{"id":1673,"date":"2026-06-02T23:59:51","date_gmt":"2026-06-02T21:59:51","guid":{"rendered":"https:\/\/bezugla.de\/vitamin-d3-deficiency-symptoms-causes-and-how-to-take-targeted-countermeasures\/"},"modified":"2026-10-27T16:14:37","modified_gmt":"2026-10-27T15:14:37","slug":"vitamin-d3-deficiency-symptoms-causes-and-how-to-take-targeted-countermeasures","status":"publish","type":"post","link":"https:\/\/bezugla.de\/en\/vitamin-d3-deficiency-symptoms-causes-and-how-to-take-targeted-countermeasures\/","title":{"rendered":"Vitamin D3: Skin synthesis and 25-OH-D level"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/bezugla.de\/wp-content\/uploads\/2026\/06\/e7eb4937-8c2e-47a4-b8c8-af4a43669518-600x400.png\" alt=\"Vitamin D3 deficiency \u2013 symptoms, causes and prevention strategies\" class=\"wp-image-1675\" srcset=\"https:\/\/bezugla.de\/wp-content\/uploads\/2026\/06\/e7eb4937-8c2e-47a4-b8c8-af4a43669518-600x400.png 600w, https:\/\/bezugla.de\/wp-content\/uploads\/2026\/06\/e7eb4937-8c2e-47a4-b8c8-af4a43669518-900x600.png 900w, https:\/\/bezugla.de\/wp-content\/uploads\/2026\/06\/e7eb4937-8c2e-47a4-b8c8-af4a43669518-720x480.png 720w, https:\/\/bezugla.de\/wp-content\/uploads\/2026\/06\/e7eb4937-8c2e-47a4-b8c8-af4a43669518.png 1536w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n\n<p>A vitamin D3 deficiency is best assessed via the 25-OH-D level in the blood, not through individual body signs or assumptions. Especially in Germany, the body\u2019s own synthesis via the skin is often limited in the winter months. Therefore: measure first, then plan intake individually and do not set the dosage high on your own on a long-term basis.<\/p><p>Vitamin D has a special role among vitamins because the body can produce it in the skin when there is sufficient UV-B radiation. Foods also contribute to intake, but usually replace skin synthesis only to a limited extent. In practice, this means that sun exposure habits, season, everyday life and blood level should be considered together.<\/p><h2>How vitamin D3 is produced via the skin<\/h2><p>The skin needs UV-B radiation to produce vitamin D3. This reaches the skin sufficiently mainly when the sun is high enough and uncovered areas of skin are exposed. In Berlin and other regions of Germany, this is especially relevant in spring and summer.<\/p><p>Several factors are important: time of day, cloud cover, clothing, skin type, age, time spent outdoors and sun protection. Sun protection remains important, because protecting the skin and using the sun consciously are not mutually exclusive. Prolonged unprotected sun exposure is not a sensible strategy.<\/p><p>An everyday example: someone who takes a short walk at midday in summer with their face, forearms and hands uncovered has different conditions from someone who commutes in the dark in the morning and evening and sits in an office during the day. Working from home can also mean that daylight is present, but hardly any direct UV-B radiation reaches the skin.<\/p><h2>Why it is often too little in winter in Germany<\/h2><p>In autumn and winter, the sun is lower in the sky in Germany. As a result, less UV-B radiation reaches the earth\u2019s surface. At the same time, large areas of skin are covered by clothing, and many people spend most of the daylight hours indoors.<\/p><p>Window glass is also a common misconception: bright light at the workplace or on the sofa by the window feels sunny, but it is not the same as direct UV-B radiation on the skin. A winter holiday in Germany also does not automatically compensate for the seasonal difference.<\/p><p>Other typical situations in which the body\u2019s own synthesis may be low:<\/p><ul><li>office work or shift work with little time spent outdoors<\/li><li>consistent covering of the skin with clothing<\/li><li>very little direct sun in everyday life, even in summer<\/li><li>older age, in which skin synthesis may be altered<\/li><li>darker skin types, which have different requirements for the same synthesis<\/li><\/ul><p>These points do not automatically mean that a particular level is present. However, they are good reasons to have the 25-OH-D level determined instead of estimating across the board.<\/p><h2>25-OH-D level: why measuring makes more sense than guessing<\/h2><p>The 25-OH-D level is the usual laboratory value used to classify vitamin D status. It is determined in the blood and is usually given in ng\/ml or nmol\/l. It is important to pay attention to the unit, because otherwise values can easily be compared incorrectly.<\/p><p>A single value should always be viewed in context: season, previous intake, body weight, medications, illnesses, pregnancy or breastfeeding may be important for interpretation. Laboratory tests provide indications, but they do not replace a medical diagnosis. If results are abnormal, you should consult a doctor.<\/p><p>In practical terms, a measurement is particularly useful before longer-term intake or before using higher-dose products. A check after a defined period can also be useful if intake has been started. This makes it possible to check whether the chosen amount suits your everyday life and your starting value.<\/p><p>Common errors around measurement are: the value is interpreted directly after a single high intake, old laboratory values are used unchanged as a basis for months, or ng\/ml and nmol\/l are confused. It is best to bring the complete laboratory report and a list of your preparations to the consultation.<\/p><h2>Foods: what realistically contributes in everyday life<\/h2><p>Vitamin D occurs in relevant amounts in only a few foods. These mainly include oily fish, eggs and some mushrooms. These foods can be sensibly included as part of a balanced diet, but they do not make individual level determination unnecessary.<\/p><p>Specific examples for the meal plan:<\/p><ul><li>1 portion of oily fish, for example salmon, herring or mackerel, about 100 to 150 g<\/li><li>2 eggs as part of a meal, for example with vegetables and wholegrain bread<\/li><li>mushrooms, for example button mushrooms or shiitake, as a vegetable side dish or in a pan dish<\/li><li>fat-containing components such as olive oil, nuts or avocado in the meal when vitamin D is taken<\/li><\/ul><p>Because vitamin D is fat-soluble, it is usually taken with a meal containing some fat. A classic intake mistake is taking the drop or capsule in the morning on an empty stomach with coffee, even though the first food is eaten hours later. It is more practical to take it with breakfast including yogurt and nuts, with lunch or with dinner.<\/p><p>Diet as a whole plays a role for bones. If you are also interested in calcium in foods, you will find a suitable overview here: <a href=\"https:\/\/bezugla.de\/en\/calcium-for-healthy-bones\/\">Calcium for healthy bones<\/a>.<\/p><h2>Intake: plan dosage only according to the level<\/h2><p>A blanket dosage rarely suits everyone. A person who spends a lot of time outdoors, takes it regularly and has a stable laboratory value needs a different strategy from someone who spends the whole winter without sun and without previous intake. Therefore, the amount should be chosen according to the 25-OH-D level and the individual situation.<\/p><p>In the shop you will find two different dosage forms from Biogena. The <a href=\"https:\/\/bezugla.de\/en\/product\/biogena-vitamin-d3-drops-1000-i-e-25-ml\/\">Biogena Vitamin D3 Tropfen 1000 I.E.<\/a> contain cholecalciferol in sunflower oil; one drop provides 25 \u00b5g or 1000 I.E. vitamin D3. The amount can be easily adjusted via the number of drops.<\/p><p>For weekly intake, there is <a href=\"https:\/\/bezugla.de\/en\/product\/biogena-vitamin-d3-15-000\/\">Biogena Vitamin D3 15.000<\/a> with 15,000 I.E. vitamin D3 per capsule. This high-dose variant should ideally be used after determination of the vitamin D level. Vitamin D contributes to the normal function of the immune system. Vitamin D contributes to the maintenance of normal bones and teeth. Vitamin D contributes to the maintenance of normal muscle function.<\/p><p>Typical intake mistakes are:<\/p><ul><li>using high-dose preparations without a current blood level<\/li><li>taking several products at the same time without adding up the total amount<\/li><li>confusing daily and weekly intake plans<\/li><li>never checking again after starting intake<\/li><li>dosing in children, pregnancy, breastfeeding, kidney problems or medication use without professional consultation<\/li><\/ul><p>It is best to note which product you take, in what amount and on which days. Especially with weekly capsules, a fixed day of the week helps, for example always on Sundays with lunch. With drops, a clear routine is important so that a double dose is not taken by mistake.<\/p><p>Food supplements are not a substitute for a balanced, varied diet and a healthy lifestyle. The stated recommended daily intake must not be exceeded.<\/p><h2>When a personal interpretation is helpful<\/h2><p>If you are unsure whether your diet, your sun exposure habits and your laboratory value fit together, structured counselling is useful. This applies especially if several topics play a role at the same time, such as energy in everyday life, body composition or a long-term change in diet. In this context, you can also read the article <a href=\"https:\/\/bezugla.de\/en\/constant-tiredness-despite-sleep-when-metabolism-can-play-a-role\/\">Constant tiredness despite sleep<\/a>, without automatically drawing conclusions about vitamin D from it.<\/p><h2>Frequently asked questions<\/h2>\n<h3>How can you best have a vitamin D3 deficiency assessed?<\/h3>\n<p>A vitamin D3 deficiency is best assessed via the 25-OH-D level in the blood, not through individual body signs or assumptions. The level should be considered in the context of the season, previous intake, everyday life and other individual factors.<\/p>\n<h3>Why can your vitamin D synthesis be limited in winter in Germany?<\/h3>\n<p>In autumn and winter, the sun is lower in the sky in Germany, which means less UV-B radiation reaches the earth\u2019s surface. At the same time, large areas of skin are covered by clothing, and many people spend most of the daylight hours indoors.<\/p>\n<h3>How should you take and dose vitamin D3?<\/h3>\n<p>The dosage should be planned according to the 25-OH-D level and the individual situation, rather than being set high on your own on a long-term basis. Because vitamin D is fat-soluble, it is usually taken with a meal containing some fat.<\/p>\n<p>At the Centre for Prevention and Nutrition in Berlin, Olha Bezuhla, nutritional consultant, supports you in interpreting your diet, your laboratory values and your supplements. If you would like to discuss your 25-OH-D level in a targeted way and plan a suitable approach, you can <a href=\"https:\/\/bezugla.de\/en\/contact-us\/\">request counselling here<\/a>.<\/p><p><em>This article is for general information and does not replace medical advice, diagnosis or treatment.<\/em><\/p>\n<div class=\"article-author-bio\" style=\"margin-top:2em;padding-top:1.2em;border-top:1px solid #e0e0e0\"><p><strong>Author:<\/strong> <a href=\"https:\/\/bezugla.de\/en\/about-us\/\">Olha Bezuhla<\/a> \u2014 Nutritional consultant with a medical background: studied Human Medicine (National Medical Pirogov University), qualified in Nutritional Science. Doctorate in Social Medicine, PostDoc researcher at the German Institute of Human Nutrition (DIfE), Potsdam-Rehbr\u00fccke. <a href=\"https:\/\/bezugla.de\/en\/about-us\/\">More about the author<\/a><\/p><\/div>\n{&#8220;@context&#8221;:&#8221;https:\/\/schema.org&#8221;,&#8221;@graph&#8221;:[{&#8220;@type&#8221;:&#8221;FAQPage&#8221;,&#8221;mainEntity&#8221;:[{&#8220;@type&#8221;:&#8221;Question&#8221;,&#8221;name&#8221;:&#8221;How can you best have a vitamin D3 deficiency assessed?&#8221;,&#8221;acceptedAnswer&#8221;:{&#8220;@type&#8221;:&#8221;Answer&#8221;,&#8221;text&#8221;:&#8221;A vitamin D3 deficiency is best assessed via the 25-OH-D level in the blood, not through individual body signs or assumptions. The level should be considered in the context of the season, previous intake, everyday life and other individual factors.&#8221;}},{&#8220;@type&#8221;:&#8221;Question&#8221;,&#8221;name&#8221;:&#8221;Why can your vitamin D synthesis be limited in winter in Germany?&#8221;,&#8221;acceptedAnswer&#8221;:{&#8220;@type&#8221;:&#8221;Answer&#8221;,&#8221;text&#8221;:&#8221;In autumn and winter, the sun is lower in the sky in Germany, which means less UV-B radiation reaches the earth\u2019s surface. At the same time, large areas of skin are covered by clothing, and many people spend most of the daylight hours indoors.&#8221;}},{&#8220;@type&#8221;:&#8221;Question&#8221;,&#8221;name&#8221;:&#8221;How should you take and dose vitamin D3?&#8221;,&#8221;acceptedAnswer&#8221;:{&#8220;@type&#8221;:&#8221;Answer&#8221;,&#8221;text&#8221;:&#8221;The dosage should be planned according to the 25-OH-D level and the individual situation, rather than being set high on your own on a long-term basis. Because vitamin D is fat-soluble, it is usually taken with a meal containing some fat.&#8221;}}]}]}","protected":false},"excerpt":{"rendered":"<p>A vitamin D3 deficiency cannot be reliably recognised by how you feel. Determining the 25-OH-D level is useful so that intake can be chosen appropriately and not across the board.<\/p>\n","protected":false},"author":1,"featured_media":1666,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-1673","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"wpml_lang":"en","wpml_translations":{"trid":"1024870","translations":{"de":"1663","en":"1673","uk":"2634","ru":"2701"}},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Vitamin D3 in winter: check your level<\/title>\n<meta name=\"description\" content=\"Vitamin D in everyday life: skin synthesis, winter months, 25-OH-D level and appropriate intake explained objectively, with practical tips.\" 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