When vitamin D is given by injection, more of it enters the bloodstream compared to when it is taken by mouth.
Mechanism
Synthesis from 1 study
Vitamin D taken by mouth gets absorbed straight from the gut into the liver, where it is turned into its active form and released into the blood at higher levels. When injected into muscle, it enters the blood more slowly and less efficiently, resulting in lower overall levels.
Most probable mechanism
When vitamin D is taken by mouth, it is absorbed directly from the gut into the bloodstream and carried to the liver, where it is converted into its active form. This form then circulates in the blood at higher levels than when vitamin D is injected into muscle, because the injection route delays absorption and reduces the efficiency of conversion.
Vitamin D3 is absorbed from the gastrointestinal tract into the portal circulation after oral administration
Absorbed vitamin D3 is transported directly to the liver via the hepatic portal vein
Hepatic 25-hydroxylase enzymes convert vitamin D3 into 25-hydroxyvitamin D3, the primary circulating form
25-hydroxyvitamin D3 enters systemic circulation at higher concentrations when derived from oral intake compared to intramuscular injection
Evidence from Studies
Supporting (0)
Community contributions welcome
Contradicting (1)
Community contributions welcome
Gold Standard Evidence Needed
According to GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this specific claim, ordered from strongest to weakest evidence.