Supplement × Prescription·a synergy·Moderate evidence

Tenofovir Disoproxil + Vitamin D3

Synergy Moderate evidence

Tenofovir disoproxil can reduce bone mineral density and may contribute to phosphate wasting; correcting vitamin D deficiency is part of bone-risk management.

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Pair type
Synergy
Evidence
Moderate
Source citations
1
Scope
Supplement × Prescription
Last verified
June 4, 2026
SynergyModerate evidence

What is happening. Tenofovir disoproxil can reduce bone mineral density and may contribute to phosphate wasting; correcting vitamin D deficiency is part of bone-risk management.

Mechanism. Bone-risk mitigation rather than increased antiviral exposure.

Recommendation. Check 25-hydroxyvitamin D and bone risk when therapy is long term or risk factors are present; supplement to target if deficient.

Stack Score

How it moves the number.

Effect on the composite score

If both Tenofovir Disoproxil and Vitamin D3 are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).

The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.

Sources

Sources, by evidence tier.

Every claim on this page is cited. PMIDs link straight to PubMed.

Reference material

1
  • 1DailyMed. Tenofovir Disoproxil US prescribing information. 2026.Needs sourceNo link

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