Calcium loss can be improved by adjusting diet, supplementing calcium supplements, treating with vitamin D, moderate exercise, and medication. Calcium loss is usually caused by factors such as aging, estrogen deficiency, malnutrition, chronic diseases, or drug side effects.
1. Adjusting diet
Increasing the intake of calcium rich foods is a basic measure. It is recommended to drink milk or yogurt daily, and consume tofu, sesame paste, broccoli, etc. in moderation. At the same time, reduce high salt and high caffeine diets and avoid excessive intake of vegetables with high oxalic acid content, such as spinach, to avoid affecting calcium absorption. Attention should be paid to the balance of protein and calcium in diet. Long term high protein diet may increase urinary calcium excretion.
2. Calcium supplements
Calcium supplements such as calcium carbonate and calcium citrate can be used under the guidance of a doctor. Calcium carbonate should be taken with meals to promote absorption, and calcium citrate is more suitable for those with stomach acid deficiency. Calcium supplementation should be done in divided doses, with a single dose not exceeding 500 milligrams. Calcium supplements should not be taken together with iron supplements or certain antibiotics, and should be taken at least two hours apart.
3. Vitamin D Treatment
Vitamin D can promote intestinal calcium absorption, and it is recommended for adults to consume 800-1000IU per day. It can be supplemented by sunlight exposure or oral vitamin D supplements. In severe cases of deficiency, calcitriol can be used for a short period of time. Regular monitoring of blood calcium and urinary calcium levels is necessary to prevent hypercalcemia caused by excessive vitamin D.
4. Moderate Exercise
Weight bearing exercises such as walking, jogging, skipping rope, etc. can stimulate osteoblast activity. It is recommended to do 3-5 times a week for 30 minutes each time. Water sports are suitable for people with joint injuries, and balance training such as Tai Chi can prevent falls and fractures. The intensity of exercise should be gradually increased to avoid injuries caused by sudden intense exercise.
5. Drug therapy
For patients with severe osteoporosis, doctors may prescribe osteoclast inhibiting drugs such as alendronate sodium and zoledronic acid, or bone forming promoting drugs such as teriparatide. Estrogen replacement therapy is suitable for postmenopausal women and requires strict evaluation of indications and contraindications. Regular re examination of bone density and renal function is required during medication. To prevent calcium loss, it is necessary to establish a long-term health management plan, ensure sufficient sunlight every day, quit smoking and limit alcohol consumption, and avoid long-term use of drugs such as glucocorticoids that affect bone metabolism. People aged 45 and above are recommended to undergo bone density testing annually, and those with high-risk factors should be intervened early. When cooking, vinegar can be used more to promote bone calcium dissolution, but attention should be paid to overall dietary balance. If there is unexplained bone pain, shortened height, or minor traumatic fractures, timely medical evaluation should be sought.
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