Is It Secure to Take Calcium Dietary supplements? 6 Dangers You Ought to Know

Be aware: The U.S. Meals and Drug Administration (FDA) doesn’t approve dietary supplements for security or effectiveness. Discuss to a healthcare skilled about whether or not a complement is the best match on your particular person well being, and about any potential drug interactions or security issues.

If you happen to’re involved you’re not getting sufficient calcium, you could be contemplating dietary supplements. There’s little question that calcium is important for sturdy tooth and bones — and has lengthy been thought-about a key complement for stopping bone loss in ladies — however the way in which you ingest it issues.

Getting sufficient calcium from meals, slightly than dietary supplements, is usually really helpful for most individuals. Calcium dietary supplements might even pose well being dangers, particularly in older adults and girls postmenopause.

Some information means that calcium supplementation might enhance cardiovascular threat, although the findings are combined. Research additionally recommend that calcium dietary supplements might present restricted profit in lowering fractures, together with hip fractures, in postmenopausal ladies.

Past these teams, calcium dietary supplements may cause a spread of unwanted effects price realizing about earlier than you begin taking them.

1. Could Scale back Nutrient Absorption

Calcium dietary supplements can compete or intrude with the absorption of different essential vitamins — particularly iron, zinc, and magnesium — which reduces your physique’s capability to profit from them, says Stacie Stephenson, a practical drugs practitioner in Barrington Hills, Illinois.

Every of those minerals performs a definite position within the physique, however collectively they assist transport oxygen all through the physique, assist immune well being, and regulate muscle operate.

If you happen to select to make use of calcium along with different vitamin and mineral dietary supplements, Dr. Stephenson recommends staggering your consumption of every by a number of hours. This helps make sure that your physique is ready to take up every nutrient effectively.

Calcium dietary supplements additionally lack the extra vitamins you get when consuming calcium-rich meals. “Calcium-rich meals typically comprise vitamin Ok, vitamin D, and magnesium. These vitamins assist maximize your calcium consumption,” says Yoon Grasp Kim, MD, MPH, a board-certified preventive drugs doctor and integrative practical drugs practitioner in San Antonio, Texas.

2. Could Trigger Constipation

In contrast to meals, which accommodates small, manageable quantities of calcium, dietary supplements decelerate the passage of meals by the digestive tract. This will trigger gastrointestinal (GI) points like constipation, fuel, and bloating.

If you take high-dose calcium dietary supplements, the muscle contractions that assist transfer meals by the intestine decelerate, and fluids secreted by the intestines lower, making stools tougher and tougher to go.

If you happen to take calcium dietary supplements, dividing your day by day dose into smaller increments might cut back this impact. “The physique absorbs calcium most effectively when calcium dietary supplements are taken in small doses, slightly than in a single massive, day by day quantity,” explains Shaye Arluk, RDN, a registered dietitian-nutritionist and diet and wellness coordinator with Sentara Brock Most cancers in Norfolk, Virginia.

3. Could Result in Hypercalcemia

Hypercalcemia — a situation during which blood calcium ranges rise too excessive — mostly happens when the parathyroid glands within the neck produce extra hormone, inflicting bones to launch extra calcium into the bloodstream than the physique wants. This weakens bones and creates kidney stones over time.

Calcium dietary supplements can set off the identical consequence by a unique route. Most adults want between 1,000 and 1,200 milligrams (mg) of calcium per day, and plenty of already get a good portion of that by meals.

When supplementation pushes complete consumption nicely past that threshold, the physique can wrestle to soak up or excrete the surplus, inflicting surplus calcium to build up within the blood slightly than being utilized by bones and tissues.

4. Could Work together With Drugs

Calcium dietary supplements bind to sure medicines, which decreases absorption and reduces their effectiveness. These medicines embody:

  • Thyroid medicines like levothyroxine
  • Antibiotics used to deal with bacterial infections
  • Human immunodeficiency virus (HIV) therapies like dolutegravir
To forestall interactions, take your remedy a number of hours earlier than or after taking calcium dietary supplements.

Be aware that taking calcium dietary supplements alongside lithium, a remedy for bipolar dysfunction, may enhance the chance of hypercalcemia.

It’s greatest to seek the advice of your healthcare supplier earlier than beginning calcium supplementation if you happen to take medicines, Arluk says.

5. Could Increase the Danger of Kidney Stones

Kidney stones are laborious, stable deposits of minerals and salts that kind within the kidneys and may trigger intense ache within the decrease again, stomach, or aspect, together with nausea, vomiting, and ache when urinating.

They develop over months or years when an excessive amount of oxalate (a naturally occurring compound in lots of plant-based meals), phosphate, or calcium builds up within the urine over time.

Calcium from meals may very well work in opposition to stone formation. Dietary calcium binds to oxalate within the intestines, stopping it from reaching the kidneys and urine the place the most typical sort of stone, calcium oxalate, kinds.

Calcium dietary supplements might not supply the identical profit. Reasonably than offering the identical oxalate-binding impact as dietary calcium, supplemental calcium might enhance the quantity of calcium launched into the urine, particularly when taken between meals. This may increasingly elevate the chance of stone formation.

6. Could Enhance Coronary heart Illness Danger

A number of research recommend that calcium dietary supplements enhance plaque buildup within the arteries that hook up with the guts and mind. Over time, this buildup may cause coronary heart illness, coronary heart assault, and stroke.

One meta-analysis of scientific trials discovered that taking day by day calcium dietary supplements elevated the chance of heart problems by about 15 p.c in wholesome postmenopausal ladies.

However these findings stay inconsistent throughout research, and extra analysis is required. Scientific tips, for instance, observe that there’s an absence of adequate proof immediately linking calcium supplementation to heart problems.

“Most individuals can take calcium dietary supplements safely, carefully,” Dr. Kim says. However he recommends turning to calcium-rich meals as a substitute of dietary supplements if in case you have a private or household historical past of coronary heart illness.

Who Nonetheless May Want Calcium Dietary supplements?

Most individuals ought to prioritize calcium-rich meals equivalent to dairy, broccoli, salmon, and fortified cereals over dietary supplements.

Use dietary supplements solely when your dietary consumption falls quick, Arluk says.

“The one inhabitants I ever suggest specializing in dietary supplements are these with a real lactose intolerance or dairy allergy, who can’t get the really helpful dietary consumption from meals alone,” she provides.

If you happen to’re anxious that you simply’re not getting sufficient calcium from meals, focus on your issues with a healthcare supplier. They might help you weigh the dangers with the advantages of calcium dietary supplements to find out if dietary supplements are applicable for you.

The Takeaway

  • Calcium dietary supplements may cause unwanted effects, together with constipation, diminished absorption of different minerals, and — when taken in extra — hypercalcemia, kidney stones, and will enhance cardiovascular threat.
  • Getting calcium from meals is preferable to dietary supplements for most individuals, as meals sources present further vitamins like vitamin Ok, vitamin D, and magnesium that assist the physique use calcium successfully.
  • Dietary supplements could also be applicable for folks with lactose intolerance or dairy allergic reactions who cannot meet their calcium wants by eating regimen. However anybody contemplating them ought to seek the advice of a healthcare supplier first.

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