Vitamin D insufficiency is a pandemic affecting nearly half of the people worldwide, while one billion people are classified as vitamin D deficient. Hypovitaminosis D, or vitamin D deficiency, is an independent predictor of total mortality in the general population, and, conversely, vitamin D supplementation has been shown to be protective against mortality. Vitamin D enhances absorption of dietary calcium and phosphorus by 30-40% and 80%, respectively, but its physiological functions extend well beyond mineral assimilation and balance. Vitamin D is known as a pleiotropic hormone, meaning it elicits diverse, multifaceted effects. In fact, local vitamin D production governs the expression of up to 200 genes. That vitamin D receptors are found in so many organ systems, including the muscles, intestines, pancreas, and nervous system, illustrates its expansive and far-reaching effects. In particular, vitamin D regulates the cell cycle, suppressing cell division and inducing terminal differentiation to generate specialized, organ-specific cell types. It likewise regulates the pathway of cell suicide, known as apoptosis, promoting programmed cell death in neoplastic cell lines to prevent cancer. Vitamin D exerts various endocrine effects, such as inhibiting renin and stimulating insulin secretion. It also possesses anti-inflammatory and anti-fibrotic effects and enhances host defense against both invading pathogens and tumor development. The vitamin D receptor complex regulates 3% of the human genome, and about 10% of human genes are directly or indirectly responsive to vitamin D. The effects of vitamin D are far-reaching, as demonstrated by the fact that a multitude of human cells, including bone, blood vessel, brain, breast, colon, immune, muscle, prostate, and skin cells express the enzyme 25-hydroxyvitamin D-1 alpha-hydroxylase. Also known as cytochrome P450 27B1 (CYP27B1), this enzyme is responsible for catalyzing the hydroxylation of calcifediol to calcitriol, the bioavailable, metabolically active form of vitamin D that elicits effects at a cellular level. Regarding vitamin D production, researchers state, “… extrarenal intracrine and paracrine 1,25(OH)2D3 synthesis may critically affect the activities of many tissues and organs.”