Supplements · 5 min read ·

Bioavailability: does the form matter?

Citrate or oxide? D2 or D3? Folic acid or methylfolate? How much of a supplement is really absorbed — and when it matters.

In a nutshell

1Magnesium

Bioavailability tells you how much of a substance from a supplement or food is absorbed so that the body can use it. For some substances the form really matters, for others less so.

Moderate evidence 14 studies A systematic review of 14 studies: inorganic forms of magnesium are absorbed worse than organic ones, and the share absorbed falls as the dose rises. In healthy people without a deficiency, however, any supplement maintains normal levels.1
Weak evidence — small studies 4% In one study only about 4% of magnesium oxide was absorbed. In another, 60-day study, oxide did not differ from placebo, while citrate and an amino-acid chelate raised magnesium in the body.5,6

2Vitamin D

Strong evidence D3 > D2 A summary of randomised trials: vitamin D3 raises blood vitamin D more than D2, especially as a single large dose. With daily dosing, the difference disappeared.2
Moderate evidence — one study +32% People who took vitamin D3 with a meal containing fat had 32% higher blood levels than after a fat-free meal.3

3Folic acid and methylfolate

EFSA recommendation 1.7 vs. 2 Folic acid from a supplement is absorbed better than folate from food — EFSA counts it 1.7 times. Methylfolate counts the same below 400 µg a day; from 400 µg up it is even more available and counts double.4

4Iron and vitamin C

From an ordinary mixed diet, 14–18% of iron is absorbed; from a vegetarian diet, 5–12%.7

Moderate evidence 15 studies A summary of 15 randomised trials: vitamin C-rich fruit with meals probably raises iron stores (ferritin) and haemoglobin slightly.8
Weak evidence Adding a vitamin C tablet to iron for treating anaemia, however, did not improve anything in a summary of 7 studies; the quality of the evidence was very low.9

For curcumin, piperine from black pepper boosts absorption — more in the article Turmeric.

Related articles: Iron, Zinc.

5Forms of each vitamin and mineral

Each article on a vitamin or mineral has a part on its forms in supplements and how they are absorbed. Vitamins: vitamin A, vitamin B1 (thiamin), vitamin B2 (riboflavin), vitamin B3 (niacin), vitamin B5 (pantothenic acid), vitamin B6, vitamin B7 (biotin), vitamin B9 (folate), vitamin B12, vitamin C, vitamin D, vitamin E, vitamin K.

Minerals: calcium, magnesium, potassium, sodium and salt, phosphorus, iron, zinc, copper, manganese, selenium, iodine, chromium, fluoride, molybdenum.

What to take from this

Sources

Written on , based on studies available at that date. Newer research may change the conclusions.

  1. Pardo M. R. et al. (2021). Bioavailability of magnesium food supplements: a systematic review. Nutrition 89:111294. doi.org/10.1016/j.nut.2021.111294
  2. Tripkovic L. et al. (2012). Comparison of vitamin D2 and vitamin D3 supplementation in raising serum 25-hydroxyvitamin D status: a systematic review and meta-analysis. Am J Clin Nutr 95:1357–1364. doi.org/10.3945/ajcn.111.031070
  3. Dawson-Hughes B. et al. (2015). Dietary fat increases vitamin D-3 absorption. J Acad Nutr Diet 115:225–230. doi.org/10.1016/j.jand.2014.09.014
  4. EFSA NDA Panel (2022). Conversion of calcium-L-methylfolate and (6S)-5-methyltetrahydrofolic acid glucosamine salt into dietary folate equivalents. EFSA Journal 20:e07452. doi.org/10.2903/j.efsa.2022.7452
  5. Firoz M., Graber M. (2001). Bioavailability of US commercial magnesium preparations. Magnes Res 14:257–262. pubmed.ncbi.nlm.nih.gov/11794633
  6. Walker A. F. et al. (2003). Mg citrate found more bioavailable than other Mg preparations in a randomised, double-blind study. Magnes Res 16:183–191. pubmed.ncbi.nlm.nih.gov/14596323
  7. Hurrell R., Egli I. (2010). Iron bioavailability and dietary reference values. Am J Clin Nutr 91:1461S–1467S. doi.org/10.3945/ajcn.2010.28674F
  8. Nyakundi P. N. et al. (2026). Does consuming ascorbate-rich fruits and fruit juices with meals improve iron bioavailability? A systematic review and meta-analysis of interventions. Am J Clin Nutr 124:101418. doi.org/10.1016/j.ajcnut.2026.101418
  9. Loganathan V. et al. (2023). Treatment efficacy of vitamin C or ascorbate given as co-intervention with iron for anemia — a systematic review and meta-analysis of experimental studies. Clin Nutr ESPEN 57:459–468. doi.org/10.1016/j.clnesp.2023.07.081

This is general information and does not replace a doctor. Food supplements are not medicines; buy them from trusted sellers and talk to a doctor if you are ill or take medicines.