Preprint Review Version 1 This version is not peer-reviewed

Vitamin D Assay and Supplementation: Still Debatable Issues

Version 1 : Received: 17 July 2024 / Approved: 18 July 2024 / Online: 18 July 2024 (11:28:31 CEST)

How to cite: PLEBANI, M.; Zaninotto, M.; Giannini, S.; Sella, S.; Fusaro, M.; Tripepi, G. L.; Gallieni, M.; Herrmann, M.; Cozzolino, M. Vitamin D Assay and Supplementation: Still Debatable Issues. Preprints 2024, 2024071461. https://doi.org/10.20944/preprints202407.1461.v1 PLEBANI, M.; Zaninotto, M.; Giannini, S.; Sella, S.; Fusaro, M.; Tripepi, G. L.; Gallieni, M.; Herrmann, M.; Cozzolino, M. Vitamin D Assay and Supplementation: Still Debatable Issues. Preprints 2024, 2024071461. https://doi.org/10.20944/preprints202407.1461.v1

Abstract

Over the last decades, in addition to the improvement of pathophysiological knowledge regarding the role and mechanisms of action of Vitamin D, there has been a progressive advancement in analytical technologies for its determination, as well as in methodological standardization. A significant number of scientific works, meta-analyses, and guidelines have been published on the importance of Vitamin D and the need for supplementation in deficient individuals. However, it appears necessary to clarify the fundamental elements related to the determination of Vitamin D (both at the strictly analytical and post-analytical levels) and the scientific evidence related to the efficacy/safety of supplementation. Additionally, given the important interrelations between Vitamin D, parathyroid hormone (PTH), and fibroblast growth factor-23 (FGF23), the analytical issues and clinical utility of these biomarkers will be discussed.

Keywords

Vitamin D; PTH; FGF23; Supplementation; Standardization; Decision limits

Subject

Medicine and Pharmacology, Clinical Medicine

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