When to think about Vitamin D deficiency

Risk factors for Vitamin D deficiency

  • Poor diet
  • Lack of sunlight exposure (living in Scotland)!
  • Dark skin
  • Malabsorption

Additional reasons to Check Vitamin D level

  • Hypocalcaemia
  • Abnormal PTH or ALP level
  • Hypercalcaemia secondary to primary hyperparathyroid (discuss with Endocrinology before starting vitamin D replacement in this context)

When and How to treat vitamin D deficiency