“…Vitamin D status should be carefully defined as sufficient, insufficient, or deficient based on mechanistic studies and direct and indirect evidence-based approach. The US Institute of Medicine (IOM) [22,23], the Endocrine Society [24], the European Food Safety Authority [25], and health regulatory agencies of other European countries [26,27] [1,26,29,30]. Extra-renal production of 1,25(OH) 2 D 3 and its possible significance for paracrine/autocrine regulation of cellular functions is plausible [1,3], but this production does not appear to contribute to maintaining circulating 1,25(OH) 2 It is also worth mentioning that rickets and osteomalacia are observed when 25(OH)D is "undetectable" in blood (usually, it means below 0.5-5 ng/mL depending on the assay) and that the optimal bone growth and remodeling as well as maximum intestinal Ca 2+ absorption [the major physiological functions of 1,25(OH) 2 D 3 ] can be maintained in healthy individuals at 25(OH)D concentrations in the range of 10-20 ng/mL [probably, the lower limit is sufficient because it will not limit the 1,25(OH) 2 D 3 production].…”