Osteoporosis, bone & mineral

Kinetics and concentrations of circulating 25-hydroxyvitamin D using different vitamin D repletion regimens

Osteoporos IntPublished Randomised controlled trial

Authors' conclusion

This study supports a recommendation that different dosing regimens of vitamin D replacement will reach similar desirable levels when steady state is reached at weeks 12 and 36, thus enabling healthcare providers an option to determine the most appropriate replacement strategy based on individual patient preference and other variables.

Study context

Population
Community-dwelling vitamin D-deficient adults in Yerevan, Armenia; average age 44.8, 80% female; mean baseline 25(OH)D 19.4 ng/mL
Participants
60 adults
Comparison
Three vitamin D repletion regimens: low dose-high frequency vs medium dose-medium frequency vs high dose-low frequency
Primary endpoint
Circulating 25(OH)D levels (efficacy of repletion)
Follow-up
Baseline and weeks 4, 8, 12, 24 and 36
Methodological detailsthree-arm
  • Three-arm

Primary result

As reported in the abstract

Circulating 25(OH)D · baseline to week 36

All three arms: significant 25(OH)D increases from baseline to 4 weeks and from 4 to 8 weeks, then plateau

mid-40s ng/mL

Further findings

Mean, ng/mL

OutcomeABP value
25(OH)D, A vs B · week 3647.740.2p-value 0.007
25(OH)D, A vs B · mean baseline21.016.9p-value 0.03

Original publication

Kinetics and concentrations of circulating 25-hydroxyvitamin D using different vitamin D repletion regimens. Osteoporos Int. Published 10 December 2025. doi:10.1007/s00198-025-07782-w

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