2021
DOI: 10.3390/nu13124415
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Vitamin D Dosing: Basic Principles and a Brief Algorithm (2021 Update)

Andrius Bleizgys

Abstract: Nowadays, in modern societies, many people can be at high risk to have low vitamin D levels. Therefore, testing of serum 25-hydroxy-vitamin D (25OH-D) levels should be performed before prescribing them vitamin D supplementation. However, in some cases the 25OH-D level assessment is not available at the right moment, e.g., due to mandatory quarantine of COVID-19 outpatients. Therefore, such patients could be advised to start taking moderate vitamin D doses (e.g., 4000 IU/day for adults), and their 25-OH-D level… Show more

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Cited by 38 publications
(20 citation statements)
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“…The common dose of VD supplementation to raise the serum 25(OH)D by 15-25 nmol/L is 1000 IU; however, recommendations vary across countries in the range of 400 to 2000 IU per day [21]. In the case of VD deficiency or insufficiency, supplementation dose needs to be determined based on the baseline 25(OH)D serum levels and age [41]. Despite the lack of commonly established repletion treatments, both oral and intramuscular cholecalciferol (300,000 IU) effectively increased serum 25(OH)D levels in VD-deficient healthy adults [42].…”
Section: Discussionmentioning
confidence: 99%
“…The common dose of VD supplementation to raise the serum 25(OH)D by 15-25 nmol/L is 1000 IU; however, recommendations vary across countries in the range of 400 to 2000 IU per day [21]. In the case of VD deficiency or insufficiency, supplementation dose needs to be determined based on the baseline 25(OH)D serum levels and age [41]. Despite the lack of commonly established repletion treatments, both oral and intramuscular cholecalciferol (300,000 IU) effectively increased serum 25(OH)D levels in VD-deficient healthy adults [42].…”
Section: Discussionmentioning
confidence: 99%
“…Concentrations of 25-OH-D between 50 nmol and 75 nmol/L (<30 ng/mL) should be considered as vitamin D insufficiency . Conversely, 25-OH-D concentrations between 75 and 150 nmol/L represent the normal range [ 11 ], whereas 25-OH-D concentrations between 150 and 250 nmol/L should be considered as increased levels, and concentrations greater than 250 nmol/L as overload [ 12 ].…”
Section: Vitamin D Deficiency: Definition and Prevalencementioning
confidence: 99%
“…Low vitamin D levels can be corrected by consuming an oral supplement under medical supervision or by ensuring daily sunlight exposure. Readers may refer to the dosing strategies suggested by Bleizgys (2021) [ 62 ] for vitamin D supplementation.…”
Section: Resultsmentioning
confidence: 99%