How Much Vitamin D Do You Need
Despite widespread assertions in the popular and scientific press that many Americans have a vitamin D deficiency, the term “deficiency” isn’t strictly accurate. The official definition of a vitamin deficiency means that specific health problems stem solely from the lack of a specific nutrient. An actual vitamin D deficiency results in bone disease, such as rickets, which is rare in the United States.
On the other hand, lower-than-optimal levels of specific vitamins, including vitamin D, may increase your risk of numerous health problems, even though they are not solely responsible for these problems. “Insufficiency” may be a better term for these lower levels than “vitamin D deficiency”.
So far, the most clearly established benefit of vitamin D is that it helps the body absorb calcium and therefore promotes healthy bones. However, a steady drumbeat of studies beginning in the 1980s started to build a case that low blood levels of D were connected with a variety of chronic health problems, leading to claims by a number of researchers that the RDA for D was way too low. The confusion and controversy surrounding optimal vitamin D intake and blood values prompted the U.S. and Canadian governments to request that the Institute of Medicine review the evidence on vitamin D and calcium and update the DRIs.
To learn more about the vitamins and minerals you need to stay healthy, read , a Special Health Report from Harvard Medical School.
You Value Is Higher Than 150 Ng/ml
These values could harm your health. You should therefore take steps to reduce your 25D value to below 100 ng/ml. To achieve this, simply stop taking vitamin D dietary supplements and avoid sunbathing. After roughly 3 months, have your 25D levels retested. After your Vitamin D value is back in the normal range, adjust your vitamin D intake accordingly.
Not Getting Enough Vitamin D
We dont need vitamin D from food or sunlight every day. But if you dont get enough over a longer period of time, you wont have enough vitamin D for good health known as vitamin D deficiency. This is very common in the UK around one in five adults and one in six children dont have enough vitamin D.
Some people are more likely to have a vitamin D deficiency than others. Supplements and eating foods which contain vitamin D can help.
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Vitamin D Toxicity: How Does It Happen
Vitamin D toxicity implies that vitamin D levels in the body are so high that they cause harm.
Its also termed hypervitaminosis D.
Vitamin D is a fat-soluble vitamin. In contrast to water-soluble vitamins, the body has no easy way of getting rid of fat-soluble vitamins.
For this reason, excessive amounts may build up inside the body.
The exact mechanism behind vitamin D toxicity is complicated and isnt fully understood at this point.
However, we know that the active form of vitamin D functions in a similar way as a steroid hormone.
It travels inside cells, telling them to turn genes on or off.
Usually, most of the bodys vitamin D is in storage, bound to either vitamin D receptors or carrier proteins. Very little free vitamin D is available (
- Sufficient: 2030 ng/mL, or 5075 nmol/L
- Safe upper limit: 60 ng/mL, or 150 nmol/L
- Toxic: above 150 ng/mL, or 375 nmol/L
A daily vitamin D intake of 1,0004,000 IU should be enough to ensure optimal blood levels for most people.
Summary
Blood levels in the range of 2030 ng/mL are usually considered sufficient. The safe upper limit is considered to be about 60 ng/mL, but people with symptoms of toxicity usually have levels above 150 ng/mL.
Advice For Infants And Young Children
The Department of Health and Social Care recommends that babies from birth to 1 year of age should have a daily supplement containing 8.5 to 10 micrograms of vitamin D throughout the year if they are:
- breastfed
- formula-fed and are having less than 500ml of infant formula a day, as infant formula is already fortified with vitamin D
Children aged 1 to 4 years old should be given a daily supplement containing 10 micrograms of vitamin D throughout the year.
You can buy vitamin D supplements or vitamin drops containing vitamin D at most pharmacies and supermarkets.
Women and children who qualify for the Healthy Start scheme can get free supplements containing vitamin D.
See the Healthy Start website for more information.
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The Optimum Dose Of Vitamin K2
As the intestines only produce small quantities of vitamin K, we have to provide a supply from foods or supplements that are rich in vitamin K. There is clear evidence that vitamin K intake is too low in Western civilisation.
People over the age of 50 are particularly vulnerable to cardiovascular disease and osteoporosis, but it is precisely at this age that the diet often contains even less vitamin K and the skin’s exposure to sunlight is also severely limited, thus leading to deficiencies in vitamin K and vitamin D.
Professor Vermeer of the University of Maastricht thus recommends that people aged over 50 take a dosage of 100 to 200mcg vitamin K2 per day. The higher dosage of 200mcg is especially recommended for people who have a history of cardiovascular disease or osteoporosis in their families.
People who have early indications of cardiovascular disease or osteoporosis can also take the higher dose to ensure that all the body’s matrix Gla proteins are activated.
45mcg of vitamin K2 a day is generally enough for healthy people under the age of 50, but this recommendation only applies if there is no additional vitamin D3 intake from dietary supplements.
Anyone who wants to ensure an optimal supply and guarantee that all vitamin K2-dependent proteins are activated in the body should take at least 100mcg.
Note: If you are taking medication to prevent blood clots, please consult your doctor before taking vitamin K2.
How Much Vitamin D Is Enough
Adults and children over the age of one need 10mcg of vitamin D per day. This is the same for everyone, including people at risk of vitamin D deficiency and women who are pregnant or breastfeeding.
Babies up to one year old need 8.5-10mcg of vitamin D per day. Find out more about how you can reach this from the NHS.
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What Causes Vitamin D Toxicity
Vitamin D toxicity is almost always the result of excess supplementation. Because your body regulates vitamin D production, you are unlikely to develop it as a result of sun exposure . Foods generally do not contain large amounts of vitamin D, so getting an excessive amount in your diet is unlikely.
People may begin taking vitamin D supplements in order to address a deficiency or to help relieve symptoms of things like seasonal affective disorder or depression. The problem is that they may go overboard or think that taking more will produce more beneficial effects.
Vitamin D And K Only Work Well As A Team
Anyone who regularly takes vitamin D as a dietary supplement also needs to take vitamin K2. This important vitamin is responsible for depositing calcium at the right places in the body – i.e. in the bones and teeth. It also prevents calcification, the accumulation of calcium in places where it is not required – i.e. in the arteries and other soft tissue of the body.
Taking vitamin D stimulates the body to produce more of the vitamin K2-dependent proteins that transport calcium. These proteins have many health benefits, but cannot be activated if insufficient vitamin K2 is available, so anyone who is taking vitamin D needs more vitamin K2. Vitamin D and K2 work together to strengthen bones and promote the health of the heart and arteries.
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Good Sources Of Vitamin D
From about late March/early April to the end of September, most people should be able to make all the vitamin D they need from sunlight.
The body creates vitamin D from direct sunlight on the skin when outdoors.
But between October and early March we do not make enough vitamin D from sunlight. Read more about vitamin D and sunlight.
Vitamin D is also found in a small number of foods.
- fortified foods such as some fat spreads and breakfast cereals
Another source of vitamin D is dietary supplements.
In the UK, cows’ milk is generally not a good source of vitamin D because it is not fortified, as it is in some other countries.
Signs That You Need Vitamin D Supplements
You might need vitamin D supplements when diagnosed with vitamin D deficiency. However, it is better to consult a physician and test your blood sugar levels before opting for any supplements. The need for it may arise when you experience the following symptoms frequently:
- Feeling sleepy or tired
- Headaches
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Will Vitamin D Really Prevent Falls Or Fractures
Good question. Some studies have suggested that vitamin D reduces the chance of these serious health events, but these results have been questioned by later studies.
The US Preventive Services Task Force used to recommend Vitamin D to help reduce fall risk. But in 2018, they changed their recommendation.
My current take is that vitamin D might help with falls and fracture risk, especially for certain older adults. Since it has a low chance of harm and possible helps some people a least a little, I recommend it.
However, I usually tell people to not have overly optimistic expectations of vitamin Ds effects. In most older adults, problems such as pain, fatigue, and/or falls are due to multiple underlying causes, so theres often no easy fix available.
What Happens When Your Vitamin D Is Low
When vitamin D levels are low, there are some noticeable changes in the body, says Konstantin. Low vitamin D levels can lead to decreased energy levels, low mood, and potentially frequent bouts of illness. Checking for nutritional deficiencies can rule out any underlying issues that might be causing your lowered energy levels or even exhaustion and allow you to supplement based on what your body requires.
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Check Your Supplements More Isnt Always Better
For Portlanders, moderate deficiency in the sunshine vitamin is about as common as a cloudy day. Since we cant get the daily sun exposure needed to synthesize our own vitamin D year-round, many of us pop a supplement to keep our levels in check and in most cases, thats a good thing. But in some cases, we could be taking too much and that can be a problem.
You need vitamin D to help you absorb calcium, among other benefits. But extra high blood levels of vitamin D may encourage your body to stash extra calcium where its not wanted in your kidneys, for example, which is why high levels of vitamin D make you more vulnerable to kidney stones. Calcium deposits in the arteries are another potential concern. High vitamin D levels also can cause nausea, vomiting, muscle weakness, confusion, loss of appetite, dehydration and frequent urination.
When people have too much vitamin D in their blood, its almost always caused by over-use of dietary supplements. That doesnt mean you should stop taking vitamin D altogether, but do take a closer look at how much youre taking to make sure youre not overdoing it.
Enough vs. too much where do you draw the line?
The recommendations may vary depending on your age, health, ethnicity and even whom you ask. But as a general guideline, the National Institutes of Health Office of Dietary Supplements recommends getting 15 mcg of vitamin D daily from the age of 1 through 70, and 20 mcg from age 71 on.
Two ways we get into trouble
Your Value Is Between 20
Although official sources say that this value is acceptable, in the opinion of the Vitamin D Council this still constitutes a vitamin D deficiency. However, the risk of developing health problems is low. The parathyroid hormone levels may still be elevated, resulting in disruption in calcium uptake. There is less risk of fractures compared to lower vitamin D levels.
If your vitamin D blood level is e.g. 25 ng/ml or higher and you want to increase them, you can take the following amount of vitamin D :
To reach the mentioned value.. take this vitamin D Dose per day:
30 ng/ml ..600 IU 40 ng/ml ..2000 IU 50 ng/ml ..3700 IU 60 ng/ml ..5800 IU 70 ng/ml ..8600 IU
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Can You Take Too Much Vitamin D
Too much vitamin D can be harmful. It is not possible for the body to make too much vitamin D from sun exposure.
Having too much in the body usually results from taking supplements. However, it is very rare and usually only occurs when people take a very high dose for an extended period, such as more than a year.
The maximum quantity of vitamin D that a person can take before it causes health problems is . Symptoms of having too much vitamin D in the blood include:
- vomiting
What Happens If I Take Too Much Vitamin D
Taking too many vitamin D supplements over a long period of time can cause too much calcium to build up in the body . This can weaken the bones and damage the kidneys and the heart.
If you choose to take vitamin D supplements, 10 micrograms a day will be enough for most people.
Do not take more than 100 micrograms of vitamin D a day as it could be harmful. This applies to adults, including pregnant and breastfeeding women and the elderly, and children aged 11 to 17 years.
Children aged 1 to 10 years should not have more than 50 micrograms a day. Infants under 12 months should not have more than 25 micrograms a day.
Some people have medical conditions that mean they may not be able to safely take as much. If in doubt, you should consult your doctor.
If your doctor has recommended you take a different amount of vitamin D, you should follow their advice.
You cannot overdose on vitamin D through exposure to sunlight. But always remember to cover up or protect your skin if you’re out in the sun for long periods to reduce the risk of skin damage and skin cancer.
Page last reviewed: 03 August 2020 Next review due: 03 August 2023
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Advice For Adults And Children Over 4 Years Old
During the autumn and winter, you need to get vitamin D from your diet because the sun is not strong enough for the body to make vitamin D.
But since it’s difficult for people to get enough vitamin D from food alone, everyone should consider taking a daily supplement containing 10 micrograms of vitamin D during the autumn and winter.
Between late March/early April to the end of September, most people can make all the vitamin D they need through sunlight on their skin and from a balanced diet.
You may choose not to take a vitamin D supplement during these months.
Q: Should People Consider Vitamin D Supplements
A: If the level of vitamin D in your blood is less than 20 nanograms per milliliter, your doctor may recommend taking a supplement. Many women already take calcium and vitamin D supplements together for bone health because vitamin D can help in calcium absorption, and they work best when taken together. Ask your doctor if supplements are right for you.
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How Much Is Too Much
Many people don’t realise that you can have too much of a good thing. In very high doses, many minerals and vitamins can harm your body. Current guidelines say adults shouldn’t take more than the equivalent of 100 micrograms a day. But vitamin D is a ‘fat-soluble’ vitamin, so your body can store it for months and you don’t need it every day. That means you could equally safely take a supplement of 20 micrograms a day or 500 micrograms once a month. Don’t worry – your doctor or pharmacist aren’t trying to poison you! You can divide the monthly dose by 30 to give you the daily equivalent, which is what counts.
Of course, speaking of too much of a good thing, too much sunshine can be disastrous for your health. Any redness or even tanning of your skin is a sign that your skin has been damaged. In spring and summer, you can get your vitamin D from 15 to 20 minutes a day with arms and face uncovered in full sun. But don’t get burnt – this raises the risk of all kinds of skin cancer, but particularly of deadly melanoma.
Your Value Is Between 0
This value indicates severe vitamin D deficiency and represents significant risk to health. This low vitamin D level means that calcium cannot be sufficiently absorbed into the blood, which may lead to osteomalacia. This may also affect muscle strength and motor coordination.
If your vitamin D blood level is e.g. 25 ng/ml or higher and you want to increase them, you can take the following amount of vitamin D :
To reach the mentioned value.. take this vitamin D Dose per day:
20 ng/ml ..1000 IU 30 ng/ml ..2200 IU 40 ng/ml ..3600 IU 50 ng/ml ..5300 IU 60 ng/ml ..7400 IU 70 ng/ml ..10100 IU
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How Much Vitamin D Is Too Much The Surprising Truth
Vitamin D toxicity is rare, but it does occur with extremely high doses.
It usually develops over time, since extra vitamin D can build up in the body.
Nearly all vitamin D overdoses result from taking high amounts of vitamin D supplements.
Its almost impossible to get too much vitamin D from sunlight or food.
This is a detailed article about vitamin D toxicity and how much of it is considered to be too much.
