Calcium Carbonate

MineralStrong dose evidence

Also known as: CaCO3, oyster shell calcium, precipitated calcium carbonate, limestone calcium

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The most concentrated and least expensive common calcium salt, supplying about 40% elemental calcium by weight. It is the default form in bone formulas, multivitamins, and chewable antacid-style tablets because a full serving fits in fewer tablets than any other form. Absorption depends on stomach acid, so it is usually taken with meals. It is also widely used as a tablet excipient, which is worth remembering when totaling calcium on a label.

Research summary

Provides calcium for bone mineralization, muscle contraction, and nerve signaling; carbonate dissolves in gastric acid before the calcium ion is absorbed.

Dosage

Daily amounts, elemental (40% of the compound is the element).

Lowest studiedTypical rangeHighest studiedUpper limit
200 mg250–600 mg1,200 mg2,000 mg

NIH ODS — UL is 2,500 mg/day for adults 19–50 and 2,000 mg/day for adults 51+; the app uses the lower adult value (total intake from food plus supplements)

Doses are elemental calcium. Take with food, since carbonate needs an acidic stomach to dissolve. Fractional absorption falls as the single dose rises, so amounts above about 500 mg elemental are commonly split across the day. Large trials have supplemented 1,000–1,200 mg/day; the adult UL of 2,000–2,500 mg counts food as well as supplements. Constipation and bloating are the usual complaints at higher doses.

Source material: mined limestone or precipitated (synthetic) calcium carbonate; oyster shell in some products

As supplied: ≈ 40% Ca; 1,000 mg elemental ≈ 2,500 mg compound

Forms of Calcium

FormTypical doseElement %FormatsPrice
Calcium Carbonate250–600 mg40%Capsule, Powder, Tablet, Gummy, Liquidlow
Calcium Citrate200–500 mg21%Capsule, Powder, Tablet, Gummy, Liquidlow
Calcium Citrate Malate250–500 mg23%Capsule, Powder, Tablet, Liquidmid
Calcium (Microcrystalline Hydroxyapatite, MCHC)250–700 mg24%Capsule, Powder, Tablethigh

Format suitability

  • Capsule
  • Powder
  • Tablet
  • Softgel
  • Gummy
  • Liquid

Dense and compressible, so tablets are the natural fit. 500 mg elemental is 1,250 mg of powder, which is about two size-00 capsules. Chalky taste in gummies and liquids; chewables usually flavor around it.

Formulation notes

Separate from iron, zinc, and thyroid hormone by a few hours because calcium lowers their absorption. Vitamin D and vitamin K2 are common formulation partners. Calcium can also cut absorption of some antibiotics.

  • Has an upper limit
  • Possible Prop 65 warning

Sources

  1. Calcium — Health Professional Fact SheetNIH ODS
  2. Meta-analysis of calcium bioavailability: a comparison of calcium citrate with calcium carbonate (Sakhaee 1999)PubMed
  3. Daily Value on the Nutrition and Supplement Facts Labels (FDA)FDA

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