Who needs higher vitamin D supplementation?

Published: October 01, 2025
Updated: October 01, 2025

The significance of vitamin D becomes crucial, specifically for certain at-risk populations who require additional supplementation. These populations have biological hurdles that impair vitamin D production or absorption. If these populations do not receive higher dosing, they will develop a deficiency faster and could experience negative health repercussions. Furthermore, I have treated many patients who greatly improved their health with customized dosing.

Seniors are particularly at risk of vitamin D deficiency due to the changes associated with aging. For example, skin loses approximately 75% of its ability to convert UV-R (sunlight) into vitamin D after the age of 70. Kidneys also have slower processes, which require an increased intake. I have had nursing home residents who required consistent 4000 IU daily to sustain levels.

Skin Tone & Geography

  • Dark skin: Needs 3-6x longer sun exposure
  • Northern latitudes: Require year-round supplements
  • Full coverage clothing: Mandatory 2000-4000 IU daily

Medical Conditions

  • Obesity: Needs 2-3x standard doses
  • Bariatric surgery: Requires liquid D3 exclusively
  • Malabsorption disorders: Higher doses with fat co-factors

Age Extremes

  • Infants: 400 IU drops from birth
  • Teens: Increased during growth spurts
  • Seniors: 800-4000 IU based on mobility
Customized Vitamin D Supplementation Guide
GroupDark-Skinned AdultsStandard Dose
600 IU
High-Risk Adjustment
3000-4000 IU
GroupSeniors >70Standard Dose
800 IU
High-Risk Adjustment
4000 IU
GroupObese (BMI>30)Standard Dose
600 IU
High-Risk Adjustment
4000-6000 IU
GroupBariatric PatientsStandard Dose
Not applicable
High-Risk Adjustment
5000 IU liquid D3
GroupBreastfed InfantsStandard Dose
Not applicable
High-Risk Adjustment
400 IU drops
All doses require medical supervision and blood monitoring

Cultural practices also cause specific supplemental requirements. Since fabric blocks out UV rays, hijab wearers require year-round supplementation dosing. Orthodox Jewish populations require special considerations as they have unique exposure expectations based on the months. I create individualized plans honoring belief systems while also attending to health promotion.

Testing remains crucial for precise dosing. Initially, high-risk groups should be tested for 25(OH)D every quarter. Optimal protection is achieved whenever your 25(OH)D is in the range of 40-60 ng/mL. Adjust doses seasonally, increasing during the dark winter season. Always do magnesium as well with the vitamin D for better utilization.

Read the full article: The Importance of Vitamin D

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