Table 2 from Vitamin D: An Evidence-Based Review – 2009
Causes | Example |
Reduced skin synthesis | Sunscreen, skin pigment, season/latitude/time of day, aging, skin grafts |
Decreaseed absorption | Cystic fibrosis, celiac disease, whipple disease, Crohn disease, gastric bypass, medications that reduce cholesterol absorption |
Increased sesquestration | Obesity |
Increased catabolism | Anticonvulsant, glucocorticoid, highly active antiretroviral treatment, and some immunosuppressants |
Breastfeeding | |
Decreased synthesis of 25-hydroxyvitamin D | Hepatic failure |
Increased urinary loss of 25-hydroxyvitamin D | Nephrotic proteinuria |
Decreased synthesis of 1,25-dihydroxyvitamin D | Chronic renal failure |
Heritable disorders | Genetic mutations causing rickets, or vitamin D resistance |
Acquired disorders | Tumor-induced osteomalacia, primary hyperparathyroidism, hyperthyroidism, granulomatous disorders such as sarcoidosis, tuburculosis, and some lymphomas |