Vitamin D 13.2 ng/ml means : causes, sources, risks, treatment

In this article we discuss what a Vitamin D value of 13.2 ng/ml means, what are its causes and how to calculate your Vitamin D deficiency risk score, and how to improve your Vitamin D as well as a treatment plan and possible risks.

What does a Vitamin D level of 13.2 mean?

A vitamin d level of 13.2 is considered to be deficient.

What is my Vitamin D level in SI units, for value of 13.2 in standard units?

In order to convert the value of Vitamin D from ng/ml into the SI Units, we must use a formula of conversion : Vitamin D in SI units (nmol/L) = Vitamin D in ng/ml*2.496¹ Based on the given formula, the value of Vitamin D in SI units for a value in ng/ml of 13.2 is 32.9 nmol/L

Is a Vitamin D value of 13.2 considered low or high?

Based on your Vitamin D value of 13.2. you are classified as having a moderate Vitamin D deficiency.

Vitamin D Levels

Category	Level (ng/mL)	Description
Severe Deficiency	< 10	Severely low vitamin D levels
Moderate Deficiency	10 - 20	Moderate Vitamin D Deficiency **You are here**
Insufficiency	20 - 30	Mild to Insufficient
Healthy	30 - 80	Normal Vitamin D Levels
Toxicity	> 80	Potentially harmful vitamin D levels

What are the sources of Vitamin D?

Food	How it helps with Vitamin D
Oysters	Oysters provide Vitamin D and other nutrients, though levels can vary.
Beef liver	Organ meats like beef liver contain Vitamin D, though levels can vary.
Fatty fish (salmon, mackerel, tuna)	Fatty fish are excellent sources of Vitamin D, particularly wild-caught species.
Lamb	Lamb meat contains small amounts of Vitamin D.
Mushrooms	Some mushrooms exposed to UV light can produce Vitamin D2.
Caviar	Fish roe, or caviar, can provide small amounts of Vitamin D.
Cheese	Certain types of cheese, like Swiss and cheddar, contain small amounts of Vitamin D.
Shrimp	Shrimp contain some Vitamin D, especially when consumed in larger quantities.
Almond milk	Some almond milk products are fortified with Vitamin D.
Salmon skin	Salmon skin contains some Vitamin D, but it's recommended to consume the flesh for better nutrient balance.

What are the causes of Vitamin D deficiency?

Cause	Description
Osteoporosis	Vitamin D is essential for bone health, and deficiency can contribute to conditions like osteoporosis.
Dark skin	Higher melanin levels in dark skin reduce the skin's ability to produce Vitamin D from sunlight.
Certain hormonal disorders	Hormonal imbalances can influence Vitamin D metabolism and its effects on the body.
Malabsorption disorders	Conditions like celiac disease can affect the body's ability to absorb Vitamin D from the digestive tract.
Limited outdoor activities	A sedentary lifestyle with minimal outdoor time can result in reduced sunlight exposure.
Certain genetic factors	Certain genetic variations can impact how the body processes and uses Vitamin D.
Certain medications (e.g., anticonvulsants)	Some medications interfere with Vitamin D metabolism and absorption.
Liver diseases	Liver disorders can affect the conversion of Vitamin D into its active form.
Obesity	Vitamin D is stored in fat tissues, so higher body fat levels may decrease its availability.
Lack of fortified foods	A diet lacking in fortified dairy products or cereals may lead to lower Vitamin D intake.

What symptoms will I experience with a Vitamin D of 13.2 ng/ml?

The symptoms of Vitamin D deficiency in children and adults are manifested by rickets and osteomalacia respectively. These conditions may show a variety of symptoms ranging from mild muscle pain, and bone pain to developmental abnormalities and fractures. For a Vitamin D level of 13.2 the symptoms are enlisted in the table below:

Vitamin D level 13.2 Symptoms in Children

Symptom	Description
Dental Problems	Rickets can affect the development of teeth, leading to dental issues such as delayed eruption and enamel defects.
Muscle Weakness	Muscle weakness can result from compromised bone health and nutritional deficiencies associated with rickets.
Delayed Growth	Children with rickets may experience slowed growth and development compared to their peers.
Delayed Teething	Children with rickets might experience delays in the eruption of their teeth.
Fatigue	Chronic pain and muscle weakness can result in increased fatigue and reduced activity levels.
Muscle Cramps	Vitamin D deficiency associated with rickets can lead to muscle cramps and spasms.
Difficulty Breathing	In severe cases, rickets can cause deformities of the ribcage, leading to difficulty in breathing and increased susceptibility to respiratory infections.
Fractures	Due to weakened bones, children with rickets are more prone to fractures even with minor injuries.
Delayed Puberty	In severe cases, rickets can delay the onset of puberty due to its impact on bone and overall development.
Bone Deformities	Rickets can lead to bone deformities, such as bowed legs or knock-knees, due to weakened bones unable to support the body's weight properly.

Vitamin D level 13.2 Symptoms in Adults

Symptom	Description
Bone Tenderness	Bones affected by osteomalacia can become tender to the touch.
Joint Pain	Osteomalacia-related muscle and bone weakness can result in joint pain and discomfort.
Fractures	Brittle and weak bones due to osteomalacia increase the risk of fractures even with minor injuries.
Difficulty Walking	Muscle and bone weakness can make walking and moving difficult for individuals with osteomalacia.
Fatigue	Generalized fatigue and weakness are common symptoms of osteomalacia.
Bone Pain	Osteomalacia often leads to bone pain, particularly in the hips, lower back, and legs.
Frequent Infections	Impaired bone health can weaken the immune system, leading to an increased susceptibility to infections.
Waddling Gait	A waddling gait may develop due to weakened hip and leg muscles associated with osteomalacia.
Muscle Weakness	Muscle weakness can result from the lack of proper mineralization in the bones caused by osteomalacia.
Short Stature	In childhood cases, untreated osteomalacia can result in short stature and growth delays.

What additional risks do I face with a Vitamin D level of 13.2?

Level	Risk
Your value is Less Than 25	Increased risk of fallsBischoff-Ferrari
Your value is Less Than 15	Two fold higher risk of having high blood pressure as those with Vitamin D above 26Reis JP
Your value is Less Than 21	Increased risk of diabetes, hypertension, obesity and high triglyceride levelsMartins D

What is my Vitamin D deficiency score and how to calculate it?

Since your value of Vitamin D 13.2 is below the normal limit of 30, you must evaluate the following 4 factors that may be contributing to your deficiency. Based on a study done by Garg et al the following Vitamin D Insufficiency and Deficiency Score can predict and determine your causes of deficiency.

As per the study 4 major factors are invovled in Vitamin D deficiency.

Factors and Descriptions

Factor	Description
Physical Activity	Engaging in regular physical activity can contribute to improved metabolism and Vitamin D levels.
Obesity	Obesity, indicated by a body mass index (BMI) of 25 kg/m² or higher, can lead to Vitamin D deficiencies
Diet	Dietary intake of at least 100 Grams (gms) of milk/dairy products OR at least 100 gms fish or 1 egg with yolk for four or more days in the last seven days was considered Adequate
Daily Sun Exposure	Daily exposure to sunlight is important for the body's synthesis of Vitamin D. Spending at least 1.75 hours in the sun each day can help maintain Vitamin D levels, which is essential for bone health and immune function.

• Insufficiency Score for Vitamin D : 13.2

• You get less than 1.75 hours of sunlight per day
• AND
• Insufficient Dietary Intake + Obesity
• AND
• Obesity OR Insufficient Exercise
• Score : Your Vitamin D Insufficiency Score ranges between 14 - 18.

What is the treatment plan for a Vitamin D level of 13.2?

Vitamin D supplmentation is the only way to correct for deficiencies. The tables below list the dosages of Vitamin D supplements recommeded for different age groups, depending on the level of the Vitamin D. Since your value of Vitamin D is 13.2 the relevant supplement dosages are indicated below.^{Pawel Pludowski}

Recommended Daily Dosing for Vitamin D in cases where the Vitamin D Level is between 10 ng/dl and upto 30 ng/dl

A first line of treatment involves increasing the dosage to 1.5-2 x the current level of supplements if the patient is taking any supplements.

If you are not taking any supplements, the values in the table below are to be followed.

Age Group	Vitamin D Intake Per Day	Duration
Infants < 1 month	1000 IU/d	2 months
Infants 1–12 months	1000 IU/d	2 months
Children 1–11 yrs.	1056 IU/d **(Represents a value in the range of 1000 - 2000, must be adjusted as per patient.)	2 months
Children 11–18 yrs.	3880 IU/d **(Represents a value in the range of 2000 - 4000, must be adjusted as per patient.)	2 months
Adults	4000 IU/d	2 months

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