Lab marker

Vitamin D (25-OH)

25-hydroxyvitamin D is the storage form of vitamin D and the standard way to measure your vitamin D status.

Common unit ng/mL
Adult reference range Deficient <20, insufficient 20–30, optimal 30–60, high >100 ng/mL

What it measures

Vitamin D is produced when sunlight hits your skin and is absorbed from a small set of foods (fatty fish, fortified dairy). The kidneys convert it to its active form, but the storage form — 25-hydroxyvitamin D — is what blood tests measure because it reflects long-term intake and sun exposure rather than today's snapshot. Vitamin D status affects calcium absorption, bone density, muscle strength and a long list of associations with immune and cardiovascular health that are still under active study.

What a high value can mean

  • Over-supplementation — almost always the cause; very high values can drive hypercalcaemia.
  • Granulomatous diseases — sarcoidosis, some lymphomas (rare).

What a low value can mean

  • Limited sun exposure — northern latitudes, indoor lifestyle, heavy sunscreen use, dark skin pigmentation.
  • Malabsorption — coeliac disease, Crohn's, gastric bypass.
  • Obesity — vitamin D distributes into adipose tissue, lowering serum levels.
  • Chronic kidney or liver disease — reduced conversion.

When to discuss with a doctor

Levels below 20 ng/mL meet the deficiency threshold most clinicians act on with supplementation; below 30 ng/mL is the insufficient zone where many guidelines also recommend a course. Mediora.AI surfaces your reading against these thresholds. Discuss dose and duration with your clinician — high-dose self-supplementation without monitoring carries a hypercalcaemia risk.

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