By Arun AgrahriLast reviewed 2 timecoded sources
Short answer
For some people, no. All eight sources Precis counts, two on tape and six studies, find 5,000 IU a day safe for some people. A cohort study of pregnant women, read in full, judged 5,000 IU a day safe. It sits above the 4,000 IU upper limit, so test your level first.
Vitamin D supplements are worth taking.
The verdict on Vitamin D overall. 12 sources: 6 positive, 6 partly
positive partly neutral negative Each researcher and each study counts once per claim, however often they come up.
5,000 IU of vitamin D3 a day is a safe dose for some people.
8 sources: 8 positive.
Researchers say
1 positive
Mark Hyman, on The Dr. Hyman Show, at 40:05
Positive Video · Opinion
Open the tape at 40:05 →“the range I usually recommend is two to 5,000 units a day”
Studies show
7 positive
6 papers we read · 1 cited on tape, not yet checked against the paper
Mayo Clinic, cited on FoundMyFitness, at 50:53
Positive Study
Open the tape at 50:53 →“One person had hypercalcemia out of those 20,000 and they had ranges people supplementing anywhere from 0 to 55,000 units a day”
Other primary study, Int J Mol Sci, 2012, PMID 23202962
Positive Study
Read the paper on PubMed →Vitamin D intake over 10 years caused no adverse effects: no hypercalcaemia, nephrolithiasis or hypercalciuria were observed.
Other primary study, J Steroid Biochem Mol Biol, 2019, PMID 30611908
Positive Study
Read the paper on PubMed →In summary, long-term supplementation with vitamin D3 in doses ranging from 5000 to 50,000 IUs/day appears to be safe.
Controlled trial, Nutrients, 2019, PMID 30634590
Positive Study
Read the paper on PubMed →Administration of vitD3 + PBA daily for 16 weeks was safe and well-tolerated and the numbers of clinical AEs were not different between the groups.
Other primary study, Epilepsy Behav, 2019, PMID 30970298
Positive Study
Read the paper on PubMed →High-dose oral Vitamin D3, 5000 IU/day was safe and well tolerated in subjects with epilepsy.
Other primary study, PLoS One, 2020, PMID 32298329
Positive Study
Read the paper on PubMed →Of three used regimens, the dose of 5000 IU/day is considered safe and equally effective as of 200000 IU stat.
Other primary study, J Steroid Biochem Mol Biol, 2023, PMID 37182752
Positive Study
Read the paper on PubMed →The current findings complement our experience with over 7000 patients in the past 13 years, indicating that prolonged daily oral intake of vitamin D3 ranging from 5000 to 10,000 IU/day is safe.
Mark Hyman, on The Dr. Hyman Show, at 40:05 Video · positive · Opinion
“the range I usually recommend is two to 5,000 units a day”
Mayo Clinic, cited on FoundMyFitness, at 50:53 Study · positive
“One person had hypercalcemia out of those 20,000 and they had ranges people supplementing anywhere from 0 to 55,000 units a day”
Other primary study, Int J Mol Sci, 2012, PMID 23202962 Study · positive
Vitamin D intake over 10 years caused no adverse effects: no hypercalcaemia, nephrolithiasis or hypercalciuria were observed.
Other primary study, J Steroid Biochem Mol Biol, 2019, PMID 30611908 Study · positive
In summary, long-term supplementation with vitamin D3 in doses ranging from 5000 to 50,000 IUs/day appears to be safe.
Controlled trial, Nutrients, 2019, PMID 30634590 Study · positive
Administration of vitD3 + PBA daily for 16 weeks was safe and well-tolerated and the numbers of clinical AEs were not different between the groups.
Other primary study, Epilepsy Behav, 2019, PMID 30970298 Study · positive
High-dose oral Vitamin D3, 5000 IU/day was safe and well tolerated in subjects with epilepsy.
Other primary study, PLoS One, 2020, PMID 32298329 Study · positive
Of three used regimens, the dose of 5000 IU/day is considered safe and equally effective as of 200000 IU stat.
Other primary study, J Steroid Biochem Mol Biol, 2023, PMID 37182752 Study · positive
The current findings complement our experience with over 7000 patients in the past 13 years, indicating that prolonged daily oral intake of vitamin D3 ranging from 5000 to 10,000 IU/day is safe.
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Eight sources count toward this claim, and all eight back it. Two are on tape. Six are studies Precis has read: three in full and three from the abstract only.
"The range I usually recommend is two to 5,000 units a day," Mark Hyman says on his own show. In the same passage he says to check your level, and that fixing a deficiency takes months.
Roger Seheult, a guest on Rhonda Patrick's show, describes a Mayo Clinic records study in which one person in 20,000 had high blood calcium. Precis read that study in full. Its main point matches what he says, but the figures slip. The study counts blood tests, not people, and it reports no 0 to 55,000 IU range.
The six counted studies are small, and most had no comparison group. A cohort study of pregnant women judged 5,000 IU a day safe. A 10-year case report of a woman with multiple sclerosis found no high blood calcium, kidney stones or high urine calcium. Precis read both in full.
Three more were read from the abstract only. A pilot in people with epilepsy found 5,000 IU a day safe and well tolerated. A seven-year hospital review found that 5,000 to 50,000 IU a day appears safe. A report on 14 hospital patients found normal urine calcium on doses in that range.
The one controlled trial, in people with HIV, gave vitamin D3 with another drug. Side effects were no more common than on placebo.
In the same interview, Patrick notes that the Institute of Medicine set the upper limit at 4,000 IU a day. Host remarks inside an interview are not counted, but 5,000 IU sits above that line. The harm to watch for is high blood calcium.
Among the studies attached but not counted are two pooled analyses of long-term trials, read only from the abstract. One reports more high blood and urine calcium on vitamin D, not tied to the dose. The other found no rise in kidney stones but a trend toward high blood calcium.
No counted study is a large trial of 5,000 IU a day against placebo in healthy adults. Most studied special groups: pregnant women, people with epilepsy, HIV or multiple sclerosis, and hospital patients. Before you settle on 5,000 IU, get a 25-hydroxy vitamin D blood test and talk to a clinician, above all if you plan to stay above 4,000 IU.
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