Can low vitamin D (25-hydroxyvitamin D) levels cause headaches?

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Last updated: June 16, 2025View editorial policy

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From the Research

Low vitamin D levels have been linked to an increased risk of headaches, particularly migraines, as evidenced by a recent study published in 2025 1. This study found a significant negative correlation between serum vitamin D levels and the prevalence of migraine in American adults. The exact mechanism is not fully understood, but it's thought that vitamin D may play a role in reducing inflammation, regulating pain pathways, and affecting serotonin levels in the brain. Some key points to consider:

  • Normal vitamin D levels should be above 30 ng/mL (75 nmol/L) 2.
  • If you're deficient, supplementation typically involves taking vitamin D3 (cholecalciferol) at doses of 1,000-2,000 IU daily for maintenance or higher doses (such as 5,000 IU daily for 8-12 weeks) for correction of deficiency, under medical supervision 3.
  • It's essential to address other potential headache triggers and consult with a healthcare provider before starting supplements, as excessive vitamin D can cause toxicity.
  • The relationship between vitamin D and headaches is not definitively established, but the current evidence suggests that supplementation may be beneficial in reducing the frequency of headaches, especially in individuals with vitamin D deficiency 4. The most recent and highest quality study 1 supports the idea that vitamin D supplementation may be helpful in reducing the frequency and severity of migraines, making it a potential treatment option for individuals with low vitamin D levels and frequent headaches.

References

Research

Vitamin D in migraine headache: a comprehensive review on literature.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2019

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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