Calcium is a vital mineral necessary for maintaining bone health, muscle function, nerve transmission, and blood clotting. A deficiency in dietary calcium can lead to several health complications, including pregnancy-related issues, an increased risk of certain cancers, cardiovascular diseases, rickets in children, and osteoporosis or fractures in older adults.1
In this article we explore the causes, symptoms and the natural ways to improve calcium levels in your body.
Causes of Calcium Deficiency
- Poor Diet:
Inadequate calcium intake, especially from dairy products or other calcium-rich foods, can result in deficiency over time.
- Vitamin D Deficiency:
Vitamin D plays a crucial role in calcium absorption through the active transcellular pathway. It helps regulate calcium levels in the blood and supports bone mineralization. A lack of vitamin D impairs calcium absorption, increasing the risk of deficiency.
- Dietary Factors Affecting Calcium Absorption:
Certain plant-based compounds hinder calcium absorption by binding to it and forming insoluble salts. These include:
- Phytates: Found in whole grains, legumes, nuts, and seeds.
- Oxalates: Present in spinach, nuts, tea, and chocolate.
Additionally, excessive dietary sodium can lead to increased calcium loss through urine.1
- Underlying Medical Conditions:
Several medical conditions and medications can contribute to calcium deficiency, including:
- Hypoparathyroidism
- Chronic kidney disease
- Acute pancreatitis
- Acidosis and alkalosis
- Severe sepsis
- Hypomagnesemia and hypermagnesemia
- Certain medications (e.g., bisphosphonates, denosumab)
- Pregnancy
- Osteoblastic metastasis (a type of bone cancer spread)2
Symptoms of Calcium Deficiency
The severity of symptoms depends on the degree of calcium deficiency.
Early Symptoms:
- Muscle cramps and spasms
- Numbness and tingling in fingers, toes, and around the mouth
- Fatigue and weakness
- Dry skin
- Brittle nails
- Hair loss
- Bone pain and increased risk of fractures
- Tooth decay
- Paresthesia (tingling, prickling, numbness, or burning sensations)
- Psychiatric symptoms (anxiety, depression, emotional instability)
- Chvostek’s sign (twitching of facial muscles when tapped)
- Seizures
- Irregular heartbeat (arrhythmia)2
Natural Ways to Improve Calcium Levels
Consuming calcium-rich foods is the best way to prevent and manage deficiency. Some excellent sources include:
- Dairy products: Milk, yogurt, and cheese
- Plant-based sources: Soy, oats, tofu, kale, and broccoli
- Nuts and seeds: Almonds, chia seeds, sesame seeds
- Seafood: Sardines and shrimp
- Fruits: Oranges, figs, blackberries
- Fortified foods: Calcium-fortified orange juice3
Including these foods in your diet, along with adequate vitamin D intake from sunlight or supplements, can help maintain optimal calcium levels and prevent deficiency-related complications.
Conclusion
Calcium is an essential mineral that plays a fundamental role in bone health, muscle function, nerve signaling, and overall well-being. A deficiency can arise due to poor dietary intake, impaired absorption, medical conditions, or certain medications, leading to symptoms ranging from mild discomfort to severe complications like osteoporosis and fractures. Recognizing the early signs of calcium deficiency and addressing them through a balanced diet rich in calcium and vitamin D is crucial for maintaining optimal health. By incorporating calcium-rich foods and making necessary lifestyle modifications, individuals can effectively prevent and manage calcium deficiency, promoting stronger bones and better overall health.
If symptoms persist, consulting a healthcare professional is recommended to determine the best course of action.
References
- Shlisky J, Mandlik R, Askari S, Abrams S, Belizan JM, Bourassa MW, Cormick G, Driller-Colangelo A, Gomes F, Khadilkar A, Owino V, Pettifor JM, Rana ZH, Roth DE, Weaver C. Calcium deficiency worldwide: prevalence of inadequate intakes and associated health outcomes. Ann N Y Acad Sci. 2022 Jun;1512(1):10-28.
- Goyal A, Anastasopoulou C, Ngu M, et al. Hypocalcemia. [Updated 2023 Oct 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430912/
- Joyce Hendley. Calcium rich foods: How to boost your intake of this important mineral. Harvard Health Publishing. Published February o4, 2025. Accessed on February 16, 2025. Available from: Calcium-rich foods: How to boost your intake of this important mineral – Harvard Health