The libraryDefense

Vitamin D

Cancer death fell about 12% on daily dosing and not at all on bolus dosing.

Also called Cholecalciferol, Vitamin D3, Ergocalciferol, Vitamin D2, Calciferol

Sold as a dietary supplement

Who it's forAny man with a vitamin D bottle in his cabinet.

The item

Three squares: proven in human trials. Two: a strong signal. One: early human data. Striped: the trials disagree.

Start today

  1. Swap to a 2000 IU daily capsule and take it every morning.

Why it works

Vitamin D is a hormone, not a classic vitamin. UVB light makes it in the skin. Then the liver and kidney convert it in two steps into the active form. That form binds a receptor in the cell nucleus and controls hundreds of genes. The receptor sits in tissues far beyond bone, which is why low levels track with so many conditions. It is also why turning those links into benefits proven in trials has been so hard outside bone health.

The doses the studies used

Study / ContextRouteDoseDuration
VITAL, general population (NCT01169259; Hahn 2022, PMID 35082139)OralVitamin D3 2000 IU/dayMedian 5.3 years
D2d, prediabetes (Pittas 2019, PMID 31173679)OralVitamin D3 4000 IU/dayMedian 2.5 years
Bone-density dose-ranging, adults 55-70 (Burt 2019, PMID 31454046)OralVitamin D3 400, 4000 or 10,000 IU/day3 years
Annual bolus, women 70+ (Sanders 2010, PMID 20460620)OralCholecalciferol 500,000 IU once each autumn or winter3 to 5 years
WHI, postmenopausal women (Jackson 2006, PMID 16481635)OralVitamin D3 400 IU/day with 1000 mg elemental calcium7 years
VITDALIZE, critically ill with severe deficiency (NCT03188796)Oral or enteral540,000 IU loading dose, then 4000 IU/day90 days
VINDICATE-2, chronic heart failure (NCT03416361)OralVitamin D3 4000 IU/day24 months minimum, up to 4 years
Vitamin D3 plus yeast beta-glucan in type 2 diabetes (NCT06861062)OralVitamin D3 1600 IU/day24 months

What people say

Here is what doctors, influencers and men online say about Vitamin D, word for word.

Experts

Clinicians, authorities

  • “A lack of vitamin D can lead to bone diseases such as osteoporosis or rickets.”

    MedlinePlus (US National Library of Medicine, NIH)
  • “empiric vitamin D supplementation because of the potential to lower the risk of mortality”

    Endocrine Society
  • “You can get too much vitamin D if you take too many supplements. Interestingly, you can't get too much vitamin D from the sun.”

    Cleveland Clinic

Gurus

Podcasts, channels, influencers

  • “And this was a smaller study than I would like, but it reversed their epigenetic aging by three years because again, it's a hormone.”

    podcast

Regular people

Forums, reviews, comments

  • “Living in a region with limited sunlight, drops and vitamins have been a reliable source of vitamin D, supporting my immune system.”

    WebMD vitamin D ingredient reviews, 314 reviews, 3.5/5
  • “Vitamin D is the ONLY one I still take because it consistently makes me feel better.”

    Hacker News thread on 'The Big Vitamin D Mistake', 256 points, 182 comments
  • “Certain nutrients are just hard to get to adequate levels through food alone, vitamin D and DHA being two of the bigger ones.”

    r/Supplements · 10 points

Take 2000 IU daily. Never a once-a-year megadose, never 10,000 a day.

Emergency: call 911.

I am not a doctor. This is not medical advice. This is self-education. Talk to a physician who has your history before you change anything.