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What is Calcibel™ Tablet?
Recommended by physicians and pharmacists to prevent osteoporosis, Calcibel™ tablet contains 1600 mg calcium citrate (equivalent to 336 mg elemental calcium) and 400 IU vitamin D3. Calcibel™ tablet contains more elemental calcium than most calcium citrate brands in the market.
What is the dosage of Calcibel™?
Adults: take 1 tablet two times a day or as recommended by a physician. Take a few hours before or after taking other medication.
What is Osteoporosis?
Osteoporosis is a disease characterized by low bone mass and deterioration of bone tissue. This leads to increased bone fragility and risk of fracture (broken bones), particularly of the hip, spine and wrist. Osteoporosis occurs when the body fails to form enough new bone, when too much old bone is reabsorbed by the body, or both. Osteoporosis is often known as "the silent thief" because bone loss occurs without symptoms.
What is the difference between Osteoporosis and Osteoarthritis?
Osteoporosis is a bone disease while osteoarthritis is a disease of the joints and surrounding tissue.
What causes Osteoporosis?
The leading causes of osteoporosis are a drop in estrogen in women at the time of menopause and a drop in testosterone in men. Women over age 50 and men over age 70 have a higher risk for osteoporosis. Other causes include:
  • Being confined to a bed
  • Chronic rheumatoid arthritis, chronic kidney disease, eating disorders
  • Taking corticosteroid medications (prednisone, methylprednisolone) every day for more than 3 months, or taking some anti-seizure drugs
  • Hyperparathyroidism
  • Vitamin D deficiency
White women, especially those with a family history of osteoporosis, have a greater than average risk of developing osteoporosis. Other risk factors include:
  • Absence of menstrual periods (amenorrhea) for long periods of time
  • Drinking a large amount of alcohol
  • Family history of osteoporosis
  • History of hormone treatment for prostate cancer or breast cancer
  • Low body weight
  • Smoking
  • Too little calcium in the diet
What are the symptoms of Osteoporosis?
There are no symptoms in the early stages of the disease. Symptoms occurring late in the disease include:
  • Bone pain or tenderness
  • Fractures with little or no trauma
  • Loss of height (as much as 6 inches) over time
  • Lower back pain due to fractures of the spinal bones
  • Neck pain due to fractures of the spinal bones
  • Stooped posture or kyphosis, also called a "dowager's hump"
How is Osteoporosis diagnosed?
Early detection of bone loss is critical in preventing osteoporotic fractures. The diagnosis of osteoporosis can be made using conventional radiography and by measuring the bone mineral density (BMD). The most popular method of measuring BMD is dual energy x-ray absorptiometry (DXA or DEXA). In addition to the detection of abnormal BMD, the diagnosis of osteoporosis requires investigations into potentially modifiable underlying causes; this may be done with blood tests. Depending on the likelihood of an underlying problem, investigations for cancer with metastasis to the bone, multiple myeloma, Cushing's disease and other above-mentioned causes may be performed.
What are the treatment options for Osteoporosis?
Methods to prevent osteoporosis include changes of lifestyle. Lifestyle prevention of osteoporosis is in many aspects inversions from potentially modifiable risk factors. As tobacco smoking and unsafe alcohol intake have been linked with osteoporosis, smoking cessation and moderation of alcohol intake are commonly recommended in the prevention of osteoporosis. Many other risk factors some modifiable and others non modifiable, such as genetic, may be involved in osteoporosis.

Achieving a higher peak bone mass through exercise and proper nutrition during adolescence is important for the prevention of osteoporosis. Exercise and nutrition throughout the rest of the life delays bone degeneration. Jogging, walking, or stair climbing at 70-90% of maximum effort three times per week, along with 1,500 mg of calcium per day, increased bone density of the lumbar (lower) spine by 5% over nine months. Individuals already diagnosed with osteopenia or osteoporosis should discuss their exercise program with their physician to avoid fractures.

There are medications that can be used for prevention as well. For individuals with osteoporosis, there is now a variety of drug treatments available. The primary aim of drug treatments is to reduce fractures.

What is the role of Calcium and Vitamin D in Osteoporosis?
Calcium is an essential mineral that plays a large role in bone health and is required for muscle contractions, hormone and enzyme secretion and nerve cell conduction. Calcium comes from the food we eat and daily consumption is necessary for good health. The majority of calcium is found in bone and teeth -- approximately 99 percent -- where it is used as an integral component in the bone metabolism process.

One of the easiest and most effective methods of increasing your calcium intake is to take an oral calcium supplement daily. There are several forms of oral calcium readily available over the counter such as Calcibel™ tablet. Calcibel™ tablet contains 1600 mg Calcium citrate (equivalent to 336 mg elemental calcium) and 400 IU Vitamin D3. Calcibel™ tablet contains one of the highest amount of elemental calcium among the calcium citrate preparations in the market.

Vitamin D is a fat-soluble vitamin that is naturally present in very few foods, added to others, or available as a dietary supplement. It is also produced endogenously when ultraviolet rays from sunlight strike the skin and trigger vitamin D synthesis. Vitamin D promotes calcium absorption in the gut and maintains adequate serum calcium and phosphate concentrations to enable normal mineralization of bone and to prevent tetany. It is also needed for bone growth and bone remodelling by osteoblasts and osteoclasts. Without sufficient vitamin D, bones can become thin or brittle. Together with calcium, vitamin D also helps protect older adults from osteoporosis.

How much calcium do we need?
Age (years) Daily Calcium Requirement (includes your diet & supplements)
4 to 8 1000 mg
9 to 18 1300 mg
19 to 50 1000 mg
50+ 1200 mg
Pregnant or lactating women 18+ 1000 mg
How much Vitamin D do we need?
Healthy adults between19-50 years of age, including pregnant or breast feeding women, require 400 – 1,000 IU daily. Those over 50 or those younger adults at high risk (with osteoporosis, multiple fractures, or conditions affecting vitamin D absorption) should receive 800 – 2,000 IU daily. These amounts are safe. Taking more than 2,000 IU of vitamin D daily should be done only under medical supervision.

The best way to ensure that you are getting sufficient vitamin D is by taking a supplement. The type of vitamin D you should purchase is vitamin D3 (also called cholecalciferol). This is the most common type of vitamin D found in supplements in Canada. This is the type of Vitamin D present in Calcibel™ tablet.