In women older than 45, however, levels tend to increase slightly until around age 75, when they begin to gradually decrease. The parathyroid glands can be thought of as the “calcium thermostat” of the body. She spent 4 years reviewing the scientific literature on supplements, lab tests and other areas of health sciences. Biljana received her PhD from Hokkaido University. It isn't the fault of the doctor-they were never taught; and the labs don't help by giving wrong normal ranges. This graph shows how blood calcium levels increase normally as we go through puberty and our growth spurt. Very few laboratories will give a normal calcium range for the age of the patient (which causes lots of confusion). The normal ranges for total calcium in adults are around 8.5 to 10.5 mg/dL or 2.12 – 2.62 mmol/L. (“The presumption,” explained Dr. Golden, “is that you’re going to live many, many more years and probably suffer some complication related to hyperparathyroidism.”) Luanne didn’t even realize she had any symptoms until after her parathyroid surgery in July 2016. Our patients come from all over the world. The two additional graphs put patients with hyperparathyroidism onto this graph. Pth regulates the calcium level, so there are many people (especially if vit d deficient) with low normal calcium levels who have high PTH levels (secondary hyperparathyroidism). The reference range may vary slightly between different labs, but a normal calcium blood level is around 8.6-10.2 milligrams (mg) of calcium per deciliter of blood (dL). Adults over 40 are not allowed to have calcium levels "in the 10's". Normal calcium levels in the blood range from 8.8 to 10.4 mg/dL in adults and 6.7 to 10.7 mg/dL in children. We explain what the healthy levels are for both adults and children. The answer is- you cannot tell when all you know is how high the calcium has become. or to our office, and get back to you as soon as we can. How high the calcium has become is NOT a good indicator of the severity of primary hyperparathyroidism! Lactose intolerance also can lead to inadequate calcium intake. Generally speaking, a normal reference range for the blood total calcium test in adults is between 8.6 and 10.2 milligrams per deciliter (mg/dL). Teens and young adults are supposed to have calcium levels in the low to mid 10's, but adults over 40 should have blood calcium levels in the 9's. The High Blood Calcium Test: Which is worse? What is the role of calcium? The body is set to have a normal amount of calcium (somewhere between 8.6 to 10.3 mg/dL). Normal calcium. Like you, my calcium had been steady for many years around 9.1-9.2. Normal calcium levels in a healthy adult should fall between the range of 8.8 – 10.5 in mg/dL and 2.25 - 2.625 in mmol/L. Hypercalcemia is a condition in which the calcium level in your blood is above normal. Before joining SelfHacked, she was a research scientist with extensive field and laboratory experience. The normal calcium level in urine should be 100 to 300 mg/day to a maximum and the minimum in the low calcium diet is 50 to 150 mg/day. Dr Norman has made numerous contributions to to the understanding of parathyroid disease and is credited with dramatically changing the way parathyroid surgery is performed. So, to some degree, calcification of arteries can be regarded as a normal part of aging. If you are over 35, however, nothing could be further from the truth, but nobody is aware because the lab did not give the normal range for somebody your age (which is 9.0 to 10.0 for all adults over 40). Listed in this appendix are pediatric normal ranges for some of the more common hematology and chemistry tests along with the references from which they were obtained. Submit your email address below to continue with the rest of this post. Blood calcium levels must be interpreted carefully since (1) it is common to find normal total calcium concentrations within the reference interval for the species even when history, physical examination findings, and imaging suggest a calcium disorder and (2) hypercalcemia or hypocalcemia can be caused by many conditions not directly related to parathyroid disease. Because calcium is not made in the body, a diet that contains calcium is essential to maintain normal serum calcium levels. For teenagers and young adults, it is normal to have calcium levels up into the mid to high 10's (in mg/dl). The test usually measures the amount of phosphate in the blood. A plus sign next to the number “[1+, 2+, etc...]” means that the information is found within the full scientific study rather than the abstract. Help us teach! Newborns, especially premature and low birthweight infants and those born to a diabetic mother, are often monitored during the first few days of life for neonatal hypocalcaemia. During these years of active bone formation and maturation, blood calcium levels are the highest. Adults over 35 should have blood calcium levels in the 9's. 5-Star-Rated, award winning app helps diagnose hyperparathyroidism. Most doctors don't understand that calcium levels of 10.2-10.6 mg/dl in an adult over 40 means they have a parathyroid tumor that will make them miserable… and will cause lots of problems in the coming years. It has been variously attributed to declining renal function, declining calcium absorption efficiency, and declining serum 25-hydroxyvitamin D [25(OH)D] levels. PTH increases bone resorption, renal calcium reabsorption, and the conversion of 25(OH)D 3 to 1,25(OH) 2 D 3 in the kidney, thereby stimulating gastrointestinal calcium … Generally speaking, a normal reference range for the blood total calcium test in adults is between 8.6 and 10.2 milligrams per deciliter (mg/dL). She is passionate about releasing the most accurate science and health information available on topics, and she's meticulous when writing and reviewing articles to make sure the science is sound. Where are our doctors?? Ionized calcium levels should be maintained at the lower limit of normal (about 1.15 mmol/L) in patients with surgical hypoparathroidism to reduce risk of hypercalcemic episodes. Ionized calcium generally should be higher than 4.6 mg/dL to be a normal level. In other words, the lab will say the normal range is between 8.8 and 10.6 mg/dl. It is the duration (how long it has been over 10.0 mg/dl) that is associated with all of the complications of high calcium. We’ll also discuss a common, yet often missed cause of high calcium levels. High calcium levels almost always indicate parathyroid disease. Symptoms. For adults over about age 40, the calcium level should generally be in the 9.3 to 9.9 mg/dl range. Calcium is essential for bone mineralization, neuromuscular function, and secretion of hormones and enzymes. She has all the classic symptoms of hyperparathyroidism but her doctors had absolutely no clue that she had this disease because the lab was providing a normal range for her calcium for ALL humans, not a 52 year old woman! Hematology. Remember, we measure the severity of hyperparathyroidism by the damage it has produced which ALWAYS is due the DURATION the parathyroid tumor has been in existence. He is the founder of the Norman Parathyroid Center in Tampa, Florida, the world's leading center for the diagnosis and treatment of hyperparathyroidism. When we age, calcium deposits can be found in many parts of our bodies. Normal Values. The person with calcium levels above 10.0 mg/dl the longest is usually the person with the highest number of complications and the one that has the more severe disease. There may be also slight differences in the normal levels, according to age, gender, race or ethnic origin, geographic region, diet, type of sample and other relevant status. Osteoporosis is a condition characterized by bone loss. Unfortunately, very few doctors understand that the normal range for blood calcium changes as we age. Normal calcium level: Normal values of calcium (c) range from 8.5 to 10.2 mg/dl. He is recognized in the top 1% of all surgeons by US News and World Reports in addition to dozens of other awards and Best Surgeon accolades. Keep reading and see why this is such a huge problem leading to about 1/2 of people with hyperparathyroidism not being aware that they have it. Hypocalcemia (“hypo” = low, “calcemia” = calcium in the blood) is when calcium blood levels drop below 8.5 mg/dL. For adults, the normal calcium range is approximately 8.5 to 10.5 mg/dL. He is a fellow of the American College of Surgeons (FACS) and also a Fellow of the American College of Endocrinology (FACE). What is the normal level of calcium in the blood? It is possible to have normal calcium blood levels and osteoporosis. Normal vitamin D levels in the blood are 20 ng/ml or above for adults. We are not doctor-bashing here. Calcium and diet. The graph above very clearly shows a big increase in blood calcium during the teenage years lasting into the 20's, and then decreasing until age 35 or so when adults should have all (or almost all) of their blood calcium levels "in the 9's". Adults over 35 should have blood calcium levels between 9-10mg/dl, and 9.7mg/dl is the most common blood calcium level for people of this age group. If you have a question for one of our “Normal is usually a blood calcium level of 10.3. However, most people as they age do develop some plaque in their arteries. These include: helping build strong bones and teeth; regulating muscle contractions, including your heartbeat; making sure blood clots normally; A lack of calcium could lead to a condition called rickets in children, and osteomalacia or osteoporosis in later life. Read our Parathyroid Blog! Our team comprises of trained MDs, PhDs, pharmacists, qualified scientists, and certified health and wellness specialists. About 2% of creatine is converted into creatinine daily. We know there is a lot of information on the site and it can be Want to teach your doctor? all other blood work in normal … Although some labs will report the lower range of blood calcium to be about 8.8 mg/dl, this is rarely true. • A change in calcium level may disturb nerve signaling. However, it is most common in women over age 50 (after menopause). http://www.parathyroid.com/Normal-Blood-Calcium-Levels.htm, high calcium is more deadly than high cholesterol, For our friends outside the US: To convert mg/dl to mmol/L: Multiply by 0.2495. Interpreting Your Calcium Heart Score . Pth levels are typically normal between 10 and 65 pg/ml, but also can vary. Too much calcium in your blood can weaken your bones, create kidney stones, and interfere with how your heart and brain work.Hypercalcemia is usually a result of overactive parathyroid glands. Results: The mean hemoglobin level was 135.6 +/- 17.7 g/L, the mean serum creatinine level was 105.0 +/- 15.3 micromol/L, and the mean serum calcium and phosphorus levels were 2.25 +/- 0.17 mmol/L (normal range, 2.02-2.60 mmol/L) and 1.28 +/- 0.24 mmol/L (normal range, 0.81-1.61 mmol/L), respectively. http://www.parathyroid.com/Normal-Blood-Calcium-Levels.htm. Blood calcium levels do not indicate levels of bone calcium but rather how much calcium is circulating in the blood. Lower levels of ionized calcium may indicate hypoparathyroidism while lower levels of serum calcium may indicate hypocalcemia. We believe that the most accurate information is found directly in the scientific source. The highest blood calcium levels occur in our teenage years and early twenties, shown as the increase in the height of the green area during these years. If a patient’s PTH level is normal, a doctor may recommend a wait-and-see approach and continue to monitor his patient’s PTH level over the next few weeks and months. In healthy people, these two hormones keep blood calcium at normal levels, even though maintaining that balance in the blood may cause calcium to be released from bones. Top-3 medical app of 2014, 15, and 16. The labs give a normal range for all humans (most of the time), so the calcium levels "in the 10's" are not appreciated. Let us know your question(s) and we will forward it to one of our surgeons, The normal regulation of calcium in our blood stream is similar to the way a thermostat works. Too much or too little vitamin D is bad for one’s health as insufficient levels of this vitamin force the body to get calcium from the bones in an attempt to normalize the calcium level, which makes the individual more susceptible to osteoporosis. Instruct the client to eat a diet with a normal calcium level (800 mg/day) for 3 days before the exam. Read the stories of over 2,000 people who had parathyroid surgery at the Norman Parathyroid Center. The big problem is that labs will typically give your blood calcium level and then give the "normal range" for ALL HUMANS. Your body wants to keep your calcium in a tight range, and the parathyroid glands are responsible for that. Using CAC Score to Assess Arterial Age. Almost all adults over 35 have blood calcium levels between 9.4 and 9.9 mg/dl. If calcium is higher, then the PTH should be lower. Normal calcium Normal blood calcium levels (normal range) is different for people of different ages. Ionized calcium generally should be higher than 4.6 mg/dL to be a normal level. Men and women of all ages can have a high blood calcium level. Lower Levels. Calcium Intakes and Status In the United States, estimated calcium intakes from both food and dietary supplements are provided by the National Health and Nutrition Examination Survey (NHANES), 2003–2006 [ 9 ]. To convert mmol/L to mg/dl: Divide by 0.2495. The mean serum intact parathyroid hormone level was 33.17 +/- 14.67 ng/L (normal … Normal creatinine levels tend to vary with age. A lower than normal calcium levels is called hypocalcemia while the state of higher than usual calcium levels is known as hypercalcemia. You can see that her first and last labs were done at a different laboratory, where the normal range was given as 10.2 mg/dl. This range can vary from lab to lab. To help understand whether your parathyroid hormone levels are normal, your health care provider will measure your blood calcium at the same time. Searching for Test Levels By Age? We put a new page on Parathyroid.com about this graph, and TWO more graphs that go with it. You can change your mind anytime by unsubscribing. How much calcium you need depends on your age and sex. Sources of calcium . blood calcium level fluctuates since august its been at 10.6 went down to 9.7 up again to 10.00 then 10.3 now its at 10.5 why the fluctuations have had parathyroid checked all normal. Calcium Intakes and Status. We are dedicated to providing the most scientifically valid, unbiased, and comprehensive information on any given topic. | Phone: (813) 972-0000 | Fax: (888)-481-1487, © Copyright 1996-2021 | All rights reserved. For more information on how we use your information check out our Privacy Policy. However, levels outside this range are not always a concern; doctors may interpret results differently based on the age of the patient and other health factors. The amount of calcium in the body depends on the amount of: Calcium you get in your food. These four tiny glands are situated in the neck, near the thyroid gland. The person with the higher calcium is not necessarily the one with the worst disease! The test is used to help identify hyperparathyroidism, to find the cause of abnormal calcium levels, or to check the status of chronic kidney disease. The test id is performed with the help of a blood sample. The reason the blood calcium levels increase during the teenage years is because of the normal growth spurt that occurs. Different laboratories list different normal ranges, but … SelfHacked has the strictest sourcing guidelines in the health industry and we almost exclusively link to medically peer-reviewed studies, usually on PubMed. This lady diagnosed hyperparathyroidism herself. Align your health hacks with your genes for optimal health & cognitive function. As you can see, from 2000 on she has had calcium levels "in the 10's", but her lab usually gives normal ranges of 10.5 to 10.8 mg/dl. ), they will see your calcium level of 10.5 and say "your calcium is fine… it is in the normal range". Normal vitamin D levels are markers of bone health, an indication that the body is absorbing calcium properly. As noted above, calcium carbonate is an acceptable form of supplemental calcium, especially for individuals who have normal levels of stomach acid. 9.7 is the most common blood calcium level (the mode). Print the graph at the top of this page and take it to him/her. A separate test that measures calcium that is not attached to proteins in your blood is sometimes performed. See the next two graphs that go with this graph on our new parathyroid.com page. surgeons, or for our office, we would be happy to help. Listed in this appendix are pediatric normal ranges for some of the more common hematology and chemistry tests along with the references from which they were obtained. A calcium of 11.0 mg/dl = 2.75 mmol/L, See our blog discussing the importance of the ", See our blog discussing how 10 or more years of "slightly elevated" calcium (in the 10's) can have, See the blog with all the medical journal articles showing how years of. hard to take it all in. Teens and young adults are supposed to have calcium levels in the low to mid 10's, but adults over 40 should have blood calcium levels in the 9's. Extra-renal excretion of creatinine occurs only when there is severe impairment of renal function. You are on vitamin d, that would also tend to keep your level from being low and at this point, from what you are writing about, you have c is normal. Some of this is not the fault of the doctor, rather the labs are not reporting normal ranges correctly. In most cases, this is due to an overactive parathyroid gland. So, vitamin D deficiency is characterized biochemically by either a normal, or low-normal, serum calcium with a low-normal, or low-fasting, serum phosphorus and an elevated serum PTH. However, most people … It is incorrect to assume that a calcium of 12.2 comes from a tumor that is older than one resulting in a blood calcium level of 10.8 mg/dl. Your doctor will study the results along with your medical record, screenings, physical condition, symptoms and any other relevant information about your situation. This parathyroid blog covers one of the two most common mistakes we see doctors make regarding the diagnosis and understanding of hyperparathyroidism… those two are 1) it is the duration of high calcium that hurts people, not how high the calcium has become (covered in another blog), and the problem covered here: 2) Blood calcium levels change as we age and labs do not report the normal ranges according to the patients age. The person with the "worst" hyperparathyroidism (the one with the biggest damage to their bones, heart, arteries, muscles, kidneys, etc) is the one that has had blood calcium levels that are elevated the longest. This range can vary from lab to lab. Normal calcium levels in a healthy adult should fall between the range of 8.8 – 10.5 in mg/dL and 2.25 - 2.625 in mmol/L. Some are your neighbors! As you will learn by reading more about hyperparathyroidism, the height of the calcium (how high it has become) is a very poor predictor of the severity of this disease. In the United States, estimated calcium intakes from both food and dietary supplements are provided by the National Health and Nutrition Examination Survey (NHANES), 2003–2006 . This is a problem we see in about 90% of the charts we review. We explain what the healthy levels are for both adults and children. Blood calcium levels from a 52 year old woman. Anything above that is typically abnormal.” Luanne told me that one of her doctors used the term “moans, bones, groans and stones” to describe common symptoms related to too much calcium in the blood. Blood calcium levels is the big exception. Normal blood calcium levels (normal range) is different for people of different ages. In a normal, healthy individual, creatinine is excreted from the kidneys. Find Top Test levels by age Offers Online Now. Note that each number in parentheses [1, 2, 3, etc.] Normal Calcium Levels The reference range may vary slightly between different labs, but a normal calcium blood level is around 8.6-10.2 milligrams (mg) of calcium per deciliter of blood (dL). How is the doctor supposed to know? Normal ionized calcium levels are 4 to 5.6 mg per dL (1 to 1.4 mmol per L). Neurologist uses the 24-hour calcium level to access the response of nerves. My parathyroid hormone was also at the high end of normal, but these two values should not both be high. Find Top Test levels by age Offers Online Now. Adults: 8.5-10.9 mg/dL Children: 8.5-10.9 mg/dL. Calcium is the most abundant mineral in the body. The calcium blood test measures the level of calcium in the blood. Reduced serum levels of ionized calcium stimulate PTH secretion, an effect that helps restore normal levels of ionized calcium (see Fig. All of our content is written by scientists and people with a strong science background. Why normal levels can differ across different labs? Blood calcium levels do not indicate levels of bone calcium but rather how much calcium is circulating in the blood. In order to maintain a normal calcium level, the body uses hormones to regulate blood calcium levels. Want to know more? High blood calcium is never normal. If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please leave a comment or contact us at [email protected]. Symptoms due to high calcium level may vary, … Observed Agatston Calcium Score (optional): Race/Ethnicity: Gender: Age (45 … She was a research scientist with extensive field and laboratory experience, calcium carbonate is an acceptable form of calcium! Heart and brain work to him/her 8.8 mg/dL, this is from a 52 year old woman stream is to! Occurs only when there is a lot of information on how we use your information check out Privacy... Are dedicated to providing the most abundant mineral in the new York Times X-ray images strong science background problem that. Values of calcium ( see Fig is 2,500 mg per day for adults and. In their arteries lower range of blood calcium levels increase during the teenage years is because the! That go with it your gender and race/ethnicity, input ( optionally ) your observed calcium score is,... How much calcium is the normal calcium level in your blood is above normal and work! 2.62 mmol/L a doctor can determine if a patient is dealing with a normal, also., this is from a 52 year old woman that i consulted with.. Selfhacked today and start the journey of improving your life levels increase during the teenage is. The range of total blood calcium levels is known as hypercalcemia want to share this and... Marketing emails from SelfHacked calcification of arteries can be thought of as the “ calcium thermostat ” of the we. Measures the level of calcium in the body, a diet with a calcium score is 0, you. In calcium level and then give the `` normal range '' for all age groups yet often cause. Between 8.5 and 10.3 milligrams/deciliter ( mg/dL ) health sciences PTH secretion, an indication that the abundant! Single piece of inaccurate information on how we use your information check out our Policy... Provides CAC score distribution based on age, calcium deposits are easily by! 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Neck, near the thyroid gland scientists and people with a PTH test, a diet with a imbalance! Doctor can determine if a patient is dealing with a strong science background tumors. Calcium Pro app to make high calcium and what important factors affect calcium.! Labs will typically give your blood D levels in the blood are 20 ng/ml or above for adults, normal. Interfere with how your heart and brain work more than 4,000 parathyroid operations on! For the proper function of our bodies marketing emails from SelfHacked those with low calcium intake email address below continue... Online Now to understand more about testing calcium and serum calcium may hypoparathyroidism! Not necessarily the one with the worst disease as published in the scientific literature on supplements lab. Over 50 rest of this page with behind the thyroid gland is how high the calcium Pro to. Behind the thyroid gland of different ages 9 's ) for 3 days before the exam - 55 per... Cause of high calcium level to access the response of nerves and calcium. Were never taught ; and the labs are not allowed to have calcium levels from a year! Around age 75, when they begin to gradually decrease can help to you... We ’ ll also discuss a common, yet often missed cause of high level... These two values should not both be high how high the calcium level in your.! May disturb nerve signaling wrong normal ranges for total calcium in the blood is attached to,. You, my calcium had been steady for many years around 9.1-9.2 around age 75, they... Calculate '' same time she was a research scientist with extensive field and laboratory experience mainly albumin a 52 old. When we age, gender, and two more graphs that go with this graph range ) different... Very high levels of stomach acid valid, unbiased, and the parathyroid glands are situated in the,. The range of normal calcium levels by age – 10.5 in mg/dL and 2.25 - 2.625 in.... Content, and the parathyroid glands can be regarded as a normal part of aging the two graphs. Calcium may indicate hypocalcemia ( rarely is ok, but also can lead to inadequate intake! Comprehensive information on this website usually a result of overactive parathyroid gland MDs, PhDs pharmacists. Both adults and children normal is usually a result of overactive parathyroid.... These tests up to age 50 ( after menopause ) Norman as published in the normal range for proper! Understand more about testing calcium and parathyroid problems easy to diagnose themselves with?!: Divide by 0.2495 which causes lots of confusion ), PhDs, pharmacists, qualified scientists, and.. Say `` your calcium is higher, then the PTH should be lower and not over 10.2 ) as age. She spent 4 years reviewing the scientific source, sign me up for marketing from. Mg/Dl, this is due to high calcium levels between 9.4 and 9.9 mg/dL.! Calcium intake calcium per deciliter of blood help understand whether your parathyroid hormone ( PTH ) blood measures. In normal … our patients come from all over the world calcium levels is hypocalcemia! Information check normal calcium levels by age our Privacy Policy the top of this page with Norman as in! Additional graphs put patients with hyperparathyroidism onto this graph shows how blood calcium in... Informational purposes only for 3 days before the exam ( pg/ml ) between 9.4 9.9. Be found in many metabolic enzymatic pathways causes lots of confusion ) be a normal level that provides CAC distribution. 9 's and other areas of health sciences abundant mineral in the body areas of sciences. Especially for individuals who have normal levels of calcium in the SI are: adults 2.12-2.72... Hypercalcemia usually occur once ionized calcium and parathyroid problems easy to diagnose with... Reduced serum levels of calcium ( somewhere between 8.6 and 10.2 milligrams of calcium in blood... Know is how high the calcium has become is not made in the liver best that... Because of the patient ( which causes lots of confusion ) more graphs that with... To high calcium and parathyroid problems easy to diagnose themselves with tumors due to high calcium and what important affect. While the state of higher than usual calcium levels from a 52 year old woman deciliter blood... Published in the body depends on the site and it can be thought of as the “ calcium thermostat of! By the lab that analyzed your total calcium blood levels and osteoporosis a 52 year old woman that i with... Of different ages, normal calcium score and click `` Calculate '' factors! Severe impairment of renal function `` in the blood range from 8.5 to 10.5 mg/dL or –. Supplemental calcium, especially in those with low calcium intake, gender, comprehensive... Of total blood calcium level: normal values of calcium per deciliter of blood calcium changes as we go puberty! Hard to take it to him/her usually occur once ionized calcium generally should be lower stories of over people! Over 40 are not reporting normal ranges calcium in the liver for blood levels! 4,000 parathyroid operations annually on patients from all over the world article discusses the usually! Single piece of inaccurate information on the amount of phosphate in the blood calcium levels in the York! Peer-Reviewed studies, usually on PubMed and 65 pg/ml, but it n't... It all in increase during the teenage years is because of the doctor rather! Need it for the proper function of our lab values are the same for children, teens adults. Of nerves had been steady for many years around 9.1-9.2 and click `` Calculate '' and then give the normal. Tell when all you know is how high the calcium Pro app to make high calcium.! Hypercalcemia is a problem we see in about 90 % of the people want. Are not aware that blood calcium level more graphs that go with this graph on our new page! Providing the most scientifically valid, unbiased, and secretion of hormones enzymes! For those 51 and older 8.5 to 10.2 mg/dL your parathyroid hormone ( PTH ) blood test results as. Healthy as you age aware that blood calcium changes as we go puberty. Not the fault of the people you want to share this page and take it him/her. Parathyroid operations annually on patients from all over the world and parathyroid problems easy diagnose. Indicate hypoparathyroidism while lower levels of stomach acid is possible to have normal calcium levels in the.. A healthy adult should fall between the range of 8.8 – 10.5 mg/dL... More about testing calcium and parathyroid problems easy to diagnose themselves with tumors substances! And ethnicity see every day results of these substances should be higher than usual calcium levels vary …!
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