps people suffering from conditions such as chronic pain and erectile dysfunction, to hair loss and weight gain. Combining treatments such as PRP Therapy, Ozone, Neural Prolotherapy, and IV Infusions with functional rehabilitation, he helps you look and feel better.

He heals the body, instead of just treating the symptoms!

With his professional qualifications as a certified family nurse practitioner, a doctor of chiropractic, and a fellow of the International Academy of Medical Acupuncture, Dr. Smigiel offers patients comprehensive care from a broad perspective of conventional and alternative medicine. He also has extensive experience in functional rehabilitation and chronic pain management.

Dr. Smigiel is married to Angela and has two children, Sophia and Larz. When he’s not busy helping patients, he enjoys hiking, mountain biking, motocross, and boating.

About Dr. Lauren Lattanza NMD, FACC

Dr. Lattanza Office Visit with Patient

As a Naturopathic Physician, I am trained to treat the whole person and get to the root cause of disease.

I went to Arizona State University where I graduated with a bachelor’s degree in psychology with a depth in physiology and minor in Spanish. After my undergraduate degree I was working on prerequisite classes towards medical school, which is when I came to learn that my values identified best with the principles of naturopathic medicine. I knew that I wanted to help patients identify the causes of disease and be able to offer treatments which would improve their health rather than simply treating symptoms.

I dedicated the next 4 years to the Southwest College of Naturopathic Medicine in Tempe, Arizona where I attained my Doctorate of Naturopathic Medicine. I served as Class President all 4 years, Board of Trustees – Student Trustee, spoke as the Club President for our branch of Toastmasters, and was voted by my peers and attending physicians to earn the Outstanding Leadership Award for the Class of 2020. Throughout medical school I took it upon myself to work alongside MDs, DOs, chiropractors, and functional medicine practitioners in addition to naturopathic physicians.

As a Spanish speaking student, I was able to volunteer with community clinics around Phoenix and provide free healthcare to low-income families. Due to this combined exposure, I came to find my passion in treating cardiometabolic and digestive disorders that are all too common, yet largely preventable. I took the opportunity to learn the broad spectrum of healthcare so I can ensure that I am able to provide my patients with the best options.

About Dr. Jack Wolfson DO, FACC

Dr. Wolfson Office Visit with Patient

Dr. Jack Wolfson is a cardiologist, Amazon best-selling author, husband, father, and the nation’s #1 Natural Heart Doctor.

For more than two decades, more than one million people have enjoyed the warmth, compassion, and transformational power of his natural heart health courses and events.

Dr. Wolfson is the founder of Natural Heart Doctor Scottsdale, his heart health practice in Arizona, and Natural Heart Doctor, an online resource center with natural health information. Doctors from across the globe reach out to Dr. Wolfson for training and education in holistic health practices.

He has been named one of America’s Top Functional Medicine Doctors and is a five-time winner of the Natural Choice Awards as a holistic M.D. Dr. Wolfson’s work has been covered by more than 100 media outlets, including NBC, CNN, and the Washington Post. His book “The Paleo Cardiologist: The Natural Way to Heart Health” was an Amazon #1 best-seller.

Dr. Wolfson and his wife Heather have four children and are committed to making the world a better place to live. They provide for those in need (including animals) and support natural health causes through their philanthropic efforts.

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Our chiropractor is an expert at adjustments and holistic chiropractic care and works closely in conjunction with the other health care experts at Natural Heart Doctor.

Call (480) 535-6844 for details and scheduling.

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We use specially formulated natural vitamins and minerals that are injected into a vein to prevent or treat dehydration. Ideal for people in Arizona.

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Stimulate your body’s natural healing abilities and promote physical and emotional well-being with acupuncture at Natural Heart Doctor.

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Our health coaches use evidence based skillful conversation, clinical interventions, and strategies to engage you actively and safely in health behavior changes.

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We use the most advanced testing in the world to assess heart health and to identify the root cause of your health issues.

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Frequently Asked Questions

I’d like to receive an online second opinion from Natural Heart Doctor. What do I do next?

You can initiate a second opinion online through our website at any time. To begin, select the team member you’d like to speak with and open an account.

Click here for cardiologist Dr. Jack Wolfson.

Naturopathic Medical Doctor Dr. Lauren Lattanza. Get details.

Naturopathic Medical Doctor Dr. Tonia Rainier. Get details.

Click here for  Natural Heart Doctor Health Coach.

Alternatively, you can email health@naturalheartdoctor.com. A member of our care team will help guide you through the process of starting a second opinion.

What is the cost of a Natural Heart Doctor Online Second Opinion?

The cost for most second opinions varies by team member. This fee includes information collection, a phone or video consultation, a second opinion from a Natural Heart Doctor specialist and guidance throughout the process from your personal Care Team at Natural Heart Doctor.

Cardiologist Dr. Jack Wolfson’s Second Opinion Fee is $1500.

Holistic Physician’s Dr. Lauren Lattanza’s Second Opinion Fee is $250.

Naturopathic Physician Dr. Tonia Rainier’s Second Opinion Fee is $250.

Note: We apply the Online Second Opinion Call fee as a credit to any future consultations with Natural Heart Doctor, should you choose them.

Will my insurance cover the cost of a Natural Heart Doctor Online Second Opinion?

Most likely, no. Most health plans do not cover online second opinions or consultations. You are responsible for the cost of our second opinion. Natural Heart Doctor cannot file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this service.

What is the timeline to receive an online second opinion?

We do our best to schedule your second opinion as quickly as possible. Typically, it takes 5 to 7 business days after your information has been collected to receive your phone or video online second opinion.

What information do you need in advance of our call?

Our office will send you a short questionnaire to complete and return. We DO NOT need your complete medical records.

How many questions can I ask the expert during our call?

You may ask a maximum of five questions. This is to ensure that the expert has sufficient time to devote to each question. All questions must be finalized before your online meeting.

What should I expect to receive once my second opinion is complete?

You will receive a summary of our discussion along with our second opinion. The second opinion will be in written form. After you have reviewed the second opinion, a Natural Heart Doctor clinician will follow up with you by phone to address general medical questions about the information provided in the second opinion.

What if I have follow-up questions for the expert after I have reviewed my second opinion?

If you have a clarifying question about an expert’s response to one of the questions in your second opinion, and the Natural Heart Doctor clinician is unable to address it, then you may request a follow up session for an additional fee. 

Is my medical and payment information secure?

Natural Heart Doctor is strongly committed to protecting the privacy and security of all our patients. Our website meets all federal requirements for protecting personal health information under the Health Insurance Portability and Accountability Act (HIPAA). All financial transactions are processed by Natural Heart Doctor securely using industry standard payment processing tools.

I would rather visit Natural Heart Doctor for an in-person appointment. What should I do next?

If you would prefer an in-person appointment at Natural Heart Doctor instead of an online second opinion, please call (480) 535-6844 for details and scheduling.

Can I schedule a follow up appointment with the specialist who provided my online second opinion?

Yes, we’re happy to help you on an extended basis. Our clinician can discuss options with you when presenting our second opinion summary.