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Low vitamin D level in the blood

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Low vitamin D level in the blood
Last update: 10/10/2024

What is low vitamin D level in the blood called?

  • Vitamin D low

What is the normal level of vitamin D in the blood?

If you need to know which are the vitamin D reference ranges or you require more information about vitamin D in a blood test, you can visit normal vitamin D in a blood test.

What does a low vitamin D level in the blood mean?

Vitamin D is often called the sunshine vitamin because it is synthesized by the skin when exposed to sunlight.

Low levels of vitamin D in the blood are common during winter, in elderly individuals who do not get regular sunlight exposure, or in countries with limited daylight hours.

A low level of vitamin D can also occur in malabsorption syndromes such as celiac disease or cystic fibrosis. It is also seen in conditions like nephrotic syndrome, where significant amounts of vitamin D are lost in the urine.

Prolonged and severe vitamin D deficiency can affect bone development, causing rickets in children and osteomalacia in adults.

The most common vitamin D blood test measures 25-hydroxy vitamin D [25(OH)D], which is the main circulating form of vitamin D.

Vitamin D [25(OH)D] blood values are usually given in ng/ml but sometimes you can see these values in nmol/l following the International System of Units (SI). In case your values are in nmol/l you can convert them using this tool:

nmol/L

A low vitamin D [25(OH)D] level in the blood means:

  • Moderate vitamin D decrease (20 - 30 ng/ml in adults):

    The vitamin D level [25(OH)D] in the blood is slightly low, and it is advisable to monitor this level in future blood tests. This may be due to low sunlight exposure or poor absorption of vitamin D.

    Certain anticonvulsants (such as phenytoin and phenobarbital) or drugs used to treat tuberculosis (such as rifampicin) may reduce vitamin D blood levels. Therefore, if you are taking medication, you should consult your doctor about any potential interactions.

  • Severe vitamin D decrease (< 20 ng/ml in adults):

    Vitamin D levels are very low, and you should visit your doctor as soon as possible, as a prolonged deficiency may lead to rickets in children and osteomalacia in adults.

    Patients with severe deficiency are likely to have more complicated health issues that need to be addressed.

Which factors can reduce the vitamin D level in the blood?

Some particular health situations or drugs may reduce your vitamin D [25(OH)D] level in the blood:

  • Insufficient sun exposure
  • Low intake of vitamin D on diet
  • Gastric surgery
  • Pregnancy
  • Drugs

Which diseases can reduce your vitamin D level in the blood?

The following diseases can explain a vitamin D [25(OH)D] blood level lower than normal:

What can I do to increase the vitamin D level in the blood?

You can raise your vitamin D levels by increasing your intake of foods rich in vitamin D. Good options include egg yolks, fatty fish (such as tuna or salmon), fortified dairy products, and cod liver oil. However, the most effective measure is regular sun exposure.

For those with severe deficiency, a doctor may prescribe vitamin D supplements. Several types of oral and intravenous preparations are available.

It is important to obtain a proper diagnosis, as low vitamin D levels could result from malabsorption or kidney problems that are not related to vitamin D intake or sunlight exposure.

Where can I find more information about vitamin D level in the blood?

You can visit our pages about:

Which values are considered a low vitamin D level in the blood?

The following values are considered to be above the normal range:

IMPORTANT: These levels are expressed in ng/ml. They are an example of a healthy adult of about 45 years old with no known disease with an adequate sunlight exposure and not taking any medication. The ranges can be different depending on the laboratory or on your personal circumstances.

Vitamin D
Moderate vitamin D decrease
29.9 ng/ml29.8 ng/ml29.7 ng/ml29.6 ng/ml29.5 ng/ml29.4 ng/ml29.3 ng/ml29.2 ng/ml
29.1 ng/ml29 ng/ml28.9 ng/ml28.8 ng/ml28.7 ng/ml28.6 ng/ml28.5 ng/ml28.4 ng/ml
28.3 ng/ml28.2 ng/ml28.1 ng/ml28 ng/ml27.9 ng/ml27.8 ng/ml27.7 ng/ml27.6 ng/ml
27.5 ng/ml27.4 ng/ml27.3 ng/ml27.2 ng/ml27.1 ng/ml27 ng/ml26.9 ng/ml26.8 ng/ml
26.7 ng/ml26.6 ng/ml26.5 ng/ml26.4 ng/ml26.3 ng/ml26.2 ng/ml26.1 ng/ml26 ng/ml
25.9 ng/ml25.8 ng/ml25.7 ng/ml25.6 ng/ml25.5 ng/ml25.4 ng/ml25.3 ng/ml25.2 ng/ml
25.1 ng/ml25 ng/ml24.9 ng/ml24.8 ng/ml24.7 ng/ml24.6 ng/ml24.5 ng/ml24.4 ng/ml
24.3 ng/ml24.2 ng/ml24.1 ng/ml24 ng/ml23.9 ng/ml23.8 ng/ml23.7 ng/ml23.6 ng/ml
23.5 ng/ml23.4 ng/ml23.3 ng/ml23.2 ng/ml23.1 ng/ml23 ng/ml22.9 ng/ml22.8 ng/ml
22.7 ng/ml22.6 ng/ml22.5 ng/ml22.4 ng/ml22.3 ng/ml22.2 ng/ml22.1 ng/ml22 ng/ml
21.9 ng/ml21.8 ng/ml21.7 ng/ml21.6 ng/ml21.5 ng/ml21.4 ng/ml21.3 ng/ml21.2 ng/ml
21.1 ng/ml21 ng/ml20.9 ng/ml20.8 ng/ml20.7 ng/ml20.6 ng/ml20.5 ng/ml20.4 ng/ml
20.3 ng/ml20.2 ng/ml20.1 ng/ml20 ng/ml    
Severe vitamin D decrease
19.9 ng/ml19.8 ng/ml19.7 ng/ml19.6 ng/ml19.5 ng/ml19.4 ng/ml19.3 ng/ml19.2 ng/ml
19.1 ng/ml19 ng/ml18.9 ng/ml18.8 ng/ml18.7 ng/ml18.6 ng/ml18.5 ng/ml18.4 ng/ml
18.3 ng/ml18.2 ng/ml18.1 ng/ml18 ng/ml17.9 ng/ml17.8 ng/ml17.7 ng/ml17.6 ng/ml
17.5 ng/ml17.4 ng/ml17.3 ng/ml17.2 ng/ml17.1 ng/ml17 ng/ml16.9 ng/ml16.8 ng/ml
16.7 ng/ml16.6 ng/ml16.5 ng/ml16.4 ng/ml16.3 ng/ml16.2 ng/ml16.1 ng/ml16 ng/ml
15.9 ng/ml15.8 ng/ml15.7 ng/ml15.6 ng/ml15.5 ng/ml15.4 ng/ml15.3 ng/ml15.2 ng/ml
15.1 ng/ml15 ng/ml14.9 ng/ml14.8 ng/ml14.7 ng/ml14.6 ng/ml14.5 ng/ml14.4 ng/ml
14.3 ng/ml14.2 ng/ml14.1 ng/ml14 ng/ml13.9 ng/ml13.8 ng/ml13.7 ng/ml13.6 ng/ml
13.5 ng/ml13.4 ng/ml13.3 ng/ml13.2 ng/ml13.1 ng/ml13 ng/ml12.9 ng/ml12.8 ng/ml
12.7 ng/ml12.6 ng/ml12.5 ng/ml12.4 ng/ml12.3 ng/ml12.2 ng/ml12.1 ng/ml12 ng/ml
11.9 ng/ml11.8 ng/ml11.7 ng/ml11.6 ng/ml11.5 ng/ml11.4 ng/ml11.3 ng/ml11.2 ng/ml
11.1 ng/ml11 ng/ml10.9 ng/ml10.8 ng/ml10.7 ng/ml10.6 ng/ml10.5 ng/ml10.4 ng/ml
10.3 ng/ml10.2 ng/ml10.1 ng/ml10 ng/ml9.9 ng/ml9.8 ng/ml9.7 ng/ml9.6 ng/ml
9.5 ng/ml9.4 ng/ml9.3 ng/ml9.2 ng/ml9.1 ng/ml9 ng/ml8.9 ng/ml8.8 ng/ml
8.7 ng/ml8.6 ng/ml8.5 ng/ml8.4 ng/ml8.3 ng/ml8.2 ng/ml8.1 ng/ml8 ng/ml
7.9 ng/ml7.8 ng/ml7.7 ng/ml7.6 ng/ml7.5 ng/ml7.4 ng/ml7.3 ng/ml7.2 ng/ml
7.1 ng/ml7 ng/ml6.9 ng/ml6.8 ng/ml6.7 ng/ml6.6 ng/ml6.5 ng/ml6.4 ng/ml
6.3 ng/ml6.2 ng/ml6.1 ng/ml6 ng/ml5.9 ng/ml5.8 ng/ml5.7 ng/ml5.6 ng/ml
5.5 ng/ml5.4 ng/ml5.3 ng/ml5.2 ng/ml5.1 ng/ml5 ng/ml4.9 ng/ml4.8 ng/ml
4.7 ng/ml4.6 ng/ml4.5 ng/ml4.4 ng/ml4.3 ng/ml4.2 ng/ml4.1 ng/ml4 ng/ml
3.9 ng/ml3.8 ng/ml3.7 ng/ml3.6 ng/ml3.5 ng/ml3.4 ng/ml3.3 ng/ml3.2 ng/ml
3.1 ng/ml3 ng/ml2.9 ng/ml2.8 ng/ml2.7 ng/ml2.6 ng/ml2.5 ng/ml2.4 ng/ml
2.3 ng/ml2.2 ng/ml2.1 ng/ml2 ng/ml1.9 ng/ml1.8 ng/ml1.7 ng/ml1.6 ng/ml
1.5 ng/ml1.4 ng/ml1.3 ng/ml1.2 ng/ml1.1 ng/ml1 ng/ml0.9 ng/ml0.8 ng/ml
0.7 ng/ml0.6 ng/ml0.5 ng/ml0.4 ng/ml0.3 ng/ml0.2 ng/ml0.1 ng/ml0 ng/ml
Medically reviewed by Javier Muga Bustamante Ph.D. on 10/10/2024

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