Calcium carbonate works on empty stomach + optimal timing for lowering parathyroid hormone

cs3000

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Commonly it's said that calcium carbonate should be taken with food for it to absorb properly from the acid, but this study shows it absorbs properly without food. 500mg elemental (1250mg) absorbs well. also this study shows optimal timing for people trying to keep parathyroid hormone low due to concern with calcification of soft tissue or reversing bone loss.

They gave men 500mg x2 or 1000mg elemental calcium from a calcium carbonate supplement, on an empty stomach. Looking at the chart & table both 500mg doses and 1000mg doses dramatically lowered parathyroid hormone starting soon after intake
(they gave small amounts of vitamin D with the calcium - wonder if this had any acute effect on absorption? would assume overall serum levels of D would be the thing that influences absorption instead of acute intake of 400iu doses)

Going by this (assuming also getting enough vit a+k1 or k2 mk4 to carboxylate calcium binding protein well), getting 500mg elemental calcium every 4 - 6 hours is good timing for ensuring PTH stays low. empty stomach will work well if tolerated & preferred. parathyroid hormone goes back to baseline/elevation by hour 7 without an additional amount of calcium.
 
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cs3000

cs3000

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Very nice study, thank you for posting this.
np yeah useful one
How to find out if your stomach acid is low, high, or normal,?
not sure but taking in an empty stomach like in the study it's a lot more acidic environment (lower ph) - so even if your stomach is low acidity it probably is higher acid than people taking with meals. usually fasted is around 1.5 ph, eating makes it become less acidic depends on the person but usually ~5ph soon after eating and starts to decline again https://journals.physiology.org/doi/full/10.1152/japplphysiol.00956.2001
 
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Mauritio

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This study showed that calcium in the diet ameliorated liver steatosis: it drastically lowered triglicerides and increased brown fat, especially the high dose. So I guess Peat was right witht his quote on low PTH increasing uncoupling.

- Calcium supplementation relieves high-fat diet-induced liver steatosis by reducing energy metabolism and promoting lipolysis - PubMed
- Dietary calcium supplementation in adult rats reverts brown adipose tissue dysfunction programmed by postnatal early overfeeding - PubMed


This human study also showed benefits on NAFLS with calcium supplementation.

- https://www.sciencedirect.com/science/article/abs/pii/S0261561416312602
 
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