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Vit d and vit b 12 mostly drops again after finishing the medicine dose . should I take a blood test every 2 to 3 months or just take supplements on my own and if I take supplements, which one should I prefer
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See that your vitamin d and b 12 levels are above 50 ng and 300 pcg respectively.You can check the levels twice a year,not very 2-3 months
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It may be absorption issue
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Kindly consult online
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AS HOUSE HOLD GOODS END AFTER LIMITED TIME, YOUR BODY IS YOUR HOME SO IT CONSUME YOUR VITAMIN D3 B12 IN LIMITED TIME. U HAVE TO OBSERVE SYMPTOMS OF BODY, NOT EVERY TIME U NEED BLOOD TEST. SO U CAN START VITS AFTER TWO MONTHS. IN INTERMITTENT PHASE.
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Please take supplements and healthy diet along with medication
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This is common, levels drop after stopping supplements. Instead of frequent testing, complete a proper course and continue a maintenance dose.
Vit D weekly course and monthly maintenance
B12 can be continued orally long term
With the right plan, levels stay stable. I can guide your exact doses feel free to consult.
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Ideally I'd you add foods rich in these two in your diet, you may not have to take supplements so regularly. For vit D3 , if it's too low you may take one inj Arachitol intra muscular and wait for 3 mths to get the test repeated or you can take any calcium with added Aloha D3 , daily twice a day supplemented with Tayo 60k weekly for 10 weeks.
For Vit B12, you may take mecobal 1500mcg once at day after meals at night.
Yes, do get your tests repeated every 6 mthly. You must also visit an internal medicine specialist to get diagnosed the chronicity of these deficiencies in you.
Next Steps
As adviced above
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Dietary supplements also required along with medicine.after you completed your b12 dose then go for test after 4 to 8 weeks.
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Hello. I have reviewed your concerns regarding the recurring drop in your Vitamin D and B12 levels.
It is common for these levels to fluctuate, especially if there are underlying factors such as dietary habits, limited sun exposure, or absorption issues in the gut.
1. Testing Frequency
Bi-annual Testing: Instead of testing every 2 months, undergoing a blood test twice a year is generally sufficient to monitor your levels once they have been stabilized.
Avoid Self-Supplementation: It is important not to start high-dose supplements on your own without medical supervision, as excessive intake of certain vitamins can lead to other health complications.
2. Natural Dietary Sources
Incorporating nutrient-dense foods into your daily diet can help maintain these levels naturally:
For Vitamin B12: Increase your intake of curd (yogurt), cheese, eggs, and fortified cereals.
For Vitamin D: Focus on fortified foods, mushrooms, and whole grains.
General Nutrition: Adding a variety of nuts and berries to your diet provides essential micronutrients that support overall metabolic health.
Clinical Insight for You
The "Drop" Phenomenon: When levels fall immediately after stopping supplements, it often suggests that the patient's "maintenance" dose or dietary intake is insufficient to cover their daily requirements.
Sun Exposure: For Vitamin D, since she is a student, inquire if her schedule allows for 15–20 minutes of morning sunlight, which is the most effective natural source.
B12 Absorption: In young patients with recurring B12 deficiency, consider screening for pernicious anemia or malabsorption syndromes (like Celiac disease) if dietary intake appears adequate but levels remain stubbornly low.
The goal is to transition from a cycle of "deficiency and rescue" to a sustainable lifestyle-based maintenance plan.
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You can go for test twice a year.
Along with supplements, take more of curds, cheese, nuts, berries, whole grains, eggs, mushrooms, fortified cereals.
Spend an hour daily in early morning sunlight.
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Chronic deficiencies in Vitamin D3 and B12 are frequently linked to lifestyle factors, such as limited sunlight exposure and dietary habits (especially in vegetarians). Once the initial 'loading' phase of treatment is complete, the focus must shift from correction to maintenance. Relying on self-supplementation without periodic monitoring can lead to either recurrence of the deficiency or, in rare cases, vitamin toxicity."
Next Steps
Monitoring Schedule: you do not need monthly tests. A re-test 8–12 weeks after completing a course is sufficient. If stable, checking once every 6–12 months is standard.
Loading Phase (Correction):
Vitamin D3: 60,000 IU once weekly for 8 weeks.
Vitamin B12: 1500 mcg daily for 1–2 months.
Maintenance Phase:
Vitamin D3: Switch to 60,000 IU once a month indefinitely to keep levels stable.
Vitamin B12: Focus on dietary inclusion (dairy, eggs, or fortified foods). If you are strictly vegan/vegetarian, a low-dose daily supplement may be needed.
: If symptoms like fatigue or bone pain return despite maintenance, a formal clinical consultation is mandatory to check for absorption issues like Celiac disease or Pernicious Anemia.
Health Tips
vitamins are the fuel for your cellular health. Taking them randomly is like guessing your car's fuel level.
book a consultation so we can review your latest lab results and set up a precise, long-term maintenance schedule that fits your lifestyle."
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You don't need blood test routinely.
After completing a supplement course (8-12 weeks). Then every 6-12 months if stable
Tab vitamin D 60000 IU weekly 6-8 weeks
For maintenance 60000 IU Monthly once
Tab vitamin B12 1500 mcg 1 Tablet for 1-2 months
After 3 months if still low, consult a doctor with your lab results
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You likely need a maintenance dose rather than repeated full courses. No need for very frequent testing repeat after 3–6 months.
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Please book a consultation for proper dose and long-term plan.
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Hi
In vegetarians level of b12 generally r low so take the supplements, they won’t harm you get your test once in sic month if b12 levels are very less take injectable also check your vit D levels also
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Get a blood test done every 3 months. Along with medication, take proper care of your diet. For continuous treatment and guidance, please consult me on Practo.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindky do connect and 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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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Have to see why dropping
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Get test in 6 months
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Yes take supplements
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Dr. John Joseph Hemanth
General Practitioner
5 yrs exp
Salem
Take a blood test once in 3 months and add green veggies to diet along with daily 20 minutes sun exposure which will do wonders for your health.
Next Steps
Continue medications
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