Do You Need Vitamin D3 with Chelated Calcium Supplements? - Nutrition

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Does chelated calcium need to be combined with vitamin D3?


Hello, I would like to ask a nutritionist: I have been taking calcium supplements (1000 mg/day), primarily composed of calcium carbonate, along with vitamin D3 at 800 IU, for nearly a year.
Recently, I have been experiencing frequent constipation (I have undergone a surgical examination and am yet to see the report).
For general health purposes, how much chelated calcium should I take daily? Should I add vitamin D3 separately? Thank you for your response.

cream19688865, 40~49 year old female. Ask Date: 2018/01/13

Dr. Huang Yuru reply Nutrition


Hello, I'm not sure what your purpose is for taking calcium supplements.
The recommended daily intake of calcium for adults is 1000 to 1200 milligrams.
If the amount of calcium you take in supplement form reaches the recommended daily intake, and you are also getting calcium from natural food sources, it is possible to exceed the recommended amount.
Excess calcium in the body can reduce intestinal motility, and if you do not have good dietary habits and regular exercise, it may lead to constipation.

How many calcium tablets should you take in a day? The recommendation is to obtain the daily calcium intake primarily from food, with supplements serving only as an adjunct.
If you really need to supplement, a dose of 200 mg is suggested, with the rest coming from your diet.
Additionally, it is recommended that you do not need to supplement vitamin D3 separately, as a balanced diet should provide sufficient amounts of both calcium and vitamin D3 for nutritional balance.

Regarding the issue of constipation, I would like to remind you to review your recent lifestyle and dietary habits to see if there have been any changes that could be contributing to this issue.

Reply Date: 2018/01/13

More Info


When it comes to supplementing with calcium and vitamin D3, it's essential to understand the roles these nutrients play in the body, especially if you're experiencing issues like constipation. Calcium is crucial for bone health, muscle function, and nerve transmission, while vitamin D3 helps the body absorb calcium effectively.
In your case, you're currently taking calcium carbonate with vitamin D3 (800 IU) and have been doing so for nearly a year. The recommended dietary allowance (RDA) for calcium for most adults is about 1,000 to 1,200 mg per day, depending on age and gender. If you're already consuming 1,000 mg of calcium through supplements, you may be meeting your daily needs, especially if you're also getting calcium from dietary sources like dairy products, leafy greens, and fortified foods.

However, you mentioned experiencing constipation, which can sometimes be linked to excessive calcium intake. High levels of calcium can lead to decreased intestinal motility, which may contribute to constipation. If you're consuming a total of 1,000 mg of calcium from supplements and additional calcium from food, you might be exceeding your needs, especially if your diet is not balanced with adequate fiber and hydration.

Regarding chelated calcium supplements, these are often marketed as being easier to absorb than standard calcium carbonate. If you choose to switch to a chelated form, the dosage will depend on the specific product, but generally, you should aim to stay within the RDA for calcium. If you're considering taking a chelated calcium supplement, consult the product label for the recommended dosage and ensure it aligns with your total daily calcium intake.

As for vitamin D3, it is essential for calcium absorption. If your current supplement already contains 800 IU of vitamin D3, you may not need to add more unless advised by a healthcare professional. The RDA for vitamin D varies, but many adults require about 600 to 800 IU per day, especially if they have limited sun exposure. If you're concerned about your vitamin D levels, a blood test can help determine if you need additional supplementation.

In summary, if you're considering switching to a chelated calcium supplement, ensure that your total calcium intake (from both supplements and food) does not exceed the recommended levels. You may not need to add more vitamin D3 if your current supplement provides sufficient amounts. However, if you continue to experience constipation, it may be beneficial to evaluate your overall diet, including fiber intake and hydration, and consult with a healthcare professional for personalized advice.
In addition to managing your calcium and vitamin D intake, consider incorporating more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes, to help alleviate constipation. Staying hydrated is also crucial, as fluids can help keep your digestive system functioning smoothly. If constipation persists, it may be worth discussing with your healthcare provider to rule out any underlying issues and explore other dietary or lifestyle adjustments that could help.

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