Vitamin D

Cholecalciferol (D3) / Ergocalciferol (D2)

Effects depend strongly on whether the person is deficient. Probably helpful for muscle strength in older adults, immune-related effects, asthma or COPD, skin conditions, and blood sugar control, but many headline claims still land in mixed territory. Subgroup framing matters more here than for almost any other supplement.

What the research says

Each row is a different health effect. A means the support looks strongest, B likely helpful, C mixed or modest, and — not enough human evidence yet.

B · Likely helpful
B
Diabetes
Improves insulin sensitivity and blood sugar control markers.
123 papers · 58 research reviews
B
Asthma
Reduces severe exacerbations, particularly in children with asthma.
55 papers · 15 research reviews
B
Immune function
Modest effects on inflammatory markers and T-cell regulation.
48 papers · 18 research reviews
B
Skin (psoriasis, eczema)
Reduces symptom scores in psoriasis and atopic dermatitis.
44 papers · 9 research reviews
C · Mixed or limited evidence
C
Pregnancy
Reduces pre-eclampsia, gestational diabetes, low birthweight.
88 papers · 30 research reviews
C
Bone density
Maintains bone mineral density, especially in deficient populations.
68 papers · 28 research reviews
C
COVID-19 & respiratory infection
Reduces severity markers; mixed on hospitalization and mortality.
74 papers · 32 research reviews
C
Muscle strength (older adults)
Improves strength and physical function, mainly in the elderly and deficient.
50 papers · 23 research reviews
C
Depression & mood
Modest but consistent improvement in depressive symptoms.
46 papers · 17 research reviews
C
Autoimmune diseases
Benefits in IBD, lupus, MS and thyroid conditions; size of effect varies.
45 papers · 15 research reviews
C
Cancer mortality
May reduce cancer mortality; doesn't reduce cancer incidence.
23 papers · 8 research reviews
C
Blood pressure
Small blood-pressure-lowering effect in some papers.
59 papers · 26 research reviews
C
Cognition & dementia
Observational data stronger than randomized trial evidence.
33 papers · 5 research reviews
C
Bone fractures
Appears to help mainly in deficient or institutionalized older adults. Mostly null in well-nourished community-dwelling adults. Calcium co-supplementation matters.
92 papers · 65 research reviews
C
Cardiovascular disease
Large RCTs (VITAL, D-Health) show null effects in general populations. Observational signals stronger.
86 papers · 56 research reviews
C
Falls prevention
Some trials show reduced falls; others (high-dose, elderly) show increased falls. Dose matters.
76 papers · 49 research reviews
C
Respiratory infections
Some benefit in deficient populations; effects diluted in pooled analyses.
39 papers · 13 research reviews
C
Multiple sclerosis
Modulates disease markers; impact on relapse and progression unclear.
37 papers · 12 research reviews
C
All-cause mortality
Large RCTs in well-nourished populations don't show a mortality benefit. Doesn't extend lifespan.
29 papers · 19 research reviews
D · Does not appear to help
D
Cancer prevention (incidence)
RCT evidence is limited to specific cancers; no strong overall effect.
16 papers

Quick facts

Dose, form and deficiency thresholds based on trials in the database.

Typical dose
1,000–2,000 IU/day (25–50 μg) for general supplementation; higher for deficiency correction under supervision
Best taken
With a meal containing fat (improves absorption ~30–50%)
Form
D3 (cholecalciferol) preferred over D2 (ergocalciferol) — D3 raises blood levels more efficiently and stays elevated longer
Common side effects
None at recommended doses. High blood calcium levels possible at chronic doses above 10,000 IU/day
Drug interactions
Magnesium and vitamin K2 work synergistically. Some statins, anticonvulsants, and weight-loss drugs reduce vitamin D absorption
Unit conversion
1,000 IU = 25 μg. US labels typically show IU; European labels show μg
Deficiency thresholds
Serum 25(OH)D below 20 ng/mL (50 nmol/L) is deficient. Supplementation effects largest in this group

Quality-verified products

Products that pass third-party quality testing.

Product quality data coming soon
Product recommendations are being built from USP Verified, NSF Certified, and Labdoor test data. Products will only appear here after the supplement itself clears the evidence bar above — and only if the product passes third-party purity testing.

How we graded Vitamin D

Grades come from 767 unique research papers indexed from PubMed — including 142 meta-analyses, 78 systematic reviews, and 547 randomized trials. Subgroup-dependent effects (deficient vs. sufficient populations) make pooled grades less informative than per-subgroup grades. Where data permitted, subgroup framing leads. Each supplement is graded by health effect using a certainty × effect matrix applied across PubMed evidence per health effect. Cochrane reviews and high-quality systematic reviews carry the most weight. From abstract-only data, "high certainty" is rare — most A grades come from moderate certainty plus consistent meaningful-positive evidence. See Methodology for full detail.

Read the full methodology → · Download all 767 citations (PDF)