

What Makes a Calcium Supplement Successful?
Research shows there are three major factors in creating a successful calcium
supplement:
• Elemental Calcium In The Right Form and Amount To Avoid Side Effects
• The Right Combination of Vitamins and Minerals to Support Absorption
and Use by the Body
• Chewable Form To Ensure Maximum Absorption And Dental Benefit As
Well
BTB Vitamins have all of these factors – other leading
products you see on the shelves do not.
Once you make sure that your supplement’s label is showing the true
amount of elemental calcium (most do now, although you have to be careful),
your next question is what kind of calcium is being used. The two leading
forms are calcium citrate (used in BTB Vitamins) and calcium
carbonate (used in two of the three leading national brands as well as in
chewable antacids).
Calcium carbonate must be taken with food to help reduce side effects (it
often causes stomach upset or gas) and encourage absorption (food causes
HCl acid to be produced which enhances absorption for this type of calcium).
Some reports have indicated the presence of lead in some calcium carbonate
supplements, although below legal thresholds. However, it is the cheapest
approach and therefore most prevalent on the market. The use of calcium
carbonate in antacid products is particularly humorous, given that the carbonate
form needs acid to be absorbed but you are taking an antacid at the same
time!
Calcium phosphate is sometimes touted as an option “closest to the
body’s natural bone” because bones contain calcium and phosphorus
but in practice the body has a harder time breaking down calcium phosphate
in a Independent Pharmacy form.
Because calcium carbonate and calcium phosphate have a higher % elemental
calcium in them naturally than calcium citrate (40% vs. 21%), you will often
see misleading advertising claims about “the most calcium per pill”.
All this means is that you have to consume more calcium citrate to get the
same net 1000mg of elemental calcium, not that the carbonate form is somehow
better or stronger. Using a chewable pill makes this difference easier to
address because there is less concern about swallowing more or bigger pills.
Calcium citrate is best – Because it has the highest bioavailability
and does not need stomach acid to help absorption, it has been shown in
some studies to be better absorbed than calcium carbonate, and does not
require taking with food – 27% higher absorption rate than calcium
carbonate when both are taken on an empty stomach and 22% higher absorption
rate vs. calcium carbonate when both are taken with food. Calcium citrate
is also the only form which can be absorbed without stomach acid meaning
it is the only form effective for absorption in the mouth for dental benefit
as well!
So once you have the right form of calcium you have to make sure you have
the right blend of vitamins and minerals to ensure maximum benefit. As a
reminder, here is the chart showing these key vitamins and minerals.
| Vitamin/Mineral | Importance |
| Vitamin D3 | Most important factor in calcium absorption |
| Phosphorus | Required to merge calcium into bone. Without
a corresponding increase in phosphorus intake, people taking calcium
supplements run the risk of a phosphorus deficiency that would reduce
bone mass in the end. Some studies indicate supplements should contain
a 2:1 balance of calcium to phosphorus for proper balance. |
| Magnesium | Necessary for proper calcium dispersion and utilization.
80% of Americans do not get RDA of this important factor. Again like
phosphorus, studies indicate 2:1 balance of calcium to magnesium is
best. |
| Zinc | Assists in bone maintenance in concert with calcium,
but American diet provides under 60% of the RDA for this mineral |
| Boron | Assists in transfer of calcium from bloodstream
to bone structure and helps prevent loss of calcium in urine. |
| Manganese | Essential mineral for skeletal development |
| Copper | Assists in skeletal mineralization |
| Silica | Assists in increasing body's uptake of calcium
and the formation of collagen (connective bone tissue) |
| Vitamin K | Helps in the synthesis of osteocalcian protein
which is unique to bone and acts as receptor for formation of calcium
ions. Also reduces urinary calcium loss. |
Finally you should consider the form of tablet used. Using a chewable form of calcium that can be taken without food (only possible with calcium citrate) allows a person to take it anytime, anywhere–increasing the chance of consistent usage. Chewing up the supplement also provides instant breakdown and aids in getting the calcium into the bloodstream. Chewing it in the mouth (instead of swallowing a dissolved solution) also ensures maximum benefit for dental health as well.
To see how BTB Vitamins stack up vs. leading national
brands on these key measures of success click here for a comparison (link
to comparison to other leading products page)