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Supplements for bone

Vitamin D3, calcium, K2, magnesium — the bone-deposition triad.

Calcium and vitamin D do not prevent fractures or falls in community-dwelling adults who are not deficient. A 2026 BMJ meta-analysis of 69 trials and 153,902 adults (Massé et al., PMID 42161415, doi:10.1136/bmj-2025-088050) found a vitamin D fracture risk ratio of 1.00 (high certainty) and little to no effect on falls. Vitamin D still treats deficiency, and calcium still fills a dietary gap. Vitamin K2 (MK-7 100–200 mcg) has a separate bone-density trial, not a fracture trial. Discuss this with your provider if you have CKD or take warfarin.

Evidence summary

The numbers on the cards are the same composite as the supplement pages: efficacy, safety, research, onset, cost, and drug-interaction ratings, from 20 to 100. The strongest records on this page are Vitamin D3, Calcium, and Calcium carbonate/citrate (bone health). A higher score is a stronger record in the database, not a personal recommendation.

Who should be careful

83
Vitamin D3
Bone · Immunity · Muscle
Tier 1
64
Calcium
Bone · Muscle · Nerve
Tier 1
65
Calcium carbonate/citrate (bone health)
Bone density · Osteoporosis · Pregnancy
Tier 1
79
Limosilactobacillus reuteri DSM 17938
Infant colic · Gut health · Bone density
Tier 2
77
Vitamin D3 liquid drops
Bone · Immunity · Flexible dosing
Tier 2
74
Boswellia serrata
Joint pain · OA
Tier 2
74
Niacinamide (nicotinamide)
Knee OA · NAD precursor · Skin · No flush · B3 form
Tier 2
74
Calcium pantothenate (Vitamin B5)
Vitamin B5 · Adrenal · Skin
Tier 2
73
Vitamin K1 (phylloquinone)
Blood clotting · Bone health
Tier 2
72
Methylsulfonylmethane (MSM)
Joint · Inflammation · Recovery
Tier 2
72
Bifidobacterium longum BB536
Gut health · Immunity · Allergy
Tier 2
70
Iron
Deficiency · Fatigue · Anaemia
Tier 2
70
Lactobacillus reuteri
Gut · Bone · Oral health · Infant colic
Tier 2
70
Phosphorus
Bone · Energy metabolism · Cell function
Tier 2
70
Beta-hydroxy-beta-methylbutyrate free acid (HMB-FA)
Muscle preservation · Recovery · Clinical nutrition
Tier 2
69
Chondroitin sulfate (standalone)
Osteoarthritis · Cartilage preservation · Joint space · GAIT trial
Tier 2
68
Aged garlic extract (Kyolic)
Cardiovascular · Blood pressure · Immune
Tier 2
68
L-Glutamine (post-infectious IBS)
Gut barrier · IBS-D · Intestinal permeability
Tier 2
68
Green-lipped mussel (Perna canaliculus)
Joint · Anti-inflammatory · Omega-3
Tier 2
66
Moringa oleifera
Nutrient-dense · Adaptogen · Plant protein
Tier 3
65
Butyrate (calcium/magnesium)
Gut barrier · IBD · Microbiome
Tier 2
64
L-Lysine
Cold sores · Collagen · Immunity
Tier 2
64
Devil's claw (Harpagophytum procumbens)
Joint pain · Back pain · Inflammation
Tier 2
64
Boswellic acids AKBA (standardised)
Joint pain · IBD · 5-LOX inhibitor
Tier 2
64
Ferulic acid
Antioxidant · Muscle recovery · Bone health · Coffee phenolic
Tier 2
Educational reference, not medical advice. Discuss any supplement change with a qualified clinician before acting on this list.
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