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Vitamin D2 Treatment for Vitamin D Deficiency and Insufficiency for Up to 6 Years
Sara M. Pietras, MD;
Busayo K. Obayan, BA;
Mona H. Cai, BS, MPH;
Michael F. Holick, PhD, MD
Arch Intern Med. 2009;169(19):1806-1808.
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The worldwide prevalence of vitamin D deficiency is striking, and more than 40% of the population may be vitamin D deficient.1 Despite this, to our knowledge there are no long-term studies of the safety and efficacy of giving pharmacologic doses of vitamin D (50 000 IU of ergocalciferol [vitamin D2]) to treat and prevent vitamin D deficiency. Furthermore, there is a concern that ergocalciferol, the only pharmaceutical vitamin D available in the United States, may be less effective than cholecalciferol (vitamin D3).2 In our clinic, which specializes in metabolic bone disease, we routinely treat vitamin D deficiency (serum 25-hydroxyvitamin D [25(OH)D] levels <20 ng/mL [to convert to nanomoles per liter, multiply by 2.496]) with 50 000 IU of ergocalciferol once a week for 8 weeks.1, 3 The efficacy of this regimen has been . . . [Full Text of this Article]Methods
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