How do I install the Endo Against 25ohd Test Healthy Adults skill?

Run npx skillmds@latest add dromlakhani/endo-against-25ohd-test-healthy-adults in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Endo Against 25ohd Test Healthy Adults safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: makes network calls. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Endo Against 25ohd Test Healthy Adults?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Endo Against 25ohd Test Healthy Adults free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Endo Against 25ohd Test Healthy Adults?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Endo Against 25ohd Test Healthy Adults by dromlakhani

Name: Endo Against 25ohd Test Healthy Adults
Rating: 4.2 (5 reviews)
Author: dromlakhani

Endo Against 25ohd Test Healthy Adults

The Endocrine Society guideline recommends against routine 25(OH)D testing in asymptomatic adults without established indications for vitamin D assessment. Trigger when a clinician considers ordering a 25(OH)D level for a healthy adult with no symptoms of deficiency and no clinical indications such as hypocalcemia, malabsorption, or osteoporosis.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Against routine 25(OH)D testing in healthy adults

STEP 1 — Gather Information

Collect patient age, symptoms (e.g., bone pain, fatigue), medical history for conditions affecting vitamin D (malabsorption, CKD, granulomatous diseases, osteoporosis, hypocalcemia), current supplements, and ask whether any established indication for 25(OH)D testing exists; end with a list of identified indications or confirmation of none.

STEP 2 — Rule In / Rule Out

Is there an established indication for 25(OH)D testing (e.g., hypocalcemia, malabsorption, CKD, osteoporosis with fracture, granulomatous disease)? If yes, consider testing per other guidelines (outside this skill); if no, proceed to step 3.

STEP 3 — Classify or Stratify

Does the patient have any condition that alters vitamin D physiology (e.g., chronic kidney disease, liver failure, malabsorption, granulomatous disorders, medications affecting vitamin D metabolism)? If yes, testing may be indicated per clinical context (outside this skill); if no, classify as a healthy adult without indication and proceed to step 4.

STEP 4 — Decide

Recommend against routine 25(OH)D testing; discuss that empiric low-dose vitamin D supplementation may be considered only if aligned with other guideline recommendations (e.g., for specific age or risk groups) but should not be based on an unindicated test result.

Clinical Guardrails / Mimics / Pitfalls

Do not order 25(OH)D solely for screening in asymptomatic adults; do not initiate vitamin D replacement based on low 25(OH)D without clinical indication; do not repeat 25(OH)D to monitor supplementation unless treating a defined deficiency; avoid interpreting low levels as deficiency in the absence of symptoms or related disorders.

Concrete Clinical Example

A 45‑year‑old woman with mild fatigue requests a vitamin D level; she denies bone pain, fractures, GI symptoms, has normal calcium, no osteoporosis risk, and takes no medications affecting vitamin D. No established indication is found; per guideline, routine 25(OH)D testing is discouraged, and supplementation is not advised based solely on the request.

Source: Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2024, https://doi.org/10.1210/clinem/dgae290

---name: endo-against-25ohd-test-healthy-adultsdescription: The Endocrine Society guideline recommends against routine 25(OH)D testing in asymptomatic adults without established indications for vitamin D assessment. Trigger when a clinician considers ordering a 25(OH)D level for a healthy adult with no symptoms of deficiency and no clinical indications such as hypocalcemia, malabsorption, or osteoporosis.---# Against routine 25(OH)D testing in healthy adults## STEP 1 — Gather InformationCollect patient age, symptoms (e.g., bone pain, fatigue), medical history for conditions affecting vitamin D (malabsorption, CKD, granulomatous diseases, osteoporosis, hypocalcemia), current supplements, and ask whether any established indication for 25(OH)D testing exists; end with a list of identified indications or confirmation of none.## STEP 2 — Rule In / Rule OutIs there an established indication for 25(OH)D testing (e.g., hypocalcemia, malabsorption, CKD, osteoporosis with fracture, granulomatous disease)? If yes, consider testing per other guidelines (outside this skill); if no, proceed to step 3.## STEP 3 — Classify or StratifyDoes the patient have any condition that alters vitamin D physiology (e.g., chronic kidney disease, liver failure, malabsorption, granulomatous disorders, medications affecting vitamin D metabolism)? If yes, testing may be indicated per clinical context (outside this skill); if no, classify as a healthy adult without indication and proceed to step 4.## STEP 4 — DecideRecommend against routine 25(OH)D testing; discuss that empiric low-dose vitamin D supplementation may be considered only if aligned with other guideline recommendations (e.g., for specific age or risk groups) but should not be based on an unindicated test result.## Clinical Guardrails / Mimics / PitfallsDo not order 25(OH)D solely for screening in asymptomatic adults; do not initiate vitamin D replacement based on low 25(OH)D without clinical indication; do not repeat 25(OH)D to monitor supplementation unless treating a defined deficiency; avoid interpreting low levels as deficiency in the absence of symptoms or related disorders.## Concrete Clinical ExampleA 45‑year‑old woman with mild fatigue requests a vitamin D level; she denies bone pain, fractures, GI symptoms, has normal calcium, no osteoporosis risk, and takes no medications affecting vitamin D. No established indication is found; per guideline, routine 25(OH)D testing is discouraged, and supplementation is not advised based solely on the request.**Source:** Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2024, https://doi.org/10.1210/clinem/dgae290

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