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Vitamin D Deficiency: Symptoms, Causes, Risk & Remedies

Orthopaedics | by Dr. Anuj Chawla on Sep 30, 2021 | Last Updated : Sep 26, 2025

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Summary

Vitamin D keeps our bones healthy and strong. Know more about the symptoms & causes of Vitamin D deficiency and get in touch with our team of experts today.

Vitamin D deficiency is one of the common nutritional deficiencies found among adults and children, as well as it is the common undiagnosed medical condition across the globe.

According to a study, Vitamin D deficiency is prevalent in nearly 76% of Indians.

Vitamin D is also known as the sunshine vitamin that helps in keeping your bones strong. Recent research suggests that Vitamin D protects you from a lot of health problems. As the name depicts, the sunshine vitamin is produced by the body in response to skin exposure to sunlight.

There are a few foods that have vitamin D, like fish, fish liver oils, egg yolks- which fortifies dairy, and grain products. When Vitamin D enters our body, it regulates bone metabolism, calcium, and reduces the risk of chronic diseases such as cardiovascular, malignancies, autoimmune diseases, and infectious diseases.

Vitamin D deficiency is prevalent in everyone in our country and especially in the Northern parts of India. The very first reason is the limited or no sun exposure, generally, in urban areas- people do not prefer going outside, or if they go, they prefer minimum sun exposure. 

In this article, Dr. Harshavardhan Hegde, one of the best orthopaedic experts in Gurgaon, will discuss the importance of Vitamin D for children and adults, and everything about Vitamin D deficiency. 

What Is Vitamin D Deficiency?

Vitamin D deficiency indicates that there is not enough vitamin D in your body. People with fair-skinned and young individuals are more capable of converting sunshine into vitamin D more efficiently than darker-skinned and aged people.

What Are the Symptoms of Vitamin D Deficiency?

1. Bone and joint pain
2. Fatigue and tiredness
3. Headaches
4. Weight gain
5. High blood pressure
6. Insomnia
7. Cramps in muscles
8. Osteoporosis
9. Rickets in children
10. Depression
11. Becoming More Prone to Infections
12. Impaired Wound Healing

Listed below are a few symptoms that can help you understand that you might have Vitamin D deficiency in your body

 Symptoms of Vitamin D Deficiency

Bone and joint pain 

There is an established relation between Vitamin D and calcium. Vitamin D is an essential hormone as it helps your body effectively absorb calcium by mediating the transportation of this mineral and supporting bone growth.

Vitamin D deficiency can hence affect your bone and joint health causing a variety of symptoms including pain. Inadequate levels of vitamin D can lead to the development of bone and joint disorders such as arthritis and osteoporosis. 

Fatigue and tiredness

Several studies show that a deficiency of Vitamin D in your blood can impact your energy levels and sleep quality. Individuals living with Vitamin D deficiency often complain of fatigue and tiredness.

Low levels of Vitamin D can cause delayed sleep and even shorter sleep duration. Poor quality of sleep can hence cause daytime sleepiness and tiredness. 

Headaches

Vitamin D can cause different types of headaches including migraine. It is because decreased levels of vitamin D may be responsible for bone pain and swelling which can further aggravate and sensitise your nervous system causing headaches. 

Unhealthy Weight

A comparatively recent study has shown people with a higher BMI and excess fat especially around the waistline are more likely to have low levels of Vitamin D. 

High blood pressure

Vitamin D deficiency is related to heart health. Individuals with low levels of vitamin D are more likely to experience high blood pressure (hypertension)

Insomnia

As discussed above, vitamin D deficiency can impact your sleep. Besides hindering the quality of your life, it can also trigger insomnia by affecting your sleep schedule. People living with low levels of vitamin D are seen to have daytime sleepiness and drowsiness. 

Cramps in muscles

Vitamin D is responsible for maintaining the strength and functioning of your musculoskeletal system. A significant decrease in these vitamin levels can cause pain, discomfort, spasms and cramping in your muscles. 

Osteoporosis

Osteoporosis is a condition in which your bones become weak and brittle. It is because in this condition, your body is unable to produce new bone tissues to replace the new ones.

Vitamin D helps your body absorb calcium and phosphorus, rightly. If there is a lack of these nutrients, you are likely to develop osteoporosis

Rickets in children

Rickets is a condition that hinders bone development in children. It primarily occurs as a result of inadequate vitamin D levels causing the softening and weakening of bones. 

Depression

Several types of research have shown that vitamin D deficiency can lead to mood disorders and mental health issues including depression and anxiety. It has been seen that increasing the consumption of vitamin D can help improve the symptoms of depression. 

Becoming More Prone to Infections 

Your immune system determines how well you are able to fight off bacteria and viruses. Vitamin D is an anti-inflammatory hormone that has diverse effects on your immune system.

It directly interacts with your immune system cells that fight the above-mentioned infections. A vitamin D deficiency can affect this ability and make you more prone to contracting infections. 

Impaired Wound Healing 

Vitamin D is a contributing factor in the development of new skin on wounds as it increases the production of components leading to the skin layer growth. It is, thus, an important aspect in a person’s healing journey after a surgery, injury or infection. 

Complications if Vitamin D deficiency persists:

  • Rickets (children) & Osteomalacia (adults): Low vitamin D leads to poor calcium absorption, causing soft, weak bones. Children may develop rickets (bowed legs, growth delays), while adults may suffer from osteomalacia (bone pain, frequent fractures).
  • Osteoporosis & Fragility Fractures: Prolonged deficiency reduces bone density, making bones brittle and more prone to osteoporosis and fractures, especially in older adults.
  • Recurrent Infections & Slow Healing: Weakened immune defence increases the risk of frequent colds, flu, and delayed wound recovery.
  • Muscle Weakness & Falls: Deficiency affects muscle strength and coordination, raising the risk of falls and injuries in elderly individuals.

What Are the Causes of Vitamin D Deficiency?

Vitamin D deficiency can occur in your body due to various reasons, listed below are a few of them.

Inadequate consumption of Vitamin D 

Vitamin D deficiency can be caused as a result of insufficient intake of vitamin D. You may have the above-given symptoms if you are not able to consume the recommended levels of the vitamin over a long time, especially if you follow a strict vegan diet. If your diet excludes most of the natural sources for Vitamin D like fish, beef, egg yolks, you may behave vitamin D deficiency. 

Limited exposure to sunlight 

Sunlight is a natural source of vitamin D. A restricted or low exposure to sunlight can cause a deficiency of vitamin D. 

Skin pigmentation 

Melanin is a pigment in your skin that provides its colour. Dark-skinned people have more melanin than light-skinned people. Melanin also protects your skin from UV rays. An increased amount of melanin reduces your ability to synthesise Vitamin D from the sun, thus, impacting its effectiveness and causing an insufficiency. 

Obesity 

Obesity and vitamin D deficiency are highly correlated. People with a BMI of 30 or more than 30 often have low Vitamin D levels.

Underlying medical conditions

Medical problems like Crohn’s disease, cystic fibrosis and celiac disease can affect your intestine’s ability to absorb Vitamin D  through food that you eat.

Renal health 

With ageing, kidneys are unable to convert Vitamin D into an active form which increases the risk of being Vitamin D deficient.

Who all are at risk of Vitamin D deficiency?

The following are at risk for Vitamin D deficiency

  • All expecting mothers
  • Breastfeeding women
  • Infants and young kids below the age group of 5 years
  • Old aged people 65 years and above
  • Those who have low or no exposure to the sun.
  • People with dark skin.

Why is Vitamin D so important? 

There are several reasons to consider Vitamin D as an essential vitamin for the human body, including;

1. Supports Bone Health (Calcium & Phosphorous Absorption)

Vitamin D helps your intestines absorb calcium and phosphorus, essential minerals for strong, healthy bones. Without enough vitamin D, bones can become soft or brittle, leading to osteomalacia, osteoporosis or loss of bone density, in adults and rickets in children, and increasing the risk of fractures and osteoporosis.

2. Boosts Immune Function

Vitamin D plays a key role in your immune system. Immune cells have vitamin D receptors, and adequate levels help your body fight infections more effectively, reducing the frequency and severity of illnesses.

3) Maintains Muscle Strength

Vitamin D affects muscle fibre performance and coordination. Low levels can cause muscle weakness, poor balance, and a higher risk of falls, especially in older adults.

4) Regulates Cell Growth and Repair

Vitamin D acts like a hormone in the body, influencing how cells grow, mature, and repair themselves. This function supports healthy tissues and proper cell function throughout the body.

5) Reduces Inflammation

Vitamin D helps control inflammatory processes in the body. Adequate levels may reduce chronic, low-grade inflammation, which is linked to many health problems including heart disease, diabetes, and autoimmune conditions.

What are the health effects of vitamin D deficiency?

Getting enough vitamin D plays an important role in keeping you healthy by protecting against diseases or conditions, these conditions can include:

  • Heart disease  
  • Diabetes
  • Infections 
  • Immune system disorders
  • High blood pressure
  • Types of cancer, like colon, breast, and prostate cancers
  • Multiple sclerosis

How can Vitamin D be diagnosed?

The 25-hydroxyvitamin D [25(OH)D] test is the best indicator of vitamin D status.

Typical interpretation (ng/mL):

  • Deficient: < 20 ng/mL ( < 50 nmol/L )
  • Insufficient: 20–29 ng/mL (50–74 nmol/L)
  • Sufficient: ≥ 30 ng/mL (≥ 75 nmol/L)

Conversion: 1 ng/mL = 2.5 nmol/L. Ranges can vary slightly by lab and clinical context.

Remedies to Treat Vitamin D Deficiency:

Vitamin D (the sunshine vitamin) is important to maintain overall health. You can easily and effectively boost your vitamin D levels by taking the following measures.

Spend sufficient time in the sun

The best way to get the sunshine vitamin is through sunlight. Increasing your exposure to sunlight is one of the best ways to increase your vitamin D consumption. You should consider the duration, time, skin tone and sensitivity to decide how much sunlight exposure is adequate. 

Include Vitamin D-Rich Foods

Seafood such as fatty fish, tuna, and shrimp are rich in vitamin D. For those who prefer vegetarian options, egg yolks, fortified milk, fortified cereals, fortified orange juice, and UV-exposed mushrooms are excellent sources. Including a variety of these foods can help maintain healthy vitamin D levels.

Nutritional Supplements 

Another way to up your vitamin D intake is through nutritional supplements. You can consult your healthcare provider about the type of supplement ideal for you. 

Maintain a Healthy body weight 

Obesity can make you more prone to developing vitamin D deficiency. You should aim to achieve and attain your ideal body weight by proper diet and physical activity. 

Outlook

If you have any queries related to Vitamin D or how to boost the level of Vitamin D in the body, get in touch with our team of experts to get your Vitamin D levels checked.

Dietary Sources of Vitamin D

Vitamin D is naturally present in only a few foods. Here is a list of the top foods that contain it.

Food Category Key notes
Cod liver oil (1 tsp) Natural One of the richest natural sources
Salmon (wild/farmed) Natural Fatty fish; baked, grilled or steamed
Sardines (canned in oil) Natural Convenient pantry option
Trout Natural Freshwater fish, naturally rich
Tuna (canned, light) Natural Check mercury advisories if pregnant
Egg yolks Natural D is in the yolk, not the white
UV-exposed mushrooms Natural/UV Look for “UV-treated” on the label
Fortified milk/plant milks Fortified Check label: cow’s, soy, almond, oat
Fortified cereals/orange juice Fortified Varies by brand; read nutrition panel

Tip: Labels for fortified foods will list vitamin D per serving (IU or mcg). Use these along with fish/eggs to diversify sources of vitamin D.

Sunlight: Your Natural Source of Vitamin D

Your skin can make vitamin D from UVB rays.

  • How much: Aim for 10–30 minutes of midday sun (~10 AM to 3 PM) on arms, legs, or back, several times per week. This duration is enough to expose yourself in sunlight without risking skin conditions.
  • Adjust for:
    • Skin tone: Darker skin has more melanin, which reduces vitamin D production, so it may need longer sun exposure than lighter skin.
    • Season & location: In winter, or in places far from the equator, there is less UVB sunlight, so vitamin D production is lower. Pollution and cloudy weather also reduce it.
    • Age: As we get older, our skin produces less vitamin D. This means older people may need more sun exposure to make the same amount of vitamin D as younger people.
    • Barriers: Things like clothing, shade, or glass windows block UVB rays, limiting vitamin D synthesis.
  • Skin safety: Avoid sunburn. For longer outdoor time, apply sunscreen after the brief D-synthesis window. People with skin cancer risk should seek tailored advice.

This is a practical way to increase vitamin D alongside diet. Supplements may be considered if your test shows low levels only as advised by your clinician.

FAQs


Q. How long does it take to recover from vitamin D deficiency?

Based on your treatment and proactive measures, you may take nearly 3-6 months to recover. 

Q. Can low vitamin D cause neurological symptoms?

Yes, low levels of vitamin D can cause certain neurological symptoms such as tremors and depression.  

Q. Can low vitamin D cause dizziness and headaches?

Yes, vitamin D can sensitise your nervous system leading to dizziness and headaches.

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Written and Verified by:

MBBS, MS (Orthopaedics), DNB (Orthopaedics), MRCS, Dip. SICOT, FRCS (Trauma & Orthopaedics) and Fellowship (Foot and Ankle) Dr. Anuj Chawla is one of the best orthopaedic doctor in Gurgaon specialises in foot and ankle disorders, sports injuries- foot and trauma surgeons. He brings with him over 16 Years of Experience with a rich reserve of overseas work experience. Focus areas...