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Patients with Graves' disease and Hashimoto's thyroiditis have significantly lower serum 25-hydroxyvitamin D levelsThyroid Patients May Have Lower Vitamin D Levels

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Key Takeaway
Note that patients with Graves' disease and Hashimoto's thyroiditis have significantly lower serum vitamin D levels.

This meta-analysis synthesized data from 38 studies to evaluate serum 25-hydroxyvitamin D levels in patients with thyroid diseases, including Graves' disease and Hashimoto's thyroiditis, compared to non-thyrd disease controls. The analysis aimed to quantify the difference in vitamin D status across various autoimmune thyroid conditions.

The meta-analysis found that patients with thyroid diseases had significantly lower serum vitamin D levels compared to controls (WMD -5.42 ng/mL; 95% CI, -6.61--4.67; P <.001). Specifically, patients with Hashimoto's thyroiditis showed a lower mean difference of -7.53 ng/mL (95% CI: -11.27--3.8), and patients with Graves' disease showed a lower mean difference of -4.11 ng/mL (95% CI: -7.37--0.85). Patients with unclassified autoimmune thyroid disease (AITD) also showed lower levels (WMD -2.23 ng/mL; 95% CI: -3.25--1.21).

These findings suggest a consistent association between autoimmune thyroid conditions and lower vitamin D status. However, as the underlying studies were observational, these results indicate an association rather than a causal relationship. Clinical implications for management are not specifically detailed in the report.

How this fits prior evidence

This meta-analysis addresses a gap in the clinical profile of thyroid conditions by quantifying vitamin D status. It complements existing evidence regarding Graves' disease, which is associated with lower bone mineral density and higher serum calcium levels, and Hashimoto's thyroiditis, which is a risk factor for papillary thyroid cancer.

A new meta-analysis pooled 38 studies to compare vitamin D levels in people with thyroid diseases and people without thyroid disease. The thyroid conditions included Graves' disease, Hashimoto's thyroiditis, and unclassified autoimmune thyroid disease.

Overall, vitamin D levels were significantly lower in people with thyroid disease. The average difference was about 5.4 ng/mL lower than in controls. When broken down by condition, people with Graves' disease had levels about 4.1 ng/mL lower, those with Hashimoto's thyroiditis about 7.5 ng/mL lower, and those with unclassified autoimmune thyroid disease about 2.2 ng/mL lower.

This was a meta-analysis of observational studies, so it shows a link, not cause and effect. It does not prove that low vitamin D causes thyroid disease or that taking vitamin D will help. The analysis did not report side effects, funding sources, or study limitations.

If you have a thyroid condition, talk with your doctor about whether checking your vitamin D level makes sense for you. Do not start or change any supplement on your own based on this finding.

What this means for you:
Thyroid disease is linked to lower vitamin D levels, but this does not prove cause and effect.

Common questions

Is low vitamin D a cause of thyroid disease?

This analysis cannot say. It pooled observational studies, which can show a link but not prove that low vitamin D causes thyroid disease. It is possible that thyroid disease or other factors lead to lower vitamin D, or that both share a common cause. More research is needed to understand the direction of this relationship.

Which thyroid conditions were linked to lower vitamin D?

The analysis looked at Graves' disease, Hashimoto's thyroiditis, and unclassified autoimmune thyroid disease. All three groups had lower vitamin D levels than people without thyroid disease. The difference was largest for Hashimoto's thyroiditis, about 7.5 ng/mL lower, and smallest for unclassified autoimmune thyroid disease, about 2.2 ng/mL lower.

Should I take vitamin D if I have a thyroid condition?

This analysis did not test whether vitamin D supplements help thyroid disease. It only looked at existing vitamin D levels. Whether to take a supplement is a personal decision. Talk with your doctor, who can check your levels and advise based on your health history and any other conditions or medications.

How much lower was vitamin D in people with thyroid disease?

On average, people with thyroid disease had vitamin D levels about 5.4 ng/mL lower than controls. For Graves' disease, the difference was about 4.1 ng/mL. For Hashimoto's thyroiditis, it was about 7.5 ng/mL. For unclassified autoimmune thyroid disease, it was about 2.2 ng/mL. These are average differences across 38 studies.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
BACKGROUND: Vitamin D, an important immunomodulator, has been implicated in the pathogenesis of thyroid disease. Although several studies have reported lower serum vitamin D levels in patients with autoimmune thyroid diseases (AITDS) and thyroid cancer, others have yielded shown inconsistent findings, leaving the clinical significance of vitamin D status in thyroid diseases unclear. This review aimed to clarify the association between serum vitamin D levels and thyroid diseases. METHODS: Observational studies, investigating the association between serum vitamin D levels and thyroid diseases, were identified through systematic searches of the PubMed, EMBASE, Web of Science, OVID, and Cochrane Library databases, with the search last updated in March 2024. Two reviewers independently screened the identified studies, extracted relevant data, and assessed study quality using the Newcastle-Ottawa Scale. Weighted mean differences (WMDs) with 95% confidence intervals (CIs) were calculated using a random-effects model. Statistical heterogeneity was assessed using the I2 statistic, and subgroup and sensitivity analyses were performed. RESULTS: A total of 38 studies were included in the systematic searches. Serum vitamin D levels were significantly lower in patients with thyroid diseases than in the non-thyroid disease controls (WMD -5.42 ng/mL; 95% CI, -6.61--4.67; P < .001), especially in AITDs (Graves' disease ([WMD = -4.11 ng/mL, 95% CI: -7.37--0.85], Hashimoto's thyroiditis [WMD = -7.53 ng/mL, 95% CI: -11.27--3.8], and unclassified autoimmune thyroid disease (AITD) [WMD = -2.23 ng/mL, 95% CI: -3.25--1.21]). CONCLUSION: Patients with thyroid disease had significantly lower vitamin D levels than individuals without thyroid diseases, and a more pronounced association was observed among patients with AITDs.
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