DEAR DR. BLONZ: What is the connection between a very high-protein diet, calcium absorption and bone health? Does it matter whether the excess protein is from animal or plant sources? -- J.F., Boston
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DEAR J.F.: Our bones are constantly being broken down and rebuilt, per our genetic programming. Our bones may seem stable, but about 20% of our skeleton "turns over" annually. The human species would not have survived without this ability.
Excess protein can affect calcium levels in the body and its absorption. Interestingly, data suggests that protein from plant sources may have less of a tendency to drain calcium from the body than animal proteins. Why would this be? Proteins get broken down into constituent amino acid parts and become part of the body's pool of amino acids. There are limits to how much of any given amino acid can hang around waiting for its next job; when there is more than the body needs or can handle at a given time, the excess is turned into fat, and stored.
When broken down, animal proteins tend to create more acid substances than proteins from vegetable sources do. Our kidneys handle the increased acid load, but the process can cause calcium loss in the urine. It would be prudent for those concerned with bone loss to avoid excess protein from animal sources and increase the use of plant sources. (For more on dietary protein requirements, see b.link/pa95x45.)
Why would animal proteins be so different from vegetable sources? The animal proteins we consume tend to come from working muscles, whereas plant proteins are involved in structure, enzymes and function. Different functions call for different amino acid compositions; the animal sources involve a greater proportion of the acid-forming ones.
Bones involve more than calcium, so don't forget your other mineral requirements. (For a summary of dietary minerals, see b.link/wqr22zg.)
DEAR DR. BLONZ: Regarding calcium, why only 500 mgs at a time as a supplement? I take a gel capsule, and each is 600 mgs. I have been taking two at bedtime, which I heard was best. Also, I do not want to take it within several hours of my thyroid medication. Could you please comment? -- T.T., Las Vegas
DEAR T.T.: Calcium absorption efficiency decreases when a single dose exceeds 500 mgs. When taking calcium supplements, it is best to follow that advisory and, if needed, distribute it across more than one dose. There are also several medications that a calcium supplement should not accompany -- check with your physician or your pharmacist. (For more on when to take calcium supplements, see b.link/xcnqu77.)
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.