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Vit D and b12 maintainance dose
After completing dose of VITAMIN B12 and VITAMIN D3 for 3 months,
Should I stop taking tablets of these vitamins ?
How should I maintain the optimal level in the body after completing the dose?
Answers (27)
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Please contact via practo Or on whats app at nine four nine five nine four one two eight seven
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You need continue it at intervals to maintain the body stores. You can opt for online consultation for detailed discussion or other queries.
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Please specify your age, gender, for what reason were you taking these medications? Your vitamin D or other test you did? Send me those... Then i will guide you properly
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Please seek a proper consultation with a General Physician for further management. Your other symptoms and lifestyle needs to be considered.
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First u have to recheck the values of vit b12 and D then if normal u can take respective vitamins RDA containing supplements and also some dietary supplements
Next Steps
connect with me on practo with the report of serum VIT D, B12. for further treatment
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First check with serum vitamin D & vitamin B12 levels,if normal stop taking medicines try to maintain with diet and daily exposure to sunlight for 30min
Try taking green leafy vegetables,curd,yoghurt
Nonveg meat
If symptoms reoccur consult physician
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Check your vitamin d and b 12 levels,if tested normal, you can take vitamin d 2000 iu daily and vitamin b 12 500 mcg daily for a few months
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Get tests done. If blood levels are normal, stop taking tablets.
Take more of mushrooms, eggs, fortified cereals, nuts, soya,almonds, curd, cheese, whole grains and sprouts, berries.
Spend an hour or so in morning sunlight with limbs exposed.
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First go to next further investigation.
# Source of vitamin D -
Fatty fish (Salmon, Tuna, Mackerel)
Egg yolk
Cod liver oil
Vegetarian / Dairy:
Fortified milk
Yogurt
Fortified cereals
Fortified soy milk
Mushrooms
# Vitamin B 12 souy -
Non-vegetarian (rich sources):
Fish (Salmon, Tuna, Sardines)
Meat (Chicken, Mutton, Beef)
Liver and organ meats
Eggs
Shellfish (Clams, Crab)
Dairy & Vegetarian-friendly:
Milk
Curd / Yogurt
Cheese
Paneer
Plant-based (usually fortified):
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Vitamin D3: Switch to a low maintenance dose (for example, once weekly or once monthly), even in India.
Vitamin B12: If levels are normal, continue a low oral dose or stop if diet is adequate.
Diet matters:
Vitamin D: milk, curd, butter, eggs, fish
Vitamin B12: milk, curd, cheese, eggs, meat (very important if vegetarian)
Blood test after 3–6 months helps decide whether to continue or stop.
This approach helps maintain normal levels without overuse of supplements.
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After completing treatment doses:
Do not continue high-dose tablets daily unless advised.
Maintenance:
Vitamin D3: once monthly or once weekly low dose
Vitamin B12: dietary sources or monthly tablet/injection if deficient
Best approach is to repeat blood tests and then decide maintenance dose
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Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for your question. This is a very common and important doubt, and I will explain it clearly.
After completing a 3-month correction course of Vitamin B12 and Vitamin D3, you should not stop them completely. Most deficiencies recur if maintenance is not continued, especially in adults with limited sun exposure or dietary gaps.
Vitamin D3
After correction, shift to maintenance dosing:
⢠Vitamin D3 2000 IU daily
OR
⢠Vitamin D3 60,000 IU once every 2 weeks
Also try to get 20â30 minutes of sunlight exposure at least 3â4 days a week.
Target Vitamin D level should be above 35â40 ng/ml.
Vitamin B12
After correction, maintenance is required in most people:
⢠Methylcobalamin 1000â1500 mcg 2â3 times per week
⢠Long term or lifelong maintenance may be needed, especially if vegetarian or with acidity issues.
Target Vitamin B12 level should be above 400â500 pg/ml.
What you should do next
⢠Continue maintenance doses rather than stopping
⢠Repeat Vitamin D and B12 levels after 3â6 months
⢠Adjust dose based on reports and symptoms
Please remember that vitamin supplementation is often a long term maintenance process, not just a short course treatment.
For personalised one to one consultation and dose adjustment, you can reach out to me on WhatsApp at 85271646 seven seven.
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Maintain these naturally by taking dietary supplements, eat meat more because b12 is less amount in veg.
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No need to continue the tablets
Try to maintain naturally
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Once check levels of vitamin by performing test
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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. Shubham Srivastava
Internal Medicine
5 yrs exp
Allahabad
You should ideally get rechecked.
And things should be taken from there.
If you dont want to get rechecked/cant get rechecked , you can take measures to increase vit b12 in your diet naturally.
About Vit B12 :- Majority of Indian have a vegetarian diet and vit b12 is quite scarce in vegetarian food.
You can increase intake of curd paneer milk and chaas .
If you eat eggs than you can take 1 whole egg a day for 5 to 7 times a week.
Vit b12 is also abundunt in things like chicken and organ meat. Taking these weekly once and twice will be great as well if you eat non veg.
Regarding Vit D :-
Not much you can do from a diet point of view but taking sunlight especially in the morning can sometimes be benficial.
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Yes stop
Next Steps
consultation
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Dr. Aishwarya Jaggi
General Physician
6 yrs exp
Indore
Need to know about your symptoms/deficiencies in details.
Kindly connect me through a practo app or dm me on seven eight six nine three eight eight one six five
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion*
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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. Upasna
General Physician
3 yrs exp
Ghaziabad
Keep your diet in check. Eat food rich in calcium and vit b12.
B12 is generally present in non veg diet .
Calcium - Milk
• Curd / yogurt
• Paneer
• Cheese
• Buttermilk (chaas)
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Dr. Hari Gopal
Dermatology
42 yrs exp
Bijnor
1000 IU daily
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule once a week for 12 weeks
Neurobion forte once a day for 30 days
If you have no allergy
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly 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.