Hello.. Your vit D level is 49 ng/ml is well within normal limits... (normal limit 30 to 100).. AT This level u need to take maintenance dose of vit D that is 60000 IU once monthly and not weekly... U can take it either 1000 to 2000 IU daily or 60000 monthly... Now let us go towards your question taking twice weekly vit D 60000 at this level may increase vit D in long term levels above 100 ng/ml toxic levels... So at this level is wise to take maintenance doses 60000 IU monthly... 2 nd question about ca supplements with vit D,, as vit D increases absorption of ca in in the intestine.. So when u take it with vit D it will be more effective ..!!
Next Steps
Continue vit D 60000 IU monthly..!!
Health Tips
Have sunlight exposure for 15 to 30 min daily between 10am to 3 pm...!!