Why labels switched to micrograms

FDA now requires labels to state vitamin D in micrograms (mcg) per serving. Many labels still show international units (IU) in parentheses, because IU is the unit most people learned.

The conversion is fixed: 1 mcg of vitamin D equals 40 IU. A softgel labeled 50 mcg provides 2,000 IU.

Micrograms to international units (1 mcg = 40 IU)
Micrograms (mcg)International units (IU)
10 mcg400 IU
15 mcg600 IU
20 mcg800 IU
25 mcg1,000 IU
50 mcg2,000 IU
100 mcg4,000 IU

Three different numbers: RDA, Daily Value, upper limit

The %DV on a label compares one serving with the Daily Value of 20 mcg. A 50 mcg softgel shows 250% DV.

A %DV above 100 does not by itself mean a product is excessive. The ceiling that matters is the upper limit, and it applies to your total intake from every source, not to one product.

The reference numbers for adults, from the NIH
NumberWhat it isAdult value
RDADaily intake that meets the needs of nearly all healthy people15 mcg (600 IU), ages 19–70; 20 mcg (800 IU), over 70
Daily ValueThe single reference used for %DV on labels20 mcg (800 IU)
Upper limitMost from all sources combined that is unlikely to cause harm100 mcg (4,000 IU)

Count every source

Add up every product you take that contains vitamin D: standalone supplements, multivitamins, calcium-plus-D products, and fortified foods and drinks. For example, a 50 mcg softgel, a multivitamin that provides 25 mcg, and a cup of fortified milk total about 78 mcg, which is still under the 100 mcg upper limit.

Your skin also makes vitamin D in sunlight, but the amount varies with season, latitude, cloud cover, age, and skin tone. That is part of why people who get little sun, older adults, and people with darker skin are more likely to fall short.

Vitamin D in common sources, per the NIH
SourceVitamin D
Cod liver oil, 1 tablespoon34 mcg (1,360 IU)
Salmon, 3 oz14.2 mcg (570 IU)
Fortified milk, 1 cup2.9 mcg (120 IU)
Egg, 1 large1.1 mcg (44 IU)

D3 vs. D2

Supplements use one of two forms: vitamin D3 (cholecalciferol) or vitamin D2 (ergocalciferol). According to the NIH, D3 raises blood levels of vitamin D more and keeps them up longer than D2.

Vitamin D is fat-soluble, and having some fat in the gut improves its absorption. Many people take it with a meal for that reason.

Blood levels and too much

Vitamin D status is measured with a blood test for 25-hydroxyvitamin D. The NIH describes 50 nmol/L (20 ng/mL) or higher as adequate for most people, and levels above 125 nmol/L (50 ng/mL) as potentially too high. Whether and when to test is a decision for you and your clinician.

Too much vitamin D raises blood calcium, which can cause nausea, vomiting, and muscle weakness, and in extreme cases kidney damage. That almost always comes from supplements taken well above the upper limit, not from sun or food.

Sources

  1. NIH Office of Dietary Supplements — Vitamin D (Health Professional Fact Sheet)
  2. NIH Office of Dietary Supplements — Vitamin D (Consumer Fact Sheet)

This material is for general educational purposes only and is not medical advice. Consult a qualified healthcare professional about your individual circumstances.