intermediate work · Telehealth coaching / accredited lab only if clinically indicated, Boston, MA
Vitamin D empiric-supplementation eligibility + RDA coaching — Boston.
Fund it for $120. Proof lands onchain when it's done.
$120 proposed
Not funded yet. Settles as earned credit, $120 proposed.
- ProofEligibility screen for the four Endocrine Society 2024 empiric-supplementation groups (age <=18, age >=75, pregnant, high-risk prediabetes) + a dose plan matched to whichever group applies, or RDA-level intake coaching if none apply + a check for an actual clinician-identified clinical indication for testing before any 25-OH-D blood draw is arranged
- Open until2026-11-04
- Levelintermediate
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What the work involvesBoston, MA is home to Tufts Medical Center, confirmed via WebFetch to Wikipedia: a real downtown Boston teaching hospital. HONESTY LIMIT stated directly: Tufts Medical Center's real, verified status as a teaching hospital is confirmed, but the fetched Wikipedia page did not independently confirm any specific endocrinology or vitamin D research program there, so this connects to a real, verified academic teaching hospital in the same general field as this standard's own 2024 guideline, not a confirmed institutional or personal-author connection. A genuinely distinct real institution from the existing Minneapolis (high-latitude winter-sun context) and Washington DC (the Endocrine Society, the guideline's own issuing organization and publisher) tiles -- Boston is a major academic teaching hospital, a distinct category from every existing tile.
How this work is done
A documented method, so this packet comes out the same whoever does it.
Bring
- age, pregnancy status, and prediabetes/diabetes-risk status on file
- current vitamin D intake (diet + supplement) and any prescribed medications affecting calcium/vitamin D metabolism
- accredited-lab requisition or validated dried-blood-spot 25-OH-D kit -- used ONLY if a clinical indication is confirmed
Steps
- 1. Check eligibility for each of the four Endocrine Society 2024 empiric-supplementation groups in turn: age <=18; age >=75; currently pregnant; high-risk prediabetes on lifestyle modification.
- 2. If eligible for one or more groups, record a dose plan within that group's cited trial range (children/teens ~1200 IU/day weighted average, trials 300-2000 IU; adults 75+ ~900 IU/day, trials 400-3333 IU, daily low-dose preferred over intermittent high-dose; pregnant ~2500 IU/day, trials 600-5000 IU; high-risk prediabetes ~3500 IU/day, trials 842-7543 IU) -- framed as empiric, no test required.
- 3. If not eligible for any group, coach RDA-level intake instead: 600 IU/day (IOM) for adults under 70, 800 IU/day for adults 70+, and stop there -- no test, no higher empiric dose.
- 4. Ask whether the person's own clinician has identified an actual clinical indication for testing (e.g. hypocalcemia, malabsorption, or a condition/medication affecting vitamin D metabolism). If yes, arrange the 25-OH-D draw and route interpretation to that clinician -- this method does not interpret the result or set a repletion dose. If no, do not order a test.
- 5. Record current supplement/medication use and flag any interaction (see decision rules) before finalizing the plan.
- 6. Log the eligibility screen, the dose plan or RDA coaching given, and whether a test was arranged and why; sign it.
What counts as done
- Eligibility for each of the four empiric-supplementation groups explicitly checked and recorded (age <=18, age >=75, pregnant, high-risk prediabetes on lifestyle modification)
- If eligible: a dose plan recorded within the guideline's cited trial dose range for that group, framed as empiric (no test required), never a fixed universal number
- If not eligible: RDA-level intake coaching recorded (600 IU under 70, 800 IU 70+), with no test ordered by default
- Any 25-OH-D blood draw arranged only after confirming and recording an actual clinician-identified clinical indication (e.g. hypocalcemia) -- never as a routine default
Proof is measured against these, not judged by taste.
What is promised, and what is not.
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