Causes of Vitamin D Deficiency
Vitamin D deficiency can occur for a number of reasons:
You don't consume the recommended levels of the vitamin over time.
This is likely if you follow a strict vegetarian diet, because most of
the natural sources are animal-based, including fish and fish oils, egg
yolks, cheese, fortified milk, and beef liver.
You have dark skin. The pigment melanin reduces the skin's ability to make vitamin D in response to sunlight exposure. Some studies show that older adults with darker skin are at high risk of vitamin D deficiency.
Your kidneys cannot convert vitamin D to its active form. As people age their kidneys are less able to convert vitamin D to its active form, thus increasing their risk of vitamin D deficiency.
Your digestive tract cannot adequately absorb vitamin D. Certain medical problems, including Crohn's disease, cystic fibrosis, and celiac disease, can affect your intestine's ability to absorb vitamin D from the food you eat.
You are obese.
Vitamin D is extracted from the blood by fat cells, altering its
release into the circulation. People with a body mass index of 30 or
greater often have low blood levels of vitamin D.
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