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Hi I am Ankita Kalley.
Recently I did tests to check my vitamin d and calcium levels ..both of them are below insufficient. I have been taking supplements for past 2 years -4 years but it is not improving and hence I feel extreme fatigue, dull, weak and prone to illness . Please help me to understand why the levels are not improving and what should I do . Because of low levels I had ankle fracture and all my tooths are eroding . Kindly help
Answers (19)
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Wanted to know regarding menses ,we should evaluate for your bone density idealy with history of fractures you need to do DEXA SCAN
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Hi. Can help you with this but need detailed evaluation.
If vitamin D and calcium levels are not increasing inspite of long term supplements means there is some underlying cause affecting absorption, metabolism or utilisation.
We need to do few investigation and rule out what's the possible reason and also need to know your medical history, and what supplement you are taking and when.
Next Steps
Kindly consult to get perfect prescription and test required for you as this definitely need to be addressed.
Health Tips
Since you already had fracture and dental erosions, this could indicate osteomalacia / metabolic bone disease which need proper medical evaluation and targeted treatment.
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Do a serum calcium and PTH,to see if any imbalance exists.Check your bone density as well.If your vitamin d levels are low despite taking treatment, you may need injection form of vitamin d,followed by oral tablet weekly
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I j uprise d60k once a month for two months.
Neurokind od after dinner for 3 months.
Or inj neurobion forte one on alternate day for five injection .
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Its due to malabsorption, osteoporosis, or may be due to long term bone infection , parathyroid hormonal imbalance. Low PTH also causes this. Please consult me on practo for further management and evaluation.
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If your Vitamin D and calcium remain low despite 2–4 years of supplements, that is not normal and needs deeper evaluation.
Your symptoms:
• Extreme fatigue
• Recurrent illness
• Ankle fracture
• Tooth erosion
These suggest either:
1️⃣ Poor absorption (malabsorption issue)
2️⃣ Incorrect dosing or irregular intake
3️⃣ Taking Vitamin D without adequate magnesium
4️⃣ Parathyroid hormone imbalance
5️⃣ Celiac disease or gut disorder
6️⃣ Chronic kidney or liver dysfunction
7️⃣ Taking supplements without fat (Vitamin D needs fat for absorption)
Very important concept:
If Vitamin D stays low long-term → body pulls calcium from bones → fracture risk increases.
Tooth erosion + fracture together raise concern for:
• Calcium metabolism disorder
• Secondary hyperparathyroidism
This needs proper biochemical evaluation — not just more supplements.
Next Steps
You need structured lab work:
✔ 25-OH Vitamin D
✔ Serum calcium
✔ Serum magnesium
✔ Phosphorus
✔ Parathyroid hormone (PTH)
✔ Creatinine (kidney function)
✔ Celiac screening (tTG IgA)
✔ Thyroid profile
Also check:
• What exact dose were you taking?
• Were you taking it weekly or daily?
• With meals containing fat?
Treatment may require:
• High-dose Vitamin D correction (60,000 IU weekly for 8–12 weeks)
• Magnesium supplementation
• Calcium citrate (better absorption)
• Addressing underlying malabsorption
If PTH is high → treatment approach changes.
Health Tips
✔ Take Vitamin D with fatty meal
✔ Ensure magnesium intake (nuts, seeds, or supplement)
✔ Do weight-bearing exercise
✔ Get 20–30 minutes sunlight exposure
✔ Avoid excessive soda/acidic drinks (tooth erosion worsens)
This is not just “low vitamin” — it may be a metabolic absorption issue that needs targeted correction.
Since you’ve had a fracture and dental erosion at 34, this deserves a proper endocrine-level evaluation. If you share your exact lab values and supplement doses, I can help design a corrective protocol specific to you.
Booking an online consultation will allow a structured investigation plan so this does not continue affecting your bones and overall health.
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Hello,
If your Vitamin D and calcium are still low even after years of supplements, something is not getting absorbed properly or there may be a hormonal or metabolic issue. Since you already had a fracture and dental problems, this should be evaluated seriously.
What to do next:
• Repeat Vitamin D, calcium, PTH, thyroid and kidney tests
• Review the exact dose and form of supplements
• Consider a bone density test
Tips:
• Take Vitamin D3 after food
• Get regular sunlight
• Eat calcium-rich foods
This situation needs proper report review and targeted treatment. I strongly suggest a detailed consultation so the root cause can be identified and managed correctly.
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Please consult for detail assessment.
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
If your Vitamin D and calcium levels remain low despite long-term supplementation, there could be several reasons:
Conditions like celiac disease, inflammatory bowel disease, or chronic diarrhea can reduce absorption.
Incorrect form or dose of supplements – Sometimes low-dose tablets are insufficient; Vitamin D3 and calcium citrate are better absorbed than D2 or carbonate forms on empty stomach.
Lifestyle factors – Minimal sun exposure, high-phytate diet (legumes, raw grains), and low dietary calcium can limit improvement.
Underlying medical conditions – Kidney, liver, or parathyroid issues can prevent proper vitamin D and calcium metabolism.
What to do:
• Get repeat 25(OH) Vitamin D, serum calcium, phosphate, PTH, kidney and liver tests
• Use high-dose Vitamin D3 under doctor supervision (sometimes weekly or monthly doses are needed)
• Take calcium citrate with meals
• Ensure adequate sun exposure (15–20 mins/day)
• Evaluate absorption or metabolic disorders with a specialist
Persistent low levels can cause fatigue, fractures, dental erosion, and immune weakness, so it’s important to identify the cause rather than just continue supplements.
Kindly text me over Practo for a full evaluation and personalized treatment plan.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green vegetables more
Fiber meal
Do connect and consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Check bone density, thyroid profile., parathyroid hormones level
Take injections of calcium and vit d3.
Take more of fortified cereals, mushrooms, nuts, drumstick, eggs, fish, soya, curd, cheese, milk
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Due to osteoporosis
Get uprise d3 60000k once a week for a month
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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. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly 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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