Do you routinely prescribe vitamin D to reduce the risk of fall-related fractures in elderly patients regardless of their serum levels?

Right now, the evidence would NOT support daily vitamin D in older adults who are not deficient just for the purposes of fall prevention. Kahwati et al., PMID 33847712

However, lots get missed on fall prevention - so be sure to review all risk factors and make a personalized plan (STEADI resources are good for this), recommending balance and strength training (Tai Chi is the standout option here with the best evidence), and making sure everyone who needs it gets a DEXA.