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Calcium Regulation

The control of the level of calcium in the blood — kept within a narrow range because calcium is essential for nerve signaling, muscle contraction (including the heartbeat), and blood clotting.

  • Parathyroid hormone (PTH) — released when blood calcium is low; it raises calcium by drawing it from bone, conserving it in the kidneys, and (via vitamin D) increasing its absorption from food.
  • Calcitonin — released when calcium is high; it lowers calcium, though its role in humans is minor.
  • Vitamin D (calcitriol) — required for absorbing calcium from the diet.

Bone holds the body’s vast calcium store and is constantly drawn on and replenished — so calcium regulation and skeletal health are directly linked.

Blood calcium is held steady mainly by PTH, using bone as a reservoir. See the calcium–phosphate axis.