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When Dana T., a 58-year-old African American woman, went to her doctor, she wasn’t feeling like herself. She had low energy, constant tiredness, and trouble sleeping. Her doctor tested her vitamin D levels and found them to be low at just 23 ng/mL (≈58 nmol/L). He prescribed 5,000 IUs (≈125 µg) of vitamin D, but four months later, her levels were still insufficient. That’s when I met Dana, after her doctor suggested raising her dose to a risky 25,000 IUs (≈625 µg).
Instead, I guided her through a smarter approach: pairing vitamin D with magnesium, improving her cell membrane health with BalanceOil+, and switching to a tested supplement, ZinoShine+. Four months later, Dana’s levels were 92 ng/mL (≈230 nmol/L), firmly in the optimal range. Even more important, she felt like herself again, her energy improved, her sleep normalized, and her sense of well-being returned.
Dana’s story is not unusual; it shows why so many people struggle with vitamin D despite taking supplements, and why testing, supplement quality, and nutrient support matter just as much as dosage.
A Brief History of Vitamin D
Vitamin D was discovered in the early 20th century, during a time when rickets, a disease characterized by weak and soft bones in children, was a significant public health concern. In 1922, Dr. Elmer McCollum identified vitamin D as the nutrient that could prevent rickets (Wolf, 2004). Soon after, milk and other foods were fortified with vitamin D, which nearly eliminated rickets in developed countries.
By the 2000s, vitamin D came back into the spotlight, not only for bone health but also for immunity, mood, and chronic disease prevention. Doctors encouraged blood testing and supplementation. Yet today, the push for testing has slowed down, even though studies show many people remain deficient or insufficient (Rosen et al., 2012).

[Photo: Lady holding Zinzino at-home Vitamin D test]
Why Testing Matters
The most reliable way to know your vitamin D status is through a test that measures 25-hydroxyvitamin D (25(OH)D), the stable form circulating in your blood. This can be done with a standard venous blood draw at a clinic or with a convenient at-home dried blood spot (DBS) test, such as Zinzino’s Vitamin D Test.
Without testing, you’re guessing, possibly under-supplementing and staying too low, or taking too much without realizing it. Testing gives you clarity and helps you adjust your intake to reach and maintain optimal levels.
Testing Vitamin D: Lab vs. At-Home DBS
Method |
What It Measures |
Pros |
Cons |
Lab Blood Draw |
25-hydroxyvitamin D [25(OH)D] |
Gold standard, widely used in clinics |
Requires appointment, often more costly |
At-Home DBS Test |
25-hydroxyvitamin D [25(OH)D] |
Same accuracy as lab, convenient, painless finger-prick, mail-in |
May take days to receive results |
Both methods are accurate and reliable. The at-home DBS test (like the Zinzino Vitamin D Test) makes it easy to track your levels without leaving home.
Dana’s Story: Why Testing and Quality Matter
Dana’s first vitamin D test showed 23 ng/mL (≈58 nmol/L), a level considered insufficient. After four months on 5,000 IUs (≈125 µg) of vitamin D daily, she was still insufficient. At that point, her doctor suggested jumping to 25,000 IUs (≈625 µg).
Instead, I encouraged Dana to take a more balanced path. She began using BalanceOil+ (which provides about 1,000 IUs ≈25 µg of vitamin D3 in a two-teaspoon serving) and ZinoShine+ (a tested supplement with 1,000 IUs ≈25 µg of vitamin D3 plus about 260 mg of magnesium per serving). Magnesium was critical because it’s required by the enzymes that activate vitamin D inside the body.
Improving her cell membrane fluidity through BalanceOil+ also helped Dana’s body transport, absorb, and use vitamin D more effectively.
Four months later, Dana’s follow-up test showed her levels had climbed to 92 ng/mL (≈230 nmol/L), firmly in the optimal range. More importantly, she felt like herself again—her energy improved, her sleep normalized, and her sense of well-being returned.
Her experience highlights three lessons:
-
- Labels don’t guarantee quality: Just because a supplement says 5,000 IUs doesn’t mean it delivers that amount. The FDA does not regulate supplements.
- Quality and synergy matter more than dosage: With the right combination of BalanceOil+ (≈1,000 IUs ≈25 µg), ZinoShine+ (1,000 IUs ≈25 µg + 260 mg magnesium), and omega-3 support, Dana reached optimal levels—proving that balance and absorption are more important than chasing extreme doses.
Testing your levels, either through a clinical lab or an at-home DBS test, allows for confirmation and monitoring of progress over time.
Deficiency vs. Insufficiency: Why It Matters
Vitamin D levels are reported in ng/mL in the U.S. and nmol/L in most other countries (1 ng/mL ≈ 2.5 nmol/L).
-
- Deficiency: <20 ng/mL (≈ <50 nmol/L)
- Insufficiency: 20–30 ng/mL (≈ 50–75 nmol/L)
- Optimize: 40–60 ng/mL (≈ 100–150 nmol/L), with ~50 ng/mL (≈125 nmol/L) often ideal (Holick, 2007; Garland et al., 2014)
For perspective, Dana started at 23 ng/mL (≈58 nmol/L, insufficient) and, after four months on BalanceOil+ and ZinoShine+, improved to 92 ng/mL (≈230 nmol/L)—a significant and measurable improvement that matched her gains in energy, sleep, and overall health.
How Vitamin D Works in the Body
-
- Your skin makes vitamin D3 when exposed to sunlight, or you take it as a supplement.
- It travels to the liver, where it changes into 25(OH)D (the form tested in labs).
- It then goes to the kidneys, where it becomes the active hormone that works with your DNA.
The Role of Cell Membrane Fluidity
Vitamin D’s movement and activation depend on cell membranes. When membranes are fluid, thanks to a healthy balance of omega-6 to omega-3 fatty acids and polyphenols, vitamin D moves and works more effectively.
If membranes are rigid, vitamin D is harder to transport and activate. This is why supporting cell membrane fluidity with omega-3s and polyphenols is essential.
Vitamin D and Vitamin K: Calcium’s Right Traffic Cop
Vitamin D helps your body absorb calcium, which is vital for strong bones. But vitamin K helps make sure that calcium goes to the right places, like your bones, rather than building up in arteries or soft tissues. In simple terms:
-
- Vitamin D: brings calcium into your system
- Vitamin K: directs calcium to your bones
Many people take vitamin D with vitamin K for added bone and heart health. Taking vitamin D alone is still very beneficial, but adding vitamin K may provide extra protection.
As for ZinoShine+, current information shows that it does not contain vitamin K. Dana’s success demonstrates that even without added vitamin K, you can achieve optimal vitamin D levels when you focus on absorption, balance, and cofactors like magnesium. Still, people concerned about calcium distribution, especially those on higher doses of vitamin D, may benefit from adding vitamin K through foods (leafy greens, fermented foods) or separate supplements under a doctor’s guidance.
Why Mega-Dosing Isn’t the Answer
Dana’s doctor suggested jumping to 25,000 IUs (≈625 µg) of vitamin D when her levels didn’t rise with 5,000 IUs. This kind of “mega-dose” is still common in medicine, often given in prescription capsules of 25,000–50,000 IUs (≈625–1,250 µg).
But mega-dosing overlooks two critical facts:
-
- Supplements aren’t always absorbed properly, especially if magnesium is low or cell membranes are stiff.
- High doses can carry risks, such as high calcium levels, kidney strain, and long-term toxicity if not monitored.
Dana’s success shows mega-doses weren’t necessary. By improving magnesium intake, supplement quality, and cell membrane fluidity, she reached optimal vitamin D levels with only ≈2,000 IUs daily (≈50 µg) from BalanceOil+ and ZinoShine+.
This demonstrates that vitamin D optimization is less about taking the highest possible dose and more about creating the right conditions for absorption and utilization.
Why Many People Still Struggle
Even with supplements, many people remain insufficient. Common reasons include:
-
- Magnesium matters: Enzymes that activate vitamin D need magnesium. Without it, vitamin D supplements may not work effectively.
- Genetics: Some people process vitamin D less efficiently.
- Supplement quality: Since supplements aren’t tightly regulated, a pill labeled as 5,000 IUs may contain much less.
- Skin tone: African Americans may need 6–10 times more sun exposure than Caucasians to make the same amount of vitamin D (University of Chicago research).
Symptoms of Low Vitamin D
-
- Tiredness and low energy
- Frequent infections
- Bone or muscle pain
- Low mood or anxiety
- Hair loss or brittle nails
- Trouble sleeping
- Slow wound healing
How to Get Enough
-
- Get tested: Whether through a lab blood draw or at-home DBS test, measure 25(OH)D to know your status. The Zinzino Vitamin D Test makes this simple and accurate.
- Pair vitamin D with magnesium: Without magnesium, your body can’t activate vitamin D. ZinoShine+ makes this simple by combining both.
- Support cell membranes: Improve omega-6 to omega-3 ratios with BalanceOil+ and polyphenols.
- Add vitamin K if needed: For some, especially those at higher risk of calcification, vitamin K can help direct calcium to the right places.
- Choose quality supplements: Use trusted, third-party tested brands.
- Get safe sun: Natural sunlight is still one of the best ways to make vitamin D.
Takeaway: Vitamin D is more than just a vitamin; it’s a hormone that controls hundreds of processes in your body. Dana’s story is proof: supplements alone aren’t enough unless you test, choose wisely, and support the nutrients and cell health that help vitamin D do its job.
If you would like to get an at-home Vitamin D test, contact the person who shared this article, or email me at robert@dietfreelife.com, and I’ll send you a link to purchase it. Or click to schedule a free consultation with me to discuss a variety of options.
References
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- Garland, C. F., Kim, J. J., Mohr, S. B., Gorham, E. D., Grant, W. B., Giovannucci, E. L., & Garland, F. C. (2014). Meta-analysis of all-cause mortality according to serum 25-hydroxyvitamin D. American Journal of Public Health, 104(8), e43–e50.
- Holick, M. F. (2007). Vitamin D deficiency. New England Journal of Medicine, 357(3), 266–281.
- Rosen, C. J., Abrams, S. A., Aloia, J. F., Brannon, P. M., Clinton, S. K., Durazo-Arvizu, R. A., … & Yaktine, A. L. (2012). IOM committee members respond to Endocrine Society vitamin D guideline. Journal of Clinical Endocrinology & Metabolism, 97(4), 1146–1152.
- Wolf, G. (2004). The discovery of vitamin D: The contribution of Adolf Windaus. Journal of Nutrition, 134(6), 1299–1302.
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Robert Ferguson is a California- and Florida-based single father of two daughters, clinical nutritionist, Omega Balancing Coach™, researcher, best-selling author, speaker, podcast and television host, health advisor, NAACP Image Award Nominee, creator of the Diet Free Life methodology, and Chief Nutrition Officer for iCoura Health. He also serves on the Presidential Task Force on Obesity for the National Medical Association and the Health and Product Advisory Board for Zinzino, Inc.
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