Estimate the daily vitamin D3 dose needed to raise your serum 25(OH)D from a known baseline to a target level. Based on Heaney 2003 dose-response (~100 IU/day per 1 ng/mL increase, weight-adjusted). Math, not medical advice.
Inputs
Used to scale the per-IU response (heavier people need more IU per ng/mL gain).
From your most recent blood test. If unknown, try 20 ng/mL (typical US adult).
IOM “sufficient” = 20+ ng/mL. Endocrine Society “preferred” = 30-50 ng/mL. Above 50-60 ng/mL is generally not associated with extra benefit.
Estimated daily maintenance dose
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How the math works
Heaney et al. 2003 (PMID 12499338) found that vitamin D3 raises serum 25(OH)D by approximately 1 ng/mL for every 100 IU/day at steady state in lean adults — a 4-month plateau. Subsequent studies (Vieth 2007; Ekwaru 2014, PMID 24586876) refined this for body weight: heavier individuals need 2-3× more IU per ng/mL of gain because vitamin D distributes into adipose tissue.
Practical formula used here:
- Required gain: target − baseline (ng/mL)
- Per-ng/mL dose factor: 100 IU × weight adjustment (1.0 at 70 kg / 154 lb; up to 2.5× at 130+ kg / 285+ lb based on Ekwaru 2014)
- Maintenance dose ≈ required gain × per-ng/mL factor
This is a steady-state estimate, reaches plateau in 3-4 months. Some clinicians use a loading dose (e.g., 50,000 IU/week for 8 weeks) to reach target faster, then transition to maintenance — discuss with your prescriber.
Reference levels (25(OH)D)
- Deficient: < 20 ng/mL (< 50 nmol/L) — IOM threshold for inadequate
- Insufficient: 20-29 ng/mL (50-72 nmol/L) — Endocrine Society threshold for “below preferred”
- Sufficient (IOM): 20-30 ng/mL (50-75 nmol/L) — IOM-defined adequacy for bone health
- Preferred (Endocrine Society): 30-50 ng/mL (75-125 nmol/L) — for adults at risk
- High-normal: 50-80 ng/mL (125-200 nmol/L) — generally well-tolerated, no extra benefit established
- Toxic / hypervitaminosis: > 100 ng/mL (250 nmol/L) sustained — risk of hypercalcemia
Conversion: 1 ng/mL = 2.5 nmol/L. Most US labs report ng/mL; most European labs report nmol/L.