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[PubMed: 6539675] 489

New York City has always been more connected to the globe than to the rest of the nation

Following this process, a final set of 70 articles that satisfied all inclusion criteria were selected for in-depth analysis and synthesis, as summarized in the PRISMA flow diagram (Figure 2)

It enhances intestinal absorption of calcium and phosphorus Maintains bone density and prevents osteomalacia Supports muscle contraction and coordination Supports immune system function Influences mood via brain vitamin D receptors Low vitamin D levels are associated with osteoporosis, muscle weakness, frequent infections, impaired wound healing, and increased risk of mood disorders