In order for this synthesis to occur, a series of steps are necessary and any disruption in this process can result in a deficiency of vitamin d. with this in mind, choose the situations or conditions that could contribute to a vitamin d deficiency. check all that apply living in a region with a lot of sunlight having a lighter skin pigmentation having kidney disease wearing protective clothing and sunscreen when outdoors decreased activation of vitamin d will result in absorption of calcium in the small intestine and risk of inadequate bone mineralization. given what you know about the characteristics of a deficiency disease, which of the following would be considered a deficiency disease resulting from inadequate levels of vitamin d? check all that apply. skin cancer type 1 diabetes cardiovascular disease rickets □ osteomalacia