25—Hydroxyvitamin D (Vitamin D): How Do We Get D3, and why is it so important?

Written on 04/22/2024
Chief Stephen A. Petrilli Jr.

Vitamin D, often called the “sunshine vitamin,” is a crucial nutrient that plays a vital role in various bodily functions. One form of vitamin D, known as vitamin D3 or cholecalciferol, is synthesized in the skin upon exposure to sunlight ultraviolet B (UVB) radiation. This process involves the conversion of 7-dehydrocholesterol in the skin into pre-vitamin D3, which then undergoes further transformation into vitamin D3.

In addition to sunlight exposure, vitamin D3 can be obtained from dietary sources. Foods rich in vitamin D include fatty fish (such as salmon, mackerel, and tuna), egg yolks, fortified dairy products, and certain fortified cereals and juices. However, dietary intake alone may not always provide sufficient levels of vitamin D, especially for individuals with limited sun exposure or certain medical conditions that affect vitamin D absorption.

The importance of vitamin D3 stems from its numerous functions in the body:

  1. Bone Health: Vitamin D is crucial in calcium absorption, and mineralization is essential for maintaining strong and healthy bones. Adequate vitamin D levels help prevent conditions like osteoporosis, rickets (in children), and osteomalacia (in adults), characterized by weakened bones and increased risk of fractures.
  2. Immune Function: Vitamin D has immunomodulatory effects and regulates innate and adaptive immune responses. It helps support the function of various immune cells, including macrophages, T cells, and B cells, thereby enhancing the body’s ability to fight infections and diseases.
  3. Regulation of Gene Expression: Vitamin D acts as a hormone that regulates the expression of numerous genes involved in various physiological processes, including cell growth, differentiation, and apoptosis (cell death). It influences the activity of genes related to cardiovascular health, cancer prevention, and neurological function, among others.
  4. Mood Regulation: Emerging research suggests vitamin D may affect mood regulation and mental health. Low levels of vitamin D have been associated with an increased risk of depression, seasonal affective disorder (SAD), and other mood disorders. Supplementation with vitamin D3 has shown promise in improving mood and reducing symptoms of depression in some individuals.

Given its critical functions in the body, maintaining adequate levels of vitamin D3 is essential for overall health and well-being. However, many people, especially those living in northern latitudes with limited sunlight exposure or those with darker skin pigmentation, may be at risk of vitamin D deficiency. Certain medical conditions, medications, and lifestyle factors can also affect vitamin D absorption and metabolism.

In conclusion, vitamin D3 is obtained primarily through sunlight exposure and, to a lesser extent, dietary sources. Its importance lies in its role in bone health, immune function, gene expression, and mood regulation. Ensuring sufficient vitamin D levels through sunlight exposure, dietary intake, and supplementation when necessary is crucial for maintaining optimal health and reducing the risk of various health problems associated with vitamin D deficiency.

Action Items

  1. Know your numbers. Your physician can order a simple blood test to determine your vitamin D3 levels. Once the test is ordered, any deficiencies can be addressed through lifestyle, nutrition, and supplementation. 
  2. Vitamin D3 supplements, when used under a physician’s care, can effectively increase vitamin D3 levels in the body.