Vitamin D and bone health: a practical clinical guideline for patient management

National Osteoporosis Society


  • Measurement of serum 25-hydroxy vitamin D (25OHD) is the best way of estimating vitamin D status
  • Serum 25OHD measurement is recommended for patients with:
    • bone diseases that may be improved with vitamin D treatment
    • bone diseases, prior to specific treatment where correcting vitamin D deficiency is appropriate
    • musculoskeletal symptoms that could be attributed to vitamin D deficiency
  • Routine vitamin D testing may be unnecessary in patients with osteoporosis or fragility fracture, who may be co-prescribed vitamin D supplementation with an oral antiresorptive treatment

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