There are several factors which may contribute to a vitamin D deficiency: Lack of sun exposure to naturally produce vitamin D (use of sunscreen or indoor jobs, environmental pollution) Advanced age, as the ability to naturally synthesize vitamin D decreases Fat absorption disorders such as celiac disease or Crohns disease Melanated skin tones, which decreases the ability to naturally absorb UV rays to produce vitamin D Allergy or intolerance to foods rich in Vitamin D (dairy products and fatty fish) If unable to achieve the recommended daily allowance of vitamin D (600 to 800 international units (IU) for adults) with lifestyle or diet modification alone, you may consider supplementation, which can be taken in pill form or given as an injection
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Elderly patients should inform their GP and pharmacist of all medications, including over-the-counter preparations and supplements, to ensure appropriate B12 formulation and dosing
This effect on the nervous system can also alter your gait and cause difficulty walking
Illustration of One Water approach Reuse of refreshed municipal effluent is not new