Large Review Finds Calcium and Vitamin D Supplements Do Not Significantly Prevent Falls or Fractures

TL;DR Summary
A BMJ meta-analysis of about 154,000 adults across 69 randomized trials finds that calcium, vitamin D, or their combination provide little to no meaningful reduction in fractures or falls (including hip fractures); effects are consistent across age, sex, prior fractures, and dietary calcium. The findings call for re-evaluating routine supplementation guidelines and shifting focus to proven fall-prevention strategies such as balance training, resistance exercise, and individualized risk-based programs.
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