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You usually don't unless you're doing an operation that keeps you submerged for a couple of months, but if you're a hermit in port and stay indoors, it doesn't help either.

The problem stems from a lack of sunlight and fewer sources of Vitamin D while on extended operation periods of 2 or more months submerged. UV light from the sun reacts with the skin to produce Vitamin D, and a lack of it causes sensitivity.

The problem is not as prevalent as it used to be in the old submarine days of WWI and WWII; Vitamin D sources are a medical requirement aboard all Navy vessels. For submarines, the ice cream machine is typically the best source (the mix is fortified with D), since milk and fresh vegetables typically run out within 2 weeks, and preserved eggs about 6 weeks. Most crew don't like drinking the powdered milk mix (one, it tastes bad, and two, it doesn't have caffeine for long stretches where you need to be alert), and canned veggies don't offer as much nutritional value as fresh ones do.

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