Vitamin D 4.4 ng/ml means : causes, sources, risks, treatment
In this article we discuss what a Vitamin D value of 4.4 ng/ml means, what are its causes and how to calculate your Vitamin D deficiency risk score, and how to improve your Vitamin D as well as a treatment plan and possible risks.Published Date : 2023-08-28T14:56:15.567Z
Updated Date : 2023-08-28T14:56:15.567+00:00
Table of Contents
What does a Vitamin D level of 4.4 mean?
What is my Vitamin D level in SI units, for value of 4.4 in standard units?
Is a Vitamin D value of 4.4 considered low or high?
What are the sources of Vitamin D?
What are the causes of Vitamin D deficiency?
What symptoms will I experience with a Vitamin D of 4.4 ng/ml?
What additional risks do I face with a Vitamin D level of 4.4?
What is my Vitamin D deficiency score and how to calculate it?
What is the treatment plan for a Vitamin D level of 4.4?
What does a Vitamin D level of 4.4 mean?
A vitamin d level of 4.4 is considered to be deficient.
What is my Vitamin D level in SI units, for value of 4.4 in standard units?
In order to convert the value of Vitamin D from ng/ml into the SI Units, we must use a formula of conversion : Vitamin D in SI units (nmol/L) = Vitamin D in ng/ml*2.4961 Based on the given formula, the value of Vitamin D in SI units for a value in ng/ml of 4.4 is 11.0 nmol/L
Is a Vitamin D value of 4.4 considered low or high?
Based on your Vitamin D value of 4.4. you are classified as having a severe Vitamin D deficiency.
Vitamin D Levels
Category | Level (ng/mL) | Description |
---|---|---|
Severe Deficiency | < 10 | Severely low vitamin D levels **You are here** |
Moderate Deficiency | 10 - 20 | Moderate Vitamin D Deficiency |
Insufficiency | 20 - 30 | Mild to Insufficient |
Healthy | 30 - 80 | Normal Vitamin D Levels |
Toxicity | > 80 | Potentially harmful vitamin D levels |
What are the sources of Vitamin D?
Food | How it helps with Vitamin D |
---|---|
Tofu | Some tofu products are fortified with Vitamin D, especially those made from soy milk. |
Trout | Trout can provide Vitamin D, particularly when caught in the wild. |
Fatty fish (salmon, mackerel, tuna) | Fatty fish are excellent sources of Vitamin D, particularly wild-caught species. |
Herring | Herring is a fatty fish that can contribute to Vitamin D intake. |
Halibut | Halibut is a fish that contains moderate levels of Vitamin D. |
Bluefin tuna | Bluefin tuna is a fatty fish that contains high levels of Vitamin D. |
Caviar | Fish roe, or caviar, can provide small amounts of Vitamin D. |
Mushrooms | Some mushrooms exposed to UV light can produce Vitamin D2. |
Mackerel | Mackerel is a fatty fish with high Vitamin D content. |
Canned salmon | Canned salmon, especially with bones, provides a convenient source of Vitamin D. |
What are the causes of Vitamin D deficiency?
Cause | Description |
---|---|
Chronic obstructive pulmonary disease (COPD) | People with COPD may have limited outdoor activities and altered Vitamin D metabolism. |
Certain types of cancer | Some cancers and their treatments can impact Vitamin D levels and metabolism. |
Limited outdoor activities | A sedentary lifestyle with minimal outdoor time can result in reduced sunlight exposure. |
Certain medications (e.g., anticonvulsants) | Some medications interfere with Vitamin D metabolism and absorption. |
Premature birth | Premature infants may have underdeveloped systems for producing and utilizing Vitamin D. |
Kidney disorders | Kidney diseases can reduce the activation of Vitamin D in the body, affecting its functions. |
Osteoporosis | Vitamin D is essential for bone health, and deficiency can contribute to conditions like osteoporosis. |
Crohn's disease | An inflammatory bowel disease that can lead to malabsorption and nutrient deficiencies. |
Certain genetic factors | Certain genetic variations can impact how the body processes and uses Vitamin D. |
Living in high latitudes | At higher latitudes, the angle of sunlight is lower, leading to reduced Vitamin D synthesis in the skin. |
What symptoms will I experience with a Vitamin D of 4.4 ng/ml?
The symptoms of Vitamin D deficiency in children and adults are manifested by rickets and osteomalacia respectively. These conditions may show a variety of symptoms ranging from mild muscle pain, and bone pain to developmental abnormalities and fractures. For a Vitamin D level of 4.4 the symptoms are enlisted in the table below:Vitamin D level 4.4 Symptoms in Children
Symptom | Description |
---|---|
Delayed Growth | Children with rickets may experience slowed growth and development compared to their peers. |
Wide Fontanelles | The soft spots on a baby's skull, known as fontanelles, might take longer to close in cases of rickets. |
Enlarged Joints | Swelling and tenderness in the joints can occur as a result of rickets. |
Curvature of the Spine | Rickets can contribute to spinal deformities, such as scoliosis or kyphosis (excessive forward curvature of the upper spine). |
Vision Problems | Rickets can affect the eyes, leading to problems such as night blindness and other visual disturbances. |
Irritability | Children with rickets might exhibit increased irritability and discomfort due to the physical pain they experience. |
Fractures | Due to weakened bones, children with rickets are more prone to fractures even with minor injuries. |
Difficulty Breathing | In severe cases, rickets can cause deformities of the ribcage, leading to difficulty in breathing and increased susceptibility to respiratory infections. |
Weak or Soft Bones | Rickets can cause bones to become weak and soft, leading to an increased risk of fractures. |
Delayed Healing | Fractures and other injuries may take longer to heal in children with rickets. |
Vitamin D level 4.4 Symptoms in Adults
Symptom | Description |
---|---|
Depression | Chronic pain and physical limitations in osteomalacia can contribute to feelings of depression. |
Difficulty Climbing Stairs | Muscle weakness and bone pain can make climbing stairs difficult for those with osteomalacia. |
Difficulty Walking | Muscle and bone weakness can make walking and moving difficult for individuals with osteomalacia. |
Tingling or Numbness | Nerve-related symptoms such as tingling or numbness can occur as a result of osteomalacia. |
Bone Pain | Osteomalacia often leads to bone pain, particularly in the hips, lower back, and legs. |
Bone Tenderness | Bones affected by osteomalacia can become tender to the touch. |
Short Stature | In childhood cases, untreated osteomalacia can result in short stature and growth delays. |
Difficulty Standing | Weak bones and muscles can make it challenging to stand for prolonged periods. |
Muscle Cramps | Deficiencies in bone mineralization and electrolytes can lead to muscle cramps and spasms. |
Delayed Healing | Fractures and injuries may take longer to heal due to impaired bone mineralization in osteomalacia. |
What additional risks do I face with a Vitamin D level of 4.4?
Level | Risk |
---|---|
Your value is Less Than 25 | Increased risk of fallsBischoff-Ferrari |
Your value is Less Than 10 | 40% more risk of mortality compared to those with vitamin d above 40Ginde AA |
Your value is Less Than 8 | More risk of cardiovascular mortality than those with a median vitamin d of 28Dobnig H |
Your value is Less Than 15 | Two fold higher risk of having high blood pressure as those with Vitamin D above 26Reis JP |
Your value is Less Than 21 | Increased risk of diabetes, hypertension, obesity and high triglyceride levelsMartins D |
What is my Vitamin D deficiency score and how to calculate it?
Since your value of Vitamin D 4.4 is below the normal limit of 30, you must evaluate the following 4 factors that may be contributing to your deficiency. Based on a study done by Garg et al the following Vitamin D Insufficiency and Deficiency Score can predict and determine your causes of deficiency.
As per the study 4 major factors are invovled in Vitamin D deficiency.
Factors and Descriptions
Factor | Description |
---|---|
Physical Activity | Engaging in regular physical activity can contribute to improved metabolism and Vitamin D levels. |
Obesity | Obesity, indicated by a body mass index (BMI) of 25 kg/m² or higher, can lead to Vitamin D deficiencies |
Diet | Dietary intake of at least 100 Grams (gms) of milk/dairy products OR at least 100 gms fish or 1 egg with yolk for four or more days in the last seven days was considered Adequate |
Daily Sun Exposure | Daily exposure to sunlight is important for the body's synthesis of Vitamin D. Spending at least 1.75 hours in the sun each day can help maintain Vitamin D levels, which is essential for bone health and immune function. |
Insufficiency Score for Vitamin D : 4.4
- You get less than 1.75 hours of sunlight per day
- AND
- Insufficient Dietary Intake
- AND
- Obesity
- AND
- Insufficient Exercise
- Score : Your Vitamin D Insufficiency Score ranges between 14 - 18.
What is the treatment plan for a Vitamin D level of 4.4?
Vitamin D supplmentation is the only way to correct for deficiencies. The tables below list the dosages of Vitamin D supplements recommeded for different age groups, depending on the level of the Vitamin D. Since your value of Vitamin D is 4.4 the relevant supplement dosages are indicated below.Pawel Pludowski
Recommended Daily Dosing for Vitamin D in cases where the Vitamin D Level is < 10 ng/dl
Age Group | Vitamin D Intake Per Day | Duration |
---|---|---|
Infants < 1 month | 1000 IU/d | 3 months |
Infants 1–12 months | 2000 IU/d | 3 months |
Children 1–11 yrs. | 5273 IU/d**(Represents a value in the range of 3000 - 6000, must be adjusted as per patient.) | 3 months |
Children 11–18 yrs. | 6000 IU/d | 3 months |
Adults | 6000 IU/d | 3 months |
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Dr.Bhargav Raut is a qualified Pathologist, with over 5 years of experience in the field
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