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Review

Optimizing calcium and vitamin D intake through diet and supplements

Holly P. Kilim, MD and Harold Rosen, MD
Cleveland Clinic Journal of Medicine July 2018, 85 (7) 543-550; DOI: https://doi.org/10.3949/ccjm.85a.17106
Holly P. Kilim
Division of Endocrinology, Beth Israel Deaconess Medical Center, Boston, MA
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Harold Rosen
Division of Endocrinology, Beth Israel Deaconess Medical Center, Boston, MA
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  • For correspondence: [email protected]
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Article Figures & Data

Tables

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    TABLE 1

    Institute of Medicine guidelines for intake of calcium and vitamin D by age and sex

    AgeCalcium Vitamin D
    Women Men Women Men
    RDA, mg/dayUpper intake levelRDA, mg/ dayUpper intake levelRDA, IU/dayUpper intake levelRDA, IU/dayUpper intake level
    19-501,0002,5001,0002,5006004,0006004,000
    51-701,2002,0001,0002,0006004,0006004,000
    > 711,2002,0001,2002,0008004,0008004,000
    • RDA = recommended dietary allowance

    • Based on information in reference 20.

    • View popup
    TABLE 2

    Calcium content in commonly eaten calcium-rich and fortified foods

    Type of foodServing sizeCalcium content (mg)
    Dairy products
    Low-fat cottage cheese1 cup138
    Cheddar cheese1 oz201
    3.25% whole milk1 cup276
    2% reduced fat milk1 cup295
    1% low-fat milk1 cup305
    Plain low-fat yogurt6 oz311
    Nondairy milk substitutes
    Soy milk1 cup301
    Almond milk1 cup516
    Fruits and vegetables
    Spinach, raw1 cup30
    Broccoli, cooked1 cup62
    Kale, cooked1 cup94
    Chard, cooked1 cup102
    Spinach, cooked1 cup245
    Collard greens, cooked1 cup268
    Calcium-fortified orange juice8 oz348
    Legumes
    Navy beans1 cup123
    White beans1 cup191
    Fish
    Canned salmon3 oz241
    • Based on information from the US Department of Agriculture, reference 42.

    • View popup
    TABLE 3

    Calcium content in widely used multivitamins

    MultivitaminType of calciumCalcium content (mg) per serving
    Centrum Silver WomenCarbonate300
    Centrum Silver Adult 50+Carbonate220
    One a Day Women’sCarbonate500
    One a Day Women’s 50+Carbonate500
    • View popup
    TABLE 4

    Calcium in widely available supplements

    FormulationCalcium compoundElemental calcium (mg) per pill
    Caltrate 600 + D3Carbonate600
    Citracal MaxCitrate315
    Citracal Slow ReleaseCitrate600
    Citracal Plus MagnesiumCitrate250
    OsCal Ca + D3Carbonate500
    • View popup
    TABLE 5

    Easily ingested calcium formulations

    FormulationCalcium compoundElemental calcium (mg) per pill or tablespoon
    Smaller pills
    Citracal PetitesCitrate200
    Caltrate 600 + D3 Plus Minerals MinisCarbonate300
    Chewable
    TumsCarbonate200
    Caltrate Gummy BitesCarbonate250
    Citracal Calcium GummiesTriphosphate250
    Tums Extra StrengthCarbonate300
    Tums Chewy DelightsCarbonate400
    Tums Ultra StrengthCarbonate400
    AdoraCarbonate500
    Oscal ChewableCarbonate500
    Viactiv Calcium plus Vitamins D + KCarbonate500
    Caltrate 600 + D3 Soft ChewsCarbonate600
    Caltrate 600 + D3 Plus Minerals ChewablesCarbonate600
    Liquid formulations
    Wellesse calcium and vitamin D3Citrate and phosphate500
    Nature’s BlendCitrate500
    SolgarCitrate600
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Cleveland Clinic Journal of Medicine: 85 (7)
Cleveland Clinic Journal of Medicine
Vol. 85, Issue 7
1 Jul 2018
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Optimizing calcium and vitamin D intake through diet and supplements
Holly P. Kilim, Harold Rosen
Cleveland Clinic Journal of Medicine Jul 2018, 85 (7) 543-550; DOI: 10.3949/ccjm.85a.17106

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Optimizing calcium and vitamin D intake through diet and supplements
Holly P. Kilim, Harold Rosen
Cleveland Clinic Journal of Medicine Jul 2018, 85 (7) 543-550; DOI: 10.3949/ccjm.85a.17106
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  • Article
    • ABSTRACT
    • CALCIUM INTAKE AND BONE DENSITY
    • CALCIUM INTAKE AND CORONARY ARTERY DISEASE
    • CALCIUM SUPPLEMENTATION AND NEPHROLITHIASIS
    • CALCIUM INTAKE IN PATIENTS TAKING ANTIRESORPTIVE DRUGS
    • OPTIMIZING INTAKE OF CALCIUM AND VITAMIN D
    • CALCULATING A PATIENT’S DIETARY CALCIUM INTAKE
    • CALCIUM SUPPLEMENTS
    • SOURCES OF CONFUSION
    • OPTIONS FOR THOSE WITH DIFFICULTY SWALLOWING LARGE PILLS
    • CALCIUM SUPPLEMENTS AND CONSTIPATION
    • REFERENCES
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  • Info & Metrics
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