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Elevated urinary calcium and renal stones can arise from excess intake.     Hypercalcemia symptoms include anorexia, nausea, vomiting, constipation, and polyuria, especially in individuals taking high-dose vitamin D formulations.     Calcium carbonate and calcium phosphate should be taken with food to optimize absorption, whereas calcium citrate may be taken with or without food and is preferred for patients with reduced stomach acid, such as those with achlorhydria or who are on chronic therapy with proton pump inhibitors or histamine-2 (H2) blockers.     Calcium absorption is greatest when taken in doses of 500 mg or less once daily. Patients requiring 1000 mg/day or more should divide doses throughout the day rather than taking all at once to maximize absorption. Drug Interactions Because some pharmacologic agents can inhibit or decrease calcium absorption, patients should discuss calcium supplementation with their primary health care provider to determine whether it is appropriate.7 Calcium can interfere with or reduce the absorption of bisphosphonates, so patients should wait at least 30 minutes before taking calcium supplements after taking risedronate, alendronate, or alendronate/cholecalciferol and at least 60 minutes after taking ibandronate.2,7 Examples of other medications that should be administered in separate dosing intervals (at least 2 hours apart) when used in conjunction with calcium supplements include antacids containing aluminum and antibiotics such as tetracyclines and fluoroquinolones.2,7 Patients taking proton pump inhibitors or H2 receptor antagonists, which reduce gastric acid, may have decreased absorption of calcium carbonate. Switching to calcium citrate, which does not depend on gastric acid for absorption, may be appropriate in these patients.7 Conclusion Pharmacists can be a valuable resource for patients seeking guidance on selecting and using calcium supplements and can encourage patients to seek further medical evaluation when warranted to ensure appropriateness. Additionally, pharmacists can play a key role in identifying patients at elevated risk of bone loss, osteopenia, or osteoporosis due to underlying medical conditions or certain medications. Patient education should also include guidance on the risks associated with excessive calcium intake to ensure safe and appropriate use.

Closing the Calcium Gap: How Pharmacists Can Guide Patients Toward Better Bone Health https://www.pharmacytimes.com/view/closing-the-calcium-gap-how-pharmacists-can-guide-patients-toward-better-bone-health Nearly half of US adults fall short on this essential mineral. Here’s what to recommend. Bone health is critical to overall health because the adult skeletal system, which contains 206 bones, provides the body’s framework, facilitates movement, protects vital organs, and anchors muscles.1 Its tissues play an important role in regulating mineral and acid-base balance homeostasis and also provide the environment for hematopoiesis within the bone marrow.1 As the most abundant mineral in the body, calcium is a major component of bones. The National Institutes of Health (NIH) Office of Dietary Supplements indicates that it is found naturally in some foods, added to others, present in some medicines (such as antacids), and available as a dietary supplement.2 Some individuals try to obtain adequate amounts of calcium through diet, and some elect to use calcium supplements to ensure they meet the recommended daily amounts; however, many do not meet their daily needs. The literature indicates that inadequate calcium intake is common among US adults.2-4 According to data from the National Health and Nutrition Examination Survey, an estimated 42% to 50% of Americans fail to reach their estimated average requirements for calcium.2-4 Some sources also indicate that although clinical hypocalcemia is rare, suboptimal calcium intake is a common issue that may lead to bone loss over time.4 Age-related bone loss or prolonged calcium deficiency can lead to osteoporosis and an increased risk of bone fractures.2 The FDA has approved a health claim for products containing calcium and vitamin D, affirming that they can reduce the risk of osteoporosis in older adults, a population in which bone health is particularly important.2 According to a CDC report, 19.2% of adults aged 60 and older use calcium supplements, making it the fourth most commonly used supplement in this age group.5 Another report indicates that an estimated 70% of older women take supplements that contain calcium, whereas men generally obtain calcium through diet.6 OTC Calcium Supplements Oral calcium supplements are approved for use in the treatment and prevention of calcium deficiency. Other FDA-approved uses include treatment of acid indigestion and hyperphosphatemia associated with end-stage renal disease.7 Calcium carbonate and calcium citrate are the 2 most common forms of calcium found in supplements. Calcium carbonate contains 40% elemental calcium, whereas calcium citrate contains 21% elemental calcium.7 Other forms of calcium supplements include calcium lactate, calcium gluconate, and calcium phosphate. Calcium supplements are formulated as single-entity products or in combination with vitamin D in various dosage forms, including tablets, caplets, chewable tablets, soft chews, and gummies, and are also commonly found in multivitamin/multimineral supplements.7 The 2026 Pharmacy Times OTC Guide indicates that the 3 most common pharmacist recommendations for calcium-containing supplements are Citracal, Caltrate, and those by Nature Made.8 Key Patient Counseling Tips Pharmacists are uniquely positioned to identify potential contraindications and drug interactions involving calcium supplements, make appropriate clinical recommendations, and counsel patients on safe and proper use. Patients should be encouraged to discuss their individual needs with their primary health care provider. Helpful resources on recommended calcium intake by age for pediatric and adult populations are available on the websites of the American Academy of Pediatrics and the International Osteoporosis Foundation. The Table9,10 provides several main counseling points that pharmacists can give patients. Key counseling tips include the following2,7:

New research linking Long Covid to gut inflammation and leftover virus. https://share.google/aimode/e9j8kYsN12CEHBAhO

Food Safety Specialist, Nicole Richard shares tips to avoid Cyclospora and salmonella via turnto10.com

Fresh blueberries included in the cyclospora outbreak | WGN Radio 720 - Chicago's Very Own https://wgnradio-com.cdn.ampproject.org/v/s/wgnradio.com/health/fresh-blueberries-included-in-the-cyclospora-outbreak/amp/?amp_gsa=1&amp_js_v=a9&usqp=mq331AQGsAEggAID

Products recalled over jalapeños from SD distributor | CBS8 San Diego https://m.youtube.com/watch?v=FrfsstKnMjs

Plant polymer lignin shows promise for future bone regeneration https://www.news-medical.net/news/20260727/Plant-polymer-lignin-shows-promise-for-future-bone-regeneration.aspx

Wildfires: The ominous 'fire clouds' or 'pyrocumulonimbus' seen in France for the first time French firefighters are grappling for the first time with immense fire clouds, known as pyrocumulonimbus clouds, created by extreme wildfires, as they struggle to bring a forest inferno in southwest France under control. French wildfire researcher Jean-Baptiste Filippi says the phenomenon is yet another consequence of human-related climate change. 👉 Read more: https://f24.my/C4rR.g

FDA issues highest-risk recall for Alfredo sauce sold in 41 states | Fox Business https://www-foxbusiness-com.cdn.ampproject.org/v/s/www.foxbusiness.com/lifestyle/fda-issues-highest-risk-recall-alfredo-sauce-sold-41-states.amp Oh no, and I just bought Alfredo sauce! But wait. Mine's vegan, no contaminated dry milk in sight! Looks like I'll live to eat another day!

Prince William will sell one-fifth of the Duchy of Cornwall, and he says the profits will be funneled into housing and nature projects chosen for the biggest social and environmental impact https://www.ecoticias.com/en/prince-william-will-sell-one-fifth-of-the-duchy-of-cornwall-and-he-says-the-profits-will-be-funneled-into-housing-and-nature-projects-chosen-for-the-biggest-social-and-environmental-impact/32591/

Zoo Visitor Captures Heartwarming Moment Nursing Chimpanzee Notices Her Baby | PawNation https://www.yahoo.com/lifestyle/articles/zoo-visitor-captures-heartwarming-moment-001500423.html

Zoo Visitor Captures Heartwarming Moment Nursing Chimpanzee Notices Her Baby | PawNation https://www.yahoo.com/lifestyle/articles/zoo-visitor-captures-heartwarming-moment-001500423.html

🇺🇸 And Hawaii again. A man was caught on video picking up a sea turtle on a beach in #Hawaii, sparking outrage among many. Hawaiian Green Sea Turtles are protected under both state and federal laws. Even approaching one too closely can result in a citation. Conservation officers have taken a report and say they are in the early stages of their investigation. Follow us -> LiveLeak

New Study Finds a Promising (and Delicious) Way to Keep Your Body From Absorbing Nanoplastics https://www.realsimple.com/new-study-how-to-prevent-nanoplastics-absorption-11934434

Buried seeds sprout beneath Toronto after a century underground - Earth.com https://www.earth.com/news/buried-seeds-sprout-beneath-toronto-after-a-century-underground/

Study of 1.2 Million Infants Reveals the Truth About Vegan Baby Diets https://scitechdaily.com/study-of-1-2-million-infants-reveals-the-truth-about-vegan-baby-diets/ Research on nearly 1.2 million infants shows vegan and vegetarian diets can support normal growth in the first two years of life. As more families adopt plant-based eating habits, many parents and pediatricians have wondered whether avoiding animal products might affect a baby’s rapid physical development. A major study led by researchers at Ben Gurion University of the Negev (BGU) in collaboration with the Nutrition Division of the Israeli Ministry of Health offers reassuring evidence. Published in JAMA Network Open, the findings show that by age two, children raised in vegan and vegetarian households grow at nearly the same rate as children who eat omnivorous diets. To reach these conclusions, the team examined ten years of national health records (2014–2023) collected by the Israeli Ministry of Health, which monitors about 70% of children nationwide. Drawing on this large-scale dataset, the researchers, led by Kerem Avital, MPH, and Prof. Danit R. Shahar, PhD, of BGU, were able to move beyond small studies and provide evidence based on an entire population.

Saved by @InstantMediaBot Turtle Trapped in Rope Gets Help Just in Time ––––––––––––––––––––––––––––––––––––––––––––– If you LOVE We Love Animals, make sure to become a member for exclusive emojis and badges https://bit.ly/WeLoveWLA We Love Animals is a part of Newsner, a digital news platform. We tell inspiring and heartwarming stories from all around on the world. On We Love Animals we love all animals! We share stories to promote kindness and compassion toward animals. We share videos of fascinating wildlife to show you their beauty. We tell stories about rehabilitation, adoption, fostering, and rescue. Make sure to subscribe so you won’t miss any of our animal videos: https://bit.ly/WeLoveAnimalsSubscribe –––––––––––––––––––––––––––––––––––––––––––––– This video shows an incredible animal rescue as a team works to save a sea turtle that has been entangled. It's a heartwarming rescue operation demonstrating great acts of kindness in saving animals, showing just how dedicated people are to wildlife...

Turtle Trapped in Rope Gets Help Just in Time https://youtube.com/watch?v=fdXcai_NWjc

🇺🇸 This is very brave. A #NewJersey police officer is being hailed as a hero after jumping into a frozen lake to save a stranded dog. The officer braved the icy waters of Lake Mohawk, pushing the dog to safety. Follow us -> LiveLeak

India Leads the World in Meat-Free Diets, New Statista Survey Reveals | vegconomist - the vegan business magazine https://vegconomist.com/studies-and-numbers/india-leads-world-meat-free-diets-statista-survey-reveals/