How do I install the Endo Vit D Supp Pregnancy skill?

Run npx skillmds@latest add dromlakhani/endo-vit-d-supp-pregnancy 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 Vit D Supp Pregnancy safe to use?

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Which AI agents work with Endo Vit D Supp Pregnancy?

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 Vit D Supp Pregnancy free to use?

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

Who published Endo Vit D Supp Pregnancy?

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

Endo Vit D Supp Pregnancy by dromlakhani

Name: Endo Vit D Supp Pregnancy
Rating: 4.2 (5 reviews)
Author: dromlakhani

Endo Vit D Supp Pregnancy

The guideline suggests empiric vitamin D supplementation during pregnancy to lower the risk of preeclampsia, intra-uterine mortality, preterm birth, small-for-gestational-age birth, and neonatal mortality. Consider this when a clinician inquires about vitamin D supplementation for pregnant patients to reduce pregnancy complications.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Vitamin D supplementation during pregnancy

STEP 1 — Gather Information

Confirm pregnancy and gestational age; assess current vitamin D intake from diet and prenatal vitamins; screen for conditions that increase risk of vitamin D toxicity (e.g., hypercalcemia, sarcoidosis, lymphoma). If pregnant and no contraindications, proceed.

STEP 2 — Rule In / Rule Out

Is the patient pregnant? If yes, rule in and proceed to step 3; if no, rule out empiric vitamin D for pregnancy complications.

STEP 3 — Classify or Stratify

Assess for contraindications to vitamin D supplementation (e.g., existing hypercalcemia, granulomatous diseases). If any contraindication is present, rule out high-dose vitamin D; otherwise, classify as suitable for empiric supplementation.

STEP 4 — Decide

Prescribe empiric vitamin D supplementation (e.g., daily vitamin D 600–5000 IU, preferably lower daily doses) via fortified foods, prenatal vitamin formulations containing vitamin D, and/or a vitamin D supplement (pills or drops); do not rely on 25(OH)D testing.

Clinical Guardrails / Mimics / Pitfalls

Avoid routine 25(OH)D testing; do not use high intermittent bolus dosing without monitoring; do not exceed the tolerable upper intake level without clinical supervision; do not initiate in patients with known hypercalcemia or granulomatous conditions; do not replace standard prenatal care or other indicated interventions.

Concrete Clinical Example

A 28‑year‑old at 12 weeks gestation asks about vitamin D to lower preeclampsia risk; she takes a prenatal vitamin with 400 IU vitamin D daily and has no contraindications. Recommend continuing the prenatal vitamin and adding supplemental vitamin D3 to achieve a total daily intake of ~2000–2500 IU (e.g., add 1000–2000 IU vitamin D3 daily). No 25(OH)D testing is needed.

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

---name: endo-vit-d-supp-pregnancydescription: The guideline suggests empiric vitamin D supplementation during pregnancy to lower the risk of preeclampsia, intra-uterine mortality, preterm birth, small-for-gestational-age birth, and neonatal mortality. Consider this when a clinician inquires about vitamin D supplementation for pregnant patients to reduce pregnancy complications.---# Vitamin D supplementation during pregnancy## STEP 1 — Gather InformationConfirm pregnancy and gestational age; assess current vitamin D intake from diet and prenatal vitamins; screen for conditions that increase risk of vitamin D toxicity (e.g., hypercalcemia, sarcoidosis, lymphoma). If pregnant and no contraindications, proceed.## STEP 2 — Rule In / Rule OutIs the patient pregnant? If yes, rule in and proceed to step 3; if no, rule out empiric vitamin D for pregnancy complications.## STEP 3 — Classify or StratifyAssess for contraindications to vitamin D supplementation (e.g., existing hypercalcemia, granulomatous diseases). If any contraindication is present, rule out high-dose vitamin D; otherwise, classify as suitable for empiric supplementation.## STEP 4 — DecidePrescribe empiric vitamin D supplementation (e.g., daily vitamin D 600–5000 IU, preferably lower daily doses) via fortified foods, prenatal vitamin formulations containing vitamin D, and/or a vitamin D supplement (pills or drops); do not rely on 25(OH)D testing.## Clinical Guardrails / Mimics / PitfallsAvoid routine 25(OH)D testing; do not use high intermittent bolus dosing without monitoring; do not exceed the tolerable upper intake level without clinical supervision; do not initiate in patients with known hypercalcemia or granulomatous conditions; do not replace standard prenatal care or other indicated interventions.## Concrete Clinical ExampleA 28‑year‑old at 12 weeks gestation asks about vitamin D to lower preeclampsia risk; she takes a prenatal vitamin with 400 IU vitamin D daily and has no contraindications. Recommend continuing the prenatal vitamin and adding supplemental vitamin D3 to achieve a total daily intake of ~2000–2500 IU (e.g., add 1000–2000 IU vitamin D3 daily). No 25(OH)D testing is needed.**Source:** Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2024, DOI:10.1210/clinem/dgae290

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