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Nutrition Diet: What is the difference between vitamin D and vitamin D two?

4 min read

According to the Cleveland Clinic, nearly one billion people worldwide are estimated to have a vitamin D deficiency. In addressing this common issue, it's crucial to understand the distinct types of vitamin D, specifically answering the question: What is the difference between vitamin D and vitamin D two? (which actually refers to D2 vs. D3).

Quick Summary

Vitamin D comes in two main forms, D2 (ergocalciferol) and D3 (cholecalciferol), which differ primarily in their sources and how the body processes them. While both are used to address deficiency, D3 is generally considered more effective at raising and maintaining vitamin D levels long-term due to better potency and stability.

Key Points

  • Source Difference: Vitamin D2 comes from plants and fungi, while Vitamin D3 is primarily from animals and human skin's sun exposure.

  • Potency and Efficacy: Vitamin D3 is more effective than D2 at increasing and maintaining overall vitamin D blood levels due to better potency and stability.

  • Metabolic Pathway: Both forms are metabolized in the liver and kidneys, but D3 is more efficiently converted into the main circulating form.

  • Dietary Considerations: D2 is suitable for vegans and is often used in fortified foods, but vegan D3 from lichen is also available.

  • Stability: D2 is less stable and has a shorter shelf life than D3, a factor relevant for supplement quality.

  • Supplementation Strategy: Due to its higher efficacy, D3 is often recommended for correcting deficiency, but D2 can be used, especially for specific dietary needs.

  • Expert Guidance: The best approach is to consult a healthcare provider to determine the right vitamin D form and dosage for your individual needs.

In This Article

What is Vitamin D?

Vitamin D is a fat-soluble nutrient that is vital for several critical bodily functions, including maintaining strong bones, supporting immune function, and regulating calcium and phosphate levels. While often referred to simply as "vitamin D," it is actually a family of compounds. The two most common and important forms are vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol). Understanding the differences between these two forms is essential for making informed dietary and supplement choices.

The Origins of Vitamin D2 and D3

The most fundamental distinction between vitamin D2 and D3 lies in their origins. This difference in source impacts their presence in the food supply and the way they are manufactured for supplements.

Vitamin D2 (Ergocalciferol)

  • Source: Vitamin D2 is derived from plant and fungi sources. It is produced when the plant compound ergosterol is exposed to ultraviolet (UV) light.
  • Natural Foods: This form is found naturally in some mushrooms, especially those that have been grown or treated with UV light.
  • Fortified Foods: Due to its lower production cost, D2 is the form most commonly used to fortify foods like milk, plant-based milks, cereals, and orange juice.
  • Supplements: It is also available in dietary supplements, including prescription-strength versions for treating severe deficiency.

Vitamin D3 (Cholecalciferol)

  • Source: Vitamin D3 is produced naturally by animals, including humans, when their skin is exposed to UVB radiation from sunlight.
  • Natural Foods: It is found in animal-based foods, with the best dietary sources being the flesh of fatty fish like salmon and tuna, cod liver oil, and egg yolks.
  • Supplements: D3 supplements are typically derived from lanolin (sheep's wool), though vegan-friendly options derived from lichen are also available.

Comparing Vitamin D2 and Vitamin D3

While both forms of vitamin D follow a similar metabolic pathway in the body—undergoing hydroxylation in the liver and kidneys to become the active hormone calcitriol—studies have revealed important differences in their effectiveness and stability.

Key Differences Between Vitamin D2 and D3

Factor Vitamin D2 (Ergocalciferol) Vitamin D3 (Cholecalciferol)
Source Plants and fungi, such as UV-exposed mushrooms and yeast. Animals and human skin exposed to sunlight; also found in fish, egg yolks, and beef liver.
Potency & Efficacy Less effective at raising overall vitamin D levels and has a shorter half-life in the body. More potent and effective at raising and maintaining vitamin D blood levels for a longer duration.
Metabolism Metabolized differently in the liver, yielding a less bioavailable form of calcifediol. More efficiently metabolized by the liver into the main circulating form, calcifediol.
Stability Less stable and more sensitive to environmental factors like heat and humidity, potentially leading to a shorter shelf life in supplements. More stable, with a longer shelf life, which may make supplements more reliable over time.
Dietary Suitability The preferred form for vegans and strict vegetarians due to its plant-based origin. Generally not suitable for vegans unless derived from lichen.

Which is Better? The Importance of Efficacy

The most significant difference for most people is that vitamin D3 is more effective than vitamin D2 at increasing and sustaining blood levels of vitamin D. Multiple studies and meta-analyses have compared the efficacy of D2 and D3 supplements and found D3 to be superior. For example, a meta-analysis published in the American Journal of Clinical Nutrition concluded that vitamin D3 supplementation is more effective at raising serum vitamin D concentrations than D2. The reason for this difference is rooted in the body's metabolic processes and the binding affinity of the resulting metabolites.

For those with a severe vitamin D deficiency, healthcare providers often recommend D3 for its faster and more sustained impact. However, both forms can effectively address deficiency, and the most important factor is consistent intake, especially when natural sun exposure is limited.

Considerations for Different Diets

For individuals following vegan or vegetarian diets, the distinction is especially important. Because D2 is plant-based, it has traditionally been the go-to for supplements and fortified foods aimed at this demographic. However, the development of plant-derived D3 from sources like lichen has provided a more effective, non-animal option for vegans. For those who consume animal products, obtaining D3 from fatty fish and egg yolks is relatively straightforward, and most over-the-counter supplements contain D3 due to its higher efficacy.

Making the Right Choice for Your Nutrition

The choice between vitamin D2 and D3 depends on individual dietary preferences, health status, and a healthcare provider's recommendations. For most people, opting for a D3 supplement may offer a more efficient way to raise vitamin D levels, but D2 remains a viable alternative, particularly for those on plant-based diets. The best course of action is to have your vitamin D levels checked by a doctor, who can then recommend the appropriate type and dosage of supplementation. This is especially crucial for high-risk populations, including older adults, those with darker skin, and individuals with malabsorption disorders.

For additional guidance on maintaining proper vitamin D status, the National Institutes of Health (NIH) offers comprehensive fact sheets and recommendations.

Conclusion

While the term vitamin D is often used broadly, it is important to recognize its two main forms, D2 and D3. Vitamin D2 is plant-based and less potent, while vitamin D3 is animal-based (or made from sun exposure) and is more effective at raising and maintaining blood levels. Both play a crucial role in overall health, particularly bone and immune function, but D3 is the superior choice for most supplementation purposes. By understanding these key differences, you can make more informed decisions about your nutritional needs and work with your healthcare provider to ensure optimal vitamin D status.

Potential Health Implications

Deficiency in either form can lead to serious health issues, including bone pain, muscle weakness, and in children, rickets. Therefore, ensuring adequate intake through diet, sun exposure, or supplementation is essential for preventing complications and maintaining overall well-being. Consulting with a healthcare professional for personalized recommendations is always the best approach.

Frequently Asked Questions

Common food sources of vitamin D2 include UV-exposed mushrooms and fortified foods like dairy products, plant-based milks, cereals, and orange juice.

Natural sources of vitamin D3 include fatty fish like salmon, tuna, and sardines, as well as cod liver oil, egg yolks, and beef liver.

Studies suggest that vitamin D3 is more effective than vitamin D2 at increasing and sustaining overall vitamin D blood levels for a longer duration.

Yes, vitamin D2 is suitable for vegans as it is derived from plant and fungi sources. Traditionally, it was the only vegan-friendly supplement, though vegan D3 derived from lichen is now also an option.

Sun exposure is the body's natural way of producing vitamin D3. However, factors like geographic location, skin pigmentation, age, and consistent use of sunscreen can limit production, making it difficult to get enough from the sun alone.

Vitamin D2 is generally less stable and has a shorter shelf life than vitamin D3 when exposed to factors like humidity and temperature. This can impact the long-term quality of D2 supplements.

For most people, vitamin D3 is recommended due to its higher efficacy. However, the best choice depends on your dietary preferences (vegans may prefer D2 or lichen-derived D3) and your specific health needs, which should be discussed with a healthcare provider.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.