Vitamin

Vitamin D

Also known as: cholecalciferol, ergocalciferol, vitamin D3, vitamin D2, 25-hydroxyvitamin D, calcitriol

Overview

Vitamin D is a fat-soluble nutrient essential for calcium homeostasis, bone health, and immune function. It is synthesized in the skin upon exposure to sunlight and can also be obtained through diet or supplementation. Research indicates that vitamin D status is associated with thresholds below which disease risk increases, particularly for acute respiratory infections and bone disorders [1][7]. Supplementation effectively raises serum 25-hydroxyvitamin D [25(OH)D] levels, with evidence supporting both daily and intermittent dosing regimens. Achieving a 25(OH)D concentration of at least 30 ng/mL is linked to reduced disease risk, especially in deficient individuals [2][5]. Vitamin D3 (cholecalciferol) appears more effective than D2 (ergocalciferol) in raising and maintaining serum levels [3]. Long-term high-dose supplementation is generally safe and may support immune health, including during viral pandemics such as COVID-19 [7][5].

Dosage Guide

Recommended Daily Allowance

For generally healthy individuals

Adults (19-70 years)600 IU/day
Adults (>70 years)800 IU/day
Children (1-18 years)600 IU/day
Pregnant women600 IU/day
Breastfeeding women600 IU/day

Therapeutic Doses

For treatment of specific conditions

Deficiency treatment50,000 IU weekly for 8-12 weeksFollowed by maintenance therapy; equivalent to daily 6,000–7,000 IU
Insufficiency (20–30 ng/mL)1,000–2,000 IU/dayTo achieve and maintain >30 ng/mL
Chronic deficiency with symptoms50,000 IU monthly or 2,000 IU dailyLong-term maintenance after correction

Upper Intake Limit

Maximum safe daily intake

4000 IUTolerable upper intake level for adults and children ≥9 years; higher doses require medical supervision

Special Forms

Alternative forms for specific needs

Vitamin D3 (cholecalciferol)

Preferred form due to superior efficacy in raising and maintaining 25(OH)D levels

Vitamin D2 (ergocalciferol)

Less potent and shorter duration; used in some prescriptions and plant-based supplements

Clinical Notes

  • Monitor serum 25(OH)D levels when using high-dose or long-term supplementation to avoid toxicity.
  • Vitamin D deficiency is common in elderly, dark-skinned, obese, and low-sun-exposure populations.
  • High-dose regimens (e.g., 50,000 IU weekly) should be used short-term under medical supervision.
  • Daily or weekly dosing is effective; monthly dosing achieves similar long-term results but with slower initial rise.
  • Ensure adequate calcium and magnesium intake when supplementing vitamin D to support bone health.

Research

Key FindingsPubMed
1

Evidence supports thresholds in vitamin D status below which disease risk increases; supplementation benefits are most evident in deficient individuals.

Emerging Evidence of Thresholds for Beneficial Effects from Vitamin D Supplementation.
Nutrients2018
2

In elderly adults, 2,000 IU/day of vitamin D3 was more effective than 400 IU/day in achieving 25(OH)D levels ≥30 ng/mL over 6 months.

Differences in vitamin D3 dosing regimens in a geriatric community-dwelling population.
Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists2012
3

Vitamin D2 supplementation significantly increases serum vitamin D levels, though D3 is more potent and longer-lasting.

The effect of vitamin D2 supplementation on vitamin D levels in humans: A time and dose-response meta-analysis of randomized controlled trials.
Steroids2024
4

Loading doses of vitamin D3 (up to 200,000 IU) followed by maintenance dosing safely and effectively correct deficiency within 12 weeks.

A Randomized, Double-Blind, Parallel Study to Evaluate the Dose-Response of Three Different Vitamin D Treatment Schemes on the 25-Hydroxyvitamin D Serum Concentration in Patients with Vitamin D Deficiency.
Nutrients2015
5

High-dose vitamin D3 (200,000 IU loading, then 100,000 IU monthly) safely increased 25(OH)D from 73 to 124 nmol/L over 18 months with no significant effect on blood pressure.

Long-term high-dose vitamin D3 supplementation and blood pressure in healthy adults: a randomized controlled trial.
Hypertension (Dallas, Tex. : 1979)2014
6

Daily 20 μg (800 IU) vitamin D3 significantly increased 25(OH)D3 levels over 12 weeks compared to placebo.

Vitamin D3 supplementation: Response and predictors of vitamin D3 metabolites - A randomized controlled trial.
Clinical nutrition (Edinburgh, Scotland)2016
7

Vitamin D supplementation reduces risk of acute respiratory infections; daily moderate doses are safe and may help reduce COVID-19 risk.

Vitamin D deficiency and the COVID-19 pandemic.
Journal of global antimicrobial resistance2020
8

Monthly 50,000 IU and daily 2,000 IU vitamin D3 resulted in similar increases in 25(OH)D over 75 days, suggesting equivalent cumulative dosing is effective regardless of frequency.

A Randomized Study to Compare a Monthly to a Daily Administration of Vitamin D₃ Supplementation.
Nutrients2018

Products Containing Vitamin D(8 reports)

親子deカルシウム
親子deカルシウム
FANCL
C-
You get: 1.0 µgGoal: 10-50 µg (400-2000 IU)

親子deカルシウム is a calcium-focused dietary supplement designed to support bone health in both children and adults. The product delivers 133 mg of calcium per serving, paired with 1.0 µg (40 IU) of vitamin D and 33 billion CFU of lactic acid bacteria, with a minor addition of 2 mg polyglutamic acid. While calcium and vitamin D are essential for skeletal development and maintenance, the doses provided are significantly below clinically effective levels for therapeutic benefit.

Ultra K2 MK-7 Plus D3
Ultra K2 MK-7 Plus D3
Nature's Truth
A-
You get: 125 mcg (5,000 IU)Goal: 1,000–2,000 IU/day for insufficiency; 50,000 IU weekly for deficiency

Ultra K2 MK-7 Plus D3 is a dietary supplement combining high-dose vitamin D3 (5,000 IU) and vitamin K2 (100 mcg as MK-7) to support bone and cardiovascular health. The formulation leverages the synergistic relationship between these fat-soluble vitamins, with vitamin D3 enhancing calcium absorption and K2 directing calcium to bone while preventing vascular calcification.

Vitamins A, D, K, High Potency
Vitamins A, D, K, High Potency
Nature's Truth
C+
You get: 125 mcg (5,000 IU)Goal: 1,000-2,000 IU

This high-potency supplement combines vitamins A, D, and K—fat-soluble nutrients critical for immune function, bone health, and vascular integrity. Vitamin D is provided at a clinically relevant dose of 5,000 IU, which aligns with therapeutic regimens for correcting deficiency and supporting immune health. While vitamins A and K are included in meaningful amounts, their doses may exceed dietary needs and require caution in certain populations.

Daily Immune & Metabolic Support Formula (predicted)
Daily Immune & Metabolic Support Formula (predicted)
Unknown
B+
You get: 25µgGoal: 1000-2000 IU/day

This supplement delivers high-dose vitamin D (25µg/1000 IU) as a primary ingredient, supported by a full B-complex, vitamins C and E. The formulation is designed to support immune function, metabolic health, and antioxidant defense, with clinically relevant dosing of key micronutrients.

Calcium & Magnesium with Zinc
Calcium & Magnesium with Zinc
Nature Made
C+
You get: 5.0 μgGoal: 1000-2000 IU

This supplement combines calcium and magnesium as primary minerals to support bone and cardiovascular health, with zinc as a supporting nutrient for immune function. The calcium and magnesium doses are within clinically studied ranges, though calcium intake should be considered in the context of total dietary and supplemental sources due to potential cardiovascular risks.

HYDROXYCUT HARDCORE LIQUID HEAT
HYDROXYCUT HARDCORE LIQUID HEAT
HYDROXYCUT
B-
You get: 10 mcgGoal: 1000-2000 IU/day

HYDROXYCUT HARDCORE LIQUID HEAT is a thermogenic weight management supplement with caffeine and cayenne pepper extract as its primary active ingredients. These compounds are clinically shown to enhance metabolic rate, reduce energy intake, and support fat oxidation. The formulation includes supporting doses of B-vitamins and green coffee bean extract to complement energy metabolism and cardiovascular health.

Daily Multivitamin (predicted)
Daily Multivitamin (predicted)
Unknown
B+
You get: 25 mcg (1000 IU)Goal: 1000-2000 IU

This multivitamin provides a comprehensive blend of essential vitamins at doses aligned with recommended dietary allowances and evidence-based clinical ranges. Vitamin D, B12, and folate are included at levels shown to support immune, neurological, and cardiovascular health, particularly in at-risk populations.

Nestlé HealthScience Vitality Multivitamin (predicted)
Nestlé HealthScience Vitality Multivitamin (predicted)
Nestlé
B-
You get: 12mcgGoal: 800-2000 IU/day

This multivitamin supplement from Nestlé provides clinically relevant doses of vitamin D and calcium as primary nutrients, supporting bone and immune health. Vitamin D (12 mcg) aligns with therapeutic dosing for insufficiency, while calcium (350 mg) contributes meaningfully to daily requirements. Other vitamins and minerals are included at supportive levels, enhancing overall micronutrient intake without targeting specific deficiencies.