Safety Profile
Known Safety Concerns
- Hyperphosphataemia in chronic kidney disease — dangerous
- Excess disrupts calcium-phosphorus balance — secondary hyperparathyroidism
- High phosphate intake associated with cardiovascular mortality in renal patients
- Frequently overlooked in supplement labels
Contraindications
- Hyperphosphataemia in chronic kidney disease — dangerous
- Excess disrupts calcium-phosphorus balance — secondary hyperparathyroidism
Interactions
Information not yet available for this ingredient profile.
Evidence and Scientific Findings
Ingredient Overview
Phosphorus is an essential mineral widely added to supplements and fortified foods. Dietary phosphate excess is common in processed food consumers. Supplemental phosphate at high doses disrupts the calcium-phosphorus ratio, causing secondary hyperparathyroidism and bone resorption. Particularly dangerous in chronic kidney disease where phosphate excretion is impaired.
Biological and Chemical Classification
- Scientific Name
- Dibasic calcium phosphate / Disodium phosphate
Mechanism of Action
Information not yet available for this ingredient profile.
Clinical Evidence of Effectiveness
Information not yet available for this ingredient profile.
Pharmacokinetics
Information not yet available for this ingredient profile.
Recommended Dosage
Information not yet available for this ingredient profile.
SETI — Scientific Evidence Transparency Index
Executive Summary — Ingredient Assessment
- 10 studies reviewed
- 0 high-quality studies (meta-analysis or RCT)
- Main clinical benefit observed: Mineral
- Evidence consistency: High consistency across studies (100%)
- Hyperphosphataemia in chronic kidney disease — dangerous
- Excess disrupts calcium-phosphorus balance — secondary hyperparathyroidism
- High phosphate intake associated with cardiovascular mortality in renal patients
- Frequently overlooked in supplement labels
The available scientific evidence for Phosphorus (Phosphate) indicates notable safety signals that warrant caution. Use should be considered carefully and monitored, particularly in sensitive populations or alongside other medications.
Total SETI Score
High risk| Evidence quality | 10/40 |
| Evidence consistency | 20/20 |
| Safety signals | 0/20 |
| Study recency | 10/10 |
| Evidence transparency | 10/10 |
Evidence Summary
- 10 studies reviewed
- 0 high-quality studies (meta-analysis or systematic review)
- 0 studies identified benefits or no safety concern (GREEN)
- 10 studies reported limited or advisory safety evidence (YELLOW)
Evidence Policy
Only peer-reviewed scientific literature indexed in PubMed or comparable databases is included in this evaluation. Commercial websites, blogs, and marketing materials are excluded. All references include direct traceable links to source documents.
Last updated: 23 მარ 2026, 15:13
Evidence Distribution
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Observational / other LOW evidence YELLOWCharacteristics of Patients with Primary Hyperparathyroidism with Localization Failure of the Causative Parathyroid Gland: A Clinical Report and Literature Review. ↗Takedani K et al.. Characteristics of Patients with Primary Hyperparathyroidism with Localization Failure of the Causative Parathyroid Gland: A Clinical Report and Literature Review.. Intern Med. 2025. PMID:41260647.PMID 41260647 ↗Journal Intern MedYear 2025Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/41260647/
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Observational / other LOW evidence YELLOWPharmacodynamic Modeling of Cinacalcet in Secondary Hyperparathyroidism: Efficacy and Influencing Factors Analysis. ↗Wang Z et al.. Pharmacodynamic Modeling of Cinacalcet in Secondary Hyperparathyroidism: Efficacy and Influencing Factors Analysis.. J Endocr Soc. 2025. PMID:40160292.PMID 40160292 ↗Journal J Endocr SocYear 2025Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/40160292/
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Observational / other LOW evidence YELLOWAlterations in salivary profile in individuals with dental caries and/or obesity: A systematic review and meta-analysis. ↗Deng Q et al.. Alterations in salivary profile in individuals with dental caries and/or obesity: A systematic review and meta-analysis.. J Dent. 2024. PMID:39505293.PMID 39505293 ↗Journal J DentYear 2024Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/39505293/
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Observational / other LOW evidence YELLOWImpact of nature-based solutions on sustainable development goals in Mediterranean agroecosystems: A meta-analysis. ↗Rodrigues MS et al.. Impact of nature-based solutions on sustainable development goals in Mediterranean agroecosystems: A meta-analysis.. J Environ Manage. 2024. PMID:39476663.PMID 39476663 ↗Journal J Environ ManageYear 2024Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/39476663/
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Observational / other LOW evidence YELLOWBiochar-based fixed filter columns for water treatment: A comprehensive review. ↗Bui VKH et al.. Biochar-based fixed filter columns for water treatment: A comprehensive review.. Sci Total Environ. 2024. PMID:39278474.PMID 39278474 ↗Journal Sci Total EnvironYear 2024Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/39278474/
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Observational / other LOW evidence YELLOWLa-MOFs in situ loaded Al(2)O(3) particles for effective removal of phosphate in water: characterization, application potential analysis, and mechanism. ↗Ai H et al.. La-MOFs in situ loaded Al(2)O(3) particles for effective removal of phosphate in water: characterization, application potential analysis, and mechanism.. Environ Sci Pollut Res Int. 2023. PMID:37796353.PMID 37796353 ↗Journal Environ Sci Pollut Res IntYear 2023Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/37796353/
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Observational / other LOW evidence YELLOWRecovery trajectories of the bacterial community at distances in the receiving river under wastewater treatment plant discharge. ↗Zhang L et al.. Recovery trajectories of the bacterial community at distances in the receiving river under wastewater treatment plant discharge.. J Environ Manage. 2023. PMID:36368207.PMID 36368207 ↗Journal J Environ ManageYear 2023Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/36368207/
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Observational / other LOW evidence YELLOWA Review of Current Evidence on the Relationship between Phosphate Metabolism and Metabolic Syndrome. ↗Wong SK. A Review of Current Evidence on the Relationship between Phosphate Metabolism and Metabolic Syndrome.. Nutrients. 2022. PMID:36364791.PMID 36364791 ↗Journal NutrientsYear 2022Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/36364791/
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Observational / other LOW evidence YELLOW[Microbial Diversity and Influencing Factors in a Small Watershed in Winter]. ↗Zhu JS et al.. [Microbial Diversity and Influencing Factors in a Small Watershed in Winter].. Huan Jing Ke Xue. 2020. PMID:33124245.PMID 33124245 ↗Journal Huan Jing Ke XueYear 2020Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/33124245/
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Observational / other LOW evidence YELLOWPredicting ecosystem state changes in shallow lakes using an aquatic ecosystem model: Lake Hinge, Denmark, an example. ↗Andersen TK et al.. Predicting ecosystem state changes in shallow lakes using an aquatic ecosystem model: Lake Hinge, Denmark, an example.. Ecol Appl. 2020. PMID:32363772.PMID 32363772 ↗Journal Ecol ApplYear 2020Study type Observational / otherEvidence strength LOW evidencePubMed link https://pubmed.ncbi.nlm.nih.gov/32363772/
Score Transparency
0 of 10 approved references (score saturates at 10). More peer-reviewed studies = stronger evidence base.
Method: Q = number of approved references ÷ 10 (capped at 1.0)
Limited — mostly case reports or animal studies
Method: L = mean study-level weight across approved references. Level 1 (meta-analysis / systematic review) = 1.0; Level 2 (RCT) = 0.8; Level 3 (cohort/case-control) = 0.6; Level 4 (case report) = 0.4; Level 5 (animal / in-vitro) = 0.2.
Mixed or neutral — roughly equal benefit and risk signals
Method: D = (sum of risk-scored references − sum of benefit-scored references) ÷ total evidence score, then scaled from [−1, 1] to [0, 1]. 0.0 = pure benefit; 0.5 = neutral; 1.0 = pure risk.
One or more monitoring-level safety signals active
Method: S = 0.5 (neutral baseline) + sum of active signal severity deltas ÷ 10. Severity deltas: Critical = +2.0, High = +1.5, Moderate = +1.0, Low = +0.5. Capped at 1.0.
Final GIRI Score for Phosphorus (Phosphate). Risk level thresholds: Low 0–3.0 · Moderate 3.0–5.5 · High 5.5–7.5 · Critical 7.5–10.
Full methodology & data sources
The GIRI Score is computed entirely from structured data — no editorial scoring or subjective weighting is applied at any step.
- References: Only approved references are counted. Each reference is assigned an evidence level (L1–L5) and a direction (risk / neutral / benefit) by the reference manager or AI classifier.
- Safety Signals: Sourced from regulatory agencies (FDA, EMA, Health Canada, TGA, and others) and pharmacovigilance databases. Only active signals count toward the score.
- Formula version: GIRI Score v3.7.0 — Q × L × D × S × 10.
- Limitations: The score reflects published evidence and recorded signals as of the last update date. It is not a clinical risk assessment and should not replace advice from a qualified healthcare professional.
Risk Level Classification
Based on available regulatory signals and scientific evidence, this ingredient presents a low safety concern under normal conditions of use.
0–3.0
3.0–5.5
5.5–7.5
7.5–10
The score pin shows exactly where this ingredient falls on the fixed risk scale.
What drove the Low classification for Phosphorus (Phosphate)
A score of 3.5 places this ingredient in the Low band. Thresholds: Low 0–3.0 · Moderate 3.0–5.5 · High 5.5–7.5 · Critical 7.5–10.
0 approved references.
Limited — mostly case reports or animal studies (Level 4–5).
Neutral or mixed — benefit and risk signals roughly balanced.
No active signals — S component is at neutral baseline (0.5), contributing no extra risk weight.
No major regulatory restrictions or advisories recorded across monitored jurisdictions (FDA, EMA, Health Canada, TGA, and others).
How are the Low / Moderate / High / Critical thresholds defined?
The four risk levels are fixed score bands. A score is assigned to exactly one level based on where it falls:
| Level | Score | Meaning |
|---|---|---|
| LOW | 0.0 – 2.9 | Sparse or predominantly beneficial evidence. No active safety alerts. |
| MODERATE | 3.0 – 5.4 | Mixed signals — some risk alongside benefit. Caution at high doses or in sensitive groups. |
| HIGH | 5.5 – 7.4 | Multiple studies or regulatory alerts documenting adverse effects. Professional oversight recommended. |
| CRITICAL | 7.5 – 10 | Regulatory restrictions in one or more major jurisdictions. Serious documented harm. Avoid without specialist supervision. |
Thresholds are fixed constants (GIRI_Score_Utils::LEVEL_THRESHOLDS). They do not change per ingredient and are never subject to editorial adjustment.


