ما هو علاج نقص فيتامين د؟ نظام التحميل الفموي عالي الجرعة لدى البالغين

References

• Prescribe a full course of 280,000 to 300,000 units of colecalciferol in total, as weekly split doses, over 6–7 weeks.
• Domnisol® (calcifediol 266 microgram capsules) – not a colecalciferol product but a metabolite of colecalciferol. Preferred for patients with malabsorption, obesity, or impaired hepatic function (if ALT or AST ≥ 2x upper limit of normal).
• If serum vitamin D level is more than 50 nmol/L, advise on the use of lower dose maintenance supplementation with vitamin D (800 units daily).
• In any case, ensure 3–6 months have passed after treatment to allow serum vitamin D levels to reach a steady state before re-testing.

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