Chronic cholecalciferol supplementation and adequate vitamin D status are associated with reduced risk of Long COVID
et al., Journal of Endocrinological Investigation, doi:10.1007/s40618-026-02858-8, NCT06452082, Mar 2026
Vitamin D for COVID-19
8th treatment shown to reduce risk in
October 2020, now with p < 0.00000000001 from 136 studies, recognized in 18 countries.
No treatment is 100% effective. Protocols
combine treatments.
6,400+ studies for
210+ treatments. c19early.org
|
Retrospective 132 COVID-19 patients showing lower long COVID risk with chronic cholecalciferol supplementation. The study compared patients receiving long-term cholecalciferol for at least 24 months to those without supplementation, tracking the development of long COVID at six months post-recovery. In a 1:1 matched cohort of 86 patients, long COVID occurred significantly less frequently among supplemented patients compared to controls (11.6% vs. 32.6%). The benefit was pronounced in matched patients receiving daily doses of 1000 IU or more. Authors adjusted for potential confounding by matching patients based on age, sex, comorbidities, and acute COVID-19 severity. However, there may be residual confounding, as supplemented individuals may differ in healthy behavior, physical activity, or socioeconomic status not captured in the data.
This is the 137th COVID-19 controlled study for vitamin D, which collectively show efficacy with p<0.0000000001.
41 studies are RCTs, which show efficacy with p=0.00000049.
This study is excluded in the after exclusion results of meta-analysis:
potentially significant confounding by treatment propensity.
|
risk of long COVID, 78.0% lower, OR 0.22, p = 0.02, treatment 43, control 43, adjusted per study, Table 6, RR approximated with OR.
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| Effect extraction follows pre-specified rules prioritizing more serious outcomes. Submit updates |
di Filippo et al., 23 Mar 2026, retrospective, Italy, peer-reviewed, 9 authors, study period March 2020 - May 2021, trial NCT06452082 (history).
Contact: giustina.andrea@hsr.it.
Abstract: Journal of Endocrinological Investigation
https://doi.org/10.1007/s40618-026-02858-8
ORIGINAL ARTICLE
Chronic cholecalciferol supplementation and adequate vitamin D
status are associated with reduced risk of Long COVID
Luigi di Filippo1 · Umberto Terenzi1 · Simona Bolamperti1 · Camilla Bechini1 · Simonetta Bossoni1 ·
Marco Campaniolo1 · Licia Gifuni1 · Mauro Doga1 · Andrea Giustina1
Received: 12 December 2025 / Accepted: 1 March 2026
© The Author(s) 2026
Abstract
Introduction Vitamin D deficiency has been associated with adverse acute and long-term COVID-19 outcomes. However,
data on its supplementation on post-acute recovery are still limited. This retrospective observational study investigated the
role of chronic cholecalciferol supplementation and 25(OH) vitamin D concentrations on Long COVID risk.
Methods We included patients with COVID-19 between March 2020 and May 2021 previously followed at our Endocrine
Department. Long COVID was defined according to NICE criteria. Patients chronically supplemented with cholecalciferol
were compared with matched controls for age, sex, comorbidities, and COVID-19 severity.
Results A total of 132 patients were evaluated; 50 (38%) received cholecalciferol supplementation and 30 (22.7%) developed Long COVID. Long COVID occurred less frequently among supplemented patients (14% vs. 28%, p = 0.086), particularly with daily-doses ≥ 750 IU (12.5% vs. 28.6%, p = 0.051) and ≥ 1000 IU (10.5% vs. 27.6%, p = 0.039). Baseline 25(OH)
D concentrations were significantly lower in those with Long COVID (p = 0.02), and showed a significant predictive performance for Long COVID (AUROC 67.3%, p = 0.023). In the matched cohort (n = 86), Long COVID occurred less frequently
among supplemented patients (11.6% vs. 32.6%, p = 0.036) and similar findings were confirmed in the matched subgroup
receiving ≥ 1000 IU/day (8.5% vs. 34.2%, p = 0.018). Multivariate analyses showed a protective role of cholecalciferol supplementation on Long COVID in both entire and matched cohorts.
Conclusions Chronic cholecalciferol supplementation, particularly at daily doses ≥ 750–1000 IU, was associated with a significantly lower risk of Long COVID. Ensuring adequate vitamin D status may represent a potential useful preventive strategy for post-COVID sequelae.
Keywords Vitamin D · Long COVID · COVID-19 · Cholecalciferol · SARS-CoV-2
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