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By M. Powell Lawton PhD

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Martin and L. G. ), Clinical Endocrinology of Calcium Metabolism (pp. 201-249). New York: Marcel Dekker. Ramazzotto, L. , Curro, F. , Gates, P. , & Paterson, J. A. (1986). Calcium nutrition and the aging process: A review. Gerodontology, 5, 159-168. Recker, R. R. (1985). Calcium absorption and achlorhydria. New England Journal of Medicine, 313, 70-73. Recker, R. , Saville, P. , & Heaney, R. P. (1977). Effect of estrogens and calcium carbonate on bone loss in postmenopausal women. Annals of Internal Medicine, 87, 649-655.

Lippincott. Bikle, D. , Genant, H. , Recker, R. , Halloran, B. , & Strewler, G. J. (1985). Bone disease in alcohol abuse. Annals of Internal Medicine, 103, 42-48. Boland, R. (1986). Role of vitamin D in skeletal muscle function. Endocrine Reviews, 7, 434-448. , & Meunier, P. J. (1981). Treatment of osteoporosis with fluoride, calcium, and vitamin D. Orthopedic Clinics of North America, 12, 629-648. Budden, F. , Bayley, T. , Harrison, J. , Josse, R. , Murray, T. , Sturtridge, W. , Strauss, A. , & Goodwin, S.

A well-varied diet based upon moderation and sound nutritional principles should be the goal. With the choice to initiate therapeutic regimes comes the need for responsible monitoring of clinical progress and potential side effects. Thus the use of calcium supplements should be preceded and subsequently accompanied by dietary and biochemical evaluation (including 24-hour urinary calcium analyses). Follow-up evaluation is even more important when supplemental vitamin D is prescribed. In this case, Table 1.

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