Question as to what to do with my protocol

I was reading that there is a kind of slow-release form of Citracal (Citracal Slow Release 1200) that takes up to 8 hours for the calcium to be fully released, and presumably the same would be true of the citrate in the pill (the pill also contains calcium carbonate; I am unsure exactly the mixture of the two forms of calcium). It might be beneficial to have citrate in such a slow-release form, though one would pay the price of having to also take in a lot of calcium.

I asked Google Gemini 2.5 Pro about how the Slo-Cal tech in the pill works, and it reports:

When you ingest a Citracal Slow Release 1200 tablet, the moisture in your digestive system interacts with the tablet’s components. A crucial ingredient, hydroxypropyl methylcellulose (HPMC) , a hydrophilic (water-loving) polymer, begins to absorb this fluid and swells, forming a viscous gel layer around the tablet. This gel acts as a barrier, and the calcium salts—both calcium carbonate and calcium citrate—trapped within this matrix can only be released as the gel slowly dissolves and erodes.

This process ensures a gradual and continuous release of small amounts of calcium into the intestine over several hours. This is beneficial because the body has a limited capacity to absorb calcium at any given time. By providing a steady, controlled supply, “Slo-Cal” technology aims to maximize the amount of calcium that can be absorbed and utilized by the body, rather than being excreted unused.

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Citracal has quite low levels of citrate

I think it depends on the blend / mixture of calcium citrate versus calcium carbonate, and then also how much one is aiming to take.

A single dose of Citracal Slow Release 1,200 has 1,200 milligrams of elemental calcium. If 100% of it was part of calcium citrate (more precisely, calcium citrate-tetrahydrate), that would be 5.7 grams of calcium citrate, which would give you about 3.8 grams of citrate. But if the mixture is 50%-50%, then you’d get half that, which is still a decent amount.

But if one is aiming to take 6 grams of citrate per day, say, then the amount in a Citracal pill would be too low, yes.

(The above calculation is according to OpenAI’s o3. I checked it by doing a Google search, also.)

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I am not sure it does have 1.2g of elemental calcium. This would make each capsule about 2.5g there being two capsules for a serving.

If you have some you can weigh say 10 capsules and see what they are. Domestic weighing machines tend not to be that accurate for light things.

I have some of the non-slow-release kind, and can say they are big, thick, heavy pills. I could even imagine someone choking on one. I stopped taking them a year or so ago just because I decided that amount of calcium in my diet is probably excessive.

I forgot to say that a “dose” is 2 pills.

In which case you are right that could be substantially calcium citrate tetrahydrate. One reason I went to a chemical broker for my citrates was to get certainty as to what I was buying.

@John_Hemming, I took the following today to see if it would help with GERD. This with my morning coffee and no food until lunch.

  • 400 mg of magnesium citrate
  • 300 mg of calcium citrate
  • 750mg of sodium citrate

Felt high until early afternoon. Colors were brighter; felt separated from my body, as though observing it; and had a pleasant relaxed feeling. A mouth ulcer from rapamycin felt more painful. Then I crashed and took a 1.5 hour nap and feel more or less back to baseline.

Any ideas what that was?

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Not really.

I take a lot more, but I also include potassium.

@John_Hemming,
Trying to optimize the ratio of cations in your protocol. According to dietary guidelines, the recommended daily intake for each are:

  • Sodium: 1,500mg
  • Potassium: 3,000mg
  • Calcium: 1,000mg
  • Magnesium: 400mg

Or as ratios:

  • Sodium: 25%
  • Potassium: 51%
  • Calcium: 17%
  • Magnesium: 7%

Looking at sodium and potassium in isolation, this implies a 1:2 ratio, which does not align with your recommendation:

Can you elaborate on your recommendation?

I calculated the figures based on what I thought would enable maximising citrate intake whilst avoiding an excess of any cation. This comes out with the conclusion that a high proportion of Sodium is a good idea (over 50%). That may sound counterintuitive, but I have used it for over 4 years.

I have more recently dropped Calcium (last couple of years). It dissolves better without Calcium, but I may experiment with Calcium again at some stage in the future.

The precise ratios in the citrate mix my company sells (cytravo) can be found here:

https://www.amazon.co.uk/dp/B0FN89KSTJ

These are the figures I came out as the optimal figures when I did the calculation. However, if you vary it a bit it probably won’t matter that much.

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John,
Sorry a bit late to this but have a question. Do you do/recommend citrate daily for a while lets say one month per year or it is something you would rather keep taking as part of a normal daily regimen.

Its slightly complicated, but some daily is a good idea.

The problem is that you are intervening in a combinatory pathway. I will attach the infographic. The underlying issue is that you want more mitochondrial efficiency, but a bit of citrate helps.

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Citrate is also a diuretic, which can lead to dehydration, another reason to monitor kidney function.

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I asked chatGPT because I have not heard this. It did not confirm this. I have taken a lot of citrate today and felt dehydrated a bit, but not because of the volume of urine.

It would be interesting to see the sources that claim citrate is actually a diuretic.

“It also acts as a diuretic and increases the urinary excretion of calcium.”

https://go.drugbank.com/drugs/DB09154

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That does not have a citation itself. It probably increases the excretion of calcium, however.

And there are always individual differences, which may not show up in a study of averages. Or maybe I am going through a period of adjustment.

“It has a role as a diuretic.”

“Potassium citrate acts as a diuretic (making you pee more)”

https://www.drugs.com/medical-answers/potassium-citrate-gluconate-difference-3559323/#:~:text=Potassium%20citrate%20acts%20as%20a,like%20formations%20in%20the%20kidneys)

I am not saying that you are wrong. But your sources dont have sources.

I think it has been observed as a side-effect, which is moderate and temporary, but not as itself a subject of study.