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I went to an orthopedic specialist for a full body bone scan and discovered my bones, in my doctor's words, "look like sponges!" That set me back a bit! He told me to take 2000 units of calcium citrate a day and he recommended Citracal. (I was told that the citrate helps your body absorb the calcium.) The product has 500 units of Vitamin D and 400/mg. of Calcium in two tablets. I've now been taking this product for three years and there has been a marked difference in my scan. At 64 now, I cannot afford to have any breaks and I'm trying to guard against the possibility. Most women are calcium deficient and so are most men! My partner was just diagnosed with a dangerously low Vitamin D deficiency and he has joined me in taking Citracal every day. I am against the new calcium injectibles, like Reclast, because they are new and we haven't discovered just how good something like this is that you only get once a year. My doctor did recommend it but I'm sticking with the Citracal, since it does appear to be working. My bone scan and doctor visit was over $600 so save yourself the money and take the Citracal three or four times a day!