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Experimental data suggest that vitamin D plays a role in the immune response and might have an anti-inflammatory effect. Whether patients with COVID-19 and vitamin D deficiency have worse outcomes and whether vitamin D supplementation could help mitigate severity of disease is unclear.
Investigators from Brazil randomized 240 patients hospitalized with COVID-19 to receive either a single oral dose of vitamin D3 (200,000 IU) or placebo. Almost all patients required supplemental oxygen, and a small number received noninvasive ventilation. Patients in the intensive care unit (ICU) were not enrolled. About two thirds of patients received corticosteroids.
Despite significantly higher mean 25-hydroxyvitamin D levels in treated patients, hospital le…