REVIEW PAPER
Hypervitaminosis D: an underestimated complication of supplementation
 
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1
Provincial Integrated Hospital of Ludwik Perzyna in Kalisz, Poland
 
2
University Clinical Hospital in Opole, Poland
 
3
Healthcare Institutions Complex in Ostrów Wielkopolski, Poland
 
4
University Clinical Hospital No. 2, Pomeranian Medical University in Szczecin, Poland
 
 
Submission date: 2026-02-27
 
 
Final revision date: 2026-04-10
 
 
Acceptance date: 2026-04-16
 
 
Online publication date: 2026-04-22
 
 
Corresponding author
Marcin Masłowski   

Provincial Integrated Hospital of Ludwik Perzyna in Kalisz, Poznańska 79, 62-800 Kalisz, Poland
 
 
 
KEYWORDS
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ABSTRACT
Vitamin D plays a crucial role in the regulation of calcium-phosphate metabolism and the proper functioning of multiple body systems. The widespread prevalence of vitamin D deficiency has led to a significant increase in supplementation in the general population over recent years. However, this trend has been accompanied by a growing number of cases of hypervitaminosis D, primarily resulting from uncontrolled intake of high-dose vitamin D preparations. Excess vitamin D leads to disturbances in calcium homeostasis, most notably hypercalcemia, which may manifest itself in nonspecific systemic symptoms and result in serious organ complications such as nephrocalcinosis and renal failure. A major contributing factor is the widespread availability of vitamin D-containing preparations, combined with insufficient patient awareness of the potential consequences of excessive intake. Therefore, the aim of this work is to present the current state of knowledge regarding hypervitaminosis D and its significance from a public health perspective. An analysis of literature indicates that physicians play a key role in the rational management of vitamin D supplementation, identification of risk factors, and patient education. Adherence to current supplementation guidelines and regular monitoring of therapy can significantly reduce the risk of developing hypervitaminosis D.
REFERENCES (18)
1.
Fraser DR. Physiological significance of vitamin D produced in skin compared with oral vitamin D. J Nutr Sci. 2022; 11: e13. https://doi.org/10.1017/jns.20....
 
2.
Chauhan K, Shahrokhi M, Huecker MR. Vitamin D. Treasure Island (FL): StatPearls Publishing; 2025.
 
3.
Wan M, Patel J, Rait G, Shroff R. Hypervitaminosis D and nephrocalcinosis: too much of a good thing?. Pediatr Nephrol. 2022; 37(10): 2225-2229. https://doi.org/10.1007/s00467....
 
4.
Shamim N, Majid H, Khemani S, Salim M, Muneer S, Khan AH. Inappropriate supplementation of vitamin D can result in toxicity: a cross-sectional study of paediatrics population. J Pak Med Assoc. 2023; 73(3): 500-504. https://doi.org/10.47391/JPMA.....
 
5.
Marcinowska-Suchowierska E, Kupisz-Urbańska M, Łukaszkiewicz J, Płudowski P, Jones G. Vitamin D toxicity—A clinical perspective. Front Endocrinol (Lausanne). 2018; 9: 550. https://doi.org/10.3389/fendo.....
 
6.
Aberger S, Schreiber N, Pilz S, Eller K, Rosenkranz AR, Kirsch AH. Targeting calcitriol metabolism in acute vitamin D toxicity: a comprehensive review and clinical insight. Int J Mol Sci. 2024; 25(18): 10003. https://doi.org/10.3390/ijms25....
 
7.
Giustina A, Bilezikian JP, Adler RA, Banfi G, Bikle DD, Binkley NC, et al. Consensus statement on vitamin D status assessment and supplementation: whys, whens, and hows. Endocr Rev. 2024; 45(5): 625-654. https://doi.org/10.1210/endrev....
 
8.
Taylor PN, Davies JS. A review of the growing risk of vitamin D toxicity from inappropriate practice. Br J Clin Pharmacol. 2018; 84(6): 1121-1127. https://doi.org/10.1111/bcp.13....
 
9.
Płudowski P, Kos-Kudła B, Walczak M, Fal A, Zozulińska-Ziółkiewicz D, Sieroszewski P, et al. Guidelines for preventing and treating vitamin D deficiency: a 2023 update in Poland. Nutrients. 2023; 15(3): 695. https://doi.org/10.3390/nu1503....
 
10.
Benedik E. Sources of vitamin D for humans. Int J Vitam Nutr Res. 2022; 92(2): 118-125. https://doi.org/10.1024/0300-9....
 
11.
Kimball SM, Holick MF. Official recommendations for vitamin D through the life stages in developed countries. Eur J Clin Nutr. 2020; 74(11): 1514-1518. https://doi.org/10.1038/s41430....
 
12.
Johnson KC, Pittas AG, Margolis KL, Peters AL, Phillips LS, Vickery EM, et al. Safety and tolerability of high-dose daily vitamin D₃ supplementation in the vitamin D and type 2 diabetes (D2d) study: a randomized trial in persons with prediabetes. Eur J Clin Nutr. 2022; 76(8): 1117-1124. https://doi.org/10.1038/s41430....
 
13.
Janoušek J, Pilařová V, Macáková K, Nomura A, Veiga-Matos J, Dias da Silva D, et al. Vitamin D: sources, physiological role, biokinetics, deficiency, therapeutic use, toxicity, and analytical methods. Crit Rev Clin Lab Sci. 2022; 59(8): 517-554. https://doi.org/10.1080/104083....
 
14.
Lin TH, Lu HJ, Lin CH, Lee MD, Chang BPH, Lin CC, et al. Nephrocalcinosis in children who received high-dose vitamin D. Pediatr Nephrol. 2022; 37(10): 2471-2478. https://doi.org/10.1007/s00467....
 
15.
Batman A, Altuntas Y. Risk of hypercalcemia in elderly patients with hypervitaminosis D and intoxication. Acta Endocrinol (Buchar). 2021; 17(2): 200-206. https://doi.org/10.4183/aeb.20....
 
16.
Bleizgys A, Kurovskij J. Vitamin D levels of out-patients in Lithuania: deficiency and hypervitaminosis. Medicina (Kaunas). 2018; 54(2): 25. https://doi.org/10.3390/medici....
 
17.
Virú-Loza MA, Alvarado-Gamarra G, Zapata-Sequeiros RI, Flores-Nakandakare HF. Life-threatening hypercalcemia in a child with vitamin D intoxication due to parental self-medication: a case report. SAGE Open Med Case Rep. 2024; 12: 2050313X241269560. https://doi.org/10.1177/205031....
 
18.
Asif A, Farooq N. Vitamin D toxicity. Treasure Island (FL): StatPearls Publishing; 2025.
 
eISSN:2354-0265
ISSN:2353-6942
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