LabSense

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.