6th February 2024

A 67-year-old female with chronic renal failure had developed hypocalcaemia secondary to low vitamin D levels.

A 67-year-old female with chronic renal failure had developed hypocalcaemia secondary to low vitamin D levels. She has an eGFR of 4ml/min/1.73 m2. After a trial of cholecalciferol, this normalised her vitamin D levels, but her hypocalcaemia persisted despite adequate treatment length. 

Which of the following treatment options could be considered in this case?