Key takeaways:
Taking too much vitamin D can lead to constipation, even though vitamin D itself doesn’t cause constipation.
Vitamin D helps the gut absorb calcium. And very high calcium levels (hypercalcemia) can cause constipation.
People taking less than 10,000 international units (IU) of vitamin D daily are unlikely to develop constipation or high levels of calcium.
If you’ve recently added vitamin D to your daily routine, you may be wondering if it can cause any side effects. Like many supplements and medications, vitamin D can affect your gut.
Let’s look at how vitamin D affects your gut and whether it can cause constipation.
Vitamin D doesn’t directly cause constipation. But taking too much vitamin D can lead to constipation. This happens because vitamin D increases calcium levels in the body.
When you take a vitamin D supplement, your body absorbs more calcium. This is normally a major benefit of taking vitamin D.
But if calcium levels get too high, people can develop a condition called hypercalcemia. Hypercalcemia can interfere with gut movement. This can cause constipation.
Fortunately, it’s not common to develop high vitamin D levels or high calcium levels when taking vitamin D supplements. An adult taking less than 10,000 international units (IU) of vitamin D daily is unlikely to experience symptoms of vitamin D toxicity. And most people only need to take 600 IU to 800 IU of vitamin D supplements each day.
How much vitamin D should you take each day? Here’s our guide to vitamin D supplements.
Your diet can help boost your vitamin D levels. Here are 10 vitamin D-rich foods to add to your diet.
Some drinks can help relieve constipation. Here are the five best drinks for when you’re constipated (and a few to avoid).
Most people who take calcium and vitamin D supplements don’t experience any side effects. But if your calcium levels get too high, you may experience mild side effects like nausea and stomach discomfort.
People with very high calcium levels may experience more severe symptoms like:
Nausea and vomiting
Kidney stones
Bone pain
Heart arrhythmia (irregular heartbeat)
Muscle weakness
Confusion
Coma
Talk with your healthcare team if you develop any side effects while taking vitamin D or calcium supplements. You may need your blood calcium levels checked to make sure they aren’t too high. Don’t stop taking your supplements without talking with your healthcare team first.
Call poison control at 1-800-222-1222 if you accidentally take too much calcium or vitamin D. The toxicology experts can help you determine your next best steps if you’ve taken too much of your supplements.
You can help relieve constipation with home remedies such as:
Drinking more water
Including more fiber in your diet
Getting more exercise
Taking magnesium supplements or over-the-counter (OTC) laxatives
It’s also a good idea to reach out to your healthcare team if you experience constipation after starting vitamin D or calcium supplements. While vitamin D itself doesn’t cause constipation, certain types of calcium supplements are more likely to cause constipation.
Calcium carbonate supplements are more likely to trigger constipation than other forms of calcium supplements, though it’s not clear why. You can check if your calcium supplement is made from calcium carbonate by looking at the active ingredients on the side of the bottle. If you are taking calcium carbonate supplements, talk with your healthcare team. They can help you safely switch supplements if you’re experiencing constipation.
Vitamin D supplements don’t cause constipation. But they can cause high calcium levels, and high calcium levels can lead to constipation. This is very uncommon, especially if you’re taking 600 IU to 800 IU of vitamin D daily. Talk with your healthcare team if you develop constipation or other gut symptoms while taking vitamin D. They can help you figure out what’s causing your symptoms and how to get the best relief.
Ebert. E. (2010). The parathyroids and the gut. Journal of Clinical Gastroenterology.
Gao, R., et al. (2019). Exercise therapy in patients with constipation: A systematic review and meta-analysis of randomized controlled trials. Scandinavian Journal of Gastroenterology.
Li, K., et al. (2018). The good, the bad, and the ugly of calcium supplementation: A review of calcium intake on human health. Clinical Interventions in Aging.
Office of Dietary Supplements. (2024). Vitamin D.
Sadiq, N. M., et al. (2024). Hypercalcemia. StatPearls.