Medical note: This article is educational and cannot diagnose vitamin D deficiency or choose a treatment dose for you. If you are pregnant, have kidney or parathyroid disease, take interacting medicines, or have symptoms that concern you, ask a qualified clinician or pharmacist for individual advice.
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If you are wondering how to get vitamin D without sun, the safest practical answer is to combine labelled food sources with an appropriate everyday supplement when diet alone leaves a gap.
Key takeaways
- You do not need to chase unprotected sun exposure to get vitamin D. The American Academy of Dermatology recommends food and fortified foods rather than deliberate ultraviolet exposure or indoor tanning, because ultraviolet radiation increases the risk of skin cancer (American Academy of Dermatology).
- For adults aged 19 to 70, the US Recommended Dietary Allowance is 15 micrograms, or 600 IU, daily. It was set assuming minimal sun exposure. Adults over 70 need 20 micrograms, or 800 IU, under the same framework (NIH Office of Dietary Supplements).
- Natural food sources are limited. Oily fish offers the most vitamin D per ordinary serving; eggs, sardines and cheese contribute smaller amounts. Fortified milk or plant drinks can help, but the amount varies by product and country, so the label matters (NIH Office of Dietary Supplements).
- Vitamin D3 generally raises and maintains blood 25-hydroxyvitamin D better than vitamin D2, but both forms can work. Vegans can look for lichen-derived D3 or choose D2 (NIH Office of Dietary Supplements).
- The adult Tolerable Upper Intake Level is 100 micrograms, or 4,000 IU, a day from all sources. That ceiling is not a target and is not the same as a clinician-prescribed short treatment course for confirmed deficiency (NIH Office of Dietary Supplements).
- Routine blood testing is not recommended for every healthy adult. Testing and medical review become more relevant when symptoms, malabsorption, kidney or liver disease, certain medicines, osteoporosis risk, or other clinical indications are present (Endocrine Society, Saudi Council of Health Insurance).
Can you get enough vitamin D without much sun?
Yes. A skin-safe plan can combine vitamin D-containing foods, reliably fortified products and, when needed, a modest daily supplement chosen for your age, diet and medical context. Sunlight can contribute to vitamin D production, but it is too variable to convert into a safe, universal number of minutes.
If most of your day happens indoors, you wear clothing that covers most of your skin, or Riyadh's heat keeps you out of direct sun, this is a practical nutrition question, not a personal failure. Windows, work schedules, climate, skin pigmentation, age and clothing all change how much ultraviolet B radiation reaches the skin. That makes a simple promise such as “ten minutes equals a day's vitamin D” unreliable.
For a broader explanation of vitamin D's established functions and the limits of benefit claims, see Vitamin D for Women: Benefits, Sources, Safety and Evidence. If you already have symptoms, a risk condition or an abnormal result, use the dedicated guides to vitamin D deficiency in women in Saudi Arabia and vitamin D blood test results.
Why limited sun exposure is common in Riyadh
Riyadh is sunny, yet abundant sunshine does not guarantee abundant skin exposure. Many people commute by car, work in air-conditioned buildings and exercise after dark. Extreme heat can make midday outdoor activity uncomfortable or unsafe. Clothing may cover much of the skin for religious, cultural, professional or personal reasons. None of these choices should be treated as a problem that must be “fixed” by exposing more skin.
Skin pigmentation matters too. Melanin reduces the skin's vitamin D production from a given ultraviolet exposure. Older skin also makes less vitamin D, and people who are homebound or whose jobs keep them indoors have fewer opportunities for ultraviolet B exposure. The NIH lists limited sun exposure, darker skin, older age and clothing that covers most of the body among factors that can make sunlight-derived vitamin D less reliable (NIH Office of Dietary Supplements).
A Riyadh study reported that vitamin D fortification was not mandatory in Saudi Arabia and found that some products marketed as fortified contained little or no vitamin D. Its 2015 to 2016 data cannot judge every product sold today, but they support a useful habit: read the current nutrition panel instead of assuming all milk, laban, yoghurt, cereal or plant drinks are equivalent (Scientific Reports).
Why fixed sun-minute advice is unsafe
There is no medically reliable “minutes in the sun” prescription that works for everyone. Vitamin D production changes with season, time of day, latitude, cloud cover, air pollution, skin tone, age, clothing, the amount of skin exposed and sunscreen use. Any fixed number hides those variables and can encourage avoidable ultraviolet damage.
The American Academy of Dermatology does not recommend obtaining vitamin D through deliberate sun exposure or indoor tanning. Its position is direct: there is no safe ultraviolet exposure level that maximises vitamin D production without increasing skin-cancer risk, and it recommends broad-spectrum, water-resistant sunscreen with SPF 30 or higher as part of sun protection (American Academy of Dermatology).
Enjoy outdoor activity while following heat and skin-protection advice, but do not treat a tan or sunburn as evidence that you have met a nutrient target. Vitamin D advice should never require sunbathing, removing protective clothing or skipping sunscreen.
Does sunlight through a window count?
Ultraviolet B is the wavelength that drives vitamin D production in skin. Glass blocks most ultraviolet B, so sitting beside a bright office, home or car window should not be counted as a dependable vitamin D source. The light may still feel warm and improve the room, but it does not turn an indoor workday into a predictable vitamin D dose.
What about tanning beds?
Do not use indoor tanning to obtain vitamin D. The American Academy of Dermatology links indoor tanning with skin-cancer risk, while the NIH notes that frequent tanning-bed use can drive blood 25-hydroxyvitamin D to very high concentrations. Neither outcome makes tanning a sensible nutrient strategy (American Academy of Dermatology, NIH Office of Dietary Supplements).
How much vitamin D do you need?
A requirement is a population reference, not a treatment prescription. The US Recommended Dietary Allowance is 15 micrograms, or 600 IU, daily from ages 19 to 70, including pregnancy and breastfeeding, and 20 micrograms, or 800 IU, after age 70. These values assume minimal sun exposure (NIH Office of Dietary Supplements).
The United Kingdom uses a different public-health approach. The NHS advises 10 micrograms, or 400 IU, daily throughout the year for people who are seldom outdoors, live in an institution, usually cover most of their skin outdoors, or have dark skin. This is a useful example of preventive guidance, not proof that one number fits every person in every country (NHS).
Vitamin D labels may use micrograms, IU, or both. The conversion is simple: 1 microgram equals 40 IU. So 10 micrograms is 400 IU, 15 micrograms is 600 IU, and 25 micrograms is 1,000 IU (NIH Office of Dietary Supplements). Check the serving size as carefully as the number. A label may list the amount per drop, spray, capsule or two-gummy serving.
These reference intakes apply to generally healthy people. They do not tell you how to correct a confirmed low blood level. Treatment may use a different dose for a limited period and may require calcium checks or follow-up testing. That is a clinical plan, not a reason to copy a high-dose regimen from social media or another person's prescription.
Vitamin D food and practical table
The figures below are examples from the NIH food table, not fixed values for every product. Fish vitamin D varies by species and production method. Fortified foods vary by country, brand, recipe and serving size. Use the package label for the product you actually buy (NIH Office of Dietary Supplements).
| Food or product | Example serving | Example vitamin D | How to use it practically | What to check |
|---|---|---|---|---|
| Farmed rainbow trout, cooked | 85 g (3 oz) | 16.2 mcg (645 IU) | Main meal with rice, potatoes, salad or vegetables | Species, serving size and preparation |
| Sockeye salmon, cooked | 85 g (3 oz) | 14.2 mcg (570 IU) | Lunch bowl, sandwich filling or dinner | Wild and farmed values can differ |
| UV-exposed white mushrooms | 1/2 cup | 9.2 mcg (366 IU) | Add to eggs, pasta, soup or stir-fry | The pack should say UV-exposed or vitamin D enriched |
| Fortified plant drink | 1 cup | 2.5 to 3.6 mcg (100 to 144 IU) | Use with breakfast or in a smoothie | Shake the carton; compare brands and calcium content |
| Fortified 2% cow's milk | 1 cup | 2.9 mcg (120 IU) | Drink or add to oats and cereal | Fortification is not universal in Saudi products |
| Sardines in oil | 2 sardines | 1.2 mcg (46 IU) | Add to toast, salad or pasta | Sodium, portion size and whether bones are included |
| Egg | 1 large | 1.1 mcg (44 IU) | Breakfast, snack or meal ingredient | Most vitamin D is in the yolk |
| Cod liver oil | 1 tablespoon | 34 mcg (1,360 IU) | Not a routine first choice, especially around pregnancy | Vitamin A form and amount, total vitamin D, medicines |
Three cautions about the table
Second, “mushrooms contain vitamin D” is only useful if the mushrooms were exposed to ultraviolet light. Ordinary mushrooms may provide much less. Mushrooms mainly provide vitamin D2; fatty fish and most animal-derived foods provide vitamin D3. Both count toward intake.
Third, cod liver oil is not interchangeable with an ordinary vitamin D supplement. It can contain preformed vitamin A as well as vitamin D, and formulations differ. If you are pregnant or could become pregnant, NHS guidance says not to take cod liver oil or supplements containing vitamin A in the retinol form because too much vitamin A can harm the developing baby (NHS pregnancy guidance). Check prenatal products too, so you do not unknowingly stack ingredients.
How to build a realistic food plan
Step 1: Choose one fish pattern, if you eat fish
An oily fish meal can make a substantial contribution. Salmon or trout provides far more vitamin D per serving than an egg or a pair of sardines in the NIH examples. Choose species and portions that fit your preferences, budget, pregnancy status and mercury guidance. Fish also contributes protein and other nutrients, which makes it useful beyond vitamin D.
During pregnancy or breastfeeding, choose lower-mercury fish. US FDA guidance lists salmon, sardines, freshwater trout and herring among its “Best Choices” (US Food and Drug Administration).
Step 2: Select a fortified daily staple
Look at the milk, laban, yoghurt, cereal or plant drink you already use. Find “vitamin D,” “vitamin D2,” “vitamin D3,” “cholecalciferol” or “ergocalciferol” on the ingredient or nutrition panel. Record the amount per serving and the serving volume. If the label does not state an amount, do not count the product as a reliable source.
Step 3: Add smaller contributors honestly
Egg yolks, sardines and some cheeses can contribute, but they usually will not close a large gap by themselves. Include them because they suit your diet, not because a headline called them “high-dose vitamin D foods.” If you eat vegan, UV-exposed mushrooms and fortified plant foods may help, but product availability and amounts still determine whether food alone is enough.
Step 4: Compare your pattern with a reference intake
Add the labelled vitamin D from a typical day or week, then calculate a rough daily average. Do not claim precision beyond the data. Natural foods vary, labels may change and your portions are not identical every day. The purpose is to see whether your pattern is clearly substantial, clearly sparse, or somewhere in between.
Step 5: Use a supplement only to solve the remaining problem
If your food pattern supplies little vitamin D and sun exposure is consistently limited, an everyday preventive supplement may be reasonable. Choose it deliberately. A supplement should fill a nutritional gap, not become a high-dose experiment.
How fortification varies
Fortification means a manufacturer adds vitamin D to a food. It does not mean every food in that category is fortified, every country uses the same amount, or the product will remain unchanged forever.
Saudi Arabia needs a label-first approach. The Riyadh women's study reported that vitamin D fortification was not mandatory and found discrepancies between some fortification claims and measured content. Because that evidence is older and product markets change, it should prompt checking rather than distrust of every label (Scientific Reports).
A 2025 Riyadh Region paper described fortified milk in the local literature at about 400 IU per litre, again showing why a per-serving label check is more useful than assuming one standard amount (Frontiers in Public Health).
Use this quick label check:
- Confirm that vitamin D appears in the nutrition panel, not only in advertising on the front.
- Note whether the amount is in micrograms or IU and convert only if needed using 1 microgram = 40 IU.
- Check the serving size. One “serving” may not match the glass or bowl you use.
- Confirm whether the product uses D2 or D3 if that matters to you.
- Recheck after a packaging redesign. Formulations can change.
- For imported food, avoid assuming that the fortification standard from the country of origin matches another country's usual product.
How to choose vitamin D supplements
Vitamin D3 vs D2
Vitamin D2 is ergocalciferol. Vitamin D3 is cholecalciferol. The NIH concludes that both forms increase blood vitamin D, but D3 tends to raise 25-hydroxyvitamin D higher and maintain it for longer. For that reason, D3 is often the more practical everyday choice (NIH Office of Dietary Supplements).
Traditional D3 is commonly made from lanolin, while vegan D3 made from lichen is available. D2 is generally plant or fungal derived. Check the source if dietary ethics or allergies matter to you. D3 being more potent does not make D2 useless or justify a larger dose.
Dose and label arithmetic
For ordinary prevention, compare the product with a recognised reference intake. The US RDA is 600 IU for adults through age 70 and 800 IU after 70; the NHS preventive advice for people who are seldom outdoors or usually cover their skin is 400 IU daily. These are guideline frames, not a personalised prescription (NIH Office of Dietary Supplements, NHS).
Count vitamin D in every multivitamin, prenatal, calcium tablet, fortified drink and separate D product. Adding the amounts prevents accidental stacking.
Avoid choosing a product simply because it offers 5,000, 10,000 or 50,000 IU. Those numbers exceed ordinary reference intakes, and high-dose regimens belong to the treatment of selected patients under clinical supervision. The 2024 Endocrine Society guideline also favours daily lower-dose vitamin D rather than intermittent high doses for adults aged 50 and older who have an indication for supplementation (Journal of Clinical Endocrinology & Metabolism).
Take it with food
Vitamin D is fat-soluble. The NIH reports that dietary fat enhances absorption, although some vitamin D is absorbed without fat. Taking a supplement with a regular meal that contains some fat, such as yoghurt, eggs, fish, olive oil, nuts or avocado, is a practical choice. You do not need an unusually fatty meal (NIH Office of Dietary Supplements).
Choose a simple formulation
A decision framework for limited-sun lifestyles
Use this framework for prevention, not for treating an existing abnormal result.
Path A: Your diet includes dependable vitamin D sources
You eat oily fish regularly and use a product whose label confirms meaningful vitamin D. Compare your rough average with an established reference intake. You may not need a separate product, especially if a multivitamin or prenatal already supplies vitamin D.
Next step: keep checking labels when brands change. Avoid adding a supplement “just in case” without counting your total.
Path B: Your sun exposure is limited and your diet supplies little vitamin D
This is common for indoor workers, people who are homebound, and people who cover most of their skin outdoors. A modest daily supplement within a recognised preventive framework may be more dependable than trying to manufacture a sun schedule (NHS).
Next step: choose a straightforward D3 or D2 product, calculate your total from all products, and stay below the adult UL unless a clinician has prescribed and is monitoring a different plan.
Path C: You are pregnant, breastfeeding or planning pregnancy
Vitamin D requirements and product safety matter, but prenatal products vary. Cod liver oil and retinol-containing vitamin A supplements are not appropriate in pregnancy. Some people also take calcium, iron or omega-3 products, which can make duplicate ingredients easy to miss (NHS pregnancy guidance).
Next step: take all bottles, photos of labels, or a written list to your obstetric clinician or pharmacist. Ask for one plan that accounts for the prenatal and every separate supplement.
Path D: You have a condition or medicine that changes the equation
Malabsorption, bariatric surgery, kidney or liver disease, hyperparathyroidism, granulomatous disease, obesity, osteoporosis risk, and several medicines can change vitamin D absorption, metabolism, testing or safety. A standard shop-bought plan may not be enough, or may be inappropriate.
Next step: seek medical advice rather than increasing the dose yourself. The clinical question may involve vitamin D, calcium, kidney function, parathyroid hormone or another cause, depending on your history.
Path E: You already have an abnormal 25-hydroxyvitamin D result
A result is not a cue to copy a friend's loading dose. Laboratories and guidelines use different thresholds, and dose decisions depend on the value, symptoms, pregnancy, age, body size, absorption, medicines and other conditions.
Next step: use the vitamin D blood test results guide to understand the terminology, then discuss treatment with the clinician who ordered the test. This article intentionally does not provide a deficiency-treatment protocol.
Vitamin D safety, interactions and pregnancy cautions
The upper limit is a ceiling, not a goal
For adults, including during pregnancy and breastfeeding, the US Tolerable Upper Intake Level is 100 micrograms, or 4,000 IU, daily from food, drinks and supplements combined. A UL is the highest average daily intake unlikely to pose risk for most people. It is not the dose everyone should take, and it does not guarantee that every individual can use that amount without harm (NIH Office of Dietary Supplements).
Clinicians sometimes prescribe doses above the UL to treat confirmed deficiency. That does not contradict the UL. A treatment dose has a diagnosis, a defined duration, contraindication checks and a monitoring plan. Self-selected long-term high dosing has none of those safeguards.
Vitamin D toxicity is almost always caused by excessive supplements, not ordinary sun exposure. It can cause hypercalcaemia, meaning too much calcium in the blood. Symptoms can include nausea, vomiting, muscle weakness, confusion or other neuropsychiatric changes, dehydration, frequent urination, intense thirst and kidney stones. Severe toxicity can damage the kidneys and heart (NIH Office of Dietary Supplements).
Medicines and conditions that need a check
Ask a pharmacist or clinician before starting or increasing vitamin D if you use:
- Orlistat: with a reduced-fat diet, it can lower vitamin D absorption from food and supplements.
- Thiazide diuretics: combining them with vitamin D can raise calcium too much in some people, especially with impaired kidney function or hyperparathyroidism.
- Corticosteroids such as prednisone: long-term use can impair vitamin D metabolism and calcium absorption.
- Some statins: high vitamin D intakes may affect the potency of atorvastatin, lovastatin or simvastatin, although this does not mean everyone taking a statin must avoid ordinary vitamin D intake.
The interaction list comes from the NIH fact sheet and is not exhaustive (NIH Office of Dietary Supplements). Bring your full medicines list, including non-prescription products, to the discussion.
Seek individual advice before supplementing if you have high blood calcium, hyperparathyroidism, severe kidney impairment, a history of kidney stones, granulomatous disease such as sarcoidosis, significant liver disease, inflammatory bowel disease, coeliac disease, cystic fibrosis, pancreatic disease, or previous bariatric surgery. These conditions can affect absorption, activation or calcium balance. Saudi Council of Health Insurance criteria identify several of them as reasons for clinically indicated assessment rather than routine self-care (Saudi Council of Health Insurance).
Pregnancy and cod liver oil
If you are pregnant, trying to conceive or might become pregnant, avoid cod liver oil and any supplement containing vitamin A as retinol unless your obstetric clinician has specifically directed it. Too much preformed vitamin A can harm fetal development. A prenatal vitamin may already include vitamin D, so count that amount before adding anything else (NHS pregnancy guidance).
Breastfeeding creates a separate question for the infant. Human milk usually contains limited vitamin D, and infant supplementation guidance should come from the child's clinician. Do not increase a maternal dose with the aim of treating the baby unless a qualified clinician has recommended a specific supervised plan (NIH Office of Dietary Supplements).
When testing or medical care makes sense
Most healthy adults do not need a routine vitamin D blood test before following ordinary food guidance or using a standard preventive intake. Testing becomes more appropriate when there are relevant symptoms, diseases, medicines, malabsorption, bone-health concerns or a clinician needs the result to guide treatment.
The 2024 Endocrine Society guideline suggests against routine 25-hydroxyvitamin D testing in healthy adults, including generally healthy people with dark complexion or obesity, and during pregnancy. The US Preventive Services Task Force has found insufficient evidence to recommend population screening of asymptomatic adults (Endocrine Society, US Preventive Services Task Force).
In Saudi Arabia, CHI criteria also frame testing around clinical indications rather than universal screening. Examples include documented proximal muscle weakness, osteoporosis or high fracture risk, disorders of calcium or parathyroid hormone, chronic kidney or liver disease, malabsorption or bariatric surgery, granulomatous disease, and relevant long-term medicines such as glucocorticoids or anticonvulsants (Saudi Council of Health Insurance). Coverage rules are not a diagnosis, and your clinician may consider other details.
Book a medical appointment rather than only changing your diet if:
- you have persistent bone pain, marked muscle weakness, difficulty rising from a chair or trouble walking;
- you have had a low-trauma fracture, osteoporosis, repeated kidney stones or known high calcium;
- you have kidney, liver, parathyroid, bowel, pancreatic or granulomatous disease;
- you have had bariatric surgery or another condition that can cause malabsorption;
- you take long-term glucocorticoids, anticonvulsants, orlistat, thiazide diuretics, or multiple supplements containing vitamin D;
- you are pregnant and considering anything beyond an ordinary prenatal or guideline-level preventive amount;
- you already have an abnormal 25-hydroxyvitamin D result or have been taking a high dose without supervision.
Urgent red flags
Stop extra vitamin D and seek urgent medical advice if high supplement intake is followed by repeated vomiting, marked confusion, severe weakness, dehydration, intense thirst with frequent urination, severe flank pain, or a concerning heart rhythm sensation. These symptoms are not specific to vitamin D toxicity, but they can accompany dangerous high calcium and need prompt assessment (NIH Office of Dietary Supplements).
Call emergency services for collapse, severe confusion, chest pain, a seizure, severe breathing difficulty or an abnormal heartbeat with fainting. Do not wait for a routine clinic appointment or online reply.
Frequently asked questions
1. Can I get enough vitamin D without sun exposure?
Yes, many people use a combination of oily fish, reliably fortified foods and a modest supplement. Whether food alone is enough depends on what you actually eat and the amount shown on local product labels (NIH Office of Dietary Supplements).
2. How many minutes of sun do I need for vitamin D?
There is no safe, accurate minute prescription for everyone. Skin tone, age, clothing, season, time, location and exposed area change production, and the American Academy of Dermatology does not recommend deliberate ultraviolet exposure as a vitamin D strategy (American Academy of Dermatology).
3. Should I stop using sunscreen so my body can make vitamin D?
No. Do not trade skin protection for a nutrient target. Use food, fortified products and supplements when needed, and continue broad-spectrum SPF 30 or higher sunscreen as part of sun protection (American Academy of Dermatology).
4. Is vitamin D3 better than D2?
D3 generally raises and maintains blood 25-hydroxyvitamin D more effectively than D2, but both forms can increase vitamin D status. Vegan options include D2 and lichen-derived D3 (NIH Office of Dietary Supplements).
5. Should I take vitamin D with food?
Taking it with a meal that contains some fat can improve absorption, although the body absorbs some vitamin D without fat. A normal meal with yoghurt, eggs, fish, olive oil, nuts or avocado is enough; no special high-fat meal is required (NIH Office of Dietary Supplements).
6. Is 5,000 IU of vitamin D every day safe?
It is above the adult Tolerable Upper Intake Level of 4,000 IU per day, so it should not be treated as a routine self-care dose. A clinician may prescribe a higher dose for a defined reason and period, but that is treatment with oversight, not ordinary prevention (NIH Office of Dietary Supplements).
7. Can I use cod liver oil for vitamin D during pregnancy?
Do not use cod liver oil during pregnancy or while trying to conceive unless your obstetric clinician specifically directs it. Cod liver oil can contain vitamin A as retinol, and excess preformed vitamin A can harm fetal development (NHS pregnancy guidance).
8. Do I need a vitamin D blood test because I work indoors or cover my skin?
Not automatically. The Endocrine Society advises against routine testing in generally healthy adults, while Saudi CHI criteria support testing when specific symptoms, conditions, medicines or bone-health risks make the result clinically useful (Endocrine Society, Saudi Council of Health Insurance).
The bottom line
Limited sun exposure does not force you to choose between low vitamin D and unsafe ultraviolet exposure. Build from dependable information: use oily fish if it suits you, check whether everyday foods are truly fortified, count vitamin D already present in a multivitamin or prenatal, and use a simple preventive supplement when food intake is sparse and your medical context allows it.
Keep two boundaries clear. First, the adult upper limit of 4,000 IU per day is a ceiling for routine long-term intake, not a target. Second, a clinician-prescribed treatment dose for confirmed deficiency is a different category from self-care.
If pregnancy, medicines, kidney or parathyroid disease, malabsorption, abnormal calcium, bone pain, marked weakness or a previous abnormal result complicates the decision, arrange a medical review with an appropriately qualified clinician.
References
- National Institutes of Health, Office of Dietary Supplements. Vitamin D: Fact Sheet for Health Professionals. Intake reference values, food sources, absorption, D2 versus D3, safety, toxicity and interactions. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/
- American Academy of Dermatology. Vitamin D and UV exposure. Skin-cancer-safe guidance on sun, tanning and sunscreen. https://www.aad.org/media/stats-vitamin-d
- Demay MB, Pittas AG, Bikle DD, et al. Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline. Journal of Clinical Endocrinology & Metabolism. 2024;109(8):1907-1947. https://academic.oup.com/jcem/article/109/8/1907/7685305
- Endocrine Society. Vitamin D for the Prevention of Disease. Guideline resource page, 2024. https://www.endocrine.org/clinical-practice-guidelines/vitamin-d-for-prevention-of-disease
- NHS. Vitamin D. Public-health advice on preventive intake, at-risk groups and the adult upper limit. https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/
- US Preventive Services Task Force. Vitamin D Deficiency in Adults: Screening. 2021. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-deficiency-screening
- Council of Health Insurance, Saudi Arabia. Criteria for Insurance Coverage for Vitamin D Testing. https://www.chi.gov.sa/en/aboutchi/cchiprograms/MedicineDocuments/Vitamin%20D.pdf
- Scientific Reports. Riyadh women vitamin D study. 2019. https://www.nature.com/articles/s41598-019-56830-z
- Frontiers in Public Health. Riyadh Region five-year vitamin D trend. 2025. https://pmc.ncbi.nlm.nih.gov/articles/PMC12066668/
- US Food and Drug Administration. Advice about Eating Fish. Updated consumer guidance for pregnancy and breastfeeding. https://www.fda.gov/food/consumers/advice-about-eating-fish