Can Calcium Loss Be Reversed? Bone Health and Supplements - Orthopedics

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Calcium loss


Hello Dr.
Yeh: Can calcium loss be replenished? I recently went to the health center for a bone density test, and my bone calcium loss was measured at 2.
The doctor said that once calcium is lost, it cannot be replenished.
Is this true? How can I restore my calcium levels? If I take too many calcium supplements, will it lead to calcification? What is the difference between plant-based calcium and synthetic calcium supplements? By the way, which hospital do you practice at in Nantou?

Qin Er, 30~39 year old female. Ask Date: 2001/06/08

Dr. Ye Qingnian reply Orthopedics


After bone loss, medication can only increase bone density slightly and cannot restore it to normal levels.
At 33 years old, you are generally at the peak of bone density, making it less likely to develop osteoporosis unless there are other endocrine disorders.
Regular exercise, drinking milk, and consuming small fish are beneficial.
After menopause, it is advisable to supplement with hormones immediately and to limit coffee and tea intake to reduce the risk of osteoporosis.
When taking calcium supplements, it is important to stay hydrated to help excrete excess calcium.
For calcium supplementation, regular calcium tablets are sufficient; more expensive pearl calcium tablets may contain heavy metals, which could be harmful.
I serve at the Nantou Hospital under the Department of Health, and I hold orthopedic outpatient clinics on Mondays, Wednesdays, and Fridays in the morning.
If you have any orthopedic issues, please feel free to visit the clinic for discussion.
Thank you.

Reply Date: 2001/06/08

More Info


Calcium loss, particularly in the context of bone health, is a significant concern, especially as individuals age. The question of whether calcium loss can be reversed is complex and depends on various factors, including the extent of the loss, the individual's overall health, and their lifestyle choices.

Firstly, it is essential to understand that bone density naturally decreases with age, particularly after the age of 30. This decline can accelerate in women post-menopause due to hormonal changes. When a bone density test indicates a loss of calcium, it often reflects a decrease in bone mineral density, which can lead to conditions like osteoporosis. While it is true that once bone density is lost, it cannot be fully restored to its original state, certain measures can help improve bone health and potentially increase bone density to some extent.

To address calcium loss, a combination of dietary changes, supplementation, and lifestyle modifications is recommended. Consuming foods rich in calcium, such as dairy products (milk, cheese, yogurt), leafy greens (kale, broccoli), and fortified foods, is crucial. Additionally, vitamin D plays a vital role in calcium absorption, so ensuring adequate vitamin D levels through sunlight exposure or supplementation is important.

Regarding calcium supplements, it is essential to approach them with caution. While they can help meet daily calcium requirements, excessive intake can lead to hypercalcemia, which can cause various health issues, including kidney stones and vascular calcification. It is generally recommended to obtain calcium primarily from dietary sources, with supplements used to fill any gaps. The recommended daily intake of calcium varies by age and gender, but for most adults, it is around 1,000 mg per day, increasing to 1,200 mg for women over 50 and men over 70.

When considering calcium supplements, there are two primary types: calcium carbonate and calcium citrate. Calcium carbonate is more concentrated and should be taken with food for better absorption, while calcium citrate can be taken on an empty stomach and is often better tolerated, especially in older adults who may have lower stomach acid levels. Plant-based calcium supplements are also available, often derived from sources like algae. These can be beneficial for individuals who prefer non-animal sources, but it is essential to check the calcium content and ensure it meets daily requirements.

As for the concern about calcium "calcifying" or causing deposits in the body, this typically occurs when there is an imbalance in calcium metabolism, often exacerbated by excessive supplementation or inadequate hydration. Therefore, it is crucial to maintain a balanced intake of calcium and ensure proper hydration to help the kidneys filter excess calcium effectively.

In summary, while calcium loss cannot be entirely reversed, it can be managed through a combination of dietary intake, appropriate supplementation, and lifestyle changes. Regular weight-bearing exercises, such as walking or resistance training, can also help strengthen bones. If you have specific concerns about your bone health or calcium intake, it is advisable to consult with a healthcare professional who can provide personalized recommendations based on your health status and needs. If you are looking for a healthcare provider in Nantou, you may want to check local listings or hospital directories for orthopedic specialists who can assist you further.

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