What are the symptoms of hypercalcemia due to high Vitamin D (Vitamin D) levels?

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From the Guidelines

High vitamin D levels can cause symptoms such as nausea, vomiting, weakness, frequent urination, kidney problems, bone pain, and excessive thirst due to hypercalcemia. These symptoms occur because vitamin D increases calcium absorption in the intestines, leading to excess calcium in the blood, which can deposit in soft tissues, cause kidney stones, and disrupt normal nerve and muscle function 1. The symptoms of high vitamin D levels can be severe and may lead to confusion, heart rhythm abnormalities, and even kidney failure, emphasizing the need for prompt medical attention if suspected 1. Key symptoms to watch out for include:

  • Polyuria
  • Polydipsia
  • Nausea
  • Confusion
  • Vomiting
  • Abdominal pain
  • Myalgia
  • Severe dehydration and acute renal failure in more severe cases 1. It is crucial to stop taking vitamin D supplements immediately if toxicity is suspected and consult a healthcare provider for blood tests to check vitamin D and calcium levels 1. Treatment typically involves discontinuing vitamin D supplements, limiting dietary calcium, increasing fluid intake, and in severe cases, medications to lower blood calcium levels, such as bisphosphonates, glucocorticoids, or loop diuretics 1.

From the Research

Symptoms of High Vitamin D

  • High levels of vitamin D can lead to hypercalcemia, which is characterized by elevated serum calcium levels 2, 3, 4, 5
  • Hypercalcemia can cause a range of symptoms, including:
    • Abnormal calcium metabolism 4
    • Hypercalciuria (excessive calcium in the urine) 5
    • Nephrocalcinosis (calcium deposits in the kidneys) 5
    • Nephrolithiasis (kidney stones) 5
    • Reduced bone density 5
  • In some cases, high vitamin D levels can lead to hypervitaminosis D, which can cause:
    • Irreversible calcification of soft tissues 2
    • Hypercalcemia that can last for several months 4
  • However, not all cases of high vitamin D levels lead to toxicity, and some individuals may have high levels without experiencing any adverse effects 6

Biochemical Markers of Vitamin D Toxicity

  • Serum 25-OH-vitamin D levels >160 nmol/L are considered indicative of hypervitaminosis D 2
  • Hypercalcemia is often associated with elevated serum 1,25(OH)2D levels 4, 5
  • Other biochemical markers of vitamin D toxicity include:
    • Elevated serum calcium and phosphorus levels 2, 4
    • Suppressed parathyroid hormone (PTH) concentrations 5

Treatment of Vitamin D-Mediated Hypercalcemia

  • Treatment options for vitamin D-mediated hypercalcemia include:
    • Hydration 4
    • Glucocorticoids 3, 4
    • Bisphosphonates 3
    • Cessation of vitamin D supplements 6

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Prevalence of hypercalcemia related to hypervitaminosis D in clinical practice.

Clinical nutrition (Edinburgh, Scotland), 2016

Research

[Hypervitaminosis D].

Nihon rinsho. Japanese journal of clinical medicine, 1993

Research

Hypervitaminosis D without toxicity.

Proceedings (Baylor University. Medical Center), 2020

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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