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Calcium Essential to Limit Osteoporosis but Avoid Excess, Say Europeans - Nov 2017

Calcium in the prevention of postmenopausal osteoporosis: EMAS clinical guide

Summary from PDF

An adequate intake of calcium as a mainstay in the prevention of postmenopausal osteoporosis remains a universal recommendation in guidelines.
It is important to get an assessment, even approximate, of the individual’s intake of calcium.
Supplementation may be recommended, where levels are or seem to be insufficient.
Women should be warned that calcium intakes above the recommended levels may be useless,
or may even entail some harm, though this remains uncertain.
Dietary interventions may be advantageous, but this also lacks strong evidence and is not universally agreed.
Women who do not wish to take supplements and who have problems in maintaining a diet sufficiently rich in calcium should be reassured that this is unlikely to affect adversely their fracture risk.Other measures, like physical activity and vitamin D supplements may help to maintain bone health.

Also clipped from PDF

" The possibility that repeated calcium peaks have deleterious health effects has some experimental support [27]. To reduce this effect, a maximum of 500 mg of elemental calcium is recommended per dose"
"Furthermore, a recent expert consensus meeting of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) and the International Osteoporosis Foundation (IOF) concluded that supplementation with calcium alone for fracture reduction is not supported by current evidence

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Osteoporosis treatment – Vitamin D is the most cost-effective – April 2019

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Calcium Essential to Limit Osteoporosis but Avoid Excess, Say Europeans - Nov 2017

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- Calcium hazards and bioavailability Calcium added for osteoporosis may not help and might be harmful – Feb 2018 Calcium increased risk of side effects in trials (no problems with just Vitamin D) – meta-analysis Nov 2017

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Osteoporosis 202 Vitamin D and Calcium 196

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