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9000iu vit D3 a day; and my patient8217;s level runs at. 15000iud8230; so perhaps the Brazilians with these skin disorders (unlike us) have resistance genes that block higher levels of 25OHvit D. So without doing costly genotyping, we in practice need to check vit D level response early where very high dose is indicated in severe disease. Mediocre chronic dose vit D3 supp eg 2000iud25OHvitD well gt; 30ngml- is not enough 8211; it needs high loading eg gt;400 000- 600 000iu for acute illness, and good maintenance dose eg gt;5o 000- 75 000iuwk for blood level gt;60ngml, for chronic prevention, to maintain good vit D level and thus real protection : BMJ Open Respir Res.]