Calcium Ascorbate Side Effects
Calcium ascorbate combines calcium and vitamin C in one supplement, with each 1,000-milligram supplement providing approximately 900 milligrams of vitamin C and 100 milligrams of calcium. The calcium makes the vitamin C less acidic, so it may be less likely to cause gastrointestinal side effects than other types of vitamin C supplements. However, this doesn't mean these supplements are free from potential side effects, so speak with your doctor to make sure you can safely take calcium ascorbate.
Minor Side Effects
Although not everyone experiences side effects with vitamin C or calcium supplements, these can occur, especially at high doses. Supplemental vitamin C sometimes causes headache, heartburn, nausea, stomach cramps, vomiting, gas or diarrhea. If you have diabetes, high doses of vitamin C may cause your blood sugar to go up. Calcium can also cause bloating, gas, constipation and acid rebound in some people. Reducing the amount of calcium ascorbate you take per day may lessen or eliminate any side effects you experience.
- Although not everyone experiences side effects with vitamin C or calcium supplements, these can occur, especially at high doses.
Potential Medication Interactions
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Vitamin C supplements can interact with statins, protease inhibitors, chemotherapy, blood thinners, niacin, estrogens, aluminum from antacids, fluphenazine, acetaminophen and aspirin, potentially making these medications less effective or increasing the risk for side effects. Calcium can also interact ceftriaxone, certain types of antibiotics, diuretics, thyroid medications and certain heart medications.
Toxicity Risk
Getting more than 2,000 milligrams of vitamin C can cause diarrhea and increase your risk for kidney stones. Don't get more than the tolerable upper intake level for calcium of 2,500 milligrams per day. Excessive calcium can cause you to absorb less zinc and iron and may also cause kidney problems, constipation and calcification of your organs.
Other Considerations
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People with blood-iron disorders, kidney stones, cancer and sickle cell disease should avoid taking vitamin C supplements, which might make these conditions worse, according to MedlinePlus. The calcium from calcium ascorbate isn't as easily absorbed as that from calcium citrate, but you can improve the absorption if you take your supplement with food.
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References
- HelpGuide.org: Calcium and Your Bones
- Linus Pauling Institute: The Bioavailability of Different Forms of Vitamin C
- University of Maryland Medical Center: Vitamin C (Ascorbic Acid)
- Office of Dietary Supplements: Calcium
- Bliuc D, Nguyen ND, Nguyen TV, et. al. Compound risk of high mortality following osteoporotic fracture and refracture in elderly women and men. J Bone Miner Res. 2013;28(11):2317-24. doi:10.1002/jbmr.1968
- Bailey RL, Dodd KW, Goldman JA, et al. Estimation of total usual calcium and vitamin D intakes in the United States. J Nutr. 2010;140(4):817-822. doi:10.3945/jn.109.118539
- National Institutes of Health. Calcium fact sheet for health professionals. Updated March 26, 2020.
- Parva NR, Tadepalli S, Singh P, et al. Prevalence of vitamin D deficiency and associated risk factors in the US population (2011-2012). Cureus. 2018;10(6):e2741. doi:10.7759/cureus.2741
- National Institutes of Health. Vitamin D fact sheet for consumers. Updated March 24, 2020.
- Cleveland Clinic. Osteoporosis: Prevention with calcium treatment. Updated October 15, 2015.
- Li K, Wang XF, Li DY, et al. The good, the bad, and the ugly of calcium supplementation: a review of calcium intake on human health. Clin Interv Aging. 2018;13:2443-2452. doi:10.2147/CIA.S157523
- Marcinowska-Suchowierska E, Kupisz-Urbańska M, Łukaszkiewicz J, et al. Vitamin D toxicity—a clinical perspective. Front Endocrinol (Lausanne). 2018;9:550. doi:10.3389/fendo.2018.00550
Writer Bio
Based in Massachusetts, Jessica Bruso has been writing since 2008. She holds a master of science degree in food policy and applied nutrition and a bachelor of arts degree in international relations, both from Tufts University.