I live in [Alaska][Antartica][Greenland] where there is very little sunshine. Do I have to stay indoors too?
Sarc patients’ skin may generate 20 times the amount of D metabolites as healthy folks, since the bacteria live in the keratinocytes (cells of the skin) and make them hyper-active. Too much Vit D can even be manufactured in twilight or at extreme latitudes. Every sarc patient should assume that daylight will detrimentally affect them. The only way to tell if you are unaffected by your daily activities is to measure your D metabolites. The hyper-sensitivity slowly disappears as the antibiotics kill the bacteria.