D2 <8: My D3 level was 90 but my D... - Pernicious Anaemi...

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D2 <8

CW12 profile image
CW12
8 Replies

My D3 level was 90 but my D2 level was <8. What does this mean. Do I need to supplement with D2... is there such a thing. Thanks

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CW12 profile image
CW12
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8 Replies
fbirder profile image
fbirder

I've never heard of measuring them separately.

"In your bloodstream, vitamin D2 and vitamin D3 are changed into a form of vitamin D called 25 hydroxyvitamin D, also known as 25(OH)D. A vitamin D blood test measures the level of 25(OH)D in your blood. Abnormal levels of vitamin D can indicate bone disorders, nutrition problems, organ damage, or other medical conditions."

medlineplus.gov/lab-tests/v...

helvella profile image
helvella in reply to fbirder

Quite a number of NHS labs show D2, D3 and total results. Over on Thyroid UK it has been quite a regular question.

One NHS lab in particular sells its testing online and says:

We use the latest LC-MS/MS equipment to measures D3 and D2 to give a ‘Total Vitamin D’ level.

vitamindtest.org.uk/index.html

fbirder profile image
fbirder in reply to helvella

Ah. You live and learn.

Is there an advantage to knowing individual results?

helvella profile image
helvella in reply to fbirder

I'm not sure.

There have been suggestions that D3 is preferable but it is a long time since I really looked. UK focus is mostly D3 so I haven't really been bothered, to be honest.

I suppose if you are drinking ultraviolet treated milk and taking lanolin-derived capsules, it would help to identify how much you are getting from each.

Last one I had done, my D2 was at or near zero.

I guess that the very technique LC-MS/MS probably means that D2 and D3 results drop out separately so why not report? Other than this ongoing confusion, I rather agree with passing on all the info.

helvella profile image
helvella

D2 is formed when they use ultraviolet on milk, for example. That is why in the USA, where that is near-standard, D2 levels tend to be higher.

Nowadays most D supplements are D3. Though those derived from fungi are (usually) D2.

D supplements from animal sources (e.g. lanolin) are D3.

There has been research on the two forms and whether they are equally good - I leave you to check that out as it is complicated.

What matters is total.

CW12 profile image
CW12 in reply to helvella

So if my total is a healthy number then the D2 doesn’t matter if D3 is ok?

helvella profile image
helvella in reply to CW12

So far as I know, in deciding whether or not to supplement (or use UV lamp, or whatever), the only one that matters is total.

D2 and D3 numbers, in themselves, do not matter - just that total is achieved by adding them together! :-)

CW12 profile image
CW12 in reply to helvella

Thank you

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