A
vitamin D level of 8 ng/mL is very low — it indicates severe deficiency (normal is typically >30 ng/mL). In a child, this should be corrected to support proper bone growth, immune health, and general well-being.
Should start calcirol sachet as supplement therapy followed by maintaince therapy and Also monitor serum
calcium, phosphorus, and PTH if clinically indicated.
Avoid over-supplementation of iron — monitor CBC every 3 months initially.