Calcium is essential for bones and teeth, heart, nerves, muscles, and blood clotting. Calcium’s actions are as wide ranging as neuronal excitation, neurotransmitter release, innate immunity, hormonal secretion, and tone of smooth muscle cells in the vasculature, airways, uterus, gastrointestinal (GI) tract, and urinary bladder. Calcium deficiency can lead to osteoporosis. Other symptoms include musculoskeletal pain, muscle cramps, and tetany. Optimum calcium status can help prevent lead toxicity. Because calcium is high outside of the cell, calcium levels in erythrocytes are not a measurement of total body calcium status, but instead are a measure of cell membrane permeability. Erythrocyte calcium is a useful marker in the management of patients with hypertension and arrhythmias, renal failure, and even pre-menstrual syndrome. Treatment for high intracellular calcium includes magnesium, antioxidants, and fatty acids (to improve the integrity of the cell membrane).
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