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- W2928644106 abstract "Vitamin D deficiency is considered a major public health concern. Inadequate sun exposure, limited oral intake, and impaired intestinal absorption are common risk factors for vitamin D deficiency. An increasing amount of research is aimed at answering questions regarding the most convenient test that can assess vitamin D status, the indications for screening, and finally the utility of treatments for vitamin D deficiency. Our review outlines practical strategies to diagnose and treat vitamin D deficiency in adults. This study was undertaken in the PubMed and the Google Scholar databases in April 2018 without limitation as to the publication period. Vitamin D status is determined by measuring the 25-hydroxyvitamin D serum concentration. However, this technique has several limitations. Determining the accurate thresholds for vitamin D deficiency is still a matter of debate. Only individuals at risk for vitamin D deficiency should be screened. The symptoms of vitamin D deficiency are unspecific and very common. Therefore, physicians may easily suspect vitamin D deficiency, measure 25-hydroxyvitamin D levels, and sometimes overprescribe supplementation. Hypovitaminosis D could rarely be treated by increasing consumption of foods naturally containing and fortified with vitamin D. Special attention should be given to vitamin D supplementation to prevent adverse effects. No safe and well-defined threshold of ultraviolet exposure allows adequate vitamin D synthesis without increasing the risk of skin cancer. Unanimous and decisive guidelines are urgently needed to improve knowledge and practices related to vitamin D deficiency." @default.
- W2928644106 created "2019-04-11" @default.
- W2928644106 creator A5019694872 @default.
- W2928644106 creator A5044312259 @default.
- W2928644106 creator A5070996617 @default.
- W2928644106 creator A5075508452 @default.
- W2928644106 date "2019-04-07" @default.
- W2928644106 modified "2023-10-12" @default.
- W2928644106 title "When and How to Diagnose and Treat Vitamin D Deficiency in Adults: A Practical and Clinical Update" @default.
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- W2928644106 doi "https://doi.org/10.1080/19390211.2019.1577935" @default.
- W2928644106 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30955384" @default.
- W2928644106 hasPublicationYear "2019" @default.
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