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The Institute of Medicine generally recommends a Daily Dietary Allowance of vitamin D at 600 IU/day with the Upper Level Intake at 4,000 IU/day for bone health (50) , but food sources are limited. Oral supplementation has been shown to be the safest way to increase vitamin D levels (51) , although considerable debate continues on how this may translate in optimizing vitamin D status (45) . Therefore, patients should consult with their physicians if a deficiency is suspected to assess whether more vitamin D is needed for health maintenance and to avoid side effects such as kidney stones or high levels of calcium in blood or urine.