Why Vitamin D Deficiency Is So Common in the UK, and How to Get the Right Dose

By Sally, Pharmacy Manager


Vitamin D deficiency is one of the most common nutritional issues in the UK, yet many people don’t realise their levels are low. Because symptoms are often subtle - or absent altogether - deficiency can go unnoticed for years.

In this post, we explain why vitamin D deficiency is so widespread, how much vitamin D most adults should take, who may need more, and how to supplement safely.

  • Vitamin D plays an essential role in several key areas of health. It helps the body:

    • Absorb calcium and phosphate

    • Maintain healthy bones and teeth

    • Support normal muscle function

    • Contribute to immune system health

    Unlike most vitamins, vitamin D is produced in the skin when exposed to sunlight. This makes deficiency particularly common in countries like the UK, where sunlight exposure is limited for much of the year.

  • Vitamin D deficiency is common across all age groups in the UK, especially between October and March, when sunlight is too weak to trigger vitamin D production in the skin.

    Other contributing factors include:

    • Spending more time indoors

    • Wearing sunscreen or covering skin

    • Having darker skin, which requires more sunlight to produce vitamin D

    • Living in northern latitudes

    • Limited dietary intake of vitamin D–rich foods

    Because deficiency develops gradually, many people are unaware they are affected until levels are tested

  • Symptoms can be mild or non-specific, which is why deficiency is often missed. Some people may experience:

    • Ongoing tiredness or fatigue

    • Muscle aches or weakness

    • Bone or joint discomfort

    • Frequent infections

    • Low mood during winter months

    In more severe or long-term deficiency, bone health can be affected.

  • General UK Guidance

    For most adults, the recommended intake is:

    • 10 micrograms (400 IU) per day

    This recommendation comes from UK public health guidance, including NHS advice, and is intended to help maintain adequate vitamin D levels throughout the year.

  • Some people may require a higher daily dose, particularly if they:

    • Have confirmed vitamin D deficiency

    • Have minimal sun exposure

    • Have darker skin tones

    • Are over 65

    • Have obesity or absorption issues

    • Have bone health conditions

    In these cases, doses such as 1,000-4,000 IU daily may be recommended after assessment and, ideally, blood testing.

    Higher doses should be taken with professional guidance, especially if used long term.

Can You Take Too Much Vitamin D?

Yes. Vitamin D is fat-soluble, which means excess amounts can build up in the body.

Long-term excessive intake may lead to:

  • High calcium levels

  • Kidney stones

  • Nausea or digestive upset

  • Confusion or abnormal heart rhythms

For most adults, 4,000 IU (100 micrograms) per day is considered the upper safe limit, unless a higher dose is prescribed and monitored.


Is Food Alone Enough?

Vitamin D is found in small amounts in foods such as:

  • Oily fish (salmon, mackerel, sardines)

  • Egg yolks

  • Red meat

  • Fortified cereals and plant milks

However, diet alone rarely provides enough vitamin D, which is why supplementation is commonly advised in the UK.


Should You Get Your Vitamin D Levels Checked?

A blood test may be useful if you:

  • Have persistent fatigue or muscle pain

  • Experience frequent infections

  • Are at higher risk of deficiency

  • Are considering higher-dose supplementation

Testing allows supplementation to be tailored safely, rather than relying on guesswork.


When to Seek Professional Advice

If you’re unsure how much vitamin D you should be taking, or you’d like to check your levels, speaking to a healthcare professional can help ensure safe and effective supplementation based on your individual needs.

Speak to Us

This article was reviewed by Vicky - a UK-registered pharmacist. Information is correct at the time of publication.

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