How do I install the Endo Against Vit D Supp 50 74 skill?

Run npx skillmds@latest add dromlakhani/endo-against-vit-d-supp-50-74 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 Vit D Supp 50 74 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 Vit D Supp 50 74?

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 Vit D Supp 50 74 free to use?

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

Who published Endo Against Vit D Supp 50 74?

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

Endo Against Vit D Supp 50 74 by dromlakhani

Name: Endo Against Vit D Supp 50 74
Rating: 4.2 (5 reviews)
Author: dromlakhani

Endo Against Vit D Supp 50 74

Recommends against routine vitamin D supplementation beyond the Dietary Reference Intake in adults aged 50 to 74 years. Use when a clinician considers vitamin D supplementation for adults aged 50-74 without established indications such as osteoporosis, malabsorption, or chronic kidney disease.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Against routine vitamin D supplementation in adults 50-74

STEP 1 — Gather Information

Collect patient age, presence of established indications for vitamin D (e.g., osteoporosis, malabsorption syndromes, chronic kidney disease, hyperparathyroidism, diagnosed vitamin D deficiency), current vitamin D supplement use and dose, dietary intake, and sunlight exposure.

STEP 2 — Rule In / Rule Out

If the patient has an established indication for vitamin D supplementation (e.g., osteoporosis, malabsorption, CKD, or documented deficiency), rule out the recommendation against supplementation and proceed to individualized treatment. Otherwise, rule in that the patient lacks an indication for empiric supplementation beyond DRI.

STEP 3 — Classify or Stratify

Classify the patient as needing no routine vitamin D supplementation beyond the DRI; advise that supplementation should be limited to meeting the IOM Recommended Daily Allowance (600 IU daily for ages 50-70, 800 IU daily for >70 years) through diet and sunlight.

STEP 4 — Decide

Decide against prescribing or recommending routine vitamin D supplements exceeding the DRI; do not order a 25(OH)D test solely for screening; encourage dietary sources and safe sun exposure to achieve adequate vitamin D status.

Clinical Guardrails / Mimics / Pitfalls

Do not apply this recommendation to patients with known vitamin D deficiency, osteoporosis, malabsorption, chronic kidney disease, hyperparathyroidism, or other conditions that alter vitamin D metabolism. Do not extrapolate to adults younger than 50 or 75 years and older. Do not deny 25(OH)D testing when clinically indicated (e.g., symptoms of hypocalcemia, seizures). Avoid recommending intermittent high-dose vitamin D regimens; prefer daily lower-dose if supplementation is needed.

Concrete Clinical Example

A 62-year-old man with no bone disease, normal diet, and no symptoms asks whether he should take vitamin D 2000 IU daily to prevent cancer. According to the guideline, advise against routine supplementation beyond the DRI; suggest aiming for 600 IU daily from diet or a standard multivitamin if needed, and obtain vitamin D through sunlight and food sources.

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-vit-d-supp-50-74description: Recommends against routine vitamin D supplementation beyond the Dietary Reference Intake in adults aged 50 to 74 years. Use when a clinician considers vitamin D supplementation for adults aged 50-74 without established indications such as osteoporosis, malabsorption, or chronic kidney disease.---# Against routine vitamin D supplementation in adults 50-74## STEP 1 — Gather InformationCollect patient age, presence of established indications for vitamin D (e.g., osteoporosis, malabsorption syndromes, chronic kidney disease, hyperparathyroidism, diagnosed vitamin D deficiency), current vitamin D supplement use and dose, dietary intake, and sunlight exposure.## STEP 2 — Rule In / Rule OutIf the patient has an established indication for vitamin D supplementation (e.g., osteoporosis, malabsorption, CKD, or documented deficiency), rule out the recommendation against supplementation and proceed to individualized treatment. Otherwise, rule in that the patient lacks an indication for empiric supplementation beyond DRI.## STEP 3 — Classify or StratifyClassify the patient as needing no routine vitamin D supplementation beyond the DRI; advise that supplementation should be limited to meeting the IOM Recommended Daily Allowance (600 IU daily for ages 50-70, 800 IU daily for >70 years) through diet and sunlight.## STEP 4 — DecideDecide against prescribing or recommending routine vitamin D supplements exceeding the DRI; do not order a 25(OH)D test solely for screening; encourage dietary sources and safe sun exposure to achieve adequate vitamin D status.## Clinical Guardrails / Mimics / PitfallsDo not apply this recommendation to patients with known vitamin D deficiency, osteoporosis, malabsorption, chronic kidney disease, hyperparathyroidism, or other conditions that alter vitamin D metabolism. Do not extrapolate to adults younger than 50 or 75 years and older. Do not deny 25(OH)D testing when clinically indicated (e.g., symptoms of hypocalcemia, seizures). Avoid recommending intermittent high-dose vitamin D regimens; prefer daily lower-dose if supplementation is needed.## Concrete Clinical ExampleA 62-year-old man with no bone disease, normal diet, and no symptoms asks whether he should take vitamin D 2000 IU daily to prevent cancer. According to the guideline, advise against routine supplementation beyond the DRI; suggest aiming for 600 IU daily from diet or a standard multivitamin if needed, and obtain vitamin D through sunlight and food sources.**Source:** Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2024, https://doi.org/10.1210/clinem/dgae290

Frequently asked questions