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Cracking the Calcium Paradox — The Roles of Vitamin D, K2, and Acid-Alkaline Balance

7/4/2025

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The Calcium Paradox - Part 2

In Part 1, we explored why more calcium doesn’t automatically mean stronger bones. Now, let’s go deeper into the missing links: Vitamin D, Vitamin K2, and acid-alkaline balance — all essential pieces in the bone health puzzle.

Vitamin D: The Absorption Booster
Vitamin D plays a major role in bone health by increasing the amount of calcium and phosphorus your body absorbs from the small intestine. With adequate Vitamin D, you absorb about 30–40% of the calcium you consume. Without enough, that number drops to just 10–15%, leading to accelerated bone loss and higher fracture risk.

Here’s the challenge: as we age, our ability to absorb Vitamin D decreases — and thanks to modern indoor lifestyles and sunscreen use, many of us are already deficient. Our ancestors didn’t have this problem because they spent most of their time outdoors, naturally producing Vitamin D from sunlight.

✅ Tip: Get 10–15 minutes of sun exposure per day without sunscreen. You can’t overdose on Vitamin D from the sun — your body naturally destroys any excess.

Vitamin K2: The Traffic Cop for Calcium
Vitamin K2 is the often-overlooked nutrient that ensures calcium goes where it belongs — into your bones, not your arteries or soft tissues. It activates proteins like osteocalcin that bind calcium to the bone matrix, enhancing strength and reducing fracture risk.

Even with all the calcium and Vitamin D in the world, without K2, you run the risk of calcium ending up in the wrong places, contributing to arterial plaque, kidney stones, and other health issues.

✅ Top sources of K2: fermented foods like natto (highest), sauerkraut, and certain cheeses.

The Acid-Alkaline Connection
Maintaining the right acid-alkaline balance is crucial for bone health. Our blood pH is tightly regulated between 7.35–7.45, and when the body becomes too acidic (often from high animal protein and processed food intake), it pulls alkaline minerals like calcium from the bones to neutralize the acid.

The result? We excrete more calcium, weakening our skeleton over time.

✅ Balanced eating tip: Aim for 80% alkaline-forming foods (fruits, vegetables) and 20% acid-forming foods (animal products, grains). For every serving of animal protein, you typically need about 3 servings of fruits or veggies to offset the acidity.

Quick Ways to Alkalize Your Body
  • Drink water with lemon, lime, or a splash of apple cider vinegar.
  • Add yams, sweet potatoes, and lentils to meals.
  • Eat at least 1 cup of leafy greens daily.
  • Incorporate miso and seaweed into soups or dishes.
  • Choose alkalizing grains like quinoa, oats, and wild rice.
  • Use buffered Vitamin C, magnesium, or L-glutamine for extra support.

Rethinking Dairy
While conventional advice pushes dairy as the go-to calcium source, there are many concerns:
  • Dairy calcium is not highly absorbable.
  • Dairy can be linked to asthma, allergies, and excess mucus.
  • Children often experience fewer colds and ear infections when dairy is removed.
  • We are the only species that drinks another species’ milk.
  • Unless organic, dairy may contain additional growth hormones.
  • Pasteurization and homogenization change milk’s structure and nutrient profile.
✅ Better calcium sources: leafy greens, sesame seeds, beans, and prunes.

The Bottom Line
Bone health isn’t just about gulping down milk or popping calcium pills. It’s about a whole-body approach: proper nutrient synergy, maintaining acid-alkaline balance, and ensuring your body has what it needs to direct calcium to the right places.

Want stronger bones for life? Focus on balance, variety, getting the right nutrients and strength training — not just more calcium.




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    Kerri Ferraioli
    Master Nutrition Therapist

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​Lifetime Nutrition LLC
Empowered Nutrition through Whole Foods


Kerri Ferraioli, CNTP, MNT, CGP, CFNC
Board Certified in Holistic Nutrition
®
Email:  [email protected]
Phone: 732/814-4886
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