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Vitamin D level & supplement
Hi Doctor,
In the recently conducted vitamin D test ( due to bone and muscle weakness), the level for my wife is 8.6 ng/ML ( 18.9 ng/ML for myself). We visited a doctor and the doctor suggested 2000 IU vitamin D3 daily for both of us. Just a second opinion. Is this the right dose for my wife , as the level is very low.?. Please advise. Thanks.
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As such dose of vit d3 is based on baseline levels and clinical symptoms.
Yes continue tab in prescribed dose, share her symptoms, then I can help you further.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Take vit D 60000 iu weekly once for 8 weeks .After that recheck and take 60 k iu monthly once for 6 months
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The prescribed dose is low
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Dr. Mohammed Syam Shajahan
General Physician
5 yrs exp
Kollam
Hello. Based on the reports provided:
Your Wife's Level (8.6 ng/mL): Indicates Severe Vitamin D Deficiency (normal levels are >30 ng/mL).
Your Level (18.9 ng/mL): Indicates Moderate Vitamin D Deficiency.
Regarding the Prescribed Dosage (2000 IU Daily):
While taking 2000 IU daily is safe and will gradually raise Vitamin D levels over a long period, it may be too slow for your wife given her extremely low level of 8.6 ng/mL and active muscle/bone weakness.
Standard Medical Recommendations for Severe Deficiency:
For Your Wife (Therapeutic Loading Phase): Standard clinical guidelines recommend a higher loading dose to rapidly restore depleted bodily stores—typically Cholecalciferol 60,000 IU (60k) once a week for 8 consecutive weeks.
For Yourself: You may also benefit from a weekly dose of 60,000 IU for 6 to 8 weeks, or continue with 2000 IU daily for 8–12 weeks.
Maintenance Phase (Post 8 Weeks): Only after completing the initial 8-week weekly loading phase should your wife transition down to a daily maintenance dose of 2000 IU daily (or 60,000 IU once a month).
Next Steps
Complete the 8-Week Protocol: Stick strictly to the prescribed regimen without missing weekly doses.
Repeat Vitamin D Test: Get a repeat Vitamin D (25-Hydroxy Total) blood test done for both of you 2 to 3 weeks after completing the 8-week course to check if levels have reached the optimal range (>30–50 ng/mL) and adjust future maintenance doses accordingly.
Health Tips
Calcium & Minerals: Since both of you have bone/muscle weakness, consider adding dietary calcium sources (dairy, leafy greens, sesame seeds) or taking a mild Calcium + Vitamin D3 combination tablet if prescribed by your doctor.
Sunlight Exposure: Spend 15 to 20 minutes in mid-day sunlight (between 11 AM and 2 PM) with exposed arms and legs 3–4 times a week.
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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.