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Suggest Treatment For Vitamin D Deficiency
Question: hello doctor,
I am having vitamin d3 deficiency for long year it's not getting normal I complete week course and finally now I took daily maintenance dose of tayo contain 1000k d3 and calcium 500mg and due to muscle pain doctor advice to take magnesium 200 mg then feel pain reduced but medicine was splited so he change to mgd3 contain 1000 mg d3 and magnesium 250 mg but he ask to stop calcium after stop the calcium feel week and muscle tone week
but mybcalcium level is normal as 9.5 and magnesium is 1.9 but without calcium can walk and feel less weight and notsteady walk and muscle week tone less so I consult gP he recommended CCM contain 250 calcium citrate and 100 my d3 so I am taking CCM in afternoon and night mgd3 and I am having b12 deficiency so I am taking neurobion forte in morning as tablet
so why my body expecting calcium do I have any other problems like ostrioporiosis due tothat calcium expewcting for my body .doctor ask to take Dexa scan.
my d3 level is 32
calcium level is 9.5
megnisum is 1.9
b12 is 400 after dose before it was 160
electrolyte is normal my question is no issue of taking CCM and mgd3 any harm
my age is 34
I am having vitamin d3 deficiency for long year it's not getting normal I complete week course and finally now I took daily maintenance dose of tayo contain 1000k d3 and calcium 500mg and due to muscle pain doctor advice to take magnesium 200 mg then feel pain reduced but medicine was splited so he change to mgd3 contain 1000 mg d3 and magnesium 250 mg but he ask to stop calcium after stop the calcium feel week and muscle tone week
but mybcalcium level is normal as 9.5 and magnesium is 1.9 but without calcium can walk and feel less weight and notsteady walk and muscle week tone less so I consult gP he recommended CCM contain 250 calcium citrate and 100 my d3 so I am taking CCM in afternoon and night mgd3 and I am having b12 deficiency so I am taking neurobion forte in morning as tablet
so why my body expecting calcium do I have any other problems like ostrioporiosis due tothat calcium expewcting for my body .doctor ask to take Dexa scan.
my d3 level is 32
calcium level is 9.5
megnisum is 1.9
b12 is 400 after dose before it was 160
electrolyte is normal my question is no issue of taking CCM and mgd3 any harm
my age is 34
Brief Answer:
About Vit D deficiency treatment;
Detailed Answer:
Hello and thank you for asking!
I have gone through your concern carefully.
To correct VitD deficiency we recommend 50 000 UI tablets once weekly for 8 weeks and then 1000 UI daily for 6 months.
If calcium is low, calcium supplement should be taken, otherwise, it is not necessary.
Vit B12 seems corrected.
It'll be a pleasure to help you further after the bone densitometry result.
Kind regards,
Dr.Mirjeta
About Vit D deficiency treatment;
Detailed Answer:
Hello and thank you for asking!
I have gone through your concern carefully.
To correct VitD deficiency we recommend 50 000 UI tablets once weekly for 8 weeks and then 1000 UI daily for 6 months.
If calcium is low, calcium supplement should be taken, otherwise, it is not necessary.
Vit B12 seems corrected.
It'll be a pleasure to help you further after the bone densitometry result.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
but before I discontinued calcium at that time my all joint muscle got week and pain muscle tone went loosen like over relaxed after I started CCM it came back to normal like muscle got tight and tone some wat OK now , so my question is can I take neurobion forte in morning and
afternoon CCM contain 250 of calcium and 100 mg of d3 in afternoon and
night mgd3 1000 mg of vitamin d and magnesium 250 if I take any harm in it...
why my body expecting calcium even my blood calcium is normal and is this issue like osteoporosis.
I need answer for all the three questions.. please
afternoon CCM contain 250 of calcium and 100 mg of d3 in afternoon and
night mgd3 1000 mg of vitamin d and magnesium 250 if I take any harm in it...
why my body expecting calcium even my blood calcium is normal and is this issue like osteoporosis.
I need answer for all the three questions.. please
Brief Answer:
About low calcium treatment;
Detailed Answer:
Welcome back!
Normally you should not have symptoms of low calcium level when it is confirmed that it is within the normal levels.
Taking 250 mg calcium/ day is a very low dose, you can take it as a supplement if you do not consume dairy products. It does not cause side effects.
Regarding to VitD supplements, 800 UI daily is recommended (after a 6 months treatment of VitD deficiency) if you do not get exposed to the sun.
Magnesium supplements are not necessary to be taken for long.
I would not blame ''low calcium" for the symptoms you reported, if the level has been reported normal.
Even though you have noticed improvement after taking 250 mg calcium daily.
Osteoporosis is rare at the males of your age.
If confirmed a cause should be found.
Wish you good health.
Kind regards,
Dr.Mirjeta
About low calcium treatment;
Detailed Answer:
Welcome back!
Normally you should not have symptoms of low calcium level when it is confirmed that it is within the normal levels.
Taking 250 mg calcium/ day is a very low dose, you can take it as a supplement if you do not consume dairy products. It does not cause side effects.
Regarding to VitD supplements, 800 UI daily is recommended (after a 6 months treatment of VitD deficiency) if you do not get exposed to the sun.
Magnesium supplements are not necessary to be taken for long.
I would not blame ''low calcium" for the symptoms you reported, if the level has been reported normal.
Even though you have noticed improvement after taking 250 mg calcium daily.
Osteoporosis is rare at the males of your age.
If confirmed a cause should be found.
Wish you good health.
Kind regards,
Dr.Mirjeta
Above answer was peer-reviewed by :
Dr. Prasad
but I left for two day ccm after stopped I feel very week and my leg are light weight and neck muscles week so my body is expected some thing even had food.
after two day I had for today and I feel better my neck muscle got better tone and little strength before it was loosen like elastic while walk I feel shaky.. and my throat muscle feel better before it was puffiness and thin so why my body is expected this tablet before I took tayo that time I don't feel better which contain 500 my of calcium carbonate and 1000 k of d3...
don't have thyroid issu
and neurobion forte took for month now my b12 level was 400+ doctor advice for three month...
I am not sure I can take 60k for once a month or daily 1000 k of maintain dose plz suggest.
and conform about dexa scan any harm of radiation
after two day I had for today and I feel better my neck muscle got better tone and little strength before it was loosen like elastic while walk I feel shaky.. and my throat muscle feel better before it was puffiness and thin so why my body is expected this tablet before I took tayo that time I don't feel better which contain 500 my of calcium carbonate and 1000 k of d3...
don't have thyroid issu
and neurobion forte took for month now my b12 level was 400+ doctor advice for three month...
I am not sure I can take 60k for once a month or daily 1000 k of maintain dose plz suggest.
and conform about dexa scan any harm of radiation
Brief Answer:
About electrolyte deficiency;
Detailed Answer:
Hi again,
As I mentioned above the VitD deficiency should be treated for six months, so you should continue it 1000 UI daily with 500mg calcium if you do not take dairy products with your diet.
The treatment of Vit B12 deficiency depends on the cause of deficiency;
-If your vitamin B12 deficiency is caused by a lack of the vitamin in your diet, you may be prescribed vitamin B12 tablets take every day between meals. Alternatively, you may need to have an injection of hydroxocobalamin twice a year.
-People who find it difficult to get enough vitamin B12 in their diets, such as those following a vegan diet, may need vitamin B12 tablets for life.
If vitamin B12 deficiency isn't caused by a lack of vitamin B12 in your diet, you'll usually need to have an injection of hydroxocobalamin every three months for the rest of your life.
Bone densitometry, also called dual-energy X-ray absorptiometry or DEXA, uses a very small dose of ionizing radiation. In your case, I would recommend to do it.
Hope the information will help.
Kind regards,
Dr.Mirjeta
About electrolyte deficiency;
Detailed Answer:
Hi again,
As I mentioned above the VitD deficiency should be treated for six months, so you should continue it 1000 UI daily with 500mg calcium if you do not take dairy products with your diet.
The treatment of Vit B12 deficiency depends on the cause of deficiency;
-If your vitamin B12 deficiency is caused by a lack of the vitamin in your diet, you may be prescribed vitamin B12 tablets take every day between meals. Alternatively, you may need to have an injection of hydroxocobalamin twice a year.
-People who find it difficult to get enough vitamin B12 in their diets, such as those following a vegan diet, may need vitamin B12 tablets for life.
If vitamin B12 deficiency isn't caused by a lack of vitamin B12 in your diet, you'll usually need to have an injection of hydroxocobalamin every three months for the rest of your life.
Bone densitometry, also called dual-energy X-ray absorptiometry or DEXA, uses a very small dose of ionizing radiation. In your case, I would recommend to do it.
Hope the information will help.
Kind regards,
Dr.Mirjeta
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Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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