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Posts Tagged ‘Calcium Citrate’

Many individuals do not get enough calcium in their diets alone, especially as they get older and absorb calcium less well.  Most people who take precautions against sunburn and skin cancer do not get enough vitamin D.  Vitamin D needs increase as we get older, naturally making and utilizing  vitamin D less well.

We have over 100 posts on these subjects under the Calcium and Vitamin D categories.  Some specifically address the problems of Calcium Carbonate absorption in some individuals and recommend calcium citrate or another readily absorbable calcium supplement.

NOF has an excellent summary at

The NOF recommendations are for maintenance of good bone health.  Those with fractures and/or osteoporosis by DXA/VFA/TBS often need to play catch-up and require higher doses.

A complete bone health evaluation and discussion with your health care professional can individualize your situation.

Jay Ginther, MD

Bone Mineral Density is Calcium in Bone

January 11, 2020 @ 11:20 am
posted by Dr Ginther

Why do some patients, who are already on good osteoporosis preventing or treating medications, still have a falling Bone Mineral Density?  Are the medications not working?  Not as well as they should!  Why?  Even the best medications cannot work without enough CALCIUM intake and absorption.

If you want to improve your bones you must ABSORB enough calcium.  This can be a bit tricky.  You need the right kind of calcium, taken in food or with food, and spread out over 3 meals or snacks.  “Calcium” is Calcium Carbonate which requires lots of acid to dissolve.  This often is a problem if you take antacids, have heartburn or GERD, have digestive issues like lactose sensitivity, celiac or IBS, or are just “too old”, which begins at 50.

Calcium in foods is easy to absorb.  Calcium Citrate tablets or Tricalcium Phosphate Gummies require 2 tablets or gummies to total the 400 or 500 or 600 mg on the label.  Adora Chocolates are 500 mg each.  We recommend taking in 1200-1500 mg calcium daily.  That means 400-500mg at each of 3 meals.

DXA does not show bones.  DXA shows calcium.  Calcium stiffens and strengthens bones.  You cannot have good BMD or good bones without enough calcium!  Take control of your bone health with adequate calcium in diet and supplements.

Next time a listing of Calcium in Foods

Jay Ginther, MD

Spring – The Most Dangerous Season

March 22, 2015 @ 9:12 pm
posted by Dr Ginther

Spring is here.  The birds are singing.  Soon flowers will be blooming.  All the world is coming to life.  And more hips will be breaking.

32% of all hip fractures (nearly 1/3) occur in Spring!  Nearly 1/3 of hip fractures over 70 are in men.  And nearly 1/3 of those men die within months from medical complications initiated by their hip fractures.  Dangerous!

What can we do to avoid those fractures?  Decrease Fracture Risk!  How?  Do the following:

It is March;  this is Iowa;  almost 90% of persons not on major doses of Vitamin D3 are low.  (By late September that falls to less than 60% that are low.)  Remember that if you have a low Vitamin D level, you cannot absorb enough of the Calcium you consume in food and/or supplements.  Take extra Vitamin D3.

Remember that while Calcium Citrate is always absorbable, Calcium Carbonate often is not.  Remember that you need enough Magnesium to absorb Calcium.  A Senior Multiple Vitamins & Minerals has enough Magnesium for those of us over age 50, and lots of other good stuff too.

Protein is a big deal, especially over age 60, when our protein needs actually increase.  80% of bone and 90% of muscle are protein.  Regular exercises, including Balance Exercises, are necessary to Prevent Falls.

If you do not already know the quality (as well as density) of your bones, get a Complete Bone Health Evaluation.  Identify your opportunities for improvement.

Take Control Naturally with proper nutrition and exercises.

Jay Ginther, MD

Calcium Can Be Confusing

November 2, 2014 @ 4:41 pm
posted by Dr Ginther

Getting the right amount of Calcium every day can be confusing.  The total of 1200 mg (1500 mg to correct long term deficiency) daily sounds easy.  You can only absorb 500 mg (maybe 600 mg) in a single meal.  Therefore, split your Calcium into 3 doses.

Calcium is best when it is in food.  Calcium Supplements with meals are good too.  Many of us need “Calcium CITRATE” rather than plain “Calcium” for easier absorption and fewer side effects.

Try to get a total of 400-500 mg Calcium in each meal.  Count Calcium in Foods and Calcium in Supplements.  If you have the same foods every day, it is easy to set up your supplements.  But the same diet every day is boring!  I like variety.