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Calcium Supplements
By
Dr. Virginia Cummings



Question: My doctor told me to take a calcium supplement every day. How much should I take and what is the best kind? Can I get enough calcium in my diet?

Answer: A calcium supplement is a good idea for everyone, since, unfortunately, the average US diet is deficient in calcium. Health and nutrition specialists have increased the recommended intake of calcium for adults to 1200 milligrams daily, since this mineral is so important for bone and dental health. Women being treated for osteoporosis or pregnant and lactating women need even more calcium – 1500 mg daily. Unfortunately, the foods richest in calcium – dairy products – are often poorly digested by many adults, and can also be high in fat and calories...not a good idea for seniors!!

As you can see from the list, it IS possible to get adequate calcium in the diet...but do we get it every day? Calcium is too important a nutrient to neglect! Therefore, I recommend adding a supplement to the diet, aiming for 1000 mg daily. If that day’s diet happened to be extra rich in calcium, that won’t hurt you – intake up to 2000 mg a day is safe. It’s those days that you don’t eat any calcium-rich foods that hurt you, and a supplement is a good way to ensure that you’ll get most of the calcium that you need.

Don’t be scared away by the multitudes of calcium supplements on the shelf at your local drugstore! There is no best kind of calcium to take. I tell my patients, “The best calcium supplement is the one that you can manage to take every day!” The key feature of a calcium supplement is the milligrams of elemental calcium that it contains. Remember, we’re aiming for 1000 mg daily from a supplement. Choose the supplement that is easiest, cheapest and most palatable to you to ensure that you get your calcium every day. A “perfect” supplement that just sits on your shelf is no good to you. If you find a supplement that you like and that agrees with you, that one is the “perfect” supplement! The table at the top of the next page lists some common types of calcium supplements and how much elemental calcium each contains.

In addition to a calcium supplement, seniors need extra Vitamin D for optimal bone health. 400 iu (international units) is enough for people who do not have a diagnosis of osteoporosis, and people with osteoporosis should take 800 iu daily. You can either choose a calcium supplement with Vitamin D (these tend to be more costly) or get your Vitamin D from a daily multivitamin – most contain 400 iu of Vitamin D. Again, if your supplement is hard for you to take or doesn’t agree with you, you might not take it every day and you won’t get the nutrients you need. Find the supplement combination that works best for you and you’ll be on your way to healthier bones!!

 

 


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