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Low vitamin levels
My mother is 70 years old and has really low vitamin D (6.2) and low vitamin B12 levels. Please suggest quality supplements she can have. And does she need to take calcium along with VitD?
Answers (27)
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1 tab Neurobion forte od Or inj once a week along with shelcal 500mg od and vit d capsule once a week
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Nothing just. Morning sun daily will help and resolve
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Dr. Kalva Sharath Chander Reddy
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
10 yrs exp
Hyderabad
Yes she can take Calcium along with Vitamin D. But she really needs to undergo DEXA scan to rule out any osteporotic changes have been their already and should be supplemented with teriparitide or denosumab
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Use tayo and renerve
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Take supplementation under professional guidance.
Few confirmed nutritional deficiencies point towards many more .
Look at your health holistically
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Hello,this isn't only about supplementation we need detailed history to rule out the cause for deficiency pls do consult..
Next Steps
tab .phostas 0-0-1daily for a month before sleep.
for B12 Deficiency inj.vitcofol 2ml ×5days
Health Tips
vit b12 deficiency can be due to low intake (if ur a vegetarian /vegan )
or cause ur stomach is not able to absorb coz of continuous consumption of antacids ,if ur doing that pls do stop..
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Vitd increases absorption of calcium
You need to take calcium either supplement or tablet with it. My suggestion is to take a tablet calcium 500 mg daily for 1 week if tolerable we'll make it twice a day
Vit d 60000 IU capsule for 8 weeks once per week
Next Steps
get adequate sunlight and do mild excercise
Health Tips
brisk walking for 15 to 30 mins in morning sunlight ( preferably 7 to 8 30 am )
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Hello,
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Take a glass of milk daily.
Thanks.
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Yeah she need to. …Video consult me for further help.
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You can consult me directly on Practo, or reach out via WhatsApp:
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Your mother's vitamin D level of 6.2 ng/ml is severely deficient (normal range: 30-100 ng/ml) and requires immediate supplementation.
Recommended Supplements:
1. Vitamin D3:
- Start with 60,000 IU once weekly for 8 weeks (loading dose)
- Then continue with 2000 IU daily as maintenance
- Brands: Shelcal, Calcirol, Uprise-D3
2. Vitamin B12:
- Methylcobalamin 1500 mcg once daily for 3 months
- Then 1000 mcg daily as maintenance
- Brands: Neurobion Forte, Methylcobal
3. Calcium + Vitamin D combination:
- Yes, calcium supplementation is recommended with Vitamin D
- Calcium 500mg + Vitamin D3 250 IU twice daily
- Take after meals for better absorption
- Brands: Shelcal 500, Calcimax
Important Points:
- Take Vitamin D with a fatty meal for better absorption
- Ensure adequate sun exposure (15-20 minutes daily)
- Calcium and B12 can be taken together
- Separate Vitamin D and calcium doses by 2 hours if taking high-dose Vitamin D
Next Steps
Recheck vitamin D and B12 levels after 3 months. Monitor for any side effects like constipation. Consult physician if mother has kidney stones or hypercalcemia. Maintain balanced diet rich in dairy, eggs, and fortified foods.
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need more history and symptomatology as only investigations can not be commented upon
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Uprise d60k two times a day after food for 8 weeks followed by one per month for six months for vit d3
Tab neurokind od one at night for 2 months after dinner.
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Advice:
Calcirol sachet 1*weekly * 1 month & then 1 sachet per month ( For Vit D)
Neurokind Fast Strip* sub lingual ( keep it over tongue) 1* weekly per month & then 1 strip per month ( Vit B12)
In addition; give her milk, green leafy vegetables & adequate sun exposure. Good Luck.
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Hey, any other medical history? Kindly consult with me on 94 two six 86 seven eight 96 for proper guidance and treatment.
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Before prescribing any supplements. I meed to know details of the patient’s history. Kindly consult. And ill guide you eveything.
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Severe vitamin d def
1.sunlight exposure between 9am to 3 pm
2.consume nuts, legumes, milk, fish, egg
3.vitamin d360000iu weekly once for 6 weeks
Pls connect me.. I need detail hiatory and symptoms
Or wattsap nine zero seven two two zero seven zero nine three
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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 free detailed discussion
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Medicine is prescribed after completing the check up of whole body.. not a single ailments is treated seperately.. plz consult me at practo
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Please consult a General Physician in your area. A complete evaluation of the patient is required to find out if she has any other deficiencies.
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Dr. Raveendran S R
Diabetologist
16 yrs exp
Chennai
Hi., I can understand your concern.
Kindly share your reports.
You can take Tab.lumia 60k once a week after food - for vit d.
Tab. Riconia lp once a day after food for month.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 60k once a week for 12 weeks
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Dr. Mohammed Salman Mohiuddin
General Physician
5 yrs exp
Hyderabad
Need more details regarding patient history
Kindly consult for further evaluation treatment and management
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Start gemcal d3 tablet daily
D rise weekly once
Consult online will guide you further
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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