Parent supplement
- Calciumentity:supplement:calcium
Ingredient intelligence · non-production preview
Identity structure
Origin classification is not assigned for this pilot. MEDucated does not rank naturally occurring or manufactured ingredients as better or worse based on origin.
Evidence availability
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
A frozen NIH ODS source explicitly identifies this ingredient or form. Source wording is preserved without creating a new conclusion.
Structural characterization
Reference counts describe frozen source associations; a larger count does not establish stronger evidence.
No explicit limitation phrase was identified in these imported source blocks.
Morini E, Catalano A, Lasco A, Morabito N, Benvenga S. L-thyroxine malabsorption due to calcium carbonate impairs blood pressure, total cholesterolemia, and fasting glycemia. Endocrine 2019;64:284-92. [PubMed abstract]
Study type could not be determined · Population basis: unknown · Directness: not assessedSingh N, Singh PN, Hershman JM. Effect of calcium carbonate on the absorption of levothyroxine. Jama 2000;283:2822-5. [PubMed abstract]
Study type could not be determined · Population basis: unknown · Directness: not assessedSchneyer CR. Calcium carbonate and reduction of levothyroxine efficacy. Jama 1998;279:750. [PubMed abstract]
Study type could not be determined · Population basis: unknown · Directness: not assessedU.S. Food and Drug Administration. LEVO-T Label. 2017.
Regulatory source · Population basis: unknown · Directness: not assessedCalcium carbonate supplements can interfere with the absorption of levothyroxine (Synthroid, Levoxyl, and others), a thyroid hormone used to treat hypothyroidism and thyroid cancer [104-106]. The FDA-approved label for this medication instructs patients who are taking calcium carbonate supplements to avoid taking levothyroxine within 4 hours of taking the supplement [107].
Source attribution does not imply NIH or ODS endorsement of MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
A frozen NIH ODS source explicitly identifies this ingredient or form. Source wording is preserved without creating a new conclusion.
Structural characterization
Reference counts describe frozen source associations; a larger count does not establish stronger evidence.
No explicit limitation phrase was identified in these imported source blocks.
Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: The National Academies Press; 2011.
Government reference · Population basis: unknown · Directness: not assessedWeaver CM, Heaney RP. Calcium. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, eds. Modern Nutrition in Health and Disease. 11th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2014:133-49.
Study type could not be determined · Population basis: unknown · Directness: not assessedOffice of Dietary Supplements, National Institutes of Health. Dietary Supplement Label Database. 2021.
Study type could not be determined · Population basis: unknown · Directness: not assessedMany dietary supplements contain calcium, usually in the form of calcium carbonate or calcium citrate. The percentage of calcium that is absorbed from supplements depends on a number of factors, including the form of the calcium and the total amount of elemental calcium consumed at one time.
The two most common forms of calcium in supplements are calcium carbonate and calcium citrate [1]. In people with low levels of stomach acid, the solubility rate of calcium carbonate is lower, which could reduce the absorption of calcium from calcium carbonate supplements unless they are taken with a meal [3]. Calcium citrate is less dependent on stomach acid for absorption than calcium carbonate, so it can be taken without food [1]. In general, however, absorption of calcium supplements is greater when they are taken with food, regardless of whether the user’s gastric acid is low [3]. Other calcium forms in supplements include calcium sulfate, ascorbate, microcrystalline hydroxyapatite, gluconate, lactate, and phosphate [14].
The forms of calcium in supplements contain varying amounts of elemental calcium. For example, calcium carbonate is 40% calcium by weight, whereas calcium citrate is 21% calcium [1]. Elemental calcium is listed in the Supplement Facts panel, so consumers do not need to calculate the amount of calcium supplied by various forms of calcium in supplements.
Some individuals who take calcium supplements might experience gastrointestinal side effects, including gas, bloating, constipation, or a combination of these symptoms. Calcium carbonate appears to cause more of these side effects than calcium citrate, especially in older adults who have lower levels of stomach acid [1]. Symptoms can be alleviated by switching to a supplement containing a different form of calcium, taking smaller calcium doses more often during the day, or taking the supplement with meals.
Source attribution does not imply NIH or ODS endorsement of MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
Architecture readiness
Exact names and registered aliases can resolve to entity:ingredient:calcium-carbonate. Uncertain terms remain unresolved.
Future labels can preserve literal wording, quantity, unit, serving basis, order, and source provenance separately from this identity.