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Vitamin D screening?

  • 1.  Vitamin D screening?

    Posted 09-23-2020 11:36
    Hello everyone,

    Do you routinely screen all HIV patients for vitamin D deficiency or only those with specific risk factors? 

    Thank you all for your input! :)

    Gina Tomkus
    San Diego CA

  • 2.  RE: Vitamin D screening?

    Posted 09-23-2020 15:27
    Hi Gina,

    I don't routinely screen for vitamin d levels, because I haven't seen convincing evidence linking repletion with any beneficial outcomes. I do check it in patients with osteoporosis or osteopenia. I would love to hear what others are doing!


    Lealah Pollock
    University of California, San Francisco
    San Francisco CA

  • 3.  RE: Vitamin D screening?

    Posted 09-23-2020 18:59

    I only screen patients with osteopenia.  We screen all of our patients at age 50 for bone density and if this is abnormal then get a vitamin D level.  If not normal; and it almost never is we supplement to correct this deficiency along with optimizing ART to minimize impact on bone density.  We also address any other risks for decreased bone density such as smoking and excess ETOH, poor calcium diet etc.  This in the majority of our patients improves bone density or at least stabilizes it.