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Does calcium citrate reduce stomach acid?

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General fitness, health and nutrition
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23 September 2005
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24 September 2005
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  1. Both tums and rolaids contain calcium carbonate also as their main
    content. Calcium is made in the body as a part of digestion to neutralize
    stomach in the gut. Calciumcitrate is an ester of calcium and citric
    acid,ie. vit c, because it is said to promote absorption. Taken in
    similar amounts they will all have similar neutralizing effect.

    Quoted message said:

    I occasionally get a mild sour stomach and I've always tried not to
    take Tums or Rolaids because I don't like to take "medicine" if
    possible. I just noticed that the active ingredient in Tums is calcium
    carbonate. That's same ingredient found in my calcium tablets that I
    take every day along with calcium citrate. My question is will a
    calcium carbonate/citrate tablet work just as well for reducing acid in
    your stomach? What about calcium citrate by itself without the
    carbonate?

  2. I occasionally get a mild sour stomach and I've always tried not to
    take Tums or Rolaids because I don't like to take "medicine" if
    possible. I just noticed that the active ingredient in Tums is calcium
    carbonate. That's same ingredient found in my calcium tablets that I
    take every day along with calcium citrate. My question is will a
    calcium carbonate/citrate tablet work just as well for reducing acid in
    your stomach? What about calcium citrate by itself without the
    carbonate?

  3. Quoted message said:

    I occasionally get a mild sour stomach and I've always tried not to
    take Tums or Rolaids because I don't like to take "medicine" if
    possible. I just noticed that the active ingredient in Tums is calcium
    carbonate. That's same ingredient found in my calcium tablets that I
    take every day along with calcium citrate. My question is will a
    calcium carbonate/citrate tablet work just as well for reducing acid in
    your stomach? What about calcium citrate by itself without the
    carbonate?

    COMMENT:

    The carbonate is what neutralizes stomach acid, and the calcium goes
    along for the ride. You could use sodium carbonate or bicarbonate just
    as well (and this is done), but calcium products are more convenient,
    more dense, and less salty. Unfortunately, calcium also produces an
    acid rebound some hours later (something the TUMS people don't tell you
    about the effect of calcium on acid production). So I'd suggest that if
    you're using a carbonate for immediate acid neutralization, I'd suggest
    you pop a generic Pepcid/famotidine along with it. These are pretty
    cheap these days.

    Contrary to what you heard, calcium citrate is not an ester, but a
    simple chemical salt of calcium and citric acid (which is NOT vitamin
    C). Basic citrate salts do have some acid-neutralizing capability
    against strong acids like HCl in your stomach, but aren't nearly as
    good as carbonate salts. They are used as sources of calcium mainly for
    people who don't have a lot of stomach acid. If you use other buffers
    or acid blockers, it's hard to tell if that's you or not.

    SBH

  4. "Sbharris[atsign]ix.netcom.com" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:


    Quoted message said:

    I occasionally get a mild sour stomach and I've always tried not to
    take Tums or Rolaids because I don't like to take "medicine" if
    possible. I just noticed that the active ingredient in Tums is calcium
    carbonate. That's same ingredient found in my calcium tablets that I
    take every day along with calcium citrate. My question is will a
    calcium carbonate/citrate tablet work just as well for reducing acid in
    your stomach? What about calcium citrate by itself without the
    carbonate?

    COMMENT:

    The carbonate is what neutralizes stomach acid, and the calcium goes
    along for the ride. You could use sodium carbonate or bicarbonate just
    as well (and this is done), but calcium products are more convenient,
    more dense, and less salty. Unfortunately, calcium also produces an
    acid rebound some hours later (something the TUMS people don't tell you
    about the effect of calcium on acid production). So I'd suggest that if
    you're using a carbonate for immediate acid neutralization, I'd suggest
    you pop a generic Pepcid/famotidine along with it. These are pretty
    cheap these days.

    Contrary to what you heard, calcium citrate is not an ester, but a
    simple chemical salt of calcium and citric acid (which is NOT vitamin
    C). Basic citrate salts do have some acid-neutralizing capability
    against strong acids like HCl in your stomach, but aren't nearly as
    good as carbonate salts. They are used as sources of calcium mainly for
    people who don't have a lot of stomach acid. If you use other buffers
    or acid blockers, it's hard to tell if that's you or not.

    SBH

    You forgot to mention Milk alkali syndrome.

    "With the development of nonabsorbable alkali and histamine-2 blockers for
    treatment of peptic ulcer disease, milk-alkali syndrome became a rare cause
    of hypercalcemia; however, with increased use and promotion of calcium
    carbonate for dyspepsia and as calcium supplementation, a resurgence of
    milk-alkali syndrome has occurred in the last few years."

    http://www.emedicine.com/med/topic1477.htm

    Increase calcium levels as mentioned cause rebound hyperacidity.

  5. "cr113" <[email hidden]> wrote in message
    news:[email hidden]

    Quoted message said:


    I occasionally get a mild sour stomach and I've always tried not to
    take Tums or Rolaids because I don't like to take "medicine" if
    possible. I just noticed that the active ingredient in Tums is calcium
    carbonate. That's same ingredient found in my calcium tablets that I
    take every day along with calcium citrate. My question is will a
    calcium carbonate/citrate tablet work just as well for reducing acid in
    your stomach? What about calcium citrate by itself without the
    carbonate?

    Calcium Citrate is better obsorbed then carbonate for
    persons with osteoporosis and is more expensive .

    Kam

    --
    Posted via Mailgate.ORG Server - http://www.Mailgate.ORG

  6. Robert said:

    You forgot to mention Milk alkali syndrome.

    "With the development of nonabsorbable alkali and histamine-2 blockers for
    treatment of peptic ulcer disease, milk-alkali syndrome became a rare cause
    of hypercalcemia; however, with increased use and promotion of calcium
    carbonate for dyspepsia and as calcium supplementation, a resurgence of
    milk-alkali syndrome has occurred in the last few years."

    COMMENT

    Yep. Milk-alkali syndrome (too much calcium in the blood from taking
    calcium plus base, in the old days bicarbonate of soda and milk)
    generally takes upwards of 4 grams of calcium a day (that's about a
    dozen regular TUMS or 6 Ultastrength TUMS) to give you too much calcium
    in the blood, but you never know how much is too much, people are so
    variable in how they handle calcium. All in all, the combo of TUMS and
    pepcid, keeping the TUMS down to 6 regulars or (at most) 3 ultras a
    day, is the best idea.

    Somebody's now probably going to ask what happens if you get the
    milk-alkali syndrome. Probably the first noticable feature is diuresis
    (too much urine), and thirst. But the symptoms of hypercalcemia are so
    variable I'd rather not go there.

    SBH

  7. "Sbharris[atsign]ix.netcom.com" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:


    Robert said:

    You forgot to mention Milk alkali syndrome.

    "With the development of nonabsorbable alkali and histamine-2 blockers


    for

    Quoted message said:
    Quoted message said:

    treatment of peptic ulcer disease, milk-alkali syndrome became a rare


    cause

    Quoted message said:
    Quoted message said:

    of hypercalcemia; however, with increased use and promotion of calcium
    carbonate for dyspepsia and as calcium supplementation, a resurgence of
    milk-alkali syndrome has occurred in the last few years."

    COMMENT

    Yep. Milk-alkali syndrome (too much calcium in the blood from taking
    calcium plus base, in the old days bicarbonate of soda and milk)
    generally takes upwards of 4 grams of calcium a day (that's about a
    dozen regular TUMS or 6 Ultastrength TUMS) to give you too much calcium
    in the blood, but you never know how much is too much, people are so
    variable in how they handle calcium. All in all, the combo of TUMS and
    pepcid, keeping the TUMS down to 6 regulars or (at most) 3 ultras a
    day, is the best idea.

    Somebody's now probably going to ask what happens if you get the
    milk-alkali syndrome. Probably the first noticable feature is diuresis
    (too much urine), and thirst. But the symptoms of hypercalcemia are so
    variable I'd rather not go there.

    SBH

    That's correct especially with hyperparathyroidism out there and people with
    stones out there but those deficient in calcium should obviously take
    calcium.

  8. How could people get hypocalcemia when calcium is so readily available for
    green vegetables and other foods.

    I guess dairy consumption can lower absorption of calcium and since the
    market propaganda started 40 years ago people can hurt themselves with too
    much dairy.

    (flames to follow)
    "Robert" <[email hidden]> wrote in message
    news:[email hidden]...

    "Sbharris[atsign]ix.netcom.com" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:


    Robert said:

    You forgot to mention Milk alkali syndrome.

    "With the development of nonabsorbable alkali and histamine-2 blockers


    for

    Quoted message said:
    Quoted message said:

    treatment of peptic ulcer disease, milk-alkali syndrome became a rare


    cause

    Quoted message said:
    Quoted message said:

    of hypercalcemia; however, with increased use and promotion of calcium
    carbonate for dyspepsia and as calcium supplementation, a resurgence of
    milk-alkali syndrome has occurred in the last few years."

    COMMENT

    Yep. Milk-alkali syndrome (too much calcium in the blood from taking
    calcium plus base, in the old days bicarbonate of soda and milk)
    generally takes upwards of 4 grams of calcium a day (that's about a
    dozen regular TUMS or 6 Ultastrength TUMS) to give you too much calcium
    in the blood, but you never know how much is too much, people are so
    variable in how they handle calcium. All in all, the combo of TUMS and
    pepcid, keeping the TUMS down to 6 regulars or (at most) 3 ultras a
    day, is the best idea.

    Somebody's now probably going to ask what happens if you get the
    milk-alkali syndrome. Probably the first noticable feature is diuresis
    (too much urine), and thirst. But the symptoms of hypercalcemia are so
    variable I'd rather not go there.

    SBH

    That's correct especially with hyperparathyroidism out there and people with
    stones out there but those deficient in calcium should obviously take
    calcium.

  9. "Pizza Girl." <[email hidden]> wrote in message
    news:1127528867.e1658d9d86985c55e1460177ad620902@teranews...

    Quoted message said:

    How could people get hypocalcemia when calcium is so readily available for
    green vegetables and other foods.

    I guess dairy consumption can lower absorption of calcium and since the
    market propaganda started 40 years ago people can hurt themselves with too
    much dairy.

    Am J Clin Nutr. 2005 Sep;82(3):523-30. Related Articles, Books, LinkOut

    Dairy consumption is inversely associated with the prevalence of the
    metabolic syndrome in Tehranian adults.

    Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F.

    Endocrine Research Center, Shaheed Beheshti University of Medical Sciences,
    Tehran, Iran.

    BACKGROUND: Although previous studies showed some benefits from dairy
    consumption with respect to obesity and insulin resistance syndrome,
    epidemiologic data on the association between dairy intakes and metabolic
    syndrome are sparse. OBJECTIVE: The objective was to evaluate the relation
    between dairy consumption and metabolic syndrome in Tehranian adults.
    DESIGN: Dairy consumption and features of metabolic syndrome were assessed
    in a population-based cross-sectional study of 827 subjects (357 men and 470
    women) aged 18-74 y. Metabolic syndrome was defined according to guidelines
    of the Adult Treatment Panel III. Multivariate logistic regression adjusted
    for lifestyle and nutritional confounders was used in 4 models. RESULTS:
    Mean (+/-SD) consumption of milk, yogurt, and cheese was 0.7 +/- 0.2, 1.06
    +/- 0.6, and 0.9 +/- 0.3 servings/d, respectively. Subjects in the highest
    quartile of dairy consumption had lower odds of having enlarged waist
    circumference [odds ratio (OR) by quartile: 1, 0.89, 0.74, 0.63; P for trend
    < 0.001], hypertension (OR by quartile: 1, 0.88, 0.79, 0.71; P for trend <
    0.02), and metabolic syndrome (OR by quartile: 1, 0.83, 0.74, 0.69; P for
    trend < 0.02). The values of ORs became weaker after further adjustment for
    calcium intake. CONCLUSION: Dairy consumption is inversely associated with
    the risk of having metabolic syndrome. It seems that this relation is
    somewhat attributed to calcium.

    PMID: 16155263 [PubMed - in process]

    Clin Calcium. 2005 Feb;15(2):255-60. Related Articles, Books, LinkOut
    [Magnesium and hypertension]

    [Article in Japanese]

    Rosanoff A.

    Independent Scholar (Hawaii, U.S.A).

    Magnesium status has a direct effect upon the relaxation capability of
    vascular smooth muscle cells and the regulation of the cellular placement of
    other cations important to blood pressure - cellular sodium:potassium (Na:K)
    ratio and intracellular calcium (iCa(2+)). As a result, nutritional
    magnesium has both direct and indirect impacts on the regulation of blood
    pressure and therefore on the occurrence of hypertension. Hypertension
    occurs when cellular Na:K ratios become too high, a consequence of a high
    sodium, low potassium diet or, indirectly, through a magnesium deficient
    state which causes a pseudo potassium deficit. Like wise, magnesium
    deficiency alters calcium metabolism, creating high iCa(2+), low serum
    calcium and low urinary calcium states even when calcium intake is adequate.
    High iCa(2 + ) and high cellular Na:K ratio both occur when cellular
    magnesium becomes too low and the Mg-ATP driven sodium-potassium pump and
    calcium pump become functionally impaired. High iCa(2+) has several
    vasoconstrictive effects which lead to hypertension, an indirect result of
    low magnesium status. Dietary calcium is directly proportional to dietary
    magnesium. Serum magnesium does not reflect true magnesium status as do
    intracellular magnesium measurements. Several studies on the effect of
    calcium on blood pressure need these added considerations of magnesium
    status to fully understand the impact of the Mg:Ca ratio as the primary
    cause of hypertension and other aspects of Syndrome X. Magnesium
    supplementation above 15 mmol per day are required to normalize high blood
    pressure in unmedicated hypertensive patients while 15 mmol per day will
    lower high blood pressure in patients treated with anti-hypertensive
    medications. In most humans, healthy blood pressure depends upon a balance
    of both Na:K and Mg:Ca ratios at both cellular and whole body levels which,
    in turn, require adequate, long-term intakes of nutritional magnesium. The
    knowledge that low magnesium causes imbalance in both cellular and
    physiological calcium widens our view of the studies showing hypertensives
    have abnormal calcium metabolism.

    Publication Types:
    Review

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