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Calcium Supplement
without Phosphorous
Formula #2
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RISKS for DEVEOPING OSTEOPOROSIS (1):
- age,
- menopause,
- initial bone density,
- bioavailability of calcium, and
- sporadic factors like low weight, smoking, alcohol intake, physical activity
WOMEN'S INTAKE of CALCIUM IS TOO LOW:
middle-aged and elderly women intake only 550 mg of calcium per day; women with osteoporosis intake even less (1,2)
calcium intake is critical in TEEN years; low calcium intake in teen years leads to osteoporosis later in life.(12)
teen girls absorb 326 mg and adult women absorb 73 mg of 1332 mg of calcium taken daily. (12)
a 5% increase in bone mass decreases fracture risk by 40%. (12)
MEN and OSTEOPOROSIS (6) :
Men also develop osteoporosis, although less commonly than women, but it nevertheless can cause significant morbidity when present. A lowered testosterone hormone is to blame.
RESULTS of OSTEOPOROSIS (1) :
a woman will typically lose 50% of her bone mass during her lifetime.
1 out of every 3 women will have a vertebral fracture after age 65.
1 out of every 3 women will have a hip fracture in extreme old age.
SPECIAL PROPERTIES of FORMULA #2 Non-Phosphorous Calcium Citrate:
the formulator -- Dr. Cox keeps up to date with the latest in calcium absorption and osteoporosis care
the formulation -- assures adequate levels of calcium in efforts to combat bone loss & osteoporosis
hydrochloric acid -- aids in breakdown and absorption of calcium
synergistic co-factors and minerals -- promote bone metabolism
no phosphorous -- phosphorous is abundant in our diet and elevated levels of it can require even more calcium to be take from bone to maintain an equal balance cf calcium to phosphorous in the serum.
calcium citrate -- provides greater assimilation and absorption properties than calcium carbonate
- note: 25% dietary calcium is absorbed from the upper gut (11)
- calcium citrate is best assimilated and doesn't increase oxalate levels which are shown to increase stones. (8)
- calcium citrate absorbs twice as well as hydroxyapatite and 20 to 66% greater than carbonate. (13)
vitamin D3 -- supports calcium supplementation and is considered a safe and effective agent for long-term use in osteoporotic patients. (7)
* No kidney stone formation from calcium!?!
New research reports that a high dietary calcium intake reduces the risk of symptomatic stone formation! (8)
Dosage:
- Pre-menopausal women take 4 tablets per day
- Post-menopausal women take 6 to 8 tablets per day.
FDA / National Institute of Health RECOMMENDATIONS (1,2):
1000 mg of calcium daily for estrogen-normal (pre-menopausal) women
1500 mg of calcium daily for estrogen-deprived (post-menopausal) women
These recommendations are made because
- middle-aged women cannot achieve calcium balance at intakes less than 1000 mg (3)
- calcium absorption efficiency drops with age (4)
- estrogen deficiency leads to decreased calcium absorption and decreased retention of absorbed calcium (5)
*** New RESEARCH ***
1 in 4 women over 50 years and 1 in 8 men over 50 have osteoporosis (9)
Women's mortality rates from osteoporotic fractures are greater than the combined mortality rates from cancers of the breast and ovaries. Up to 20% of women and 34% of men who fracture a hip die in less than one year. (9)
Vitamin D increases calcium absorption in the gastrointestinal tract. 200 IU per day is recommended for persons over 50 and 400 to 800 IU per day for persons over 65 9
20% of women, 34% of men with hip fractures die in less than a year (9)
osteoporosis is usually symptomless until a fracture occurs (9)
Calcium intake slows bone loss by 43% (10)
In young adults with low back pain of unknown origin, doctors are recommended to look for osteoporosis as the etiology. (14)
REFERENCES:
Riggs BL: Pathogenesis of osteoporosis. American Journal of Obstetrics and Gynecology 1987;156:1342-6.
Heaney RP: Osteoporosis: the need and opportunity for CA fortification. Cereal Foods World (May 31, 1986):349-53.
Heaney RP, Recker RR, Saville PD: Calcium balance and calcium requirements in middle-aged women. Amer J of Clin Nutr 1977; 22:85.
Heaney RP, Recker RR: Distribution of calcium absorption in middle-aged women. American J of Clinical Nutrition 1986; 43:299.
Heaney RP, Recker RR, Saville PD: Menopausal changes in calcium balance performance. J of Lab and Clinical Med 1978;92:953.
Finkelstein JS et al: Osteoporosis in men with idiopathic hypogonadotropic hypogonadism. Annals of Internal Medicine 1987;106:354-361.
Itoi E et al: Long-term treatment with 1 alpha-hydroxy-vitamin D3 with calcium supplement in spinal osteoporotic patients. Orthopedics (Dec. 1992); 15:1409-1414.
Curhan G et al: A prospective study of dietary calcium and other nutrients and the risk of symptomatic kidney stones. New England J of Med 1993; 328:833
Scientific Advisory Board, Osteoporosis Society of Canada: Clinical practice guidelines for the diagnosis and management of osteoporosis. Canadian Medical Assoc J 1996; 155(8):1113-33
Reid: New England Journal of Medicine, February 18, 1993 (Backletter 8(2):2, 5)
Lane JM et al: Osteoporosis diagnosis and treatment. J of Bone and Joint Surgery 1996; 78A:618-628
Purdue University News Services: Teens and calcium, May 1995. Contact Connie Weaver (317)494-8237.
Cook A: Osteoporosis: review and commentary. J of the Neuromusculoskeletal System 1994; 2(1): 9-18
Look for osteoporosis in young men and women. Backletter 1997; 12(10):112
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