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--- calcium [2014/07/24 06:01] – created - external edit 127.0.0.1
+++ calcium [2026/07/31 11:39] (current) – [supplements] gary1
@@ Line 60: / Line 60: @@
   *Calcium supplementation is contraindicated in the presence of hypercalcaemia or marked hypercalciuria, and during calcitriol therapy for osteoporosis, because of the risk of inducing hypercalcaemia or hypercalciuria.
   *Measurement of the serum calcium, albumin and creatinine should therefore be part of the pre-treatment evaluation of patients presenting with apparent [[osteoporosis]]. Caution is also required in renal impairment, [[sarcoidosis]] and when there is a history of [[nephrolithiasis]].
-  *avoid intake during fasting in patients with achlorhydria (eg. on PPI's) as absorption is poor and consider citrate form in these patients, otherwise there is no need for precise timing of intake, although evening intake may reduce the normal nocturnal rise in bone resorption rate, and they should be taken several hours apart from medications which buind calcium such as bisphosphonates.
+  *avoid intake during fasting in patients with [[hypochlorhydria]] (eg. on PPI's) as absorption is poor and consider citrate form in these patients, otherwise there is no need for precise timing of intake, although evening intake may reduce the normal nocturnal rise in bone resorption rate, and they should be taken several hours apart from medications which buind calcium such as bisphosphonates.
   *absorption of calcium is impaired by:
     *phytates (found in cereals, bran, soybeans, seeds)