How do I install the Endo Vitd No Screening Healthy skill?

Run npx skillmds@latest add dromlakhani/endo-vitd-no-screening-healthy 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.

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Which AI agents work with Endo Vitd No Screening Healthy?

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Who published Endo Vitd No Screening Healthy?

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

Endo Vitd No Screening Healthy by dromlakhani

Name: Endo Vitd No Screening Healthy
Rating: 4.2 (5 reviews)
Author: dromlakhani

Endo Vitd No Screening Healthy

Recommends against routine 25(OH)D screening and subsequent vitamin D treatment in healthy adults without established indications. Triggered by clinician questions such as "Should I screen for vitamin D deficiency in this healthy adult?" or "Is vitamin D testing indicated for asymptomatic patients?"

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Against routine vitamin D screening in healthy adults

STEP 1 — Gather Information

Collect patient age, presence of established indications for vitamin D testing (e.g., hypocalcemia, hyperparathyroidism, malabsorption, chronic kidney disease, osteoporosis, or medications affecting vitamin D metabolism), and symptoms suggestive of deficiency (e.g., bone pain, proximal muscle weakness). If asymptomatic and no indications, proceed.

STEP 2 — Rule In / Rule Out

Rule out any established indication for 25(OH)D testing. If an indication is present (e.g., hypocalcemia, malabsorption), screening may be warranted per other guidelines — stop here. If no indication exists, classify as a healthy adult without indications.

STEP 3 — Classify or Stratify

Classify the patient as a healthy adult without established indications for vitamin D testing. This triggers the recommendation against routine screening.

STEP 4 — Decide

Do not order a 25(OH)D test. Instead, follow age‑specific guidance for empiric vitamin D supplementation (e.g., against supplementation beyond DRI for adults <75 years) based on other guideline questions.

Clinical Guardrails / Mimics / Pitfalls

Do not screen based solely on nonspecific symptoms like fatigue or low energy. Avoid treating low 25(OH)D levels without an established indication. Do not apply this recommendation to patients with conditions that alter vitamin D physiology (e.g., CKD, gastric bypass, anticonvulsants).

Concrete Clinical Example

A 45‑year‑old asymptomatic patient requests vitamin D screening. Review reveals no hypocalcemia, malabsorption, or other indications. The clinician decides against ordering a 25(OH)D test and reassures the patient that routine screening is not recommended.

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-vitd-no-screening-healthydescription: Recommends against routine 25(OH)D screening and subsequent vitamin D treatment in healthy adults without established indications. Triggered by clinician questions such as "Should I screen for vitamin D deficiency in this healthy adult?" or "Is vitamin D testing indicated for asymptomatic patients?"---# Against routine vitamin D screening in healthy adults## STEP 1 — Gather InformationCollect patient age, presence of established indications for vitamin D testing (e.g., hypocalcemia, hyperparathyroidism, malabsorption, chronic kidney disease, osteoporosis, or medications affecting vitamin D metabolism), and symptoms suggestive of deficiency (e.g., bone pain, proximal muscle weakness). If asymptomatic and no indications, proceed.## STEP 2 — Rule In / Rule OutRule out any established indication for 25(OH)D testing. If an indication is present (e.g., hypocalcemia, malabsorption), screening may be warranted per other guidelines — stop here. If no indication exists, classify as a healthy adult without indications.## STEP 3 — Classify or StratifyClassify the patient as a healthy adult without established indications for vitamin D testing. This triggers the recommendation against routine screening.## STEP 4 — DecideDo not order a 25(OH)D test. Instead, follow age‑specific guidance for empiric vitamin D supplementation (e.g., against supplementation beyond DRI for adults <75 years) based on other guideline questions.## Clinical Guardrails / Mimics / PitfallsDo not screen based solely on nonspecific symptoms like fatigue or low energy. Avoid treating low 25(OH)D levels without an established indication. Do not apply this recommendation to patients with conditions that alter vitamin D physiology (e.g., CKD, gastric bypass, anticonvulsants).## Concrete Clinical ExampleA 45‑year‑old asymptomatic patient requests vitamin D screening. Review reveals no hypocalcemia, malabsorption, or other indications. The clinician decides against ordering a 25(OH)D test and reassures the patient that routine screening is not recommended.**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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