Stop high intake supplements, foods (liver &
fortified foods)
Reduce weight if obese or abdominal obesity
Assess liver and renal function and plasma calcium
Limit alcohol if excessive or abnormal liver function
tests
Reduce weight if overweight especially if T2D or liver
disease
Assess osteoporosis risk and vitamin D status and
treat
Assess other nutrients excess or deficiency (zinc) and
treat
Review drug treatment (oc pill, tetracycline, sodium
valproate)
Advise against pregnancy
Reassess after 2-3 months