We undertook a thorough analysis of 24-hour urine collections from over 6,200 participants to explore how various urinary factors contribute to kidney stone formation.
Our findings revealed that higher levels of urine volume, citrate, potassium, magnesium, and uric acid were linked to a lower risk of developing stones. Conversely, increased levels of calcium, oxalate, phosphorus, and sodium were associated with a higher risk.
Interestingly, urine acidity did not seem to play a role. Our research highlighted the complexity and varying importance of these urinary factors regarding their relationship with stone formation.
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4
Vitamin D's limited effect on kidney stones
Effect of two vitamin D repletion protocols on 24-h urine calcium in patients with recurrent calcium kidney stones and vitamin D deficiency: a randomized clinical trial.
We conducted a clinical trial to explore how different vitamin D treatment protocols affect kidney stones in patients who frequently experience them and have low vitamin D levels. We involved 62 participants, all with serum vitamin D levels between 10 to 20 ng/ml, and split them into two groups: one received 2000 IU of oral vitamin D daily for 12 weeks, while the other took 50,000 IU weekly for 8 weeks.
Our results showed that both treatment approaches led to a significant increase in 24-hour urine calcium. However, we observed no notable difference between the two therapies regarding this measure. Importantly, while there was an increase in 24-hour urine calcium, neither treatment affected the supersaturation levels of calcium oxalate or calcium phosphate, which are critical in the formation of kidney stones.
We also noted a significant rise in serum 25-hydroxyvitamin D levels, with the weekly regimen showing a greater increase. Alongside these changes, parathyroid hormone levels decreased in both groups. Ultimately, while vitamin D supplementation did elevate urine calcium levels, it did not enhance supersaturation factors that contribute to kidney stone formation, indicating that the benefits of vitamin D in this context may be limited.
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7
Citrate beverage shows promise
Effect of a high-citrate beverage on urine chemistry in patients with calcium kidney stones.
We explored the effects of a low-calorie, high-citrate beverage named Moonstone on patients with calcium kidney stones. Administered twice daily, this drink increased urine citrate levels and pH while reducing calcium oxalate levels compared to plain water.
While this drink was well-received and tolerated by participants, the benefits seen are similar to those from potassium-magnesium citrate. Although promising, more research is needed to confirm its efficacy in reducing kidney stones in broader patient groups.
Read More
Most Useful Reviews
9
Osteoporosis treatment success.
4 people found this helpful
The product performs excellently, and one gets accustomed to the large capsules. I have been using it for three years to treat osteoporosis and have seen improvements in my densitometry results, rising from -2.6 to -1.4. Previously, I took Nycomed Forte Calcium D3 for two years, which affected my kidneys and my osteoporosis did not improve. I’m delighted to have found this product.
Read More
9
Kidney safe
18 people found this helpful
Calcium is the best form as it does not overload the kidneys. I only took one star due to the presence of magnesium stearate.
Read More
7.5
Kidney stones avoided.
1 people found this helpful
Excellent calcium from Solgar! The citrate form is the best, ensuring proper absorption even with low gastric acidity. It’s crucial to note that calcium citrate suppresses kidney stone formation.
Magnesium supplements benefit kidney stone formers
Effect of magnesium oxide or citrate supplements on metabolic risk factors in kidney stone formers with idiopathic hyperoxaluria: a randomized clinical trial.
We evaluated how magnesium oxide and magnesium citrate supplements affect kidney stone formers with high oxalate levels. In a rigorous study with 90 participants, we found that both supplements helped lower oxalate excretion and calcium oxalate supersaturation when compared to a placebo.
Notably, magnesium citrate showed even stronger results, especially for those with normal urine magnesium levels. While both options are effective in reducing potential kidney stone risks, magnesium citrate may offer an edge in certain patients.
Read More
8
Urinary factors impact kidney stone risk
24-Hour Urinary Chemistries and Kidney Stone Risk.
We undertook a thorough analysis of 24-hour urine collections from over 6,200 participants to explore how various urinary factors contribute to kidney stone formation.
Our findings revealed that higher levels of urine volume, citrate, potassium, magnesium, and uric acid were linked to a lower risk of developing stones. Conversely, increased levels of calcium, oxalate, phosphorus, and sodium were associated with a higher risk.
Interestingly, urine acidity did not seem to play a role. Our research highlighted the complexity and varying importance of these urinary factors regarding their relationship with stone formation.
Read More
8
Combined therapies for kidney stones
Synergistic inhibition of calcium oxalate crystal formation and synergistic protection of HK-2 cells from crystal damage by sulfated polysaccharide and potassium citrate.
We investigated how combining sulfated polysaccharides with potassium citrate could inhibit calcium oxalate (CaOx) crystal formation and protect kidney cells.
Our study utilized various additive groups to compare their effectiveness. Excitingly, the combination of sulfated compounds and potassium citrate showed an impressive increase in their protective effects on renal cells and their capability to prevent crystal aggregation.
Particularly, the SDLP-Kcit combination stood out as an effective option for treating kidney stones, outpacing standalone treatments. This suggests a promising avenue for future kidney stone therapies.
Read More
8
Vitamin D may lower kidney stones
Multivitamins co-intake can reduce the prevalence of kidney stones: a large-scale cross-sectional study.
We explored the connection between vitamin D and kidney stones by analyzing data from a large national health survey. Our goal was to understand whether increasing vitamin D intake could help reduce the prevalence of kidney stones, a painful condition affecting many people.
From our investigation, we observed that higher levels of vitamin D intake were linked to a lower likelihood of experiencing kidney stones. Specifically, those with high vitamin D intake showed a significant protective effect compared to those with lower intake levels. This suggests that vitamin D may play a beneficial role in kidney health.
However, our study also revealed some nuances. While vitamin D seemed to provide protection, the relationship with vitamin C intake was more complicated. As vitamin C intake rose, its effects shifted—initially protective but later potentially harmful if consumed in excess.
Additionally, our findings indicated that when vitamin D is taken alongside other vitamins, the protective effects against kidney stones could be enhanced. Overall, co-exposure to multiple vitamins was seen as beneficial, making vitamin combinations an interesting area for further research.
Read More
7
Calcium citrate lowers kidney stones
Pharmacotherapy and Stone Mineral Subtype Influence Long-Term Recurrence Rates in Calcium Stone Formers.
We investigated whether calcium citrate treatment helps prevent kidney stones over a long period. Our analysis followed patients with calcium stones for up to 12 years, focusing on how medical therapy, like calcium citrate, impacts stone recurrence.
We found that patients treated with calcium citrate, particularly those forming calcium-oxalate stones, showed lower recurrence rates after about five years. This delay in seeing benefits is crucial for understanding how we can plan future treatments.
The product performs excellently, and one gets accustomed to the large capsules. I have been using it for three years to treat osteoporosis and have seen improvements in my densitometry results, rising from -2.6 to -1.4. Previously, I took Nycomed Forte Calcium D3 for two years, which affected my kidneys and my osteoporosis did not improve. I’m delighted to have found this product.
Read More
9
Kidney safe
18 people found this helpful
Calcium is the best form as it does not overload the kidneys. I only took one star due to the presence of magnesium stearate.
Read More
7.5
Kidney stones avoided.
1 people found this helpful
Excellent calcium from Solgar! The citrate form is the best, ensuring proper absorption even with low gastric acidity. It’s crucial to note that calcium citrate suppresses kidney stone formation.
Read More
9
Effective calcium supplement.
Calcium citrate, which is calcium combined with citric acid, does not form stones and is well absorbed, with bioavailability up to 40%. It can be taken by those with reduced gastric acidity.
Read More
6
Prevents stones
This calcium is fantastic! I’m thrilled to have purchased it. I believe that calcium citrate, combined with vitamin D, will be absorbed effectively. I take four tablets for a month, then reduce to three in the evening, as calcium supposedly absorbs better then. I’ve heard many mention that other calcium salts can lead to kidney deposits, including sands and stones—particularly affecting many pregnant women. Therefore, it’s essential to select the right product and care for yourself.
Kidney stones are hard deposits made of minerals and salts that form inside your kidneys. While they can vary in size from tiny particles to large stones, they all begin as crystallized substances that develop when urine contains more crystal-forming substances than the fluid in your urine can dilute. When the crystals stick together, they can form stones, which may cause severe pain, especially when they pass through the urinary tract. Common types of kidney stones include calcium stones, struvite stones, uric acid stones, and cystine stones.
The symptoms of kidney stones can include sharp pain in the side and back, pain during urination, pink or red urine, and frequent urination. Various factors can increase the risk of developing kidney stones, including dehydration, certain dietary choices, and genetic predisposition. Preventing kidney stones often involves drinking plenty of water, avoiding excessive salt and animal protein, and ensuring a balanced intake of calcium. For those who suffer from kidney stones, a medical evaluation may be necessary to determine the best management and preventive strategies.
Calcium citrate is a calcium salt of citric acid, widely used as a dietary supplement to provide an additional source of calcium for individuals who may not get enough of this essential mineral from their diets. It is particularly popular for its enhanced bioavailability, which means that the body can absorb calcium from calcium citrate more effectively than from other forms of calcium, such as calcium carbonate. This supplement is especially beneficial for those with decreased stomach acid, such as older adults, as it does not require acid for absorption.
In addition to aiding in bone health, calcium plays a crucial role in muscle function, nerve transmission, and blood clotting. Typically, calcium citrate is available in tablet and powder forms, making it easy to incorporate into daily routines. It’s important to follow dosing recommendations and possibly consult with a healthcare provider before starting any supplement regimen to ensure it meets individual dietary needs and health objectives.
Calcium citrate is often recommended as a dietary supplement for individuals prone to kidney stones. Unlike other forms of calcium, calcium citrate may actually help reduce the formation of certain types of stones, particularly calcium oxalate stones, which are the most common type of kidney stone. The reason for this is that citrate can bind with calcium in the urine, reducing the amount of free calcium available to combine with oxalate. This biochemical interaction can decrease the risk of stone formation and may even help break down existing stones.
In addition to its protective effects, calcium citrate is easily absorbed and does not depend on stomach acid for absorption, making it a preferable option for those who might have issues with gastrointestinal acidity. However, it’s important to consult with a healthcare provider before starting any supplement, especially if you have a history of kidney stones. A healthcare professional can provide tailored advice based on your individual health needs and dietary habits, ensuring that you're taking the appropriate steps in managing your kidney stone risk.
The effectiveness of Calcium Citrate for kidney stones can vary significantly from person to person, depending on several factors, including the type of kidney stones you have and your overall health. Generally, it may take several weeks to see a noticeable improvement in your condition. Many users report that consistent use over a period of 4 to 6 weeks is when they start to feel the benefits, particularly if it's being used to help prevent the formation of new stones.
It's essential to remember that Calcium Citrate works best as part of a comprehensive management plan that includes dietary changes and adequate hydration. While you might not see immediate results, maintaining your regimen and having regular follow-ups with your healthcare provider can help monitor your progress and make any necessary adjustments to your treatment plan. Always consult with your doctor before making any changes to ensure that Calcium Citrate is the right choice for your specific situation.
Current scientific research does support certain supplements for kidney stone prevention, with magnesium and calcium citrate standing out as particularly effective options. A study involving 90 participants indicated that both magnesium oxide and magnesium citrate were effective in lowering oxalate excretion and calcium oxalate supersaturation compared to a placebo. Notably, magnesium citrate yielded stronger results, especially for individuals with normal urine magnesium levels, making it a compelling choice for reducing kidney stone risk [1]. Furthermore, long-term studies have shown that calcium citrate helps lower recurrence rates of calcium-oxalate stones, suggesting its usefulness in the management of kidney stone disease over time [2].
Conversely, the role of vitamin D remains complex and somewhat contentious. While certain studies link higher vitamin D intake to a reduced likelihood of kidney stones, findings indicate that this connection is nuanced, particularly regarding age and gender. For example, a large UK Biobank study found that while higher vitamin D levels did not generally correlate with increased kidney stone incidence, they did appear protective for women over 60 [6]. However, another study cautioned against excessive vitamin D supplementation in children, as it may pose a risk for stone formation [11]. Overall, while some supplements show promise in preventing kidney stones, careful consideration and potentially more research are warranted in the case of vitamin D.
Based on user reviews, many individuals have reported significant improvements in their health symptoms after using a calcium citrate supplement. One reviewer noted a substantial enhancement in their osteoporosis condition, with densitometry results improving from -2.6 to -1.4 over three years of consistent use, stating their previous calcium source had negative effects on their kidneys without aiding their osteoporosis progression Read Review. Other users echoed similar sentiments about the ability of calcium citrate to be well-absorbed by the body, which reportedly prevents kidney stone formation, making it a safer option for those worried about their kidney health Read Review.
In addition, testimonials highlight the combined efficacy of calcium citrates and vitamin D in enhancing calcium absorption, which many users believe is crucial for optimizing their supplementation. One satisfied user mentioned a strategy of adjusting their dosage through the month to maximize absorption, further demonstrating a thoughtful approach to using the product Read Review. It’s important to note that while these experiences are promising, individual results can vary. Potential users should consider their unique health situations and consult with healthcare providers when integrating new supplements into their routines.
Based on user reviews, individuals seeking to manage kidney stone issues have reported positive experiences when combining calcium citrate supplements with other vitamins, particularly vitamin D. Many users believe that this combination enhances the absorption of calcium, which is critical for preventing kidney stone formation. One user shared their approach of alternating between different dosages throughout the month to optimize absorption, which underscores the potential advantages of thoughtful supplementation strategies Read Review.
Furthermore, users emphasize the importance of selecting the right form of calcium, with many reiterating that calcium citrate is particularly effective because it does not contribute to stone formation, making it a safer choice for those concerned about kidney health. Users appreciate the absorbability of calcium citrate, noting that it is well-suited for individuals with low gastric acidity, ensuring that the product helps rather than hinders their kidney function Read ReviewRead Review.
According to user reviews, there seems to be a consensus that calcium citrate can be an effective option for addressing kidney stone concerns. Users report that calcium citrate is well absorbed by the body and is less likely to contribute to kidney stone formation compared to other calcium forms. One user highlighted that calcium citrate can be beneficial because it does not form stones, with an impressive bioavailability of up to 40%, even for those with low gastric acidity Read Review.
In terms of dosage, one review notes that the user initially took four tablets for a month and then reduced the intake to three in the evening, citing that calcium is better absorbed at that time Read Review. While specific dosage recommendations vary, the emphasis on the importance of selecting high-quality calcium citrate products combined with vitamin D is apparent, as this combination ensures effective absorption and minimizes any potential for kidney deposits. Thus, users suggest a tailored dose while keeping an eye on the body's response and adjusting as necessary.
9
Osteoporosis treatment success.
4 people found this helpful
The product performs excellently, and one gets accustomed to the large capsules. I have been using it for three years to treat osteoporosis and have seen improvements in my densitometry results, rising from -2.6 to -1.4. Previously, I took Nycomed Forte Calcium D3 for two years, which affected my kidneys and my osteoporosis did not improve. I’m delighted to have found this product.
7.5
Kidney stones avoided.
1 people found this helpful
Excellent calcium from Solgar! The citrate form is the best, ensuring proper absorption even with low gastric acidity. It’s crucial to note that calcium citrate suppresses kidney stone formation.
6
Prevents stones
This calcium is fantastic! I’m thrilled to have purchased it. I believe that calcium citrate, combined with vitamin D, will be absorbed effectively. I take four tablets for a month, then reduce to three in the evening, as calcium supposedly absorbs better then. I’ve heard many mention that other calcium salts can lead to kidney deposits, including sands and stones—particularly affecting many pregnant women. Therefore, it’s essential to select the right product and care for yourself.
9
Effective calcium supplement.
Calcium citrate, which is calcium combined with citric acid, does not form stones and is well absorbed, with bioavailability up to 40%. It can be taken by those with reduced gastric acidity.
8
Magnesium supplements benefit kidney stone formers
Effect of magnesium oxide or citrate supplements on metabolic risk factors in kidney stone formers with idiopathic hyperoxaluria: a randomized clinical trial.
We evaluated how magnesium oxide and magnesium citrate supplements affect kidney stone formers with high oxalate levels. In a rigorous study with 90 participants, we found that both supplements helped lower oxalate excretion and calcium oxalate supersaturation when compared to a placebo.
Notably, magnesium citrate showed even stronger results, especially for those with normal urine magnesium levels. While both options are effective in reducing potential kidney stone risks, magnesium citrate may offer an edge in certain patients.
7
Calcium citrate lowers kidney stones
Pharmacotherapy and Stone Mineral Subtype Influence Long-Term Recurrence Rates in Calcium Stone Formers.
We investigated whether calcium citrate treatment helps prevent kidney stones over a long period. Our analysis followed patients with calcium stones for up to 12 years, focusing on how medical therapy, like calcium citrate, impacts stone recurrence.
We found that patients treated with calcium citrate, particularly those forming calcium-oxalate stones, showed lower recurrence rates after about five years. This delay in seeing benefits is crucial for understanding how we can plan future treatments.
5
Vitamin D's impact on kidney stones
Association between serum 25-hydroxyvitamin D concentrations and kidney stone: a cohort study in the UK Biobank.
We set out to investigate whether there’s a connection between vitamin D levels and kidney stone disease (KSD) using data from the UK Biobank, which included a large group of participants. By analyzing this data through survival models, we aimed to find out if higher levels of serum 25-hydroxyvitamin D (25(OH)D) could influence the likelihood of developing kidney stones.
Our analysis covered over 444,000 people, and we tracked the incidence of kidney stones over an average of 12.6 years. Interestingly, while higher 25(OH)D levels didn’t show a clear connection to kidney stones across the general population, we noted a significant finding in women over 60 years old. For this group, higher serum vitamin D concentrations were actually linked to a lower risk of KSD, suggesting a potential protective effect.
Despite these observations, it's noteworthy that an increase in vitamin D didn't correlate with a higher incidence of kidney stones, especially when serum calcium levels remained normal. This news could ease concerns around vitamin D supplementation solely aimed at boosting 25(OH)D levels. Overall, we could conclude that while there are nuances depending on age and sex, vitamin D’s role in kidney stone prevention appears limited.
4
Vitamin D and kidney stone risk
Why is childhood urolithiasis increasing? Etiology, diagnosis and management: a single-center experience.
We set out to understand the increasing prevalence of kidney stones in children and how vitamin D might contribute to this issue. In our study, we analyzed data from patients aged 1 month to 18 years, focusing on those diagnosed with urolithiasis at a pediatric nephrology clinic.
Among our findings, we discovered that vitamin D supplementation, particularly at doses higher than 400 IU per day, might pose a risk for kidney stone formation in children. Interestingly, we also noted that many mothers tended not to offer water to their infants, which could impact hydration levels and potentially influence stone development.
In addition to vitamin D levels, we observed other factors such as family history and metabolic issues that are linked to kidney stones. Though potassium citrate was a beneficial treatment in many cases, our work revealed that vitamin D supplementation itself could be a double-edged sword, necessitating careful monitoring of its dosage in pediatric patients.
References
Taheri M, Jalali S, Borumandnia N, Tavasoli S, Basiri A, et al. Effect of magnesium oxide or citrate supplements on metabolic risk factors in kidney stone formers with idiopathic hyperoxaluria: a randomized clinical trial. Magnes Res. 2024;37:12. doi:10.1684/mrh.2024.0524
Ruchi R, Di Valerio EA, Bozorgmehri S, Bacchus MW, Canales BK, et al. Pharmacotherapy and Stone Mineral Subtype Influence Long-Term Recurrence Rates in Calcium Stone Formers. Kidney360. 2024;5:1333. doi:10.34067/KID.0000000000000526
Ferraro PM, Taylor EN, Curhan GC. 24-Hour Urinary Chemistries and Kidney Stone Risk. Am J Kidney Dis. 2024;84:164. doi:10.1053/j.ajkd.2024.02.010
Goldfarb DS, Modersitzki F, Asplin JR, Nazzal L. Effect of a high-citrate beverage on urine chemistry in patients with calcium kidney stones. Urolithiasis. 2023;51:96. doi:10.1007/s00240-023-01468-w
Liu JH, Ouyang JM. Synergistic inhibition of calcium oxalate crystal formation and synergistic protection of HK-2 cells from crystal damage by sulfated polysaccharide and potassium citrate. Biomater Sci. 2023;11:3524. doi:10.1039/d3bm00087g
Gao C, Gao M, Huang Y. Association between serum 25-hydroxyvitamin D concentrations and kidney stone: a cohort study in the UK Biobank. Int Urol Nephrol. 2024;56:3585. doi:10.1007/s11255-024-04111-8
Dhayat NA, Mattmann C, Seeger H, Ritter A, Ernandez T, et al. The Vitamin D Metabolite Diagnostic Ratio Associates With Phenotypic Traits of Idiopathic Hypercalciuria. Kidney Int Rep. 2024;9:1072. doi:10.1016/j.ekir.2024.01.004
Akinci A, Karaburun MC, Kubilay E, Solak VT, Sanci A, et al. Urinary stone in infants; should vitamin D prophylaxis be stopped?. J Pediatr Urol. 2024;20:604.e1. doi:10.1016/j.jpurol.2024.04.006
Zeng H, Liu Z, He Y, Chen H, He J, et al. Multivitamins co-intake can reduce the prevalence of kidney stones: a large-scale cross-sectional study. Int Urol Nephrol. 2024;56:2991. doi:10.1007/s11255-024-04021-9
Sardari Masihi L, Borumandnia N, Taheri M, Basiri A, Imani H, et al. Effect of two vitamin D repletion protocols on 24-h urine calcium in patients with recurrent calcium kidney stones and vitamin D deficiency: a randomized clinical trial. Eur J Med Res. 2023;28:246. doi:10.1186/s40001-023-01226-z
Isik G, Bozdag PG. Why is childhood urolithiasis increasing? Etiology, diagnosis and management: a single-center experience. J Nephrol. 2023;36:1599. doi:10.1007/s40620-023-01638-4
Ran Y, Liu Z, Ma H, Li C, Zhou J, et al. Associations between 25-hydroxyvitamin D/calcium/alkaline phosphatase levels and the risk of developing kidney stones: Results from NHANES (2013-2018)-based and Mendelian randomization studies. Medicine (Baltimore). 2025;104:e41323. doi:10.1097/MD.0000000000041323