Life Extension Magazine®
In recent years, a growing body of research has revealed a consistent pattern:
Lower levels of vitamin D are strongly associated with an increased risk of developing symptoms of depression.1-4
This suggests that maintaining sufficient vitamin D levels may help reduce vulnerability to depression and perhaps other mood-related conditions.
Clinical trials have found that taking daily oral vitamin D may improve outcomes for people with mild to moderate depression and help reduce their symptoms.4-7
The Vitamin D-Depression Link
Depression is a mood disorder marked by persistent sadness, loss of interest in activities once enjoyed, and a range of emotional and physical symptoms. These may include changes in appetite or sleep, irritability, difficulty concentrating, fatigue, and feelings of guilt or worthlessness. When these symptoms persist and interfere with daily life, it’s important to consult a healthcare professional.8,9
Depression is common.10 According to a 2023 national survey of U.S. adults, 29%—nearly three in 10 adults—reported having been diagnosed with depression at some point in their lives.11
Among the many contributing factors to depression, vitamin D deficiency stands out as both common and modifiable. Studies have found that individuals with depression often have notably lower levels of vitamin D.2,3,12,13
Interestingly, symptoms of depression tend to rise during the winter months—when sunlight exposure, and therefore vitamin D synthesis, is at its lowest. This seasonal trend has been observed in both major depressive disorder and seasonal affective disorder (SAD), further highlighting the potential role of vitamin D in mood regulation.14-16
How Vitamin D Affects Mood
The human brain has receptors for vitamin D just like nearly every tissue in the body.17
Preclinical and clinical evidence demonstrate that vitamin D is essential for a wide range of brain functions, including cognition, emotional regulation, and mood.18-21
All these functions support general brain health and help explain the link between low vitamin D levels and increased risk of depression.19,20,22
Research has shown that vitamin D may help prevent depression or reduce its symptoms by:
- Enhancing neuroplasticity (the brain’s ability to adapt and change).17,23
- Modulating neurotransmission and activating serotonin production. Vitamin D may help spur serotonin synthesis, supporting healthy levels.17,24,25
- Maintaining circadian rhythms. Abnormalities in the brain’s biological clock have been tied to the risk of depression. Both clinical and preclinical evidence demonstrate that vitamin D contributes to the maintenance of healthy circadian rhythms.26,27
- Upregulating protective genes. Vitamin D also supports brain health by upregulating the production of neurotrophic factors, which support neuron growth and survival such as brain-derived neurotrophic factor (BDNF).28,29
- Reducing oxidative stress and neuro-inflammation. Higher rates of oxidative stress and inflammation in the brain decrease neuroprotection and are associated with an increased risk of depression.1,17,30
What You Need To Know
Vitamin D May Help Counter Depression
- Research has shown that lower levels of vitamin D are associated with a significantly higher risk of developing depression.
- Depression rates are highest in the winter when people are exposed to less sunlight, and vitamin D levels are typically at their lowest.
- Clinical trials have found that taking oral vitamin D may significantly reduce the risk of depression and the severity of depressive symptoms.
Fighting Depression in Human Studies
Multiple clinical trials have found that taking oral vitamin D can help prevent or reduce symptoms of depression—an effect that is highly likely to reflect a vitamin D deficiency or insufficiency.4-6,31
A meta-analysis of 29 clinical studies involving over 4,500 people concluded that vitamin D intake could help reduce the incidence of depression and improve symptoms in those already experiencing it.
A daily supplemental dose of more than 2,800 IU, and intervention durations longer than eight weeks were found to be particularly effective in both preventing and treating depression. The evidence for benefits was strongest in individuals who had low vitamin D levels below 20 ng/mL (or below 50 nmol/L when using another reporting method) for 25-hydroxyvitamin D.6
A paper published in 2023, reviewing 10 meta-analyses of clinical trials, found that those taking daily vitamin D had a significant reduction in depression symptoms compared to those taking a placebo. Four of the meta-analyses reported that individuals with low vitamin D levels had a 60% greater risk of depression compared to those with higher levels of vitamin D. Most of these studies used daily doses between 1,500 IU and 2,800 IU.5
A clinical study published in 2024 added further insight. The researchers evaluated 46 people with major depressive disorder already receiving standard treatment and randomized to receive 1,600 IU vitamin D or placebo daily. After seven months, both groups showed similar improvements in depression and anxiety symptoms.
Types of Vitamin D: D3, Calcifediol, Calcitriol—What’s the Difference?
Not all vitamin D is created equal. There are three key forms, each suited to different needs. Here’s a quick guide to help you understand your options:
- D3 (Cholecalciferol)33
Everyday Maintenance/OTC
The most common over-the-counter form. It requires healthy liver and kidney function to become active. Ideal for general use and daily supplementation.
- Calcifediol (25-hydroxyvitamin D3)34,35 Faster Acting / For Deficiencies/ Rx required
A prescription form that’s already one- step activated. Useful for people with liver issues or those needing quicker results, as it skips the liver activation step.
- Calcitriol (1,25-dihydroxyvitamin D3)33 Fully Active / Special Cases/Rx only
The final, fully active form. It’s prescribed when both liver and kidney activation are compromised, such as in advanced kidney disease.
However, brain scans revealed that the vitamin D group maintained healthier brain connectivity and white matter integrity, while the placebo group showed disruptions. In the vitamin D group, more substantial increases in vitamin D levels were linked to greater symptom improvement.32 The dose used in that study (1,600 IU) was modest. Many individuals require between 5,000-8,000 IU (125-200 mcg) daily to reach optimal blood levels.
Summary
In people with low levels of vitamin D, symptoms of depression are much more likely to occur.
Depressive symptoms are also often worse during winter, when days are shorter and vitamin D levels tend to be at their lowest.
Clinical trials have found that taking daily doses of oral vitamin D may help prevent or reduce symptoms of depression.
If you have any questions on the scientific content of this article, please call a Life Extension Wellness Specialist at 1-866-864-3027.
How Much Vitamin D Should You Take Daily?
Vitamin D is essential for many aspects of health. Blood levels of vitamin D can vary depending on your sun exposure, body weight, and skin tone. Life Extension recommends 50–80 ng/mL36 for optimal health. Here’s what to know about effective supplementation and how to monitor your levels:
- Monitor Your Vitamin D Status
Regularly
Vitamin D is fat-soluble and stays in the body longer than water-soluble vitamins. Use the 25-hydroxyvitamin D blood test to monitor your vitamin D status. Your physician may test your vitamin D levels during your annual physical.
- Deficient Levels vs. Optimal Levels
- Deficiency: Less than 20 ng/mL
- Insufficiency: 20–30 ng/mL
- Sufficiency: Over 30 ng/mL
- Optimal (per Life Extension): 50–80 ng/mL36
- Typical Dosage Guidelines
- Most people need 5,000–8,000 IU (125-200 mcg) per day to reach optimal levels.37
- People with darker skin may require more due to lower natural vitamin D production.38
- Individuals with a high body mass index (BMI) require higher doses of vitamin D to achieve the same 25(OH)D concentrations as those with a normal BMI.39
References
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- Ronaldson A, Arias de la Torre J, Gaughran F, et al. Prospective associations between vitamin D and depression in middle-aged adults: findings from the UK Biobank cohort. Psychol Med. 2022 Jul;52(10):1866-74.
- Hinata A, Kitamura K, Watanabe Y, et al. Low plasma 25-hydroxyvitamin D levels are associated with an increased risk of depressive symptoms in community-dwelling Japanese people aged between 40 and 74 years: The Murakami cohort study. J Affect Disord. 2023 Mar 15;325:48-54.
- Kaviani M, Nikooyeh B, Zand H, et al. Effects of vitamin D supplementation on depression and some involved neurotransmitters. J Affect Disord. 2020 May 15;269:28-35.
- Musazadeh V, Keramati M, Ghalichi F, et al. Vitamin D protects against depression: Evidence from an umbrella meta-analysis on interventional and observational meta-analyses. Pharmacol Res. 2023 Jan;187:106605.
- Xie F, Huang T, Lou D, et al. Effect of vitamin D supplementation on the incidence and prognosis of depression: An updated meta-analysis based on randomized controlled trials. Front Public Health. 2022;10:903547.
- Srifuengfung M, Srifuengfung S, Pummangura C, et al. Efficacy and acceptability of vitamin D supplements for depressed patients: A systematic review and meta-analysis of randomized controlled trials. Nutrition. 2023 Apr;108:111968.
- Tolentino JC, Schmidt SL. DSM-5 Criteria and Depression Severity: Implications for Clinical Practice. Front Psychiatry. 2018;9:450.
- Available at: https://www.psychiatry.org/patients-families/depression/what-is-depression. Accessed July 14, 2025.
- Available at: https://www.nimh.nih.gov/health/statistics/major-depression. Accessed July 14, 2025.
- Available at: https://news.gallup.com/poll/505745/depression-rates-reach-new-highs.aspx. Accessed 01/03/2025.
- Anglin RE, Samaan Z, Walter SD, et al. Vitamin D deficiency and depression in adults: systematic review and meta-analysis. Br J Psychiatry. 2013 Feb;202:100-7.
- Milaneschi Y, Hoogendijk W, Lips P, et al. The association between low vitamin D and depressive disorders. Mol Psychiatry. 2014 Apr;19(4):444-51.
- Melrose S. Seasonal Affective Disorder: An Overview of Assessment and Treatment Approaches. Depress Res Treat. 2015;2015:178564.
- Petric D. The importance of vitamin D in seasonal affective disorder and other depressive disorders. Int J Med Rev Case Rep. 2021;5(13):48-50.
- Stewart AE, Roecklein KA, Tanner S, et al. Possible contributions of skin pigmentation and vitamin D in a polyfactorial model of seasonal affective disorder. Med Hypotheses. 2014 Nov;83(5):517-25.
- Cui A, Xiao P, Ma Y, et al. Prevalence, trend, and predictor analyses of vitamin D deficiency in the US population, 2001-2018. Front Nutr. 2022;9:965376.
- Anjum I, Jaffery SS, Fayyaz M, et al. The Role of Vitamin D in Brain Health: A Mini Literature Review. Cureus. 2018 Jul 10;10(7):e2960.
- Plantone D, Primiano G, Manco C, et al. Vitamin D in Neurological Diseases. Int J Mol Sci. 2022 Dec 21;24(1).
- Annweiler C. Vitamin D in dementia prevention. Ann N Y Acad Sci. 2016 Mar;1367(1):57-63.
- Sailike B, Onzhanova Z, Akbay B, et al. Vitamin D in Central Nervous System: Implications for Neurological Disorders. Int J Mol Sci. 2024 Jul 17;25(14).
- Zhang XX, Wang HR, Meng W, et al. Association of Vitamin D Levels with Risk of Cognitive Impairment and Dementia: A Systematic Review and Meta-Analysis of Prospective Studies. J Alzheimers Dis. 2024;98(2):373-85.
- Kouba BR, Rodrigues ALS. Neuroplasticity-related effects of vitamin D relevant to its neuroprotective effects: A narrative review. Pharmacol Biochem Behav. 2024 Dec;245:173899.
- Huiberts LM, Smolders K. Effects of vitamin D on mood and sleep in the healthy population: Interpretations from the serotonergic pathway. Sleep Med Rev. 2021 Feb;55:101379.
- Sabir MS, Haussler MR, Mallick S, et al. Optimal vitamin D spurs serotonin: 1,25-dihydroxyvitamin D represses serotonin reuptake transport (SERT) and degradation (MAO-A) gene expression in cultured rat serotonergic neuronal cell lines. Genes Nutr. 2018;13:19.
- Gutierrez-Monreal MA, Cuevas-Diaz Duran R, Moreno-Cuevas JE, et al. A role for 1alpha,25-dihydroxyvitamin d3 in the expression of circadian genes. J Biol Rhythms. 2014 Oct;29(5):384-8.
- Muscogiuri G, Barrea L, Scannapieco M, et al. The lullaby of the sun: the role of vitamin D in sleep disturbance. Sleep Med. 2019 Feb;54:262-5.
- Kouba BR, Camargo A, Gil-Mohapel J, et al. Molecular Basis Underlying the Therapeutic Potential of Vitamin D for the Treatment of Depression and Anxiety. Int J Mol Sci. 2022 Jun 25;23(13).
- Casseb GAS, Kaster MP, Rodrigues ALS. Potential Role of Vitamin D for the Management of Depression and Anxiety. CNS Drugs. 2019 Jul;33(7):619-37.
- Della Nera G, Sabatino L, Gaggini M, et al. Vitamin D Determinants, Status, and Antioxidant/Anti-inflammatory-Related Effects in Cardiovascular Risk and Disease: Not the Last Word in the Controversy. Antioxidants (Basel). 2023 Apr 18;12(4).
- Ghaemi S, Zeraattalab-Motlagh S, Jayedi A, et al. The effect of vitamin D supplementation on depression: a systematic review and dose-response meta-analysis of randomized controlled trials. Psychol Med. 2024 Nov 18;54(15):1-10.
- Zhao W, Zhu DM, Shen Y, et al. The protective effect of vitamin D supplementation as adjunctive therapy to antidepressants on brain structural and functional connectivity of patients with major depressive disorder: a randomized controlled trial. Psychol Med. 2024 Jul;54(10):2403-13.
- Cesareo R, Attanasio R, Caputo M, et al. Italian Association of Clinical Endocrinologists (AME) and Italian Chapter of the American Association of Clinical Endocrinologists (AACE) Position Statement: Clinical Management of Vitamin D Deficiency in Adults. Nutrients. 2018 Apr 27;10(5).
- Jodar E, Campusano C, de Jongh RT, et al. Calcifediol: a review of its pharmacological characteristics and clinical use in correcting vitamin D deficiency. Eur J Nutr. 2023 Jun;62(4):1579-97.
- Sosa Henríquez M, Gómez de Tejada Romero MJ. Cholecalciferol or Calcifediol in the Management of Vitamin D Deficiency. Nutrients. 2020 May 31;12(6).
- Wimalawansa SJ. Physiology of Vitamin D-Focusing on Disease Prevention. Nutrients. 2024 May 29;16(11).
- McCullough PJ, Lehrer DS, Amend J. Daily oral dosing of vitamin D3 using 5000 TO 50,000 international units a day in long-term hospitalized patients: Insights from a seven year experience. J Steroid Biochem Mol Biol. 2019 May;189:228-39.
- Kift RC, Webb AR. Globally Estimated UVB Exposure Times Required to Maintain Sufficiency in Vitamin D Levels. Nutrients. 2024 May 15;16(10).
- Tobias DK, Luttmann-Gibson H, Mora S, et al. Association of Body Weight With Response to Vitamin D Supplementation and Metabolism. JAMA Network Open. 2023;6(1):e2250681-e.