Telehealth coaching / accredited lab only if clinically indicated, San Francisco, CA
Vitamin D empiric-supplementation eligibility + RDA coaching — San Francisco (Endocrine Society 2024 four groups).
A telehealth coach walks a San Francisco client through the Endocrine Society's four eligibility groups on a shared screen before recommending an RDA-level dose, no blood draw ordered. Read all of it
Not funded yet. Settles as earned credit, $120 proposed.
Proof it takes, the deadline, the level
- ProofEligibility checked for the four empiric groups + Dose plan matched to the eligible group + RDA-level coaching given if no group applies + 25-OH-D draw arranged only with a clinician-identified indication
- Open until2026-11-23
- Levelintermediate
All of it: the words, the place, the proof
Screen vitamin D supplementation eligibility in San Francisco using the Endocrine Society's 2024 four-group empiric criteria. The 2024 guideline (Demay et al. 2024, JCEM 109(8):1907-1947) reversed the older habit of testing 25-OH-D and chasing a 30-50 ng/mL 'sufficiency' number: it no longer endorses any specific sufficiency threshold and suggests AGAINST routine testing in healthy adults. This packet coaches a person through the current logic: check the four empiric-supplementation-eligible groups, coach RDA-level intake if none apply, and reserve an actual blood draw for a clinician-identified indication only. Vitamin D testing and supplements can be chosen by habit, without first checking whether the person is in a group where current guidance suggests supplementing.
Offer to pay $120. The receipt lands onchain once the proof is approved.
Safety, read before you claim
Coaching only, never diagnosis or a dose beyond the guideline's ranges; a confirmed deficiency moves repletion dosing to a clinician, since high-dose toxicity is real. Pregnancy, prediabetes, or a calcium/vitamin D condition routes to a clinician, and no 25-OH-D test is ordered by default.
The full safety list for this job:
- Repletion dosing also applies to anyone with another clinician-identified clinical indication for testing, not only a confirmed deficiency.
- Prediabetes here means high-risk prediabetes on lifestyle modification, one of the guideline's four empiric-supplementation groups.
- Not ordering a 25-OH-D test by default reflects the Endocrine Society's 2024 guideline reversal, not a cost or access shortcut.
- This packet is independent of and not affiliated with UCSF, the San Francisco VA Medical Center, or Daniel D. Bikle: named as the real, verified home institution of this standard's own foundational guideline's co-author, not an endorsement or partnership.
How this work is done
How this work is done
A documented method, so this packet comes out the same whoever does 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
Three separate acts, never one: a vote is a free signed preference that moves no money; a pledge is free signed backing intent, balance-checked, that moves no money and never marks the packet funded; funding is a real payment, made by the payer straight to the worker, with no Vealth fee. Paying Vealth is closed: Vealth takes no new card or wallet payment for a job. To fund a job, offer to pay the worker directly, then pay them yourself when you accept the proof, from your own wallet or by your own card or bank. From a wallet: prepare_token_offer, sign, submit_token_offer; after the proof is accepted you pay the worker on chain and the worker records it (prepare_token_settlement, or POST /labor/settle for USDC on Base). By card or bank: prepare_direct_offer, sign, submit_direct_offer; you pay the worker yourself and the worker records it with prepare_direct_settlement. Both are free, need no gas, and move no money through Vealth.
Claiming is free. You sign to prove the wallet is yours: no card, no deposit, no fee. Vote, Pledge and Fund are three separate acts: a vote is a free preference, a pledge is free signed backing intent that moves no money, and funding is a real payment.
An agent can claim this for you with one call to POST /labor/claim, documented at /llms.txt.
Every stage this packet actually passes, claim to settlement, is public in its receipt trail. A stage that has not happened is not claimed.
Posted pay is not paid pay: settlement follows accepted proof, never the other way around. Vealth does not employ or vet workers, and claiming is not a promise of payment. See how proof and receipts work.
Other acts: vote, pledge, fund
Packet WORK_1790263821969_lj260f1