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При уровне 10 нг/мл и ниже растёт риск развития тяжёлых осложнений, в том числе повреждения костной ткани [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/).\n\n\n\n## Причины\nНекоторые причины дефицита витамина D: \n* **Недостаточное воздействие солнечного света** — витамин D синтезируется в коже под воздействием ультрафиолетовых лучей [6](https://www.labstori.ru/book/deficit-vitamina-d/). \n* **Недостаточное поступление витамина D с пищей** — дефицит часто развивается у людей, придерживающихся строгой диеты и вегетарианства, а также при непереносимости лактозы и отказе от молочных продуктов [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). \n* **Нарушение работы кишечника** — при некоторых заболеваниях питательные вещества плохо всасываются в кишечнике [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). \n* **Нарушения обмена веществ** — дефицит витамина D часто встречается при ожирении и сахарном диабете [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). \n* **Заболевания почек** — например, при нефротическом синдроме происходит значительная потеря витамина D с мочой [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/).\n\n## Симптомы\nРанние проявления дефицита неспецифичны — они не указывают на нехватку витамина D прямо [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie). Некоторые симптомы: \n* постоянная усталость, снижение энергии [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie); \n* слабость в мышцах, особенно в области бёдер и плеч [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie); \n* боли в костях или ощущение ломоты [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie); \n* судороги в ногах, чаще по ночам [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie); \n* снижение устойчивости к инфекциям — ОРВИ и бронхиты становятся более частыми [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie); \n* ухудшение настроения, раздражительность, склонность к тревоге или депрессии [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie); \n* медленное заживление ран, выпадение волос, ухудшение состояния кожи [8](https://mrtexpert.ru/articles/defitsit-vitamina-d-prichiny-simptomy-lechenie).\n\n## Диагностика\nПри появлении признаков нехватки витамина D нужно обратиться к врачу — терапевту или эндокринологу [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). Специалист проведёт осмотр и назначит **анализ крови на определение уровня 25(OH)D** в сыворотке крови [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). Кровь на анализ берут из вены вне зависимости от времени суток и приёма пищи [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). \n\n**Интерпретация результатов**: оптимальный уровень 25(OH)D — от 30 нг/мл, недостаточность — 20–30 нг/мл, дефицит — менее 20 нг/мл [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/).\n\n## Лечение\nЕсли уровень витамина D меньше нормы, врач назначает **препараты, восполняющие нехватку витамина** [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). Приоритет отдают средствам, в состав которых входит холекальциферол (витамин D3) [1](https://www.fdoctor.ru/bolezn/defitsit_vitamina_d/). 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