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Vitamins deficiency
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After food with milk.
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Best Time to Take Each Supplement
1. Vitamin B12 (Spring Valley B12)
Take in the morning, empty stomach or with breakfast.
Reason:
B12 absorbs best when the stomach is not blocked by calcium or acid-reducing medications.
2. Vitamin D (Spring Valley Vitamin D)
Take after lunch or dinner (with the fattiest meal of the day).
Reason:
Vitamin D requires dietary fat for optimal absorption.
3. Calcium Tablets (Generic Calcium)
Take in the afternoon or evening, at least 2 hours away from your GERD medicine.
Reason:
• Calcium carbonate needs stomach acid for absorption.
• GERD medications (PPIs/H2 blockers) reduce stomach acid → lower calcium absorption.
• Keeping a gap improves absorption.
Avoid These Combinations
❌ Don’t take calcium with:
• Vitamin B12
• Iron (if taking)
• GERD medicines (Pantoprazole, Omeprazole, Rabeprazole, Famotidine)
• Thyroid medications
Calcium blocks absorption of several drugs.
If you are taking GERD medication (PPI like Pantoprazole)
→ Take GERD tablet 30 minutes before breakfast.
→ Take calcium 4–6 hours later.
Example:
• Pantoprazole: 8:00 am
• Calcium: 2:00–5:00 pm
Health Tips
Important Notes
• If you also take iron, keep it away from calcium by 3–4 hours.
• Drink plenty of water with calcium.
• Avoid taking all supplements at the same time — absorption drops significantly.
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Will need to see both reports then I can only give you a proper advice
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Take vitamins after lunch and calcium before sleeping.
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What's the level of both.which medications U r taking for gerd?kindly consult.u have to change ur dietary habits for better result.only tablets aren't sufficient
Next Steps
U can consult me for dietary advice and exercises
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Is it a single table providing everything or a number of tablets
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What the B12 levels? Only tablets will not solve the problem if you are a pure vegetarian.
Kindly consult
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You can comsult on nine nine three four eight three one six zero six
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Vitd3 cholecalciferol d60k once a week for eight after breakfast. Followed by one per month for six months after breakfast.
Tab neurokind od one at night after dinner for two months.
Both r safe medicine. Not at all antibiotics.
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Vitamin B12: Morning (empty stomach or with breakfast).
Vitamin D: With your largest meal of the day (fat improves absorption).
Calcium: Take in the evening or after dinner.
Important: Keep calcium 2 hours away from GERD meds like pantoprazole/esomeprazole, because they reduce calcium absorption.
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Vitamin b12 best absorbed in empty stomach so morning hrs and Calcium tab after dinner
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Dr. Akanksha
General Physician
1 yrs exp
Hamirpur
You can take Vit D3 with milk or post meals food once a week
Calcium tablet and vit B12 tablet post meals (once a day)
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Tab Calcimax500mg after dinner
Tab neurokind after dinner
D 3 once weekly any time
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Do consult
Take supplements for vit d and vit b12
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Dr. Bhavya
General Physician
3 yrs exp
Khammam
Take vitB12 tablet in the morning before breakfast
Take vitamin D tablet after your lunch (biggest meal of the day) fatty food improves vit D absorption
Take calcium tablets at evening or night
Make sure atleast 3hrs after u take calcium tablet u should not take any tablet that ur using for gerd(pantop) because it will decrease the calcium absorption
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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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Dr. Vetsa Sri Krishna Chaitanya
General Physician
6 yrs exp
Rajahmundry
Exposure to the sun increases your vit d level. Kindly consult for further evaluation
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Kindly consult
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Connect please
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Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
When you have B12 deficiency, Vitamin D deficiency and low calcium, the timing of each supplement becomes very important especially because you are also taking GERD medication, which can affect absorption.
But I want to be very clear about one thing:
The “best timing” is NOT the same for every person.
It depends on:
which GERD medicine you are taking (PPI or H2 blocker)
your dosage
your food timings
how severe your deficiencies are
whether your calcium tablets contain Vitamin D
whether your B12 is methylcobalamin or cyanocobalamin
whether you take coffee/tea around the dose
These change the timing completely.
Still, I can give you general safe guidance:
1. Vitamin B12
B12 absorption is affected by stomach acid and PPIs.
So timing depends heavily on:
what GERD medicine you take
when you take it
whether your stomach is empty or full
Without knowing those details, any fixed timing will give suboptimal absorption.
2. Vitamin D
Vitamin D needs fat-based absorption.
But again — timing depends on your GERD medicine and whether you get gastritis symptoms.
3. Calcium
Calcium can interfere with:
iron
thyroid medicines
some GERD medicines
other supplements
So we cannot advise timing without knowing your medication schedule.
Also, some calcium tablets require food, others require empty stomach, depending on type (carbonate vs citrate).
4. Why you should not mix supplements without planning
Incorrect timing may lead to:
poor absorption
worsening GERD
constipation
incomplete correction of deficiencies
This is why supplement timing needs a personalised plan, not a generic reply.
What you should do now
If you want proper correction of your vitamin deficiencies without disturbing your GERD treatment, I need to review:
your exact GERD medicine
its timing
supplement types and doses
your symptoms
your deficiency levels
your daily meal timings
Once I evaluate these, I can give you a structured timing plan for each supplement so they work effectively without interacting with each other.
You can book a private consultation with me on whatsapp at Nine Three Two Six Zero Two Zero Five Three Six, and I’ll guide you step-by-step with a personalised vitamin and calcium schedule that works for your specific case.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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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.