Supplement

Vitamin D

Supplement if levels are low. Test before high-dose supplementation.

What it does

The supplement most often taken without testing. The right protocol is simple: test, dose into the 30 to 50 ng/mL range, retest. Correcting documented deficiency helps; supplementing already-sufficient adults helps less.

Vitamin D regulates calcium absorption and bone metabolism, modulates immune function, and acts as a signaling molecule across many tissues via the vitamin D receptor.

  • 25-hydroxyvitamin D
  • bone metabolism
  • immune function

What the evidence shows

Overall evidence strength: Moderate certainty

Who it's for, who should skip

People with low vitamin D. Test first; sun exposure is preferable when feasible. High-dose supplementation without testing is unnecessary and occasionally harmful (hypercalcemia).

Running it

Form
oral
Dose
1,000–4,000 IU · daily
Titration
adjust to labs; target blood level 30–50 ng/mL

Measuring it

Retest Vitamin D — No guideline-based retest interval — the Endocrine Society (2024) advises against routine follow-up 25(OH)D testing to guide dosing. Retest on a clinician's specific indication, not on a calendar..

Stacking & alternatives

Access & cost

Available over the counter. Look for: vitamin D3.

Last reviewed 27 August 2026.