Some diseases reduce vitamin D getting to blood or cells
Some diseases restrict vitamin D by changing gene activation,
by one or more of the following
Restrict conversion of light into vitamin D in the skin
Restrict oral absorption in the gut
Restrict semi-activation in the liver
Restrict free semi-activated vitamin D from getting to the kidneys
Restrict full activation in the kidneys
Restrict semi and fully activation in the cells
Restrict activated Vitamin D from entering cell mitochondria (VDR)
Destroy the vitamin D before it gets to the cells
Some diseases restrict vitamin D without changing genes
The disease just uses/consumes the vitamin D
The disease upsets the gut, which reduces bioavailability of oral form
- unless a gut-friendly form is used
References
Genetics category has items along with related searches
The risk of 44 diseases at least double with poor VDR as of Oct 2019