Calcium

People with coeliac diseaseA condition where a person is unable to eat gluten as it makes their body attack itself. seem to have an increased need for calcium compared to the general adult population. 

How much calcium do I need?

Adults with coeliac disease should have between 1000milligrams (mg) and 1500mg of calcium each day.  The recommended amount for the general population is 700mg.

Use the table below to find good sources of calcium that are gluten-freeWhen a food has less than 20 parts per million (ppm) of gluten so it is safe for people with coeliac disease to eat. .

Vitamin D

Your body also needs vitamin D to absorb enough calcium.  Most people absorb enough vitamin D from exposure of their skin to sunlight.  Some people may need to take a supplement these include:

• older people
• if you are housebound
• if you cover your skin completely when outside.

Good food sources of vitamin D are margarine, eggs and oily fish.

Supplements

If you can’t get all the calcium you need from your diet and your calcium levels are low you may need to take a calcium supplement.  Some calcium supplements are combined with vitamin D.  If you feel you may need supplements, speak to your doctor or dietitianAn expert in food and nutrition. who will provide further advice and if necessary prescribe supplements. 

Your consultant will be able to advise if you require medication in order to lower the risk of bones breaking in the future.  Bisphosphonates are most commonly used to treat osteoporosisA condition where your bones lose bone mass and become brittle. – these drugs slow down the rate of bone loss.  However, depending on individual circumstances, other drug treatments may be needed.