Vitamin d education. I could easily request via d levels (£30) and treat for fit d deficiency ( £40 ) a year for most of my patients . > 90% have low levels. As the population realises that many memebers of the community have low levels this causes more people to come forward. The vitamin d djinn or genie has come out of the bottle.
Vitamin d deficiency wasn’t something we looked for or treated 3 years ago. I suspect it is one of the fastest growing expenditure item on the drugs budget.
It is also not confined to the Asian population. I have encountered many ung white adults with very low levels of vitamin d as well. This should not just be attributed to modesty clothing.
Proposal is that we could devise a programme to raise awareness of the lifestyle factors that cause vit d deficiency. Encourage people to see vit d as a part of their diet ( we don’t routinely prescribe protein on nhs )
I suggest we adopt the line of one or two courses of vit d replacement to build up levels to therapeutic norm , then advise that the patient maintains this through diet. People mayb say they don’t want to take or buy CID liver oil supplements or eat fish – but I don’t believe the nhs can support vit d supplementation long term.
This could be costed out & worked up in more detail if there is enough interest.