Calcium always not needed but d3 alone can be given if deficiency occurs , since u have not report of calcium and vit d3 level I can’t say u need calcium or not and u r taking vit d from long time it can be toxic too , further details contact me for consultation

She could take calcium citrate 600 mg once a day.Vitamin d is required for the calcium absorption.However taking frequently 60000iu vitamin d,may need to check the vitamin d level to avoid hypervitaminosis d

Tab Shelcal HD - 1 Tab once daily after food to continue Review with Blood test for Vitamin D, Serum Calcium and serum phosphorus.

First check serum 25-OH Vitamin D and serum calcium. If dietary calcium intake is adequate (milk/curd, green vegetables), additional calcium tablets are not mandatory. If supplementation is needed, a simple calcium carbonate or calcium citrate 500 mg once daily is sufficient brand name shelcal Can be taken after food Avoid unnecessary long-term calcium use due to risk of: Kidney stones Vascular calcification (especially in men) Vitamin D advice: 60,000 IU weekly for years is usually unnecessary Can be shifted to monthly dose or maintenance dose after levels are known

Shalcal xt one at night

Take shelcal 500 mg

It’s true that >60 000 IU vitamin D once weekly for deficiency is common, but vitamin D does not always need calcium unless there’s a specific reason. Vitamin D is essential to help absorb calcium from the gut and maintain bone health. But it doesn’t automatically mean everyone taking vitamin D needs calcium supplements too. Calcium supplementation is mainly recommended when: • Diet is low in calcium • Post-menopausal women • Osteopenia/osteoporosis • Long-term steroid use • Known low bone density • Over age ~50–60 years If she has no health issues and gets adequate calcium from diet (dairy, dairy alternatives, greens), additional calcium may not be mandatory. However, some clinicians still recommend a modest calcium supplement alongside long-term vitamin D to ensure optimal bone mineralization — especially if dietary intake is low.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

You have to check ur vit d and calcium report For detailed information kindly consult

At this point, current reposts need to be checked and assessed after which medications can be suggested.

Please share details of her medical history,  test results, then I can help.

I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.  Contact me on Practo or WhatsApp chat. 92469306sevenfour Dr. Harichandana,  MBBS, MD (General medicine)

Hello. Thank you for your question. Vitamin D supplementation is commonly prescribed, and the dose of 60,000 IU is usually given in deficiency states. Long-term use, however, ideally requires monitoring of Vitamin D levels and calcium balance in the body. Vitamin D helps in calcium absorption, so in some patients calcium supplementation may be advised. However, calcium tablets are not required for everyone and depend on factors such as dietary intake, bone health, age, and existing calcium or Vitamin D levels. I would generally suggest: ✔ Checking current Vitamin D level ✔ Serum calcium level ✔ Evaluating dietary calcium intake ✔ Reviewing duration and dose of supplementation Based on these results, the appropriate type and dose of calcium (if required) can be safely decided. Hope this helps. Take care.

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion

You can take Cipcal 500 .

Please consult

Vitamin D works well on its own if levels are normal, and long-term 60,000 IU should not be taken without checking blood levels. Calcium is needed only if dietary intake is low or deficiency is present.

Excess of these supplements is also not good. Please consult .

Dear Patient, Vitamin D and calcium work together to support bone health. While vitamin D helps your body absorb calcium, adequate dietary calcium or supplementation is important, especially if intake from food is low. If she has been taking vitamin D 60,000 IU regularly, continuing that with the right calcium supplement makes sense, especially for long‑term bone strength. Recommended calcium options - Calcium with Vitamin D3 chewable/tablet once daily (commonly 500–600 mg calcium with 400–800 IU vitamin D3) - Examples include calcium citrate or calcium carbonate tablets with added D3 What you should do - Take calcium with meals for better absorption - Maintain a diet rich in dairy, leafy greens, almonds, sesame seeds - Continue sunlight exposure for natural vitamin D - Stay physically active with weight‑bearing exercises consult me - If there are symptoms like bone pain, frequent fractures, or muscle cramps - If she has kidney stones or high blood calcium in prior tests - Before starting supplements if taking other medications For further guidance and personalized treatment you may consult me on Practo anytime.

Need a few more details please consult for further evaluation and treatment

Do consult Shelcal Xt if patient has no allergy

Tab Shelcal hd

Cipcal 500

Can you please elaborate why were you taking your cut D tablets.Also it is true that taking calcium along with vitamin D have beneficial effects in bone mineralisation and preventing parathyroid disorders unless otherwise the patient has allergic issues.

Not needed to take bit D for so long recommend dose its for 8 weeks You can take calcium along with that but cheack first serum calcium and bit D levels w

Need some more details kindly consult

Shelcal xt