
Can calcium tablets be taken long-term for osteoporosis?
I have been diagnosed with osteoporosis and often experience back pain. I get tired easily even with mild physical activity. My doctor advised me to take calcium supplements, but I'm not sure whether it's safe for long-term use. Can calcium supplements be taken long-term for osteoporosis? Are there any side effects associated with long-term use?

Osteoporosis patients can take calcium supplements long-term to replenish calcium, which helps delay bone loss and maintain bone health. However, this does not mean patients can take calcium supplements indefinitely without limits.
1. Calcium supplementation must be based on the individual's specific circumstances, including age, gender, dietary habits, physical condition, and the presence of other diseases. Postmenopausal women and elderly individuals experience decreased estrogen levels and are more prone to osteoporosis, thus their calcium requirements may be higher.
2. Calcium intake should be appropriately controlled. Excessive calcium intake not only fails to increase bone density, but may also lead to adverse effects such as kidney stones and atherosclerosis. Moreover, long-term excessive intake of calcium supplements may elevate serum cholesterol and triglyceride levels, thereby increasing the risk of cardiovascular diseases.
3. Relying solely on calcium supplements cannot effectively prevent or treat osteoporosis. It should be combined with vitamin D supplementation, a balanced diet, and appropriate exercise. Vitamin D helps promote calcium absorption, while calcium-rich foods such as milk, soy products, and leafy green vegetables should also be part of the daily diet.
4. For patients already diagnosed with osteoporosis, calcium supplementation alone is often insufficient. Anti-osteoporosis medications such as bisphosphonates and selective estrogen receptor modulators are also required to effectively inhibit bone resorption and increase bone density.