Does vitamin D help your immune system?
Last updated September 3, 2026.
Yes, modestly: a BMJ meta-analysis of 25 trials and nearly 11,000 people found vitamin D supplementation cut the risk of at least one respiratory infection (odds ratio 0.88; about 33 treated to prevent one infection). The effect concentrates in people starting out deficient, and daily or weekly dosing beats bolus doses. It is a nudge, not a shield - it does not replace sleep, vaccination, or hand hygiene. Pymander's escalation routing is built and tested specifically for this class of decision; see the safety architecture working paper.
What to do
- Test if unsure: a 25(OH)D blood test tells you whether you are in the group the benefit lives in.
- Dose daily, not bolus: low daily doses through dark months matched the trial signal.
- Keep perspective: a 12% relative reduction complements - never replaces - sleep and vaccination.
- Get seen if: you supplement high-dose long-term without testing - vitamin D toxicity is real, and levels are cheap to check.
Related questions
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