Vitamin D Supplements overdose toxicity-Review

Main Article Content

Zainab Abdul Kareem Abbas
Zahraa Ch. Hameed
Sarah Alwan Malik Al-Yasiri

Abstract

Hypervitaminosis D, also known as vitamin D toxicity, is an uncommon but serious condition that occurs when the concentration of vitamin D is much higher than the body needs due to taking large doses of its supplements instead of the diet or even exposure to sunlight. The body regulates the amount of vitamin D entering it as a result of exposure to sunlight. one of serious consequences of vitamin D toxicity is accumulation of calcium in the body, which causes symptoms of nausea, vomiting, weakness, & frequent urination due to (hypercalciuria). These symptoms may develop to extend to bone pain & kidney problems such as calcium stones. This condition is treated by stopping taking the vitamin and reducing foods that contain a lot of calcium, as appropriate treatments are prescribed by the doctor and are given in the form of intravenous fluids & medications such as Corticosteroids or Bisphosphonates.     When taking (60,000) IU of vitamin D daily for several months it is considered toxic because this level is much higher than the permissible and recommended limit by Recommended Dietary Allowance (RDA), which is 600 international units of vitamin D daily. In certain cases, higher doses than permitted are used to treating some medical conditions, such as severe vitamin D deficiency, but they must be taken under the supervision of a doctor and at a specific time, while monitoring calcium levels.


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How to Cite
Abbas, Z. A. K., Hameed, Z. C., & Al-Yasiri, S. A. M. (2025). Vitamin D Supplements overdose toxicity-Review. Technium BioChemMed, 12, 51–61. https://doi.org/10.47577/biochemmed.v12i.12436
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References

Rizzoli, R. (2021). Vitamin D supplementation: upper limit for safety revisited?. Aging clinical and experimental research, 33(1), 19-24.‏

Fassio, A., Adami, G., Rossini, M., Giollo, A., Caimmi, C., Bixio, R., ... & Gatti, D. (2020). Pharmacokinetics of oral cholecalciferol in healthy subjects with vitamin D deficiency: a randomized open-label study. Nutrients, 12(6), 1553.

‏Giustina, A., Bilezikian, J. P., Adler, R. A., Banfi, G., Bikle, D. D., Binkley, N. C., ... & Virtanen, J. K. (2024). Consensus statement on Vitamin D status assessment and supplementation: whys, whens, and hows. Endocrine Reviews, bnae009.‏

Taylor, P. N., & Davies, J. S. (2018). A review of the growing risk of vitamin D toxicity from inappropriate practice. British journal of clinical pharmacology, 84(6), 1121-1127.‏

Norman, A. W. (2008). From vitamin D to hormone D: fundamentals of the vitamin D endocrine system essential for good health. The American journal of clinical nutrition, 88(2), 491S-499S.‏

Holick, M. F., & Slominski, A. T. (2024). Photobiology of vitamin D. In Feldman and Pike's Vitamin D (pp. 27-45). Academic Press.‏

Borel, P., Caillaud, D., & Cano, N. J. (2015). Vitamin D bioavailability: state of the art. Critical reviews in food science and nutrition, 55(9), 1193-1205.‏

Spiro, A., & Buttriss, J. (2014). Vitamin D: an overview of vitamin D status and intake in E urope. Nutrition bulletin, 39(4), 322-350.‏

Bischofova, S., Dofkova, M., Blahova, J., Kavrik, R., Nevrla, J., Rehurkova, I., & Ruprich, J. (2018). Dietary intake of vitamin D in the czech population: a comparison with dietary reference values, main food sources identified by a total diet study. Nutrients, 10(10), 1452.‏

Jakobsen, J., & Christensen, T. (2021). Natural Vitamin D in Food: To What Degree Does 25 Hydroxyvitamin D Contribute to the Vitamin D Activity in Food?. Journal of Bone and Mineral Research Plus, 5(1), e10453.‏

Roseland, J. M., Phillips, K. M., Patterson, K. Y., Pehrsson, P. R., & Taylor, C. L. (2018). Vitamin D in foods: An evolution of knowledge. In Vitamin D (pp. 41-77). Academic Press.‏

Spiro, A., & Buttriss, J. (2014). Vitamin D: an overview of vitamin D status and intake in E urope. Nutrition bulletin, 39(4), 322-350.‏

Kühn, J., Schutkowski, A., Kluge, H., Hirche, F., & Stangl, G. I. (2014). Free-range farming: A natural alternative to produce vitamin D-enriched eggs. Nutrition, 30(4), 481-484.‏

Žmitek, K., Hribar, M., Hristov, H., & Pravst, I. (2020). Efficiency of vitamin D supplementation in healthy adults is associated with body mass index and baseline serum 25-hydroxyvitamin D level. Nutrients, 12(5), 1268.‏

Takács, I., Tóth, B. E., Szekeres, L., Szabó, B., Bakos, B., & Lakatos, P. (2017). Randomized clinical trial to comparing efficacy of daily, weekly and monthly administration of vitamin D 3. Endocrine, 55, 60-65.‏

Guo, J., Lovegrove, J. A., & Givens, D. I. (2018). 25 (OH) D3-enriched or fortified foods are more efficient at tackling inadequate vitamin D status than vitamin D3. Proceedings of the Nutrition Society, 77(3), 282-291.‏

Holick, M. F. (2007). Vitamin D deficiency. New England journal of medicine, 357(3), 266-281.‏

Tripkovic, L., Lambert, H., Hart, K., Smith, C. P., Bucca, G., Penson, S., ... & Lanham-New, S. (2012). Comparison of vitamin D2 and vitamin D3 supplementation in raising serum 25-hydroxyvitamin D status: a systematic review and meta-analysis. The American journal of clinical nutrition, 95(6), 1357-1364.‏

Sosa Henríquez, M., & Gómez de Tejada Romero, M. J. (2020). Cholecalciferol or calcifediol in the management of vitamin D deficiency. Nutrients, 12(6), 1617.‏

Garg, S., Sabri, D., Kanji, J., Rakkar, P. S., Lee, Y., Naidoo, N., & Svirskis, D. (2013). Evaluation of vitamin D medicines and dietary supplements and the physicochemical analysis of selected formulations. The Journal of nutrition, health and aging, 17(2), 158-161.‏

Žmitek, K., Krušič, S., & Pravst, I. (2021). An approach to investigate content-related quality of nutraceuticals used by Slovenian consumers: a case study with folate and vitamin D supplements. Foods, 10(4), 845.‏

Galior, K., Grebe, S., & Singh, R. (2018). Development of vitamin D toxicity from overcorrection of vitamin D deficiency: a review of case reports. Nutrients, 10(8), 953.‏

Marcinowska-Suchowierska, E., Kupisz-Urbańska, M., Łukaszkiewicz, J., Płudowski, P., & Jones, G. (2018). Vitamin D toxicity–a clinical perspective. Frontiers in endocrinology, 9, 550.‏

Bouillon, R. (2017). Comparative analysis of nutritional guidelines for vitamin D. Nature Reviews Endocrinology, 13(8), 466-479.‏

Lim, K., & Thadhani, R. (2020). Vitamin D toxicity. Brazilian Journal of Nephrology, 42(2), 238-244.‏

Holick, M. F., Binkley, N. C., Bischoff-Ferrari, H. A., Gordon, C. M., Hanley, D. A., Heaney, R. P., ... & Weaver, C. M. (2011). Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. The Journal of clinical endocrinology & metabolism, 96(7), 1911-1930.‏

Taylor, P. N., & Davies, J. S. (2018). A review of the growing risk of vitamin D toxicity from inappropriate practice. British journal of clinical pharmacology, 84(6), 1121-1127.‏‏

Temova Rakuša, Ž., & Roškar, R. (2018). Vitamin D in supplements and medicines. Vitamin D Deficiency: Causes and Treatment; Sofi, NY, Mandal, A., Amiri, W., Eds, 1-19.‏

De Vincentis, S., Russo, A., Milazzo, M., Lonardo, A., De Santis, M. C., Rochira, V., ... & Madeo, B. (2020). How much vitamin D is too much? A case report and review of the literature. Endocrine, metabolic & immune disorders drug targets, 21(9), 1653.‏

Sharma, N., Landsberg, E., Kumar, V., & Gambhir, H. S. S. (2020). A curious case of hypervitaminosis D. Cureus, 12(6).‏

The dark side of daily vitamin D supplements: After a man died from an ‘overdose’ in the U.K., experts explain how much is healthy by Lindsey Leake in March 16, 2024 https://fortune.com/well/article/vitamin-d-toxicity/

Talarico, V., Barreca, M., Galiano, R., Galati, M. C., & Raiola, G. (2016). Vitamin D and Risk for Vitamin A Intoxication in an 18‐Month‐Old Boy. Case reports in pediatrics, 2016(1), 1395718.‏

Nguyen, T., Joe, D., & Shah, A. D. (2021). Forget the phosphorus: A case of hypervitaminosis D-induced symptomatic hypercalcemia. Clinical nephrology. Case Studies, 9, 1.‏

Sizar, Omeed, Khare, Swapnil, Goyal, Amandeep, Bansal, Pankaj, & Givler, Amy.( 2021). Vitamin D Deficiency. [Updated 2021 Jan 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. January

https://www.ncbi.nlm.nih.gov/books/NBK532266/.

Tebben, P. J., Singh, R. J., & Kumar, R. (2016). Vitamin D-mediated hypercalcemia: mechanisms, diagnosis, and treatment. Endocrine reviews, 37(5), 521-547.‏

Jackson, R. D. (2006). Women's Health Initiative Investigators: Calcium plus vitamin D supplementation and the risk of fractures. N Engl J Med, 354(7), 669-683.‏

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