Interaction databaseSupplement × SupplementReviewed May 2026

Vitamin A and Vitamin D3, a caution.

High-dose vitamin A (retinol) can antagonize vitamin D activity by competing for the shared RXR nuclear receptor.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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What the row says.

Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Vitamin A and Vitamin D3
Pair type
Caution, Synergy
Evidence (highest tier)
Moderate
Source citations
3 sources
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Supplement
Last verified
May 30, 2026

Caution · Moderate evidence

Caution

What is happening. High-dose vitamin A (retinol) can antagonize vitamin D activity by competing for the shared RXR nuclear receptor.

Mechanism. Both vitamins' nuclear receptors (RAR and VDR) require RXR as a heterodimerization partner. Excess retinol saturates RXR, reducing VDR-RXR formation and D3 signaling.

Recommendation. If supplementing both, keep vitamin A under 10,000 IU and ensure adequate D3 (2000+ IU). Balanced ratios are key.

Sources (2)
  1. Johansson S, Melhus H. Vitamin A antagonizes calcium response to vitamin D in man. J Bone Miner Res. 2001. PMID 11585356
  2. Chang MC, Choo YJ. Effects of Whey Protein, Leucine, and Vitamin D Supplementation in Patients with Sarcopenia: A Systematic Review and Meta-Analysis.. Nutrients. 2023. PMID 36771225

Synergy · Moderate evidence

Synergy

What is happening. At balanced physiological ratios, vitamins A and D work synergistically on immune regulation and gene expression.

Mechanism. RAR-RXR and VDR-RXR heterodimers regulate overlapping gene sets. At physiological ratios, they cooperatively modulate immune cell differentiation, antimicrobial peptide expression, and Th1/Th2 balance.

Recommendation. Balanced supplementation (e.g., cod liver oil ratios) supports immune function. Avoid mega-dosing either one alone.

Sources (2)
  1. Cannell JJ et al. On the epidemiology of influenza. Virol J. 2008
  2. Chang MC, Choo YJ. Effects of Whey Protein, Leucine, and Vitamin D Supplementation in Patients with Sarcopenia: A Systematic Review and Meta-Analysis.. Nutrients. 2023. PMID 36771225

Stack Score

How this pair moves the number.

Effect on the composite score

If both Vitamin A and Vitamin D3 are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

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

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