Vitamin D Low (Deficiency): What Levels Mean, Repletion, and Recheck Timing
8/26/2025
The correct test for status is 25-hydroxy vitamin D (25-OH). Searches include “vitamin D level 15”, “how much vitamin D should I take”, “vitamin D and fatigue”. Assays and targets vary by region; decisions are individualized.
Who is at risk for low vitamin D?
- Limited sun exposure, darker skin, northern latitudes, covering clothing.
- Malabsorption (celiac, IBD, bariatric surgery), liver/kidney disease.
- Older adults, pregnancy, some medications (anticonvulsants, glucocorticoids).
Educational repletion notes (not a prescription)
- Food + safe sunlight; supplements discussed with a clinician.
- Common clinician-guided approaches include daily 800–2000 IU or time-limited higher-dose regimens; avoid mega-doses without supervision.
- Calcium intake and resistance exercise support bone health; avoid excess calcium if not indicated.
When to recheck
Often 8–12 weeks after a dose change. Persistently low levels may warrant checking adherence, absorption, or interacting medications.
FAQs
25-OH vs 1,25-OH₂ — which test?
Use 25-OH for deficiency screening and monitoring. 1,25-OH₂ is not a status test and can be misleading.
Educational use only. Not medical advice.
Educational information only — not a diagnosis, treatment, or prescription.