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What are the three types of vitamin D?

3 min read

While many consider vitamin D a single nutrient, it is actually a group of fat-soluble secosteroids. What are the three types of vitamin D that are most relevant to human health, and how does the body utilize each? Understanding these different forms is key to ensuring you get sufficient amounts of this crucial nutrient for bone health and immune function.

Quick Summary

This article explains the three main forms of vitamin D: ergocalciferol (D2), cholecalciferol (D3), and the active hormone calcitriol. It clarifies their origins, metabolic pathways, and relative effectiveness for human health, providing essential information on sources and biological functions.

Key Points

  • Ergocalciferol (D2): This plant-based form of vitamin D is found in mushrooms and fortified foods and is suitable for vegans.

  • Cholecalciferol (D3): Sourced from sunlight exposure and animal products, D3 is often considered more potent and effective at raising blood levels.

  • Calcitriol is the Active Form: Both D2 and D3 are biologically inactive until they are converted by the body into calcitriol, the active hormone.

  • Metabolic Conversion: The body converts D2 and D3 first in the liver (to calcidiol) and then in the kidneys (to calcitriol).

  • Supplementation Considerations: The choice between D2 and D3 supplements may depend on dietary needs and potential potency differences, with D3 generally favored for boosting levels.

In This Article

The Primary Dietary and Sunlight-Derived Forms: D2 and D3

The two most common forms of vitamin D that humans obtain from diet and environmental exposure are vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol). Although both are used by the body, they differ significantly in their origin and metabolic fate.

Ergocalciferol (Vitamin D2)

Ergocalciferol, or vitamin D2, is primarily derived from plant sources. It is synthesized by plants, yeast, and fungi (such as mushrooms) when exposed to ultraviolet (UV) light. This makes it a key source for individuals following a vegan or vegetarian diet. Many foods are fortified with vitamin D2, including:

  • UV-exposed mushrooms
  • Fortified soy milk
  • Fortified cereals
  • Fortified orange juice
  • Yeast

Cholecalciferol (Vitamin D3)

Cholecalciferol, or vitamin D3, is produced by the human body when the skin is exposed to UVB radiation from sunlight. For most people, sun exposure is the primary source of vitamin D. D3 can also be obtained from animal-based dietary sources and is more effective than D2 at raising and maintaining blood levels of the vitamin. Food sources of D3 include:

  • Fatty fish (salmon, sardines, mackerel)
  • Fish liver oils
  • Beef liver
  • Egg yolks
  • Some fortified dairy products

The Active Form: Calcitriol

The third, and most critical, type of vitamin D is calcitriol. It is the biologically active form of the vitamin, functioning as a hormone to regulate key processes in the body. Neither D2 nor D3 is biologically active upon ingestion or synthesis; they must first be converted into calcitriol through a two-step process.

  1. First Hydroxylation: In the liver, D2 and D3 are converted into 25-hydroxyvitamin D, also known as calcidiol. This is the main circulating form of vitamin D in the blood, and its concentration is measured to determine a person's vitamin D status.
  2. Second Hydroxylation: In the kidneys, calcidiol is converted into the active hormone, 1,25-dihydroxyvitamin D, or calcitriol. The production of calcitriol is tightly regulated by the body to maintain calcium and phosphate balance.

Comparison of Vitamin D Types: D2 vs. D3

Feature Vitamin D2 (Ergocalciferol) Vitamin D3 (Cholecalciferol)
Primary Source Plant-based (e.g., UV-exposed mushrooms, fortified foods) Sun exposure and animal products (e.g., fatty fish, eggs)
Potency Less effective at raising and sustaining blood levels of vitamin D than D3 Generally considered more potent and effective for increasing blood vitamin D levels
Availability Available in supplements, often lower cost. Primarily prescribed in high-dose form. Widely available over-the-counter in supplements and in fortified foods
Vegan-Friendly? Yes, derived from fungi. Originally from animal lanolin, but vegan D3 from lichen and algae is now available
Metabolism Follows the same two-step metabolic activation pathway as D3. Follows the same two-step metabolic activation pathway as D2.

Why Understanding These Types is Essential

The distinction between D2, D3, and calcitriol is important for health and nutritional decisions. The choice of supplement, dietary needs, and sun exposure recommendations can depend on understanding these types.

  • Supplement Choice: For individuals with vitamin D deficiency, many experts recommend D3 supplements due to their superior ability to raise blood levels. However, both forms are effective in preventing deficiency diseases like rickets.
  • Dietary Restrictions: Vegans must be careful to source their vitamin D either through fortified foods containing D2 or by opting for supplements specifically labeled as vegan D3, which are sourced from non-animal materials like lichen.
  • Health Conditions: Monitoring 25(OH)D levels (calcidiol) is the standard for assessing a person's vitamin D status. For those with certain kidney or liver diseases, the conversion to calcitriol can be impaired, requiring specific medical management.

Conclusion

In summary, the three types of vitamin D that are most relevant are ergocalciferol (D2), cholecalciferol (D3), and the active hormone calcitriol. While D2 and D3 are the precursor forms obtained from diet and sun exposure, calcitriol is the metabolically active version that the body uses to regulate calcium and bone health. Understanding the origins and metabolic differences of D2 and D3 is crucial for choosing the right supplements, especially for those with dietary restrictions. Ultimately, maintaining adequate levels of vitamin D, whether from sunlight, food, or supplements, is vital for a range of bodily functions and overall well-being. For more detailed information on nutrient functions, consult authoritative sources such as the National Institutes of Health.

Frequently Asked Questions

Both vitamin D2 and D3 are well absorbed, but evidence suggests that vitamin D3 is more effective at increasing and sustaining higher blood vitamin D levels over time.

The primary natural source of vitamin D3 is synthesis in the skin when exposed to ultraviolet B (UVB) radiation from sunlight.

Yes, vitamin D2 (ergocalciferol) is derived from fungi like yeast and mushrooms, making it suitable for vegans. Vegan D3 from lichen is also available.

Vitamin D from any source is first converted in the liver to calcidiol, and then converted again in the kidneys to its active hormonal form, calcitriol.

Sources include fatty fish (salmon), eggs, and beef liver for D3, and UV-exposed mushrooms for D2. Many milks and cereals are also fortified.

Yes, chronic or severe vitamin D deficiency can cause rickets in children and osteomalacia in adults, leading to weakened or softened bones. It can also cause fatigue and muscle pain.

Yes, it is possible to experience vitamin D toxicity, known as hypervitaminosis D, from taking excessive amounts of supplements. Symptoms include high blood calcium, nausea, and weakness.

References

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Medical Disclaimer

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