A 27-year-old, very fair skinned patient who is 7 months pregnant presents at her gynecologist with a recent development that her legs have become somewhat bowed. The physician suspects

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The bowed legs suggest a deficiency in vitamin D, which is necessary for proper bone mineralization. Osteomalacia is a condition that develops due to inadequate vitamin D levels, and it often presents with bowed legs. The patient's pregnancy may have increased her need for vitamin D, leading to this deficiency. The other options are less likely given the patient's age, symptoms, and pregnancy status.

A 27-Year-Old, Very Fair Skinned Patient Who Is 7 Months