Unverified90% confidenceCautionTime unknown
高钙血症、甲状旁腺功能亢进、结节病、肾结石病史者不应自行补充高剂量D3或D3+钙复合剂，D3促进钙吸收会加重病情，须遵医嘱
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90%
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Long-term
Relevance
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Unverified有高钙血症、肾结石、结节病/肉状瘤病者不建议自行大剂量补D3，这些情况下D会加剧钙代谢紊乱，须遵医嘱94% similarUnverified高钙血症、甲状旁腺功能亢进、肾结石反复发作者不建议自行补充高剂量钙+D3，需医生评估92% similarUnverified有高钙血症、肾结石病史或肾功能不全者，高剂量D3可能加重钙代谢负担，属禁用或慎用场景91% similarUnverified肾结石病史或高钙血症人群不应自行大剂量补钙，尤其避免碳酸钙+高剂量D3组合，需在医生指导下评估90% similarUnverified肾结石病史或高钙血症人群不建议自行补充高剂量钙+D3复合剂，可能加重结石与血钙异常，须在医生监测下使用89% similar
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