Table 2.

Bone related parameters before and after VitD3 supplementation.

Patient #1Patient #2Patient #3Reference ranges
25(OH)DaDeficiency: ≤ 20 (≤ 50 nmol/L)
Before VitD11.7 ng/mL (29 nmol/L)10.8 ng/mL (27 nmol/L)12.3 (30.7 nmol/L)Insufficiency: 21-29 (52-72 nmol/L)
After VitD31.7 (79.1 nmol/L)31.8 (79.4 nmol/L)33.8 (84.4 nmol/L)Sufficiency: ≥ 30 (75 nmol/L)
1,25(OH)2D
Before VitD51 pg/mL (127 pmol/L)33 pg/mL (82 pmol/L)19 pg/mL (47 pmol/L)Adults:
After VitD34 (85 pmol/L)29 (72 pmol/L)22 (55 pmol/L)18-72 pg/mL (45-180 pmol/L)
24,25(OH)2D
Before VitD0.5 ng/mL (1.3 nmol/L)0.8 ng/mL (2 nmol/L)0.9 ng/mL (2.3 nmol/L)̶
After VitD2.9 ng/mL (7.2 nmol/L)2.8 ng/mL (7 nmol/L)4.1 ng/mL (10.2 nmol/L)
Calcium
Before VitD9.3 mg/dL (2.32 mmol/L)9.6 mg/dL (2.395 mmol/L)9.7 mg/dL (2.4 mmol/L)Males ≥ 20 yrs:
After VitD9.1 (2.27 mmol/L)9.4 mg/dL (2.345 mmol/L)9.7 mg/dL (2.4 mmol/L)8.6-10.3 mg/dL (2.2-2.6 mmol/L)
Phosphorus
Before VitD3.1 (1 mmol/L)3.3 (1.1 mmol/L)4.2 (1.36 mmol/L)2.5-4.5 mg/dL (0.8-1.5 mmol/L)
After VitD3.2 (1 mmol/L)4 (1.3 mmol/L)4.4 (1.42 mmol/L)
iPTH
Before VitD62 pg/mL (6.6 pmol/L)29 pg/mL (3.1 pmol/L)51 pg/mL (5.4 pmol/L)≥19 yrs:
After VitD41 pg/mL (4.4 pmol/L)30 pg/mL (3.2 pmol/L)54 pg/mL (5.7 pmol/L)14-64 pg/mL (1.5-6.8 pmol/L)
iFGF23
Before VitD50.4 pg/mL)59.9 pg/mL)57.1 pg/mL)18.6-59.8 pg/mL
After VitD60.5 pg/mL)67.6 pg/mL)62.6 pg/mL)
ßCTXMales: 30-39 yrs (70-780 pg/mL)
Before VitD425 pg/mL189 pg/mL365 pg/mL40-49 yrs (60-700 pg/mL)
After VitD578 pg/mL182 pg/mL317 pg/mL50-68 yrs (87-345 pg/mL)
P1NPMales:
Before VitD32 mcg/L23 mcg/L40 mcg/L23-60 yrs (30-110 mcg/L)
After VitD31 mcg/L25 mcg/L35 mcg/L> 60 yrs (not stablished)
Patient #1Patient #2Patient #3Reference ranges
25(OH)DaDeficiency: ≤ 20 (≤ 50 nmol/L)
Before VitD11.7 ng/mL (29 nmol/L)10.8 ng/mL (27 nmol/L)12.3 (30.7 nmol/L)Insufficiency: 21-29 (52-72 nmol/L)
After VitD31.7 (79.1 nmol/L)31.8 (79.4 nmol/L)33.8 (84.4 nmol/L)Sufficiency: ≥ 30 (75 nmol/L)
1,25(OH)2D
Before VitD51 pg/mL (127 pmol/L)33 pg/mL (82 pmol/L)19 pg/mL (47 pmol/L)Adults:
After VitD34 (85 pmol/L)29 (72 pmol/L)22 (55 pmol/L)18-72 pg/mL (45-180 pmol/L)
24,25(OH)2D
Before VitD0.5 ng/mL (1.3 nmol/L)0.8 ng/mL (2 nmol/L)0.9 ng/mL (2.3 nmol/L)̶
After VitD2.9 ng/mL (7.2 nmol/L)2.8 ng/mL (7 nmol/L)4.1 ng/mL (10.2 nmol/L)
Calcium
Before VitD9.3 mg/dL (2.32 mmol/L)9.6 mg/dL (2.395 mmol/L)9.7 mg/dL (2.4 mmol/L)Males ≥ 20 yrs:
After VitD9.1 (2.27 mmol/L)9.4 mg/dL (2.345 mmol/L)9.7 mg/dL (2.4 mmol/L)8.6-10.3 mg/dL (2.2-2.6 mmol/L)
Phosphorus
Before VitD3.1 (1 mmol/L)3.3 (1.1 mmol/L)4.2 (1.36 mmol/L)2.5-4.5 mg/dL (0.8-1.5 mmol/L)
After VitD3.2 (1 mmol/L)4 (1.3 mmol/L)4.4 (1.42 mmol/L)
iPTH
Before VitD62 pg/mL (6.6 pmol/L)29 pg/mL (3.1 pmol/L)51 pg/mL (5.4 pmol/L)≥19 yrs:
After VitD41 pg/mL (4.4 pmol/L)30 pg/mL (3.2 pmol/L)54 pg/mL (5.7 pmol/L)14-64 pg/mL (1.5-6.8 pmol/L)
iFGF23
Before VitD50.4 pg/mL)59.9 pg/mL)57.1 pg/mL)18.6-59.8 pg/mL
After VitD60.5 pg/mL)67.6 pg/mL)62.6 pg/mL)
ßCTXMales: 30-39 yrs (70-780 pg/mL)
Before VitD425 pg/mL189 pg/mL365 pg/mL40-49 yrs (60-700 pg/mL)
After VitD578 pg/mL182 pg/mL317 pg/mL50-68 yrs (87-345 pg/mL)
P1NPMales:
Before VitD32 mcg/L23 mcg/L40 mcg/L23-60 yrs (30-110 mcg/L)
After VitD31 mcg/L25 mcg/L35 mcg/L> 60 yrs (not stablished)

Abbreviations: 1,25(OH)2D, 1,25-dihydroxyvitamin D; 24,25(OH)2D, 24,25-dihydroxyvitamin D; 25(OH)D, 25-hydroxyvitamin D; βCTX, type I collagen C-terminal telopeptide; iFGF23, fibroblast growth factor 23; iPTH, intact parathyroid hormone; P1NP, procollagen type 1 amino-terminal propeptide-1; PTH, parathyroid hormone; VitD, vitamin D.

aThe Endocrine Society's proposed cutoffs to define VitD status.

Table 2.

Bone related parameters before and after VitD3 supplementation.

Patient #1Patient #2Patient #3Reference ranges
25(OH)DaDeficiency: ≤ 20 (≤ 50 nmol/L)
Before VitD11.7 ng/mL (29 nmol/L)10.8 ng/mL (27 nmol/L)12.3 (30.7 nmol/L)Insufficiency: 21-29 (52-72 nmol/L)
After VitD31.7 (79.1 nmol/L)31.8 (79.4 nmol/L)33.8 (84.4 nmol/L)Sufficiency: ≥ 30 (75 nmol/L)
1,25(OH)2D
Before VitD51 pg/mL (127 pmol/L)33 pg/mL (82 pmol/L)19 pg/mL (47 pmol/L)Adults:
After VitD34 (85 pmol/L)29 (72 pmol/L)22 (55 pmol/L)18-72 pg/mL (45-180 pmol/L)
24,25(OH)2D
Before VitD0.5 ng/mL (1.3 nmol/L)0.8 ng/mL (2 nmol/L)0.9 ng/mL (2.3 nmol/L)̶
After VitD2.9 ng/mL (7.2 nmol/L)2.8 ng/mL (7 nmol/L)4.1 ng/mL (10.2 nmol/L)
Calcium
Before VitD9.3 mg/dL (2.32 mmol/L)9.6 mg/dL (2.395 mmol/L)9.7 mg/dL (2.4 mmol/L)Males ≥ 20 yrs:
After VitD9.1 (2.27 mmol/L)9.4 mg/dL (2.345 mmol/L)9.7 mg/dL (2.4 mmol/L)8.6-10.3 mg/dL (2.2-2.6 mmol/L)
Phosphorus
Before VitD3.1 (1 mmol/L)3.3 (1.1 mmol/L)4.2 (1.36 mmol/L)2.5-4.5 mg/dL (0.8-1.5 mmol/L)
After VitD3.2 (1 mmol/L)4 (1.3 mmol/L)4.4 (1.42 mmol/L)
iPTH
Before VitD62 pg/mL (6.6 pmol/L)29 pg/mL (3.1 pmol/L)51 pg/mL (5.4 pmol/L)≥19 yrs:
After VitD41 pg/mL (4.4 pmol/L)30 pg/mL (3.2 pmol/L)54 pg/mL (5.7 pmol/L)14-64 pg/mL (1.5-6.8 pmol/L)
iFGF23
Before VitD50.4 pg/mL)59.9 pg/mL)57.1 pg/mL)18.6-59.8 pg/mL
After VitD60.5 pg/mL)67.6 pg/mL)62.6 pg/mL)
ßCTXMales: 30-39 yrs (70-780 pg/mL)
Before VitD425 pg/mL189 pg/mL365 pg/mL40-49 yrs (60-700 pg/mL)
After VitD578 pg/mL182 pg/mL317 pg/mL50-68 yrs (87-345 pg/mL)
P1NPMales:
Before VitD32 mcg/L23 mcg/L40 mcg/L23-60 yrs (30-110 mcg/L)
After VitD31 mcg/L25 mcg/L35 mcg/L> 60 yrs (not stablished)
Patient #1Patient #2Patient #3Reference ranges
25(OH)DaDeficiency: ≤ 20 (≤ 50 nmol/L)
Before VitD11.7 ng/mL (29 nmol/L)10.8 ng/mL (27 nmol/L)12.3 (30.7 nmol/L)Insufficiency: 21-29 (52-72 nmol/L)
After VitD31.7 (79.1 nmol/L)31.8 (79.4 nmol/L)33.8 (84.4 nmol/L)Sufficiency: ≥ 30 (75 nmol/L)
1,25(OH)2D
Before VitD51 pg/mL (127 pmol/L)33 pg/mL (82 pmol/L)19 pg/mL (47 pmol/L)Adults:
After VitD34 (85 pmol/L)29 (72 pmol/L)22 (55 pmol/L)18-72 pg/mL (45-180 pmol/L)
24,25(OH)2D
Before VitD0.5 ng/mL (1.3 nmol/L)0.8 ng/mL (2 nmol/L)0.9 ng/mL (2.3 nmol/L)̶
After VitD2.9 ng/mL (7.2 nmol/L)2.8 ng/mL (7 nmol/L)4.1 ng/mL (10.2 nmol/L)
Calcium
Before VitD9.3 mg/dL (2.32 mmol/L)9.6 mg/dL (2.395 mmol/L)9.7 mg/dL (2.4 mmol/L)Males ≥ 20 yrs:
After VitD9.1 (2.27 mmol/L)9.4 mg/dL (2.345 mmol/L)9.7 mg/dL (2.4 mmol/L)8.6-10.3 mg/dL (2.2-2.6 mmol/L)
Phosphorus
Before VitD3.1 (1 mmol/L)3.3 (1.1 mmol/L)4.2 (1.36 mmol/L)2.5-4.5 mg/dL (0.8-1.5 mmol/L)
After VitD3.2 (1 mmol/L)4 (1.3 mmol/L)4.4 (1.42 mmol/L)
iPTH
Before VitD62 pg/mL (6.6 pmol/L)29 pg/mL (3.1 pmol/L)51 pg/mL (5.4 pmol/L)≥19 yrs:
After VitD41 pg/mL (4.4 pmol/L)30 pg/mL (3.2 pmol/L)54 pg/mL (5.7 pmol/L)14-64 pg/mL (1.5-6.8 pmol/L)
iFGF23
Before VitD50.4 pg/mL)59.9 pg/mL)57.1 pg/mL)18.6-59.8 pg/mL
After VitD60.5 pg/mL)67.6 pg/mL)62.6 pg/mL)
ßCTXMales: 30-39 yrs (70-780 pg/mL)
Before VitD425 pg/mL189 pg/mL365 pg/mL40-49 yrs (60-700 pg/mL)
After VitD578 pg/mL182 pg/mL317 pg/mL50-68 yrs (87-345 pg/mL)
P1NPMales:
Before VitD32 mcg/L23 mcg/L40 mcg/L23-60 yrs (30-110 mcg/L)
After VitD31 mcg/L25 mcg/L35 mcg/L> 60 yrs (not stablished)

Abbreviations: 1,25(OH)2D, 1,25-dihydroxyvitamin D; 24,25(OH)2D, 24,25-dihydroxyvitamin D; 25(OH)D, 25-hydroxyvitamin D; βCTX, type I collagen C-terminal telopeptide; iFGF23, fibroblast growth factor 23; iPTH, intact parathyroid hormone; P1NP, procollagen type 1 amino-terminal propeptide-1; PTH, parathyroid hormone; VitD, vitamin D.

aThe Endocrine Society's proposed cutoffs to define VitD status.

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