What information will be included in client education for a client who needs to manage their calcium levels?
a. A peanut butter and jelly sandwich and a glass of milk is an excellent way to get calcium
b. Calcium citrate and Calcium carbonate are equally effective forms of supplemental calcium
c. Take your 1200-1500 mgs of daily calcium spread out between your meals and snacks
d. Sodium keeps the calcium from being lost through the excretion of urine
ANS: C
Calcium should be spread out over the day so that a total intake of 1200 to 1500 mg is achieved, with 500 mg or less being consumed at each meal to optimize absorption. Calcium citrate is better absorbed than calcium carbonate and does not need to be taken with food. Calcium is a difficult mineral to absorb, and some foods inhibit calcium absorption (spinach, green beans, peanuts, summer squash). High levels of protein, sodium, or caffeine also cause more calcium to be excreted in the urine and should be avoided.
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