Optimal Supplementation for Osteoporosis: Calcium, Fish Oil, and Vitamins - Orthopedics

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Hello, thank you for your valuable time in reviewing and responding.
My mother is 63 years old and has been taking calcium supplements to help with osteoporosis.
She is using the 500mg calcium with D3 and K2 from Life Extension.
After exercising, she sometimes feels soreness and discomfort.
Recently, I bought Move Free Advanced, Centrum Silver, and Life Extension fish oil (which she has just started taking).
I found online that fish oil and calcium supplements may have interactions.
I would like to ask how to supplement these properly.
Is it advisable to take Centrum after breakfast and fish oil after lunch, or should we alternate days between Centrum and fish oil? We usually take calcium at night, and my mother feels she sleeps better that way.
Can she take Move Free with calcium at bedtime? I look forward to your response.
Thank you!

P., 30~39 year old female. Ask Date: 2021/11/20

Dr. Chen Bochen reply Orthopedics


Hello, regarding your question, I found online that fish oil and calcium supplements may have interactions.
How should I supplement them properly? >>> It is recommended to take them at least two hours apart.
Is it okay to take a multivitamin like Centrum after breakfast and fish oil after lunch, or can I alternate between Centrum one day and fish oil the next? >> Both methods are acceptable.
Typically, we take calcium supplements in the evening, and my mother feels she sleeps better.
Can she take glucosamine with calcium before bedtime? >> Calcium and glucosamine can be taken together without any issues.

Reply Date: 2021/11/20

More Info


When it comes to managing osteoporosis, especially in older adults, proper supplementation can play a crucial role in maintaining bone health. Your mother, at 63 years old, is in a demographic that often faces challenges related to bone density and overall joint health. The supplements you mentioned—calcium with vitamin D3 and K2, fish oil, and multivitamins—are commonly used to support bone health and overall well-being.


Calcium Supplementation
Calcium is essential for bone health. The recommended daily intake for adults over 50 is about 1,200 mg. The calcium supplement you mentioned, which contains 500 mg of calcium along with vitamin D3 and K2, is a good choice. Vitamin D3 helps with calcium absorption, while vitamin K2 plays a role in directing calcium to the bones and teeth, preventing it from depositing in the arteries.


Fish Oil
Fish oil is rich in omega-3 fatty acids, which have anti-inflammatory properties and can support joint health. While there is no direct interaction between fish oil and calcium supplements, it is generally advisable to space them out to optimize absorption and minimize any potential gastrointestinal discomfort.

Multivitamins
Taking a multivitamin can help fill in nutritional gaps. However, it’s important to check the specific vitamins and minerals included, as some multivitamins may already contain calcium or vitamin D. If your mother is taking a multivitamin that includes these, you may want to adjust her calcium intake accordingly to avoid excessive dosages.


Suggested Supplementation Schedule
Based on your description, here’s a potential schedule for your mother’s supplementation:
- Breakfast: Multivitamin (if it does not contain calcium)
- Lunch: Fish oil
- Dinner: Calcium with D3 and K2
This schedule allows for adequate spacing between supplements, which can help with absorption and reduce the risk of gastrointestinal issues.

Evening Routine
Regarding the use of Move Free Advanced (which contains glucosamine and chondroitin), it can be taken in the evening along with the calcium supplement if that is when your mother feels it is most beneficial. Many people find that taking joint supplements at night helps with morning stiffness.


Monitoring and Adjustments
It’s important to monitor how your mother feels with this regimen. If she experiences any discomfort or side effects, adjustments may be necessary. Additionally, regular check-ups with her healthcare provider can help assess her bone density and overall health, ensuring that her supplementation is effective and safe.


Conclusion
In summary, your mother can safely take calcium, fish oil, and multivitamins as part of her osteoporosis management plan. The key is to space them out throughout the day and to monitor her response to the supplements. Always consult with her healthcare provider before making any significant changes to her supplement routine, especially considering her age and any underlying health conditions. This approach will help ensure she receives the maximum benefit from her supplements while minimizing any potential risks.

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