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Common adverse effects of calcium salts include constipation, bloating, cramps, and flatulence. Changing to a different salt form may alleviate symptoms for some patients. Calcium salts may reduce the absorption of iron and some antibiotics, such as tetracycline and fluoroquinolones.

Vitamin D is crucial for calcium absorption and maintenance of bone. The NOF recommends a daily vitamin D intake of 800 to 1,000 mg for all men and women age 50 and older (see Table 56-4).1 Some individuals are at risk for vitamin D deficiency, including elderly patients with malabsorption syndromes, chronic renal insufficiency, other chronic diseases and those with limited sun exposure.1 For example, most elderly patients living in nursing homes will not be able to meet vitamin D requirements and will need supplementation. Vitamin D deficiency is common in elderly patients due to decreased exposure to sunlight and subsequent decreased vitamin D synthesis in the skin, decreased GI absorption of vitamin D, and reduction in vitamin D3 synthesis. Individuals living in northern climates also have decreased exposure to sunlight and are less likely to achieve vitamin D requirements.

Patient Encounter 1, Part 2: Physical Exam and Diagnostic Tests ROS: (+) hot flushes, 5-cm height loss since middle age; (-) back pain

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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