Evidence matrix
These scores describe different evidence domains. A strong mechanism cannot compensate for missing human outcomes, and a useful clinical effect need not imply slower biological ageing.
What has been shown in humans?
Benefit depends strongly on baseline status, age, setting and endpoint. Bone-related benefit is most relevant in deficient or high-risk groups and often involves calcium, falls prevention or institutional populations. Mortality findings vary across analyses and should not be reduced to a single headline.
What remains uncertain?
The optimal target concentration for every population, who benefits from routine testing, and the balance between population supplementation and targeted correction remain debated.
Doses used in research
Safety and interpretation
- Excessive intake can cause hypercalcaemia, kidney stones and tissue calcification.
- Blood level, diet, sun exposure, kidney function and medicines can all affect dosing decisions.
- More is not necessarily better once deficiency has been corrected.
Primary sources and evidence reviews
Found no reduction in major cardiovascular outcomes or all-cause mortality in the analysed trials.
Pooled analysis found no significant cardiovascular mortality benefit.
Editorial note
This dossier was last reviewed on 13 July 2026. Ratings can change when larger trials, adverse-event data or better systematic reviews appear. Corrections should alter the page rather than being buried in a social-media thread.