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- W2836307664 abstract "Concerns about vitamin D deficiency and recommendations for vitamin D supplements have become very common in clinical practice in the past few years. Moreover, it is almost routine to order blood tests to screen for vitamin D status as part of a health care visit. A major clinical laboratory reported that since 2004, vitamin D laboratory tests increased by nearly eightfold, 1 Taylor C.L. Thomas P.R. Aloia J.F. Millard P.S. Rosen C.J. Questions about vitamin D for primary care practice: Input from an NIH conference. Am J Med. 2015; 128: 1167-1170 Abstract Full Text Full Text PDF PubMed Scopus (19) Google Scholar and the volume of Medicare reimbursement for vitamin D testing increased 83-fold between 2000 and 2010. 2 Shahangian S. Alspach T.D. Astles J.R. Yesupriya A. Dettwyler W.K. Trends in laboratory test volumes for Medicare Part B reimbursements, 2000–2010. Arch Pathol Lab Med. 2014; 138: 189-203 Crossref PubMed Scopus (32) Google Scholar However, evidence justifying such screening is limited. In 2014, the US Preventive Services Task Force stated that there was insufficient evidence to demonstrate benefit (or harm) from vitamin D screening among adults who were free of symptoms. 3 LeFevre M.L. Screening for vitamin D deficiency in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015; 162: 133-140 Crossref PubMed Scopus (145) Google Scholar At the same time, sales of vitamin D supplements have also increased dramatically, 4 Nutrition Business Journal NBJ’s Supplement Business Report 2014. Penton Media, Inc, New York, NY2014 Google Scholar and there is some evidence that the availability of high-dose vitamin D supplements is increasing. 5 Rooney M.R. Harnack L. Michos E.D. Ogilvie R.P. Sempos C.T. Lutsey P.L. Trends in use of high-dose vitamin D supplements exceeding 1000 or 4000 international units daily, 1999-2014. JAMA. 2017; 317: 2448-2450 Crossref PubMed Scopus (76) Google Scholar These trends are concerning because evidence of the benefit of such practices is lacking, and the potential adverse effects associated with too much vitamin D are seemingly disregarded." @default.
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- W2836307664 date "2019-06-01" @default.
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- W2836307664 title "Considerations in Dietetic Counseling for Vitamin D" @default.
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