Dr Kim Balas- Calcium


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  • Dr. Kim, can you share from where the Free Calcium Risk Index originates (references)?
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Dr Kim Balas- Calcium

  1. 1. Understanding Calcium By Dr. Kimberly Balas
  2. 2. Not solid or static – they are living tissue that iscontinually renewedStore mineralsBuild white and red blood cellsProtect brain, spinal column and internal organsfrom injury
  3. 3. Osteoclasts are cells that break down boneOsteoblasts are cells that build boneRepairs to injured bones are done much likerepaving a roadInjured bone is constantly being removed andreplaced
  4. 4. Kidney contributes to structural integrityKidney filters phosphorus out of the bloodVitamin D circulation in the blood is controlled by kidneyOsteoclasts release calcium, phosphorus and other minerals from thebone structure into bloodWhen bone “dismantling” cells increase in activity and the bone“building” cells do not increase, kidney handles the offset in the bloodChronic Kidney Disease can shut down the production of new bone“building” which causes parathyroid to attempt to prevent this andhormones are thrown off.
  5. 5. Macro Minerals Trace Minerals Iron Calcium Molybdenum Magnesium Copper Zinc Phosphorus Fluoride Sodium Selenium Chromium Chloride Silica Potassium Manganese Iodine Sulphur Cobalt
  6. 6. Most abundant mineral in the bodyEssential to maintaining total body healthNeeded for mineralization of bones and teethCalcium and phosphorus join to form calciumphosphate, a major component of the mineralcomplex (called hydroxyapatite) that givesstructure and strength to bones
  7. 7. Is also critical for controlling the beat of theheart - contractionRole in cellular communicationHelps with blood clottingNerve conduction
  8. 8. Muscle contractionRegulation of enzyme activityRegulatory systems tightly control the amountof calcium in the blood for bioavailabilityIf not available in the blood the body will drawfrom bone stores
  9. 9. Absorbed in the small intestineNot all calcium we consume will be absorbedThe amount of calcium absorbed is dependent on a number offactors: Acidic condition in the intestines Vitamin D levels Estrogen level Type of calcium supplement
  10. 10. Will lead to: Will predispose to: Calculus on teeth Arthritis Calcium deposits Gout Bone breakage Cancer Complicated arterial lesions High blood pressure
  11. 11. Phosphorus x 2.5 = Predicted CalciumSerum Calcium – Predicted Calcium = FreeCalcium Risk Factor
  12. 12. Risk Index Correlation Disease Risk.1-.8 Little to no dental Lowest risk plaque.9-1.4 Mild Slightly plaque/calcification increased1.5-2.1 Moderate plaque Moderate≥2.2 Heavy plaque and Extreme calcification risk
  13. 13. Predictor of excess free calciumReflects the sum total of organic anions(alkaline buffers) plus albumin relative to totalcalcium
  14. 14. Excess of Ca can actually lower pHLow Ca can be associated with cancer risk (it’smore typically a deficiency in protein)Excess free Ca increases cancer risk
  15. 15. Most Americans are deficient in organicanions and/or they are not metabolizingprotein correctly leading to unhealthycalcificationsCalcium carbonate has to be bound to adifferent organic anion or to protein
  16. 16. If calcium can’t be bound, it ends up as freecalciumExcess free calcium predisposes to: Hardened arteries Osteoarthritis Calculus on teeth Cancer
  17. 17. You really can’t know without a blood chemistrytestThere is 7 times more calcium than magnesium inour dietary intakeSome people have plenty of calcium, they just needto push that calcium into their bonesSome people just need more protein or need toimprove protein metabolism
  18. 18. Calcium is bound to casein. Humans don’t have theenzymes to separate casein from calcium like calvesCow’s milk is too high in phosphorus, not enoughmagnesiumPasteurization binds calcium to phosphorus formingcalcium phosphate, which is difficult to assimilate. It alsodestroys nutrients that help in calcium assimilation.
  19. 19. Cultured dairy foods (Amasai)Raw Cheese (A2)Dark green leafy vegetables (collard greens, spinach, turnipgreens, kale, beet greens, Chinese cabbage, dandeliongreens)Canned sardinesCanned pink salmon with bonesUnpasteurized goat’s milkNuts
  20. 20. Better Bones, Better Bodyby Susan E. Brown, Ph.D.Healthy Bones & Jointsby David Hoffmann, B.Sc., FNIMHStrong Women, Strong Bonesby Miriam E. Nelson, Ph.D.