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Chapter 41 Video 3: The Answer is Vitamin D Conclusion

January 05, 2018

Contributors: Barbara Minkowitz, MD, FAAOS

Vitamin D deficiency is present in all age groups, but addressing it in childhood is important for reaching peak bone mass for acute and long-term benefits. Patients with fractures present an opportunity for discussing bone health, and 25(OH) vitamin D serum tests should be ordered. The target level recommended by the Endocrine Society is 40-60ng/mL, this is higher than the Institute of Medicine recommendation. The zone of excess is 100-250 ng/mL and the zone of toxicity is 350 ng/mL, though toxicity is very rare. Pediatric dosing depends on weight and risk factors. Inclusion of 25(OH) vitamin D screening for sports physicals is discussed.

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