Hi.
Can someone suggest some best multivitamins for diabetics and slightly obese 48y old vegetarian man with a history of kidney stone and uti. Need vitamins for b12 deficiency, and cover other diabetes related issues.
Also suggest the dosage and break cycles
Answers (29)
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In a diabetic patient with obesity and history of renal stones, supplementation should be targeted rather than indiscriminate multivitamin use — first confirm levels (B12, Vit D, renal function).
For B12 deficiency: oral methylcobalamin 1500 mcg daily or 1500 mcg weekly regimen (or IM if severe), and consider diabetic-friendly multis like Zincovit-DM / Diabeta Plus once daily after food.
Avoid high vitamin C and excess calcium supplementation due to stone history; ensure adequate hydration.
Next Steps
Typical course: 3 months supplementation followed by reassessment and continuation based on clinical/lab response.
Health Tips
Advise lifestyle measures alongside — glycemic control, weight optimization, and periodic monitoring — as vitamins are supportive, not primary therapy.
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
Your patient is
1) obese
2) has kidney stones
3) diabetic
4) B12 deficiency
5) vegetarian
All are not good sign for a good healthy life
Need to have lifestyle changes along with proper treatment for deficiency and diabetes and stones
Please consult a endocrinologist nearby and a nutritionist to plan the dietary changes . His problems are all interrelated .
Next Steps
Full body blood chemistry with vit d3 and B12 levels
Health Tips
Congratulations with endocrinologist and nutritionist nearby
Diabetes and B12 deficiency are common, especially in vegetarians. A B12 supplement (usually methylcobalamin) along with a balanced diabetic-friendly multivitamin can help. Avoid high-dose vitamin C or calcium supplements due to kidney stone history.
Next Steps
Dosage depends on blood levels, so proper evaluation is important. Please consult me for detailed guidance and personalized treatment.
You are a 48-year-old vegetarian man with:
• Diabetes (or pre-diabetes)
• Slight obesity
• Vitamin B12 deficiency
• History of kidney stones
• History of UTIs
This combination influences supplement choice:
What we want to avoid/limit:
• Excess calcium supplements (can worsen kidney stones)
• High doses of vitamin C (oxalate risk)
• Supplements with sugar or unnecessary fillers
What you need:
• Vitamin B12 (deficiency correction)
• Vitamin D
• Magnesium (often low and helpful for insulin sensitivity)
• Omega-3 fatty acids
• A balanced multivitamin/mineral that does not overload calcium
Multivitamins are supportive but not a substitute for targeted corrections. Given your conditions, customization matters.
Next Steps
A. Vitamin B12
Preferred form: Methylcobalamin
• Methylcobalamin 1500–2000 mcg daily
(Or 1500 mcg 3–5 days/week)
• If deficiency is severe → initially daily for 8–12 weeks, then rotate to maintenance.
B. Vitamin D3
• 60,000 IU once weekly for 8 weeks, then
• 2000 IU daily after levels normalize.
C. Omega-3 (fish oil)
Choose a product with EPA + DHA 1000–1500 mg daily:
• Nordic Naturals Ultimate Omega
• Viva Naturals Omega-3
• Coromega Omega-3 Squeeze
(If vegetarian: choose algal oil DHA/EPA)
D. Magnesium
• Magnesium glycinate or citrate 200–300 mg at night
Helpful for muscle cramps, insulin sensitivity, sleep.
E. Multivitamin (balanced)
Look for a diabetic-friendly, low-calcium, low-iron multivitamin:
• Thorne Basic Nutrients 2/Day
• Pure Encapsulations O.N.E. Multivitamin
• Garden of Life mykind Organics Men’s Multi
• GNC Mega Men Once Daily (low sugar fillers)
These provide broad B-complex, antioxidants, and trace minerals without excess calcium or iron.
Health Tips
Cycle & duration
• Vitamin B12: Start daily for 2–3 months → then 3–5x/week
• Vitamin D3: Weekly for 8 weeks → then daily maintenance
• Omega-3: Daily ongoing
• Magnesium: Daily (preferably evening)
• Multivitamin: Once daily with food
Kidney stone consideration
• Avoid additional calcium supplements unless deficiency proven.
• Avoid high doses of vitamin C (>500 mg), which can increase oxalate.
Blood sugar & safety
• Take supplements after meals to reduce GI upset.
• Monitor blood glucose regularly — some supplements can slightly affect insulin sensitivity.
Interactions
• Omega-3 can slightly thin blood — watch interactions if on aspirin or blood thinners.
• Magnesium can cause loose stools if too high — adjust dose.
⸻
Given your specific health profile (diabetes, obesity, B12 deficiency, and past stones), you can absolutely benefit from structured supplementation — but the right mix matters more than random picks.
If you want a personalized supplement and diet plan with precise doses based on your labs and medical history, I’d be happy to help you in a brief online consultation so we can tailor it safely and effectively.
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)
You can try diabetone,gluconorm total, these are diabetes specific multivitamin product.for B12 deficiency you need to b12 (Methylcobalamin)1000 mcg .once weekly.alpha lipoeic acid 300 mg daily for 3 months.consult me on practo for further management.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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