Calcium

Also known as: calcium citrate, calcium carbonate

Grade A — Strong Evidencemineralfoundational
5001000 mgWith meals, split doses (citrate form better absorbed)

Calcium is the most abundant mineral in the body, essential for bone structure, muscle contraction, nerve signaling, and blood clotting. While critical during growth and for those at risk of osteoporosis, recent research suggests that high-dose calcium supplements (>500mg at once) may increase cardiovascular risk — food sources and split doses are preferred. Calcium citrate is better absorbed than carbonate and can be taken without food.

TL;DR: Essential for bone health, but food sources preferred. If supplementing, always pair with Vitamin D3 and K2.

Last reviewed: 2026-03-12

Quick Facts

Evidence

Grade A

Studies

1

Interactions

3

Forms

3

Evidence Rating: Grade A — Strong Evidence

Multiple high-quality RCTs, systematic reviews, or meta-analyses with consistent findings.

Forms Comparison

Calcium Citrate

✓ High Absorption

Better absorbed than carbonate. Can be taken with or without food. Preferred form.

general supplementationlow stomach acid

Calcium Carbonate

~ Moderate Absorption

Cheapest and most common form. Must be taken with food for adequate absorption. Contains most elemental calcium per pill.

budgetwith meals

Calcium Hydroxyapatite (MCHC)

✓ High Absorption

Derived from bone. Contains additional bone-building minerals. Most expensive.

bone healthosteoporosis prevention

Interaction Warnings

IronModerate

Inhibits iron absorption — take at different times

Thyroid medicationsModerate

Reduces levothyroxine absorption

BisphosphonatesModerate

Take separately by 30+ minutes

Important Notes

  • Get from food first if possible
  • Always combine with Vitamin D3 and K2
  • Excess supplementation linked to cardiovascular concerns

Clinical Evidence (1 study)

Calcium intake and bone mineral density

Tai V et al. (2015) — BMJ

Supplementation modestly increases BMD at all sites

View on PubMed

Alternatives to Consider

These supplements target similar goals and may be worth considering alongside or instead of Calcium.

Related Supplements

🧪 Get Your Personalized Stack

See how Calcium fits with your goals and current supplements — AI-powered, evidence-graded recommendations.

⚕️ Important Disclaimer

This information is for educational purposes only. It is not medical advice. Always consult a healthcare provider before starting any supplement regimen, especially if you take medications or have health conditions.

DoseGrade does not sell supplements and has no affiliate relationships with supplement manufacturers.