Answer: Having liver disease
Living in a region without a lot of sunlight
Explanation:
Vitamin D is gotten from sunlight i.e the exposure of body to sunlight helps synthesis vitamins D. In area with low sunlight when the body
Cannot trap enough sunlight to produce vitamin D the body could have low vitamin D leading to its deficiency.
An impairment to the skin leads to an inability of the skin to synthesis it.
Vitamin D is transform to active for in the liver hence a damage to liver will lead to vitamin D deficiency.
Definitely include Ricket, softening of bone in adult.