Protocolsautoimmune
autoimmuneLow

High-Dose Vitamin D (Coimbra Protocol)

The Coimbra Protocol uses very high daily vitamin D under a physician, with calcium restriction and close lab monitoring, for autoimmune disease.

Evidence Score

35/100

Developer

Cicero Coimbra (Coimbra Protocol)

Duration

Ongoing only while monitored by your clinician

Steps

9 phases

Used for

2 conditions

Protocol Overview

The Coimbra Protocol uses very high daily vitamin D under a physician, with calcium restriction and close lab monitoring, for autoimmune disease. Published evidence for the protocol itself is limited to small uncontrolled reports. Separately, a 2025 randomized trial (D-Lay MS) found high-dose vitamin D reduced disease activity in early MS. Doses this high are only ever taken under a licensed clinician with blood and urine monitoring, alongside your neurology or rheumatology care.

Used For

Multiple sclerosis (early research)Autoimmune disease (early research)

Key Resources

Finamor DC et al., 2013, Dermato-Endocrinology (Coimbra group pilot in vitiligo and psoriasis)
Thouvenot E et al., 2025, JAMA (D-Lay MS randomized trial)
Hahn J et al., 2022, BMJ (VITAL trial: vitamin D and autoimmune disease)

Safety Profile

Contraindications & Risks
High calcium or a history of it, kidney stones, kidney disease
Sarcoidosis and other granulomatous diseases, primary hyperparathyroidism
Taking thiazide diuretics or digoxin (interaction risk)
Pregnancy or breastfeeding: standard amounts only, with your clinician
Important Notes

Developed by Brazilian neurologist Cicero Coimbra. Outcomes are reported mostly through patient accounts and small uncontrolled series, with no randomized trial of the protocol itself. In the D-Lay MS trial, 316 adults with a first MS-like event took high-dose vitamin D every 2 weeks or placebo for 2 years under medical monitoring; disease activity was lower with vitamin D and no serious side effects were linked to it. That dose is far below Coimbra doses. In the VITAL trial, 2,000 IU daily was linked to fewer new autoimmune diagnoses over about 5 years. For people not on a supervised protocol, Gabriel's optimal 25-hydroxy vitamin D range is 50 to 75 ng/mL.

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EvidenceLow
Evidence Score35/100
Categoryautoimmune
DurationOngoing only while monitored by your clinician

About Evidence Score

The Evidence Score (0 to 100) rates the strength of evidence from studies in people for the uses listed: higher means stronger, more consistent research. It does not measure safety. It is not medical advice.

For education, not medical advice. Talk with a licensed clinician before you start, and never stop or change a prescribed medication without your prescriber.