Calcium Citrate Malate (CCM), Vitamin D3 and Folic Acid Tablets — Calsma

Calsma Tablet is a bone and musculoskeletal health supplement built around Calcium Citrate Malate (CCM) — a highly bioavailable form of calcium — combined with Vitamin D3 and Folic Acid. Unlike calcium carbonate, CCM does not require stomach acid for absorption, making it suitable even on an empty stomach and for patients on acid-reducing medication. Vitamin D3 enhances calcium absorption in the gut, while folic acid supports cellular metabolism.

Last updated: 25 August 2026

Calcium Citrate Malate Vitamin D3 — key benefits:

• Superior calcium absorption compared to calcium carbonate
• Maintains and strengthens bone mass
• Supports connective tissue and muscle health
• Helps in the prevention of osteoporosis, especially in postmenopausal women and the elderly
• Better gastrointestinal tolerance and compliance versus older calcium salts

What is CCM (Calcium Citrate Malate)? CCM is a compound of calcium bound to citric acid and malic acid, engineered for higher solubility and bioavailability than standard calcium salts — meaning more of the calcium you take is actually absorbed.

Choosing the Right Calcium Supplement

Not all calcium supplements behave the same way in the body. Calcium carbonate, the most common and cheapest form, needs stomach acid to dissolve properly and is best taken with food — which is why it’s often poorly absorbed by older adults or anyone on antacids or proton-pump inhibitors. Calcium Citrate Malate avoids this limitation, making Calsma Tablet a practical choice for a wider range of people, including those managing digestive sensitivity alongside their bone health needs. Pairing calcium intake with adequate Vitamin D3 — as Calsma Tablet already does — is considered essential by nutrition guidelines, since vitamin D is what actually allows the intestine to absorb the calcium you consume.

For readers who want a deeper look at the comparative absorption research behind different calcium salts, the NIH Office of Dietary Supplements calcium fact sheet is a useful independent reference.

Storage and Safety

Store Calsma Tablet below 25°C, away from direct sunlight and moisture, and out of reach of children. As with any calcium supplement, very high intakes from multiple sources can occasionally cause constipation or interact with certain medications, so people already taking calcium-containing antacids, thyroid medication, or specific antibiotics should mention this to their doctor before starting.

Is Calsma Right for Everyone?

Most healthy adults can take Calsma Tablet as directed, but people with a history of kidney stones, hypercalcaemia, or certain kidney conditions should check with their doctor first, since excess calcium intake from any source can be relevant to these conditions. Calsma is also not intended to replace a balanced diet — it’s designed to fill gaps where dietary calcium and vitamin D intake falls short, which is common in people who avoid dairy, get limited sun exposure, or follow restrictive diets.

Frequently Asked Questions

Q: What is Calcium Citrate Malate (CCM)?
A: Calcium Citrate Malate is a highly bioavailable calcium compound that doesn’t need stomach acid for absorption, unlike calcium carbonate. It’s often preferred for people with low stomach acid, on antacids, or with sensitive digestion.

Q: Is Calcium Citrate Malate better than calcium carbonate?
A: CCM generally offers better and more consistent absorption than calcium carbonate, especially when taken without food, and tends to cause fewer digestive side effects like bloating or constipation.

Q: Why is Vitamin D3 combined with Calcium Citrate Malate?
A: Vitamin D3 is essential for the body to absorb calcium from the intestine. Combining CCM with Vitamin D3, as in Calsma Tablet, ensures the calcium consumed is effectively absorbed and utilised for bone health.

Q: Who should take Calcium Citrate Malate with Vitamin D3?
A: It is commonly recommended for people at risk of osteoporosis, postmenopausal women, the elderly, and anyone with inadequate dietary calcium intake — as advised by a physician.