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Real members of MyMyelomaTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyMyelomaTeam Member asked a question 💭
Lake Charles, LA

For multiple myeloma patients, the best form of calcium is generally calcium carbonate (e.g., Caltrate, Os-Cal), taken with food to maximize absorption. Daily supplementation of 1,000–1,200 mg is often recommended, along with vitamin D. However, it is crucial to check for hypercalcemia (high blood calcium) with a doctor first, as myeloma can cause high calcium levels, making supplements unsafe
Memorial Sloan Kettering Cancer Center
Memorial Sloan Kettering Cancer Center
+3
Key Considerations… read more

April 28
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A MyMyelomaTeam Member

Yes understandable!!!
Such a delicate balance we have with mm even I can’t take much just if I notice calcium levels go low and only take 500 mg pill no more.

April 28
A MyMyelomaTeam Member

I cannot take calcium due to my kidneys

April 28
MyMyelomaTeam

This is a really important question, and the answer comes with a critical caution specific to myeloma. Before taking any calcium supplement, it's essential to have your calcium blood levels checked by your doctor first. Myeloma can actually cause hypercalcemia (high calcium levels), which affects more than 1 in 4 people Show Full Answer

This is a really important question, and the answer comes with a critical caution specific to myeloma. Before taking any calcium supplement, it's essential to have your calcium blood levels checked by your doctor first. Myeloma can actually cause hypercalcemia (high calcium levels), which affects more than 1 in 4 people with myeloma at some point — making supplements potentially unsafe without medical guidance. If your doctor confirms supplementation is appropriate, here are the key considerations:

- Calcium carbonate (e.g., Caltrate, Os-Cal) is generally preferred — take it with food for best absorption
- Calcium citrate is an alternative if you have lower stomach acid
- Take no more than 500 mg at one time to maximize absorption
- Add vitamin D to help with calcium absorption — but again, check with your doctor first, as too much vitamin D can cause its own side effects
- Avoid supplements derived from bone meal or dolomite due to potential lead contamination

If taking bisphosphonates like Zometa for bone lesions, calcium supplementation may be especially important to prevent levels dropping too low. Always run any supplement plan past your oncology team first, as supplements can interact with myeloma treatments.

April 28
A MyMyelomaTeam Member

I'm allergic to clams/oysters/scallops/mussells, essentially anytime with two shells. I assume there are other options if that course of treatment comes up for.me. Good to know.

April 29 (edited)
A MyMyelomaTeam Member

@A MyMyelomaTeam Member
I take liquid Vitamin D3 & Prolia injections every 6 months too!

May 2

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