What is the optimal vitamin D dosage for atopic dermatitis?
Currently, there is no consensus on the optimal dose of vitamin D for skin health.
Yet, one of the biggest meta-analyses so far which included 11 studies in total, reported that the average dose of the sunshine vitamin shown as effective was 1600 IU (18).
Another study using higher daily doses of vitamin D (5000 IU) for 12 weeks reported that all patients who achieved serum levels of 25(OH)D ≥ 20 ng/ml experienced a significant reduction in symptoms (19).
Therefore achieving adequate blood vitamin D levels is a better predictor for the overall effect of the supplementation rather than the exact dose.
What is more, vitamin D dosage should be individually determined since the response to the supplement depends on multiple factors.
For example, one of the most important factors influencing the effectiveness of supplementation is body composition.
Since vitamin D is a fat-soluble vitamin, it gets easily stored in your adipose tissues which reduces its bioavailability and your blood levels drop.
Thus, the more body fat you have, the more vitamin D you need to take to raise your serum levels above 20 ng/ml (20).
For example, a study with more than 17 000 people reported that overweight patients need about 50% higher doses of vitamin D supplements than those with average body weight to achieve recommended blood levels (21).
Furthermore, obese patients may need up to 250% of the dose recommended for those with a healthy weight.
The type of vitamin D you are taking also plays a role in your response to supplementation. The two forms found in food products and supplements are vitamin D2 and D3.
Vitamin D3 is produced in the human body, as well as in most animals and algae. Good dietary sources include fatty fish and egg yolks. In comparison, vitamin D2 is produced and contained only in plants. The best dietary source for vitamin D2 is mushrooms.
According to research, vitamin D3 is much more effective than vitamin D2 in increasing blood vitamin D levels in patients (22).
Furthermore, it’s likely more stable as a compound and has a longer shelf life as a supplement compared to D2 (23). Therefore, it’s generally considered best to supplement with D3.
Other factors that may affect your response to vitamin D supplementation include genetics, lifestyle, and whether you take certain medications.
How to pick up the best supplement for skin health?
Although vitamin D3 can provide numerous benefits for your overall and skin health, there are several things to consider when choosing a supplement.
First of all, taking vitamin D3 alone will increase your calcium levels, but it will not necessarily ensure that the mineral will go into your bones.
There is always a risk that calcium may go into your blood vessels instead, which speeds up the process of atherosclerosis and may increase your risk of heart disease in the long term.
Thankfully, there is a simple solution - adding vitamin K2 to the supplement. According to studies, a combination of vitamin D3 and K2 may have a synergistic effect on your calcium metabolism (24).
While vitamin D boosts calcium absorption, vitamin K ensures that the mineral is deposited in your bones and not anywhere else, which minimizes the risk for adverse reactions and side effects.
One of the best products made in the US that contain both fat-soluble vitamins is Vitamin D3 + K2 Complex by Nutririse.
Nutririse provides an optimal amount of vitamin D per single dose - 5 000 IU. The vitamin is combined with 100 mcg of vitamin K2, 210 mg of calcium, and 5 mg of black pepper extract (Bioperine).
Vitamin K is also a fat-soluble vitamin that plays a major role in controlling blood coagulation. The Bioperine content ensures that the product has the best absorption as the extract is known to boost the bioavailability of supplements.
The black pepper extract works by regulating liver metabolism, which reduces the neutralization and excretion of the vitamins and prolongs the time during which the vitamins are exposed to uptake and absorption in your gastrointestinal tract (25, 26).
Note: This article is for informational purposes only, and not intended for use as medical advice. Always consult your healthcare provider before starting any dietary supplement.