US RDA
600 to 800 IU daily (age dependent)
Effective dose
1,000 to 4,000 IU daily for most adults; target blood level 40 to 60 ng/mL
Upper limit
4,000 IU daily (tolerable upper limit)
Timing
With largest fat-containing meal
With food
Yes, requires dietary fat for absorption
Bioavailability
D3 (cholecalciferol) is more effective than D2 at raising blood levels
Best forms to buy
D3 (cholecalciferol)
Preferred form, most bioavailable
D3 + K2 combined
K2 directs calcium to bones instead of arteries
Signs of deficiency
- · Fatigue and low energy
- · Muscle weakness
- · Bone pain
- · Frequent illness
- · Depression
Drug interactions
- · Statins may reduce absorption
- · Certain steroids reduce vitamin D
- · May affect calcium absorption if taken alone at high doses
Toxicity
Rare below 10,000 IU daily. Symptoms include nausea, kidney stones, and hypercalcemia at very high doses.