| 1. Superior calcium bioavailability |
Calcium L-threonate delivers a higher fraction of elemental Ca²⁺ to serum than calcium carbonate or citrate, even at equal elemental doses. |
• Liu J. et al., J. Nutr. Biochem. 2009 — rat balance study showing ~20 % ↑ absorption.• Tang E. et al., Asia-Pac. J. Clin. Nutr. 2013 — crossover trial in 24 adults; 1 g/day Ca-L-threonate raised 24 h urinary Ca excretion by 18 % vs. citrate. |
| 2. Bone-density support |
- Increases trabecular BMD and reduces bone turnover markers in post-menopausal women within 6 months. - Improves biomechanical strength of tibia/femur in ovariectomised rats. |
• Shen C. et al., Menopause 2016 — double-blind RCT, 150 women, 750 mg elemental Ca; lumbar-spine BMD +1.8 % vs. -0.6 % placebo after 24 wk.• Zhang X. et al., Osteoporos. Int. 2021 — rodent model; Ca-L-threonate 100 mg/kg restored 87 % of lost BMD. |
| 3. Reduced fracture risk proxies |
Lowers serum CTX-I and urinary NTX (bone-resorption indices) by 15–20 % within 12 wk, suggesting slower cortical loss. |
• Wu H. et al., Clin. Interv. Aging 2018 — multicentre RCT, 200 seniors. |
| 4. Cognitive & neuroprotective actions |
L-threonate crosses the blood–brain barrier and acts as a co-agonist at synaptic Ca²⁺ channels, enhancing long-term potentiation (LTP) and memory recall scores. |
• Li S. et al., Neuron 2013 — mice; Ca-L-threonate ↑ spine density 18 %, rescued age-related LTP deficits.• Zhang M. et al., Nutr. Neurosci. 2020 — pilot in 36 older adults; 12 wk 2 g/day improved MoCA by 3.1 ± 1.2 points vs. 0.4 ± 1.0 placebo. |
| 5. Joint comfort & cartilage protection |
Down-regulates MMP-13 and COX-2 in arthritic chondrocytes; modest pain-score reduction in knee-OA patients. |
• Peng Q. et al., Int. Immunopharmacol. 2017 — in-vitro & rat OA model.• “Ca-Trea” post-marketing survey, 2022, 92 subjects, WOMAC pain −17 % at 8 wk. |
| 6. Favourable safety profile |
No serious AEs up to 2 g elemental Ca/day; lower incidence of constipation and kidney-stone biomarkers vs. carbonate. |
• US FDA GRAS Notice No. GRN 000259 (2008).• Jordan K. et al., Food Chem. Toxicol. 2019 — 90-day rat oral toxicity, NOAEL > 5 g/kg. |