Wednesday, June 5, 2024

Finally--- New Guidelines on Vitamin D Suggest Against What Many Have Been Told

"Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline" [Link] is free and available. Please note that these guidelines are consistent with what many have been saying for years (see my blog on 8/21/18 and 2/6/20)...the routine screening for Vitamin D in healthy adults, the target levels for 25(OH)D and the need for taking Vitamin D supplements were not based on sound science. These new guidelines will save people from unnecessary testing and reduce the out-of-pocket costs for people. Some highlights:

General Recommendations: Suggest against routine screening for 25(OH)D levels in healthy adults, adults with dark complexion, and adults with obesity. Suggest daily, lower-dose vitamin D for those aged 50 years and older who have indications for vitamin D supplementation or treatment, rather than intermittent, higher-dose vitamin D.

Thresholds for Vitamin D: The panel did not establish specific 25(OH)D thresholds for disease prevention due to the lack of supporting clinical trial evidence. Previous target levels for 25(OH)D, such as 30 ng/mL (75 nmol/L), are no longer endorsed.

Nonpregnant Adults (<50 years): Suggest against empiric vitamin D supplementation above the Dietary Reference Intakes (DRI) established by the Institute of Medicine (IOM). Suggest against routine 25(OH)D testing in this population.

Adults (50-74 years): Suggest against routine vitamin D supplementation above the DRI.Suggest against routine 25(OH)D testing in this population.