Hi Jake - thanks for responding, and so quickly! I’m not the patient ... I’m the caregiver for someone with melanoma and am trying to help him with all his medical appointments. He has blood work taken all the time to monitor his treatments. I’ll see if I can find the trends on vitamin D in his medical records, but not sure if that is a routine test. And not sure why the nephrologist ordered it. He didn’t mention anything about taking K, impacts on calcium or anything else. I’m learning that you need to ask lots of questions and be your own advocate - I’m trying to fill the advocacy role for him too. And I also don’t think all doctors are well trained in nutrition, but seems important.

And I sure wish the systems were integrated ... he sees doctors at a few different healthcare systems. An integrated view would be so helpful - should be an easy systems/IT fix ... but. no need for me to rant about that. 😄

I appreciate your help!!