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How is calcium regulated in the body?

User Huy Duy
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Final answer:

Calcium homeostasis is critical and is regulated by bones, PTH, vitamin D, and calcitonin, which control blood calcium levels and excretion through the kidneys and intestines, further influenced by dietary intake.

Step-by-step explanation:

Regulation of Calcium in the Body

Calcium regulation in the body is essential for various biological processes, including muscle contraction, nerve impulse transmission, and blood clotting. Calcium homeostasis maintains a normal blood level of about 10 mg/dL, which is crucial for these functions. The body uses two main pathways to regulate calcium—the one that activates when blood calcium levels fall below normal and another that kicks in when calcium levels are too high.

The bones serve as a reservoir for calcium, releasing it into the bloodstream when levels are low and absorbing it when levels are high. Hormones like parathyroid hormone (PTH), vitamin D, and calcitonin play significant roles in this regulation. PTH increases blood calcium levels by stimulating the bones to release calcium, increasing intestinal absorption, and reducing renal excretion. Conversely, calcitonin decreases blood calcium levels by inhibiting bone resorption and increasing renal excretion of calcium.

Vitamin D (calcitriol) enhances the intestines' ability to absorb dietary calcium and deposit it in the bones, thereby preventing hypocalcemia. The kidneys also contribute, filtering calcium and reabsorbing it according to the body's needs, with excess excreted in the urine. Sweating can lead to additional calcium loss, highlighting the need for a balanced diet to maintain optimal calcium levels.

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