
You’ve been told that taking calcium supplements is going to keep your bones strong and prevent osteoporosis. Recent research tells us otherwise. In fact, taking calcium supplements can be harmful to your health. Learn why I decided to throw away all of the bottles of calcium supplements I used to sell and why my wife and I stopped taking them.
As a chiropractor it’s important to know if my patients’ bones are strong. I don’t want to use a lot of force when I push on my patient’s spines and ribs if I know they have weak bones (osteopenia). You could end up fracturing a patient’s rib and hurting them.
Calcium supplementation and strong bones?
In my nutrition courses during the 90’s, we were taught that supplementing with calcium was important to keep your bones strong and prevent osteoporosis (bone fractures because of weak bone). Supplementing with 500mg – 1200 mg/day of calcium was recommended. This was drilled into us for four years and even afterwards with continuing education programs. This is still the dominant paradigm.
After thorough research, I have learned that the evidence that calcium supplementation strengthened bones and teeth was never strong. Furthermore, the evidence continues to grow weaker as new and reputable research has emerged in the last five to ten years. This new research has shown that calcium supplementation does not increase bone density and does not decrease the risk of fractures. (1, 2, 3, 4) In fact, calcium supplementation may even increase the risk of hip fractures. (2)
Calcium supplementation does not increase bone density and does not decrease the risk of fractures. In fact, calcium supplementation may even increase the risk of hip fractures.
Calcium supplementation and cardiovascular disease
Calcium supplementation increases the risk of heart disease and stroke. We want our arteries (blood vessels) to be soft and springy. When our arteries become calcified they become hard and brittle which increases the risk of heart disease and stroke. (5) Calcium supplementation increases the concentration of calcium in our blood too much compared to calcium from food. (6) Human beings have evolved to regulate calcium levels from food even when they are high, but less so when we consume large amounts of calcium from supplements. This can lead to more calcium being deposited into soft tissue like the arteries.
Studies
- 139% higher risk of heart attack for those who took calcium supplements instead of calcium-rich food. (7)
- 31% higher risk of heart attack, a 20% higher risk of stroke, and a 9% higher risk of death from all cause. (8)
- 20% higher risk of death from cardiovascular disease with an intake of more than 1000 mg/day of supplemental calcium (from multivitamins or individual calcium supplements). (9)
Calcium supplementation increases the risk of heart disease and stroke.
Calcium supplementation and shoulder pain?
Shoulder pain is a common complaint heard in any doctor’s office. The rotator cuff muscles around the shoulder joint are often strained or torn causing at least part of the problem. This is is called rotator cuff tendonitis. Sometimes, calcium deposits form within the rotator cuff tendon and cause what is known as calcific tendonitis.
Although there isn’t much direct evidence that excess calcium supplementation alone can cause calcific tendonitis it may contribute to the condition. I only found one study that showed a relationship between calcium supplement intake and calcific tendonitis:
“Calcium consumption frequency in patients with calcific tendonitis was significantly higher than the patients who did not consume calcium supplements (76.7% vs. 22.7%).” (10)
There is also evidence of high calcium levels in the blood as a potential cause of calcific tendonitis. (11) The high calcium levels in this study were due to vitamin D deficiency. One of of the roles of vitamin D is to help with the absorption of calcium. If someone is deficient in vitamin D, they may be low in calcium. Low calcium in the blood can cause the body to draw excess calcium out of the bones and into the blood. It also works with magnesium and Vitamin K2 to help regulate the levels of calcium in the body.
Based on high blood levels of calcium having the potential to get deposited into soft tissue (like the rotator cuff or arteries), it’s plausible that excess calcium supplementation could cause calcific tendonitis.
Calcium supplementation and other serious consequences
There are other serious health consequences associated with excess calcium intake from calcium supplements:
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- Increased risk of kidney stones at 1000 mg/day. (12, 13)
- 40% higher risk of death among women with high calcium intakes (1400 mg and above), and a 157% higher risk of death if those women were taking a 500 mg calcium supplement daily, compared to women with moderate daily calcium intakes (600-1000 mg) (14)
- Can cause renal insufficiency, vascular and soft tissue calcification, and kidney stones (15)
My recommendations
Throw away your calcium supplements. They are probably causing more harm than good.
In my next article, I will discuss how you can get enough calcium from foods to ensure your levels of calcium in your body are healthy.
In your research, have you ever found a link between low D, spinal stenosis, heel spur and calcific tendinitis?
Great question Heidi. No I haven’t look at the link between low vitamin D and these other conditions. In theory, having low vitamin D levels you would think could contribute to the conditions you mentioned. Thanks for stimulating me to look this up.
Dr. Collins
Hi Dr Collins, can you tell me how to reverse calcification in the shoulder please.
I have been told vitamin K will help as it moves the calcium around however I am rather sceptical of this, I would be very grateful for your advice.
Hi Deborah, so far the only the only evidence I know regarding vitamin K2 is that it helps to deposit calcium into hard tissue like nails, teeth, and bones, and helps keep calcium out of soft tissue like tendons and arteries. As far as whether vitamin K2 helps remove calcium when it’s already in soft tissue, I don’t believe so. However, I’m not up on the latest research regarding this. I had one patient with calcium in the shoulder (calcific tendinitis) that had it aspirated with a needle. It came out in a “chalk-like” fluid. I guess it worked like a charm. But I’m not an expert on that procedure and what the criteria to get that done. Hope that helps you little.
Dr. Collins
I have osteoporosis. I’ve been prescribed a treatment with hormones (Raloxifen).
I’m afraid of hormones/hormone therapy.
Do you have any suggestions for alternative treatment or findings that would support/validate the use of Raloxifen?
Thank you in advance.
Best regards,
TC
Hi there,
Sorry hormone therapy is out of my scope of practice. Also without knowing your whole history I couldn’t even give you suggestions regarding supplementation (dosages) for osteoporosis. I can only tell you that Magnesium, vitamin K2, and vitamin D (vitamin D for the Fall and Winter months in the northern hemisphere) are important to supplement with for calcium regulation in the body. I would also suggest you work with a pharmacist (to review your meds) and possibly a naturopath or functional medicine practitioner if you wanted help on the alternative side.
Dr. Collins