What Is a Vitamin D 25-Hydroxy Test?

The 25-hydroxyvitamin D (25-OH D) test measures the storage form of vitamin D — the best indicator of vitamin D status.

Why 25-OH D?

  • Has a long half-life (2–3 weeks)
  • Reflects vitamin D from sun, food, and supplements
  • Not affected by short-term fluctuations

Reference Ranges

  • Severe deficiency: below 12 ng/mL
  • Deficiency: 12–20
  • Insufficiency: 20–30
  • Sufficient: 30–50
  • Toxic: above 100

How to Interpret

  • Many clinicians target 40–60 ng/mL
  • If deficient, supplement and recheck in 8–12 weeks
  • Don't supplement without testing — excess is harmful
Source: NLM MedlinePlus, AACC.

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