'Don't Screen' for Vitamin D: New Endo Society Guideline

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In its new evidence-based clinical practice guideline, the Endocrine Society recommends against routine 25(OH)D testing in the absence of indications and limiting vitamin D supplementation.

BOSTON — New Endocrine Society guidelines call for limiting vitamin D supplementation beyond the daily recommended intake to specific risk groups and advises against routine 25-hydroxyvitamin D testing in healthy individuals. Pregnant people to lower the risk for maternal and fetal or neonatal complicationsempiric vitamin D supplementation

Overall, Demay said,"The recommendations are that populations adhere to the dietary recommended intakes, and there are certain populations that will likely benefit from levels of intake above ." Rosen, who was an author on the 2011 NAM/IOM dietary reference intakes, said that since then, new data have come out regarding the role of vitamin D in mortality in people older than 75 years, benefit in children with regard to respiratory illness, and the potential benefit of vitamin D in pregnancy.

Taylor did say that the document has"several strengths, including the fact that they acknowledge the major limitations of the quality of relevant evidence derived from clinical trials." , the guideline authors delve into the issues of skin pigmentation and race as they pertain to vitamin D metabolism, writing:

 

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Healthy adults under age of 75 urged to take recommended daily allowance of vitamin DHealthy adults under the age of 75 are unlikely to benefit from taking more than the daily intake of vitamin D recommended by the Institutes of Medicine (IOM) and do not require testing for vitamin D levels.
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