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Is hydroxyapatite safe as a calcium supplement?

4 min read

As the primary mineral component of our bones and teeth, constituting over 60% and 90% of them respectively, hydroxyapatite is a naturally occurring mineral. But is hydroxyapatite safe as a calcium supplement for oral consumption?

Quick Summary

Hydroxyapatite is a highly biocompatible and non-toxic mineral that is widely considered safe for oral consumption as a calcium supplement, particularly in its microcrystalline form (MCHC). Studies indicate good tolerability and potential bone health benefits compared to other calcium forms.

Key Points

  • Naturally Biocompatible: Hydroxyapatite is a naturally occurring mineral in human bones and teeth, making it highly compatible and safe for consumption.

  • Superior Tolerability: Clinical studies show that microcrystalline hydroxyapatite complex (MCHC) has fewer gastrointestinal side effects than calcium carbonate.

  • Comprehensive Bone Support: MCHC supplements provide not just calcium but also phosphorus, collagen, and other growth factors found in whole bone extract.

  • Avoids Serum Calcium Spikes: MCHC produces less of an acute increase in serum calcium levels compared to soluble calcium salts, which may lower cardiovascular risk.

  • Distinguish from Oral Products: The safety profile for ingestible MCHC supplements is different from topical nano-hydroxyapatite used in toothpaste, which is not meant for systemic absorption.

  • Not for Vegans/Vegetarians: As a bovine-derived product, MCHC is not suitable for individuals following a vegan or vegetarian diet.

In This Article

Understanding What Hydroxyapatite Is

Hydroxyapatite ($Ca_{10}(PO_4)_6(OH)_2$) is a crystalline form of calcium phosphate that is the main inorganic constituent of bone and teeth in mammals. This natural composition makes it a highly biocompatible and non-toxic substance, as our bodies already recognize and utilize it. In supplement form, it is typically sold as Microcrystalline Hydroxyapatite Complex (MCHC).

Unlike the nanoparticles sometimes used in dental products, MCHC supplements are a whole bone extract derived from bovine sources, often from areas with stringent farming practices like New Zealand. This form provides a broad spectrum of minerals and proteins naturally found in bone, such as phosphorus, magnesium, and collagen, which work synergistically to support bone health.

The Safety Profile of Hydroxyapatite

Multiple studies and general medical consensus support the safety of microcrystalline hydroxyapatite as a dietary supplement:

  • High Biocompatibility: Because it is the same mineral compound as human bone, hydroxyapatite is highly compatible with the body and does not trigger allergic or immune responses.
  • Non-toxic by Nature: When ingested, stomach acid naturally dissolves the hydroxyapatite compound into its base components of calcium, phosphate, and water, which are then absorbed by the body. There is no risk of toxicity or over-ingestion in the same way that over-fluoridation is a concern.
  • Minimal Side Effects: Clinical studies comparing ossein-hydroxyapatite complex (OHC) to calcium carbonate show that OHC is better tolerated, with significantly fewer gastrointestinal side effects.
  • Reduced Serum Calcium Spikes: Unlike more soluble calcium salts, MCHC has been shown to produce a smaller, more stable impact on serum calcium levels, which is seen as a potential benefit for cardiovascular health.
  • Dental vs. Supplemental: The robust safety profile of ingestible MCHC supplements should be distinguished from topical nano-hydroxyapatite used in oral care products. While the oral care version is also generally safe, it serves a different purpose and is not intended for systemic absorption.

How Hydroxyapatite Compares to Other Calcium Supplements

To help you make an informed decision, here's a comparison of key features between different calcium supplements.

Feature Microcrystalline Hydroxyapatite Complex (MCHC) Calcium Carbonate Calcium Citrate
Source Animal bone extract (often bovine) Mined rock, oyster shell Citric acid salt
Nutrients Full-spectrum: calcium, phosphorus, collagen, growth factors Primarily calcium Primarily calcium
Absorption Requires Vitamin D and fats for best absorption Absorbed best with food due to acid dependency Can be taken with or without food
Tolerability Generally well-tolerated, fewer GI side effects More prone to gas, bloating, and constipation Lower risk of gas and bloating than carbonate
Bone Health Demonstrated effectiveness in promoting bone formation and density Provides basic calcium, but may be less effective alone Less studied for synergistic effects with other bone compounds
Serum Calcium Less acute spikes in serum calcium levels Can cause sharp increase in blood calcium levels Modest effect on serum calcium levels

The Benefits of a Hydroxyapatite Supplement

Beyond its strong safety record and favorable tolerability, MCHC offers several distinct advantages for bone health that set it apart from simple calcium salts. [Studies] (https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1685488) have shown its potential in maintaining bone density, especially in at-risk populations.

  • Comprehensive Bone Support: As a whole-bone extract, MCHC provides a complete matrix of bone-building nutrients, including trace minerals and proteins like collagen, that other supplements lack. This offers a more holistic approach to bone health.
  • Enhanced Bone Anabolism: The organic components, known as ossein, contained within an ossein-hydroxyapatite complex have been shown to have osteogenic (bone-building) effects. This can lead to a greater anabolic effect on bone compared to calcium carbonate.
  • Reduced Vascular Risk Factors: The blunted effect on serum calcium levels from MCHC may lower the theoretical risk of vascular calcification associated with rapid increases in blood calcium from high-dose, soluble calcium salts.

Optimizing Your Hydroxyapatite Supplementation

To maximize the benefits and safety of any hydroxyapatite supplement, consider the following points:

  • Choose Reputable Brands: Opt for Microcrystalline Hydroxyapatite Complex (MCHC) supplements sourced from countries like New Zealand that have strict standards for their cattle and processing. This helps ensure the purity and quality of the supplement.
  • Take with Meals: For optimal absorption, it is recommended to take MCHC supplements with a meal that contains healthy fats and, ideally, other cofactors like Vitamin D.
  • Consult a Professional: As with any supplement, it is best to speak with your doctor or a qualified healthcare practitioner to determine if hydroxyapatite is the right choice for your specific health needs. This is especially important for pregnant or breastfeeding individuals, or those with kidney disorders.

Conclusion: A Safe and Potentially Superior Option

Overall, the evidence suggests that ingestible hydroxyapatite, particularly in the form of microcrystalline hydroxyapatite complex (MCHC), is a safe and well-tolerated calcium supplement. Its biomimetic and non-toxic nature, combined with a composition that mirrors human bone, makes it a compelling alternative to more common calcium forms like calcium carbonate, especially for those seeking comprehensive bone support with fewer gastrointestinal side effects. While it's not a magic bullet and should not replace a healthy diet, it offers a distinct advantage by providing a wider array of bone-building factors.

Lists for Reference

Advantages of MCHC Supplements

  • Provides a full-spectrum of bone-building nutrients, not just calcium.
  • Less likely to cause acute spikes in blood calcium levels.
  • Better tolerated with fewer gastrointestinal issues compared to calcium carbonate.
  • Demonstrated osteogenic (bone-building) effects in some studies.
  • Derived from natural, whole-food sources with no added chemicals.

Considerations Before Taking Hydroxyapatite

  • Not suitable for vegetarians or vegans due to animal sourcing.
  • Needs Vitamin D and dietary fats for optimal absorption.
  • Should be sourced from reputable producers with high quality standards.
  • Consult with a healthcare provider for personalized advice, especially if pregnant or have kidney issues.
  • Remember that no supplement replaces a balanced diet rich in calcium and other essential nutrients.

Frequently Asked Questions

Calcium carbonate is a mineral salt, while hydroxyapatite is a complete bone-building matrix. Hydroxyapatite (MCHC) offers a wider spectrum of bone nutrients and is generally better tolerated with fewer side effects like gas and bloating.

Research suggests that ossein-hydroxyapatite complex (OHC) may be more effective at preventing bone loss than calcium carbonate, possibly due to its inclusion of organic compounds that support bone metabolism.

While calcium phosphate can be a component of kidney stones, experts state there is a lack of evidence linking hydroxyapatite supplements to an increased risk of kidney stones. However, individuals with a history of kidney stones should consult a doctor before starting any new calcium supplement.

MCHC is a whole bone extract, most often derived from the bones of free-range cattle, particularly from regions with excellent quality control standards, such as New Zealand.

When ingested, stomach acid dissolves the hydroxyapatite into calcium and phosphate ions that are then absorbed in the intestines, a process enhanced by the presence of Vitamin D and dietary fats.

Because it is non-toxic and biocompatible, hydroxyapatite is considered safe for ingestion. However, it is essential to consult a pediatrician or healthcare provider to determine the appropriate dosage and need for supplementation in children.

High-quality MCHC is often sourced from regions like New Zealand, which have stringent standards and a history of never having reported an incidence of Bovine Spongiform Encephalopathy (BSE), also known as 'mad cow disease'.

Yes, taking an MCHC supplement with a meal that contains healthy fats and vitamin D can help optimize its absorption and overall effectiveness.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.