What is happening. Calcium alpha-ketoglutarate delivers a meaningful amount of elemental calcium (approximately 20-25 percent by weight). Combining it with a separate calcium supplement can push total elemental calcium intake above the tolerable upper intake level (2,000-2,500 mg/day for adults), increasing risk of hypercalcemia, constipation, and possibly kidney stones.
Mechanism. Additive elemental calcium load; excess calcium intake raises serum and urinary calcium, increasing risk of hypercalcemia and stone formation in susceptible individuals.
Recommendation. Add the elemental calcium from the Ca-AKG product to your other calcium sources and keep total supplemental plus dietary calcium within recommended limits. Reduce or omit a standalone calcium supplement if combined intake is high.