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situations of deficiency and also protect against vitamin D intoxication ( 7 ). The concentration of free 25(OH)D can either be calculated using a formula, which includes the concentrations of DBP and albumin as described herein, or it can be directly
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Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
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Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
Centre for Innovation in Personalized Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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measuring free vitamin D might be more precise in evaluating vitamin D status in populations with more than one ethnic group ( 19 , 24 ). For instance, it has been found that despite the lower total 25(OH)D levels in Black Americans in comparison with White
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Diagnostic Clinic, University Hospital of North Norway, Tromso, Norway
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accounted for in existing guidelines ( 6 , 7 , 8 , 9 ). In contrary to 25(OH)D (free and protein bound), free 25(OH)D has not differed according to HC use in the adult population ( 3 , 10 ). It has been raised concern that the vitamin D status in HC
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A narrative review of vitamin D deficiency in South Asians in the UK Long-standing racial inequalities in the UK are common and recognised as reducing both access to health care and the quality of health, a recent report describing them as
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factors in PTC, aggressive subtype, advanced T and AJCC stage, lateral neck node metastasis and worse recurrence-free survival. One possible explanation for these results is impaired expression of vitamin D receptor on the cell membrane: VDR mRNA may
Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria
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, renal wasting of vitamin D, decreased renal conversion to 1,25(OH)D3 and increased tissue conversion of 25(OH)D3 to 1,25(OH)D3 ( 11 , 24 , 25 , 26 ). The role of free/bioavailable vitamin D remains unclear although it is possible that although vitamin
Department of Clinical Chemistry, Hematology and Immunology, Noordwest Ziekenhuis, Alkmaar, The Netherlands
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Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands
Amsterdam UMC location University of Amsterdam, Department of Clinical Chemistry, Endocrine Laboratory, Amsterdam, The Netherlands
Amsterdam Reproduction & Development Research Institute, Amsterdam, The Netherlands
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VDBP) or free 25(OH)D (not bound to VDBP or albumin) may be a more relevant biomarker of vitamin D status, especially in those with a different genotype of VDBP ( 22 ). However, a number of studies have since determined this not to be the case and
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Associations of vitamin D status with health outcomes Cross-sectionally, vitamin D cures/prevents rickets but populations remain deficient ( 1 , 2 ) as assessed by serum 25-hydroxyvitamin D concentration (25(OH)D), which is inversely
School of Nursing, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham, UK
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,24,25-trihydroxvitamin D (1,24,25D) from 25D by 24-OHase; synthesis of calcitroic acid from 1,24,25D by 24-OHase. 25D (and other vitamin D metabolites) can circulate bound to vitamin D-binding protein (DBP) or unbound (free 25D). Other prominent forms of 25D found in the
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Medical Clinic V (Nephrology, Hypertensiology, Rheumatology, Endocrinology, Diabetology), Medical Faculty Mannheim, Ruperto-Carola University of Heidelberg, Heidelberg, Germany
Synlab Medical Center of Human Genetics Mannheim, Mannheim, Germany
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only a small fraction (less than 1%) circulating in its unbound (free) form ( 34 ). Although some tissues can take up DBP-bound vitamin D metabolites by the megalin–cubilin system, most cells seem to be dependent on free vitamin D metabolites that