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Vitamin D3 more potent than D2, further evidence
================================================

21-Jun-2004
Related topics: Research, Vitamins & premixes

Vitamin D3 has significantly greater potency than another form of the
vitamin, D2, shows a small study, presented last week.
The researchers say D3 supplements will be much more effective at
preventing deficiency of the vitamin, a condition gaining increasing
attention from the medical community.

Researchers writing in The Lancet last year warned that pregnant women
and children should take vitamin D supplements to prevent a resurgence
of rickets, the failure to mineralise new bone tissue leading to
poorly formed bones. Its incidence is thought to be increasing due to
several current lifestyle factors, including greater use of sun
protection creams.
Sunlight is the best source of vitamin D but for those exposed to
little sunlight, supplements are recommended. Even vitamin D-fortified
foods, such as cereals or yellow spreads, do not offer the recommended
daily allowance, according to recent surveys.

Since the 1930s, researchers have believed that vitamin D2 and D3
haveessentially the same benefits in people. However, recent studies
have suggested that vitamins D2 and D3 are not the same and D3 tends
to be more widely used. New findings, presented by Dr Laura Armas from
Creighton University in Omaha and colleagues at ENDO 2004 in New
Orleans, US, last week, appear to confirm this difference.
The researchers examined the potency of both forms by randomly giving
a single 50,000 IU dose of either vitamin D2 or D3 to 20 healthy male
volunteers. Over a period of 28 days, blood levels of vitamin D and
its product 25-hydroxyvitamin D were measured.

The two calciferols produced similar rises in serum concentration of
the native vitamin, indicating equivalent absorption. But while both
produced similar initial rises in serum 25 hydroxyvitamin D over the
first three days, serum 25OHD fell rapidly in the D2 treated subjects
and was not different from baseline at 14 days.
Meanwhile 25OHD continued to rise in the D3 treated subjects, peaking
by 14 days and continuing to remain high.

Calculating the difference in potency by measuring the area under the
curve revealed an even greater difference with D3 more than nine times
more effective than D2.
The fall in 25OHD2 may reflect differences in the affinity of the
vitamin D binding protein for the two calciferols, said the
researchers.

"Clearly vitamin D3 is the preferable form of vitamin D," they
concluded, adding that "physicians using vitamin D2 should be aware of
its markedly reduced potency and shorter duration of action".
The D3 form does however pose some limitations. Some manufacturers are
reluctant to use it as lanolin is used in its manufacture and this
presents issues for vegans.

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