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How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

pubmed.ncbi.nlm.nih.gov

11–20 of 149 posts

Re: How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

#11
I've noticed this specific case being brought up on HN 3 times in the past 3 weeks (from different sources). I think it's a dead horse.

Beyond that, I would wholeheartedly recommend people take 3000 UI per day while COVID is floating around. (3 drops from your typical Vitamin D in drop form)

Re: How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

#12
post #7

So, on average, 200ish times the recommended daily dose? No wonder she had problems.

I think 130 times recommended. Or perhaps only 30 times what should be recommend. It's thought the old recommended dose is to low for some people or some situations. Which is why they really want to push it up as much as possible for all because it will save lives. Hence these studies. I'm doing 1000UI daily given current data and covid-19.

I seriously doubt this was a scientific study to test the upper tolerance limits of vit D. I mean, no ethics committee on the planet would approve the dosage.

Re: How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

#14
Another case-study that may be of interest has some information on effects of elevated Vitamin D levels on the kidneys:

"In terms of renal involvement, hypercalcemia can cause kidney injury both acutely and chronically.

Hypercalcemia can cause acute kidney injury primarily by 2 mechanisms: afferent arteriolar constriction and intravascular volume depletion from a diuretic effect through activation of calcium-sensing receptor at the sodium–chloride cotransporter in the loop of Henle."

Use of vitamin D drops leading to kidney failure in a 54-year-old man Bourne L. Auguste, Carmen Avila-Casado, Joanne M. Bargman CMAJ Apr 2019, 191 (14) E390-E394; DOI: 10.1503/cmaj.180465

There's a cool histological slide showing the actual calcium deposits in the kidneys that were causing some problems.

This fella had a couple other things going on as well that likely contributed to this, but food for thought.

Re: How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

#17

Can you OD on vitamin D from getting too much sun? Or does your body have a way to turn off the production? Same question but say you take a high supplement and then have a day in the sun?

UV also photo-degrades subcutaneous vitamin B in the skin so you can't OD via sunlight.

Exogenous UV not in the skin will not be photo-degraded, so supplement + sun may lead to overdose.

Re: How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

#18

Can you OD on vitamin D from getting too much sun? Or does your body have a way to turn off the production? Same question but say you take a high supplement and then have a day in the sun?

In a way. If I take a lot of vitamin D in one day (like 10K UI) I typically get chills, sweats, nausea (sometimes even vomiting) and other fever like symptoms. I think it's the effect of your body turning on its fight against infection.

I don't know if that's "OD"ing specifically. But I am replying because I get the exact same thing when I'm out in the sun all day long. I do feel like you probably can't get 130000 UIs from being in the sun in a single day.

Re: How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

#19

The title doesn’t match the abstract. This isn’t a study of the tolerable upper limit of Vitamin D intake. It’s a case report of a single individual who was taking astronomical doses of Vitamin D with disastrous consequences. It’s certainly possible to take too much vitamin D without coming anywhere near the silly doses this person was consuming. Anyone taking aggressive vitamin D doses should invest in a vitamin D t…

Everything you say is subjective (at best) or tautological (at worst) until you put a number to what you are calling a "megadose" or "excessive." "Megadose" is relative and needs to be couched with the emerging (not really, it's a decade old at least I believe) that the current official RDA of vit D is about 4-5x TOO LOW and was based on bad data (or a misinterpretation of the data).

Re: How Much Vitamin D Is Too Much? A Case Report and Review of the Literature

#20

Can you OD on vitamin D from getting too much sun? Or does your body have a way to turn off the production? Same question but say you take a high supplement and then have a day in the sun?

Based on my understanding, the main problem surrounding too much Vitamin D is with high levels of calcium that develop.

Vitamin D plays a big role as a calcium-regulatory hormone, and too much of it can lead to elevated levels of calcium in the blood.

However, in a normal, healthy adult, the body's own feedback-inhibitory mechanisms will just downregulate synthesis of the hormone when too much calcium is detected in the blood.

If you're sick or have other things going on (like cancer or taking too many Vitamin D tablets), however, it can be a problem:

Papapetrou PD, Bergi-Stamatelou M, Karga H, Thanou S. Hypercalcemia due to sun exposure in a patient with multiple myeloma and elevated parathyroid hormone-related protein. Eur J Endocrinol. 2003 Mar;148(3):351-5. doi: 10.1530/eje.0.1480351. PMID: 12611617.

https://pubmed.ncbi.nlm.nih.gov/12611617/

Use of vitamin D drops leading to kidney failure in a 54-year-old man Bourne L. Auguste, Carmen Avila-Casado, Joanne M. Bargman CMAJ Apr 2019, 191 (14) E390-E394; DOI: 10.1503/cmaj.180465

https://www.cmaj.ca/content/191/14/E390

Naik MA, Banday KA, Najar MS, Reshi AR, Bhat MA. Vitamin D intoxication presenting as acute renal failure. Indian J Nephrol. 2008;18(3):125-126. doi:10.4103/0971-4065.43693

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2813130/

"Hypercalcemia is a condition in which the calcium level in your blood is above normal. Too much calcium in your blood can weaken your bones, create kidney stones, and interfere with how your heart and brain work."

https://www.mayoclinic.org/diseases-conditions/hypercalcemia....

Here's the graphic on Vitamin D synthesis in the body from Wikipedia, you can see that the enzyme CYP27B1 is inhibited by elevated levels of calcium in the blood, so calcidiol is shunted into production of an inactive metabolite. This is what would be happening if you were out sunbathing for 123123 hours per day.

https://en.wikipedia.org/wiki/File:VitaminDSynthesis_WP1531....

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