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Calcium Citrate vs Calcium Carbonate MAYO CLINIC: "calcium citrate is better absorbed on an empty stomach. The CITRATE form does not require gastric acid for absorption. It's the PREFERRED supplement for those lacking gastric acid, including older people, THOSE WHO HAVE HAD STOMACH SURGERY or those taking medications that block gastric acid production." "Increase absorption - Some calcium compounds dissolve easier and are better absorbed than others. For example, calcium CITRATE supplements may be more easily absorbed and better tolerated than calcium carbonate." "Vitamin D is necessary for effective absorption of dietary calcium. It also HELPS DEPOSIT CALCIUM IN BONE and teeth." A daily supplement containing 400 IU of vitamin D is commonly recommended. "It is true that calcium can interfere with absorption of iron (also zinc, magnesium and phosphorus). And, in order to keep calcium from interfering with absorption, it is probably best to take calcium supplements separately from these minerals. Take calcium and iron supplements at different times." University of Texas Southwestern Medical Center of Dallas: Researchers show that calcium CITRATE is better absorbed than calcium carbonate and is effective at preventing osteoporosis in early post- menopausal women. Osteoporosis - or brittle bones disease is a major health threat to 28 million Americans. American Journal of Therapeutics (Nov/Dec. issue: Dr. Sakhaee, chief of mineral metabolism, published his analysis and found CITRATE to be the better absorbed. Journal of Clinical Pharmacology (Nov. issue): Dr. Howard Heller, assistant professor of internal medicine compared the absorption of citrate with carbonate. His finding confirmed CITRATE was better absorbed than carbonate. Dr. Steve Harris, bone specialist at the University of California, San Francisco stated, "For those at risk of kidney stones, calcium citrate might be a wiser choice." Metacrawler Search - Osteoporosis FAQ's: Ouestion: 3. I am taking Tums (registered trademark) as a supplement for prevention of osteoporosis. How often and how many should I be taking daily? Answer: "Unfortunately, this medication is not one I would recommend. I see two basic faults with the manufacturer and their claims that you need their product to prevent osteoporosis. The first problem that I see is that this product contains calcium-carbonate (chalk). In my opinion the above named product is not a practical good source of calcium. This particular form of calcium is not as readily absorbed in the gut as either calcium -oxalate, calcium-malate or CALCIUM CITRATE. If you want to take a calcium supplement look for combinations of these three forms of calcium, also expect to pay a higher price for these products since their manufacture is more expensive.