Despite Pakistan’s abundant sunshine throughout the year, an alarming number of people suffer from vitamin d deficiency. You might feel constantly tired, experience unexplained bone pain, or catch infections frequently. These are all potential signs of vitamin d deficiency that often go undiagnosed.
The statistics are concerning. Recent studies reveal that 53.5% of Pakistan’s population exhibits vitamin D deficiency, while 31.2% have insufficient levels. This leaves only 15.3% with normal vitamin D levels. Among women of reproductive age, approximately 79.7% are vitamin D deficient, and in children under five years, the rate reaches 62.7%.
These numbers highlight a serious health concern affecting people of all ages across the country. The positive part is that this deficiency can be treated and even prevented with proper medical care and healthy lifestyle changes.
In this comprehensive guide, we’ll cover what is vitamin d deficiency, It’s common symptoms, causes, associated health risks, treatment options, and when to consult a doctor. You’ll also learn how to easily book top doctors in Pakistan through Marham.
What Is Vitamin D Deficiency?

It’s a condition where your body doesn’t have adequate levels of vitamin D. It’s a crucial nutrient that functions more like a hormone than a traditional vitamin. Vitamin D plays vital roles in:
- Maintaining bone health and calcium absorption
- Supporting immune system function
- Regulating mood and mental health
- Controlling inflammation
- Supporting muscle function
- Promoting cardiovascular health
Your body produces vitamin D when skin is exposed to sunlight, specifically UVB rays. You can also obtain it through certain foods and supplements. When levels drop below normal, various health problems can develop.
Normal Vitamin D Deficiency Range:
- Sufficient: 30-100 ng/mL
- Insufficient: 20-29 ng/mL
- Deficient: Below 20 ng/mL
- Severe deficiency: Below 10 ng/mL
Vitamin D Deficiency Symptoms: 14 Signs to Watch For

Spotting vitamin D deficiency symptoms early makes it easier to get timely treatment. Here are the 14 signs you shouldn’t ignore:
1. Fatigue and Tiredness
Persistent exhaustion even after adequate sleep is one of the most common symptoms of vitamin D deficiency. Many people dismiss this as stress, but does vitamin D deficiency cause fatigue? Yes, significantly.
2. Bone and Joint Pain
This vitamin deficiency can cause joint pain because the body needs vitamin D to absorb calcium properly. Knee pain and general bone aches are among the most common complaints.
3. Muscle Weakness
Difficulty climbing stairs or general muscle weakness can indicate deficiency, especially in older adults.
4. Frequent Infections
Symptoms of the absence of vitamin d include catching colds, flu, and respiratory infections repeatedly due to a weakened immune system.
5. Mood Changes and Depression
Vitamin D deficiency and depression are closely linked. Low vitamin D levels may also increase the risk of mood swings and anxiety.
6. Hair Loss
Wondering if vitamin D deficiency causes hair loss? Research shows that vitamin D deficiency hair loss is a real concern, particularly in women.
7. Slow Wound Healing
If your cuts or wounds take longer than normal to heal, it may be a sign of the deficiency of vitamin D.
8. Excessive Sweating
Excessive sweating on the head or forehead, especially in newborns, can be an early sign of vitamin D deficiency.
9. Brain Fog and Difficulty Concentrating
Vitamin D deficiency can cause brain fog, making it harder to concentrate and stay focused.
10. Dizziness
Vitamin D deficiency can sometimes cause dizziness because it affects blood pressure regulation.
11. Weight Changes
Vitamin D deficiency can lead to both weight gain and weight loss, though weight gain happens more frequently.
12. Irregular Periods
Vitamin D deficiency can also cause irregular periods in women by affecting hormonal balance.
13. Digestive Issues
Constipation from vitamin D deficiency happens because low levels affect gut health and the movement of muscles in the intestines.
14. Skin Problems
Does vitamin D deficiency cause acne? While it’s not a direct cause, low levels of vitamin D can make inflammatory skin conditions like acne worse.
If you’re experiencing multiple symptoms, book a consultation with experienced general physicians or endocrinologists in Lahore, Karachi, or Islamabad through Marham for proper vitamin D deficiency testing and diagnosis.
Vitamin D Deficiency Causes: Why Is It So Common in Pakistan?
Understanding the causes of vitamin D deficiency can help you take steps to prevent it:
1. Limited Sun Exposure
Even with plenty of sunlight, factors like staying indoors, using sunscreen, and wearing covering clothes can limit sun exposure and lead to the deficiency of vitamin D.
2. Dietary Habits
Most Pakistani diets are low in vitamin D-rich foods such as fatty fish, fortified dairy, and egg yolks. Eating too many processed foods can also worsen the problem by replacing healthier options.
3. Skin Pigmentation
People with darker skin need more sun exposure to produce enough vitamin D because higher melanin levels reduce the skin’s ability to make it.
4. Geographical and Environmental Factors
High pollution levels in major cities block UVB rays which reduce vitamin D synthesis even when outdoors.
5. Health Conditions
Certain diseases affect vitamin D absorption:
- Celiac disease
- Kidney and liver problems
- Chronic kidney disease
- Malabsorption syndromes
6. Obesity
Severe deficiency of vitamin D may contribute to weight gain, and the link works both ways. Obesity can also worsen deficiency because vitamin D gets stored in fat tissue, making it less available for the body.
7. Age
As people age, their skin makes less vitamin D from sunlight, and weaker kidney function can also reduce the body’s ability to activate it.
8. Pregnancy and Breastfeeding
The deficiency of vitamin D is common during pregnancy because the body’s demand increases. If mothers are deficient, it can also raise the risk of rickets in children.
Health Risks Associated with Vitamin D Deficiency
Prolonged vitamin D deficiency can lead to several health complications:
- Osteoporosis and osteomalacia: Weakening of bones, increasing the risk of fractures.
- Increased susceptibility to infections: A compromised immune system can lead to frequent illnesses.
- Cardiovascular issues: Some studies suggest a link between low vitamin D levels and heart disease.
- Mood disorders: Deficiency may contribute to depression and other mood disturbances.
- Developmental delays in children: Insufficient vitamin D can affect growth and development.
Vitamin D Deficiency Test: How to Check Your Levels
The only reliable way to confirm vitamin D deficiency is through a blood test. This test measures the level of 25-hydroxyvitamin D [25(OH)D] in your blood, which shows how much vitamin D is stored in your body.
- The test requires a small blood sample.
- Results are usually available within 1–2 days.
- In medical records, the test may be listed with the code ICD-10: E55.9.
If you have symptoms like fatigue, bone pain, frequent illness, or muscle weakness, ask your doctor to include a vitamin D test in your routine checkup.
You can also book a vitamin D test at top pathology labs through Marham. With discounts of up to 40%, it’s an affordable and convenient way to check your levels anywhere in Pakistan.
Vitamin D Deficiency Treatment

Addressing vitamin D deficiency involves a combination of lifestyle changes and medical interventions:
- Sunlight exposure: Aim for 10–30 minutes of sunlight exposure several times a week, based on your skin type and geographical location.
- Dietary modifications: Incorporate vitamin D-rich foods into your diet, such as fatty fish, fortified foods, and egg yolks.
- Supplements for vitamin D deficiency: Vitamin D supplements can help achieve adequate levels, especially in individuals with limited sun exposure or dietary intake.
- Regular monitoring: Periodic blood tests can help assess vitamin D levels and guide supplementation needs.
Prevention Tips
To prevent vitamin d deficiency:
- Get regular sunlight exposure (10-30 minutes, 3-4 times weekly)
- Eat vitamin D-rich foods daily
- Consider supplements if at high risk
- Maintain healthy weight
- Get annual blood tests if in high-risk groups
- Ensure adequate calcium intake (works with vitamin D)
- Exercise regularly (outdoor activities preferred)
- Manage chronic health conditions that affect absorption
When to Consult a Doctor
If you’re experiencing symptoms like fatigue, bone pain, or frequent infections, it’s high time you consult a healthcare professional. Early detection and treatment can prevent complications associated with vitamin D deficiency.
You can easily book an appointment with top healthcare providers through the Marham app, available on both iOS and Android. The app allows you to:
- Search for specialists by specialty and location
- View doctor profiles, ratings, and reviews
- Book appointments online at your convenience
- Consult doctors via video call from the comfort of your home
So why wait? Take charge of your health today!
Conclusion
Vitamin D deficiency is a prevalent but treatable health problem in Pakistan, affecting people of all ages. By recognizing the symptoms and causes early, you can get timely treatment and protect your health. Simple lifestyle changes and proper medical care can help manage and even prevent this condition.
If you need help finding a doctor or have questions about vitamin D deficiency, Marham is the go-to platform. Taking action today can lead to better health tomorrow.
