Calcium should always be taken with vitamin D, because vitamin D is necessary for the body to absorb calcium.

Pregnant or nursing women need the same amount of calcium and vitamin D as other women their age.

Calcium, combined with vitamin D and weight-bearing exercise, keeps bone loss from getting worse or helps reduce the rate of bone loss that occurs with osteoporosis. Your bones need vitamin D to absorb calcium. Taking vitamin D along with calcium can help strengthen your bones.

Many foods contain high amounts of calcium. It is important that you also get enough vitamin D along with calcium to help your body absorb the calcium.

Calcium is in foods such as milk, cheese, and yogurt. Vegetables like broccoli, kale, and Chinese cabbage have calcium. You can get calcium eating canned sardines and canned salmon from the soft edible bones. Foods with added (fortified) calcium include some cereals, juices, soy drinks, and tofu. The food label will show how much.

Vitamin D is in foods such as salmon, tuna, and mackerel. These are some of the best foods to eat when trying to get more vitamin D. Other foods with vitamin D, but in small amounts, include cheese, egg yolks, and beef liver. You can also get vitamin D from fortified foods such as milk and some cereals, orange juices, yogurts, margarines, and soy drinks.

For example, a good source of calcium is fat-free milk fortified with vitamin D. Four cups a day provide about 1,200 mg of calcium. Other good sources of calcium include shrimp, blackstrap molasses, calcium-fortified tofu, and almonds.

Everyone who has been diagnosed with osteoporosis should try to eat a diet rich in these nutrients. People who do not get enough calcium from their diet may need to take a calcium supplement with vitamin D.

Types of calcium supplements include:

• Calcium carbonate, which is 40% elemental calcium.
• Calcium citrate, which is 21% elemental calcium. While lower in elemental calcium than calcium carbonate, calcium citrate is easier to digest and does not cause constipation as much as other types of calcium supplements.
• Calcium gluconate and calcium lactate, which contain a low amount of elemental calcium.

You can get calcium supplements at most grocery stores and pharmacies. They come in tablets, chewables, and capsules. Not all supplements contain the same amount of calcium or contain vitamin D, so read the label to see which one is best for you.

Consider how much calcium and vitamin D you normally get in your diet. Then each day take the number of tablets that satisfies your daily recommended amounts of calcium and vitamin D based on your age and health condition. Be careful not to take too much. Calcium supplements with vitamin D may slightly increase your risk of kidney stones.³

Now that you have read this information, you can feel confident that you know how to get enough calcium daily to prevent or treat osteoporosis and reduce your risk for bone loss.