Patient’s Question: My 1.5 year old child was examined by a doctor for rib exostosis and X-leggedness, but the test results showed no calcium or D deficiency; is it necessary to take high-dose vitamin D supplements, either by injection or orally with Inconel? Doctor’s answer: The bone changes are the result of not taking enough vitamin D. If there are no abnormalities in the blood test such as alkaline phosphatase or abnormal changes in the bones of the wrist, it means that it is not the active period of rickets, so there is no need to use high-dose vitamin D. However, it is necessary to take 400 units of vitamin D as a precautionary measure, which is not only beneficial to the absorption of calcium, because the child is growing every day. Vitamin D and other nutrients need to be supplemented sufficiently at all times. What’s more important is to do local massage every day to make the bones grow in a benign way. Specific techniques are important to consult a local herbalist. Bone changes are dynamic development, recovery and improvement is very slow, massage needs to adhere to more than six months. If, after follow-up, you need to take one oral Iconol or 300,000 units of vitamin D injection, you should not take any other vitamin D for one month and take 300 mg of calcium supplement daily. Only one high dose should be used in a year.