Milk or water are optimal drinks for (oral) vitamin D bioavailability

haidut

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Just a quick post about something I thought many people will probably find interesting, considering the widespread use of oral vitamin D supplements. The findings of the study are a bit surprising, considering that vitamin D is one of the "fat-soluble" vitamins and as such is expected to be poorly absorbed from the GI tract when ingested with something not containing any fat (e.g. water). Other surprising findings were that ingestion of vitamin D with protein (whey) or juice did not improve bioavailability, contradicting earlier findings suggesting that ingestion of vitamin D with protein works better than taking vitamin D on its own.

What is the most efficient way to fortify food items with vitamin D? A randomised, multiple crossover study | ECE2022 | European Congress of Endocrinology 2022 | Endocrine Abstracts
Milk and water most efficient vehicles for absorbing vitamin D, study finds

"...Vitamin D supplements are therefore vital, and knowing whether they will be absorbed and how best to aid absorption is crucial. To answer this question, Dr. Rasmus Espersen of Aarhus University in Denmark and his colleagues conducted a randomized trial on 30 postmenopausal women aged 60–80 with vitamin D deficiency. The study aimed to measure immediate changes in blood concentrations in response to the consumption of various food items containing 200 g D3. In a random order, 500 mL of water, milk, juice, juice with vitamin D bound to whey protein isolate as well as 500 mL of water without vitamin D (placebo) were presented to the study participants. Blood samples were collected at 0h, 2h, 4h, 6h, 8h, 10h, 12h, and 24h on each study day. "One aspect that surprised me was the fact that the results seen in the water and milk groups were equal. This was quite unexpected given the fact that milk contains more fat than water," stated Dr. Espersen. The study revealed that whey protein isolate in apple juice did not enhance maximum concentration of D3 compared to juice without WPI. However, compared to juice, D3 concentrations were significantly higher in response to intake of milk and water. No difference was observed between milk and water. Therefore, the conclusion from this study is that vitamin D fortification works better in water or milk than in juice."
 
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This study on vitamin D is interesting and probably more of an eye opener to how other supplements are not being properly used either. Like medications that state to “take with food or on an empty stomach”, each supplements has it’s particular details, and here people just pop a multivitamin that has vitamin D listed without thinking about any of it, and are certain their issues are not vitamin D related because they take vitamin D. Thanks for the informative post.
 

ThinPicking

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This study on vitamin D is interesting and probably more of an eye opener to how other supplements are not being properly used either. Like medications that state to “take with food or on an empty stomach”, each supplements has it’s particular details, and here people just pop a multivitamin that has vitamin D listed without thinking about any of it, and are certain their issues are not vitamin D related because they take vitamin D. Thanks for the informative post.
Stomach contents, stage of digestion and small intestinal contents are also factors in this.

"Using physiological data, we show that this gastric emptying “Magenstrasse” (stomach road) can funnel liquid gastric content from the farthest reaches of the fundus directly to the intestines within 10 min. Consequently, whereas drugs (tablets, capsules, liquid) released off the Magenstrasse may require hours to enter the duodenum, at low concentration, when released on the Magenstrasse the drug can enter the duodenum and activate within 10 min—at high concentration."

 
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Stomach contents, stage of digestion and small intestinal contents are also factors in this.

"Using physiological data, we show that this gastric emptying “Magenstrasse” (stomach road) can funnel liquid gastric content from the farthest reaches of the fundus directly to the intestines within 10 min. Consequently, whereas drugs (tablets, capsules, liquid) released off the Magenstrasse may require hours to enter the duodenum, at low concentration, when released on the Magenstrasse the drug can enter the duodenum and activate within 10 min—at high concentration."

That is a good post of yours…

“I noticed this with Taurine because I can sense its effect. At some point I realised that taking small amounts with tiny sips of fluid was more effective than commercially available supplements of 500 mg and above. So I switched to making size 4 capsules that contain a low dose of about 100 mg to achieve the same effect.”
 
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