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Or does it mean that our reference ranges are wrong? Or that we are all ill? Michael Dr. C . M. Colley Consultant Chemical Pathologist Great Western Hospital Swindon SN3 6BB -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Mohammad Al-Jubouri Sent: 26 November 2014 12:12 To: [log in to unmask] Subject: Re: NICE: "Vitamin D: increasing supplement use among at-risk groups" For the past few years, serum vitamin D has been checked on large number of asymptomatic people who are not at high risk, yet low vitamin D levels consistent with deficiency was found in a high percentage of them. So does the new NICE guidance mean that we should ignore such low vitamin D levels if they are not associated with signs and symptoms of osteomalacia? Do we expect a reduction in vitamin D requests soon? Regards Mohammad Dr. M A Al-Jubouri, MB ChB, MSc, EurClinChem, FRCP Edin, FRCPath Consultant Chemical Pathologist -------------------------------------------- On Wed, 26/11/14, Jonathan Kay <[log in to unmask]> wrote: Subject: NICE: "Vitamin D: increasing supplement use among at-risk groups" To: [log in to unmask] Date: Wednesday, 26 November, 2014, 11:57 http://www.nice.org.uk/guidance/ph56/resources/guidance-vitamind-increasing-supplement-use-among-atrisk-groups-pdf includes: Recommendation 7 Only test vitamin D status if someone has symptoms of deficiency or is at very high risk Health professionals should not routinely test people's vitamin D status unless: • they have symptoms of deficiency • they are considered to be at particularly high risk of deficiency (for example, they have very low exposure to sunlight) • there is a clinical reason to do so (for example, they have osteomalacia or have had a fall). Jonathan ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ Great Western Hospitals NHS Foundation Trust Great Western Hospital Marlborough Road Swindon SN3 6BB Tel 01793 60 40 20 http://www.gwh.nhs.uk Register to become a member of the Trust at https://members.gwh.nhs.uk This message and any files transmitted with it are confidential and intended solely for the individual(s) addressed. If you believe you have received this e-mail in error, disclosing, copying, distributing or retaining this message, or any part of it, is strictly prohibited; please notify the sender immediately and delete it from your system. Any views or opinions presented are solely those of the author and do not necessarily represent those of Great Western Hospitals NHS Foundation Trust. All messages sent by the Trust are checked for viruses but this does not, and cannot, guarantee that a virus has not been transmitted. The Trust accepts no liability for any damage caused by any virus transmitted with this e-mail. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/