Vitamin D Testing And Treatment – What You Need To Know

by Marcelle Pick, OB/GYN NP

To test or not to test – recommendations for people who choose to get vitamin D testing — and some guidance for those who don’t

  • How do I know if I need testing?
  • What if I decide not to get tested?
  • What specific test should I request from my healthcare provider?
  • Do I need to schedule my vitamin D test at a certain time, or together with other tests?
  • SS Woman Question Marks BlueWhat levels are optimal when I get my vitamin D tested?
  • How much does a vitamin D test cost?
  • Is testing worth it? What do I get in return for my investment?
  • How do I know how much vitamin D to take to get replete?
  • Should I be worried about vitamin D toxicity? How can I prevent vitamin D toxicity?
  • What are the symptoms of vitamin D toxicity? Can someone be just hypersensitive to vitamin D?
  • What about retesting? Do I need it?
  • How can I maintain my vitamin D levels once I get them up to where I want to be?

How do I know if I need testing?

Today we know the prevalence of vitamin D deficiency is widespread, and for this reason feel testing is easily justifiable for all people. Everyone stands to benefit from knowing what their levels are and, if not optimal, supplementing their vitamin D3 intake. But we also recognize that for whatever reason, not everyone will choose to get tested.

Still, at the very minimum, people who have or are at higher risk of the following health concerns should seriously consider getting their vitamin D levels tested:

  • Family history or personal history of cancer
  • Hypertension (high blood pressure)
  • Schizophrenia
  • Depression
  • Migraines
  • Epilepsy
  • Osteoarthritis
  • Autoimmune conditions (such as lupus, ankylosing spondylitis, multiple sclerosis, rheumatoid arthritis)
  • PCOS (polycystic ovarian syndrome)
  • Diabetes mellitus (both types 1 and 2)
  • Fibromyalgia
  • Osteoporosis/osteopenia

In addition, anyone who experiences symptoms of:

  • Musculoskeletal pain, including joint pain and low back pain
  • Muscle weakness
  • Poor balance
  • Systemic inflammation

What if I decide not to get tested?

As we explain at some length in our full article on vitamin D, “Is Vitamin D Deficiency Casting A Cloud Over Your Health?,” there is a wealth of health benefits to be enjoyed when we are vitamin D replete. One way to get there knowingly is through periodic testing and vitamin D supplementation. But if you choose not to get tested, all the benefits of the sunshine vitamin are still available to you. You have two options: