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The symptoms of a vitamin D deficiency in adults may include : tiredness, aches, and pains severe bone or muscle pain or weakness stress fractures, especially in your legs, pelvis, and hips Biotin injection IM or IV drip

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This includes a validated diagnostic algorithm called the SLE Risk Probability Index (SLERPI) where a SLERPI score of greater than 7 was highly accurate (94.2%) and sensitive for detecting early disease (93.8%) and severe manifestations including kidney (97.9%) and neuropsychiatric involvement (91.8%) (189)