What a Vitamin D Test Measures

A vitamin D test measures:

  • 25-hydroxyvitamin D (25-OH-D) — the main circulating form used to assess vitamin D status.

This reflects vitamin D obtained from sunlight exposure, diet and supplements.

General ranges used by UK laboratories:

  • Deficient: below 25 nmol/L
  • Insufficient: 25 to 50 nmol/L
  • Adequate: 50 nmol/L and above

Interpretation varies depending on symptoms, risk factors and wider health markers.

Why Vitamin D Tests Are Used

  • Vitamin D deficiency
  • Causes of fatigue or muscle aches
  • Bone and muscle health concerns
  • Increased risk of low mood in winter
  • Calcium or phosphate imbalance
  • Contributing factors to bone pain or weakness

Common Reasons to Have a Vitamin D Test

You may be advised to check vitamin D if you have:

  • Tiredness or low energy
  • Muscle aches or cramps
  • Bone discomfort
  • Low mood during winter
  • Dietary insufficiency
  • Low calcium on previous tests
  • Darker skin tone (reduced UV absorption)
  • Limited time outdoors
  • Pregnancy or breastfeeding
  • Known vitamin D deficiency

Vitamin D is also included in many routine health assessments.

Understanding Vitamin D Patterns

Often linked to limited sunlight exposure, poor absorption, winter months, low dietary intake or higher melanin levels in the skin.

Common in the UK. May contribute to tiredness and muscle aches, especially in winter.

Usually due to excessive supplement use. Rare from sunlight exposure alone.

Illness, supplements and seasonal variation can influence vitamin D levels.


If you would like to discuss your vitamin D results or symptoms related to low energy or bone health, you can book an online GP appointment for clear and personalised advice.

Last reviewed by Dr Zamiel Hussain, GMC registered GP
Updated: 8 December 2025