Canonical ingredient
Calcium carbonate
- Parent supplement
- Calcium
- Direct source
- Calcium
- Source revision
- June 22, 2026
Ingredient evidence comparison · non-production preview
See what each frozen source explicitly supports, where evidence differs, and which questions remain unavailable.
Selected concepts
Canonical ingredient
Canonical ingredient
Aligned evidence topics
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
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.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
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.
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.
The absorption of magnesium from different kinds of magnesium supplements varies. Forms of magnesium that dissolve well in liquid are more completely absorbed in the gut than less soluble forms [2,12]. Small studies have found that magnesium in the aspartate, citrate, lactate, and chloride forms is absorbed more completely and is more bioavailable than magnesium oxide and magnesium sulfate [12-16]. One study found that very high doses of zinc from supplements (142 mg/day) can interfere with magnesium absorption and disrupt the magnesium balance in the body [17].
Rude RK. Magnesium. In: Coates PM, Betz JM, Blackman MR, Cragg GM, Levine M, Moss J, White JD, eds. Encyclopedia of Dietary Supplements. 2nd ed. New York, NY: Informa Healthcare; 2010:527-37.
Study type could not be determined · Population basis: unknown · Directness: not assessedRude RK. Magnesium. In: Ross AC, Caballero B, Cousins RJ, Tucker KL, Ziegler TR, eds. Modern Nutrition in Health and Disease. 11th ed. Baltimore, Mass: Lippincott Williams & Wilkins; 2012:159-75.
Study type could not be determined · Population basis: unknown · Directness: not assessedRanade VV, Somberg JC. Bioavailability and pharmacokinetics of magnesium after administration of magnesium salts to humans. Am J Ther 2001;8:345-57. [PubMed abstract]
Pharmacokinetic study · Population basis: human · Directness: not assessedFiroz M, Graber M. Bioavailability of US commercial magnesium preparations. Magnes Res 2001;14:257-62. [PubMed abstract]
Study type could not be determined · Population basis: unknown · Directness: not assessedMühlbauer B, Schwenk M, Coram WM, Antonin KH, Etienne P, Bieck PR, Douglas FL. Magnesium-L-aspartate-HCl and magnesium-oxide: bioavailability in healthy volunteers. Eur J Clin Pharmacol 1991;40:437-8. [PubMed abstract]
Study type could not be determined · Population basis: human · Directness: not assessedLindberg JS, Zobitz MM, Poindexter JR, Pak CY. Magnesium bioavailability from magnesium citrate and magnesium oxide. J Am Coll Nutr 1990;9:48-55. [PubMed abstract]
Study type could not be determined · Population basis: unknown · Directness: not assessedWalker AF, Marakis G, Christie S, Byng M. Mg citrate found more bioavailable than other Mg preparations in a randomized, double-blind study. Mag Res 2003;16:183-91. [PubMed abstract]
Randomized controlled trial · Population basis: unknown · Directness: not assessedSpencer H, Norris C, Williams D. Inhibitory effects of zinc on magnesium balance and magnesium absorption in man. J Am Coll Nutr 1994;13:479-84. [PubMed abstract]
Study type could not be determined · Population basis: unknown · Directness: not assessedSupplements can contain a variety of different forms of magnesium, and the absorption of these forms varies. In general, forms of magnesium that dissolve well in liquid have higher absorption than other forms, and the aspartate, citrate, lactate, and chloride forms of magnesium tend to have higher bioavailability than magnesium oxide and magnesium sulfate.
Magnesium supplements are available in a variety of forms, including magnesium oxide, citrate, and chloride [2,3]. The Supplement Facts panel on a dietary supplement label declares the amount of elemental magnesium in the product, not the weight of the entire magnesium-containing compound.
The absorption of magnesium from different kinds of magnesium supplements varies. Forms of magnesium that dissolve well in liquid are more completely absorbed in the gut than less soluble forms [2,12]. Small studies have found that magnesium in the aspartate, citrate, lactate, and chloride forms is absorbed more completely and is more bioavailable than magnesium oxide and magnesium sulfate [12-16]. One study found that very high doses of zinc from supplements (142 mg/day) can interfere with magnesium absorption and disrupt the magnesium balance in the body [17].
Source attribution does not imply NIH or ODS endorsement of MEDucated.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.
Direct source evidence for this ingredient topic is not yet available in MEDucated.
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Direct source evidence for this ingredient topic is not yet available in MEDucated.
No direct source block is attached to this ingredient topic.