Hello,
I am Dr. Romain Rajan, General Physician.
I understand your concern. Your mother has been taking MBTRON PLUS (a combination of multivitamins,
calcium, and minerals) after spinal fusion and decompression surgery, and recent blood tests show normal
vitamin, calcium, and electrolyte levels.
1ï¸â£ Understanding lifelong supplementation
Some post-surgical patients are prescribed lifelong supplementation to support bone health, prevent osteoporosis, and aid healing.
Multivitamins and calcium are generally safe when taken at recommended doses.
Toxicity is rare with normal doses, but excessive intake of certain vitamins (like A, D, or E) over long periods can cause complications.
2ï¸â£ Monitoring and precautions
Since her blood work is normal, there is no immediate concern for toxicity.
Periodic monitoring is advisable:
Serum calcium,
vitamin D,
vitamin B12,
kidney function every 6â12 months
Bone density scans (DEXA) periodically to assess bone health
Maintain recommended doses and avoid additional high-dose supplements unless prescribed.
3ï¸â£ How to take lifelong supplementation
Continuous daily intake at prescribed dose is generally safe.
No need for periodic âgapsâ unless recommended by the doctor.
Stop only if advised by your physician based on test results.
4ï¸â£ When to consult the doctor immediately
Symptoms of hypercalcemia: nausea, vomiting, constipation, frequent urination
Unexplained fatigue or weakness
Any new symptoms that may suggest vitamin or mineral imbalance
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Next steps:
Continue MBTRON PLUS as prescribed.
Schedule annual or biannual check-ups for vitamin and mineral levels.
Ensure balanced diet and adequate hydration to support bone and overall health.
You can connect with me on Practo or WhatsApp at 85271646 seven seven for a more personalized consultation.
Best regards,
Dr. Romain Rajan
General Physician