Osteoporosis

Letters20 February 2018OsteoporosisSue Shapses, PhD, RDNSue Shapses, PhD, RDNRutgers University, New Brunswick, New Jersey (S.S.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0586 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I thank Ensrud and Crandall (1) for their comprehensive and excellent update on osteoporosis. However, I would like to clarify the section on calcium intake recommendations (2, 3). The upper level of calcium intake is 2500 mg/d for adults up to 50 years of age but only 2000 mg/d in women and men older than 50 years because of evidence of increased risk for kidney stones. That some patients are overzealous and consume excess supplements without regard for potential adverse effects is a common problem in the field of micronutrient supplements. This can be true for calcium ...References1. Ensrud KE, Crandall CJ. In the clinic: Osteoporosis. Ann Intern Med. 2017;167:ITC17-32. [PMID: 28761958]. doi:10.7326/AITC201708010 LinkGoogle Scholar2. Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, et al. The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab. 2011;96:53-8. [PMID: 21118827] doi:10.1210/jc.2010-2704 CrossrefMedlineGoogle Scholar3. Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: National Academies Pr; 2011. Google Scholar Author, Article, and Disclosure InformationAffiliations: Rutgers University, New Brunswick, New Jersey (S.S.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L17-0586. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoOsteoporosis Kristine E. Ensrud and Carolyn J. Crandall Osteoporosis Kristine E. Ensrud and Carolyn J. Crandall Metrics 20 February 2018Volume 168, Issue 4Page: 306KeywordsCalciumDisclosureKidney stonesMicronutrientsOsteoporosisVitamin D ePublished: 20 February 2018 Issue Published: 20 February 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...