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84 to 0.48, 0.001). The failure to show a sustained reduction in vitamin D testing is a common finding with demand management strategies to limit test requesting. More significant is the failure of the intervention to improve the detection of vitamin D deficiency. These failures highlight the need for better tools to manage test requesting including the use of audit and outcomes measurement to guide future interventions. The failure to show a sustained reduction in vitamin D testing is a common finding with demand management strategi