What are the primary uses of Os-Cal. How should Os-Cal be taken for optimal effectiveness. What are the potential side effects of Os-Cal. What important interactions should be considered when taking Os-Cal.

Understanding Os-Cal: A Calcium and Vitamin D Supplement

Os-Cal is a widely used oral supplement that combines calcium and vitamin D to support bone health and prevent conditions related to calcium deficiency. This comprehensive guide will explore the various aspects of Os-Cal, including its uses, proper administration, potential side effects, and important considerations for users.

Primary Uses and Benefits of Os-Cal

Os-Cal serves as a vital supplement for individuals who may not obtain sufficient calcium and vitamin D through their diet alone. Its primary uses include:

• Prevention of calcium and vitamin D deficiency
• Supporting bone health and strength
• Reducing the risk of osteoporosis
• Aiding in proper muscle function
• Contributing to overall skeletal health

Is Os-Cal suitable for everyone? While Os-Cal can benefit many individuals, it’s essential to consult with a healthcare provider before starting any new supplement regimen, especially for those with pre-existing medical conditions or those taking other medications.

Proper Administration and Dosage Guidelines

To maximize the effectiveness of Os-Cal, it’s crucial to follow proper administration guidelines:

1. Take Os-Cal orally with a full glass of water
2. Consume the supplement with food or within one hour after a meal
3. Adhere to the recommended dosage as indicated on the label or as prescribed by your healthcare provider
4. Maintain a consistent schedule for taking Os-Cal

Can Os-Cal be taken at any time of day? While it can be taken at various times, consistency is key. Some individuals find it helpful to take Os-Cal with their largest meal of the day to enhance absorption.

Special Considerations for Dosage

The appropriate dosage of Os-Cal may vary depending on factors such as age, gender, and individual health needs. Pediatric use should be under the guidance of a healthcare professional, as children’s calcium requirements differ from those of adults.

Potential Side Effects and Adverse Reactions

While Os-Cal is generally well-tolerated, some individuals may experience side effects. Common side effects include:

• Constipation
• Stomach upset or nausea
• Dry mouth
• Headache

Are there any serious side effects associated with Os-Cal? In rare cases, more severe side effects may occur, such as:

• Allergic reactions (skin rash, itching, swelling)
• Irregular heartbeat
• Confusion
• Muscle or bone pain

If you experience any of these severe side effects, it’s crucial to seek medical attention immediately.

Important Drug Interactions and Precautions

Os-Cal may interact with various medications, potentially affecting their efficacy or increasing the risk of side effects. Some notable interactions include:

• Antibiotics (e.g., ciprofloxacin, tetracycline)
• Thyroid medications
• Certain blood pressure medications
• Iron supplements

To minimize the risk of interactions, it’s advisable to separate Os-Cal intake from other medications by at least 2 hours. Always inform your healthcare provider about all medications and supplements you’re taking.

Special Precautions for Specific Health Conditions

Individuals with certain health conditions should exercise caution when using Os-Cal:

• Kidney disease or history of kidney stones
• Hypercalcemia (high blood calcium levels)
• Parathyroid disorders
• Sarcoidosis

Does Os-Cal require special considerations for pregnant or breastfeeding women? While calcium and vitamin D are essential during pregnancy and lactation, it’s crucial to consult with a healthcare provider to determine the appropriate dosage and form of supplementation.

Proper Storage and Handling of Os-Cal

To maintain the effectiveness and safety of Os-Cal, proper storage is essential:

• Store at room temperature (15-30°C or 59-86°F)
• Protect from light and moisture
• Keep the container tightly closed
• Store out of reach of children

Should expired Os-Cal be discarded? Yes, it’s important to dispose of any unused Os-Cal after the expiration date to ensure safety and efficacy.

Complementary Lifestyle Factors for Optimal Calcium Absorption

While Os-Cal provides essential calcium and vitamin D, certain lifestyle factors can enhance its effectiveness:

• Engaging in weight-bearing exercises
• Maintaining a balanced diet rich in calcium-containing foods
• Ensuring adequate sunlight exposure for natural vitamin D production
• Avoiding excessive alcohol and caffeine consumption

Can dietary changes replace the need for Os-Cal supplementation? While a calcium-rich diet is beneficial, some individuals may still require supplementation to meet their daily requirements, especially those at higher risk of deficiency.

Monitoring and Long-term Use Considerations

For individuals using Os-Cal as a long-term supplement, regular monitoring is important:

• Periodic blood tests to check calcium and vitamin D levels
• Bone density scans to assess bone health
• Regular check-ups with a healthcare provider to evaluate ongoing supplementation needs

Is it possible to develop a tolerance to Os-Cal over time? Unlike some medications, calcium and vitamin D supplements do not typically lead to tolerance. However, individual needs may change over time, necessitating adjustments in dosage or form of supplementation.

Alternatives and Complementary Supplements

While Os-Cal is a popular choice, other calcium and vitamin D supplements are available. Some individuals may benefit from alternative forms of calcium, such as calcium citrate, which may be better absorbed in certain conditions. Additionally, magnesium supplements are often recommended alongside calcium for optimal bone health.

Can Os-Cal be combined with other bone health supplements? In many cases, Os-Cal can be safely combined with other bone-supporting nutrients like vitamin K or magnesium. However, it’s essential to consult with a healthcare provider to ensure proper balance and avoid potential interactions.

Understanding Os-Cal’s Role in Overall Health Management

Os-Cal plays a crucial role in maintaining bone health, but it’s important to view it as part of a comprehensive approach to wellness. Consider the following aspects:

• Balanced nutrition beyond calcium and vitamin D
• Regular physical activity for overall health
• Stress management techniques
• Adequate sleep and hydration

How does Os-Cal contribute to overall health beyond bone strength? Calcium and vitamin D are involved in various bodily functions, including muscle contraction, nerve signaling, and immune system support. By ensuring adequate levels of these nutrients, Os-Cal can contribute to overall health and well-being.

Addressing Common Misconceptions about Calcium Supplements

There are several misconceptions surrounding calcium supplements like Os-Cal:

1. Myth: More calcium is always better
2. Fact: Excessive calcium intake can lead to adverse effects
3. Myth: Calcium supplements alone can prevent osteoporosis
4. Fact: A comprehensive approach including diet, exercise, and lifestyle factors is necessary
5. Myth: All calcium supplements are equally effective
6. Fact: Absorption rates can vary based on the form of calcium and individual factors

Are there any risks associated with long-term use of Os-Cal? While Os-Cal is generally safe for long-term use when taken as directed, some studies have suggested a potential link between high-dose calcium supplements and increased risk of cardiovascular events. This underscores the importance of following recommended dosages and consulting with healthcare providers for personalized advice.

Navigating Os-Cal Options and Product Selection

Os-Cal is available in various formulations to meet different needs:

• Os-Cal 500 + D: Standard formulation with 500 mg calcium and vitamin D
• Os-Cal Extra D3: Higher vitamin D content for individuals with increased vitamin D needs
• Os-Cal Calcium + D3: Balanced formulation for general use

How should one choose between different Os-Cal products? The selection should be based on individual calcium and vitamin D requirements, which can be determined through consultation with a healthcare provider and, if necessary, blood tests to assess current nutrient levels.

Cost Considerations and Insurance Coverage

The cost of Os-Cal can vary depending on factors such as dosage, formulation, and quantity purchased. Some considerations include:

• Comparing prices across different pharmacies and online retailers
• Exploring generic alternatives that may offer cost savings
• Checking insurance coverage for prescription-strength calcium supplements
• Inquiring about patient assistance programs or discounts from manufacturers

Is Os-Cal covered by health insurance? Coverage can vary widely depending on the insurance plan and whether the supplement is prescribed by a healthcare provider. It’s advisable to check with your insurance provider for specific coverage details.

Future Developments and Research in Calcium Supplementation

The field of calcium supplementation continues to evolve, with ongoing research focusing on:

• Optimal calcium-to-vitamin D ratios for maximum absorption
• Development of more bioavailable forms of calcium
• Personalized supplementation strategies based on genetic factors
• Long-term effects of calcium supplementation on various health outcomes

What advancements can we expect in calcium supplements like Os-Cal? Future developments may include more targeted formulations, improved delivery methods for enhanced absorption, and integration with other bone-supporting nutrients. Additionally, there may be a greater emphasis on personalized supplementation based on individual health profiles and genetic factors.

The Role of Technology in Supplement Management

As technology continues to advance, its integration with supplement management is becoming increasingly prevalent:

• Smartphone apps for tracking supplement intake and scheduling reminders
• Wearable devices that monitor nutrient levels and provide real-time feedback
• AI-powered systems for personalized supplement recommendations
• Integration with electronic health records for comprehensive health management

How can technology enhance the effectiveness of Os-Cal supplementation? By leveraging technology, users can improve adherence to their supplement regimen, receive timely reminders, and potentially gain insights into how their calcium and vitamin D levels correlate with overall health markers. This integration of technology with supplement use may lead to more personalized and effective health management strategies in the future.

Calcium; Vitamin D oral tablets

What is this medicine?

CALCIUM; VITAMIN D (KAL see um; VYE ta min D) is a vitamin supplement. It is used to prevent conditions of low calcium and vitamin D.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Calcarb 600 with Vitamin D, Calcet Plus Vitamin D, Calcitrate + D, Calcium Citrate + D3 Maximum, Calcium Citrate Maximum with D, Caltrate, Caltrate 600+D, Citracal + D, Citracal MAXIMUM + D, Citracal Petites with Vitamin D, Citrus Calcium Plus D, OSCAL 500 + D, OSCAL Calcium + D3, OSCAL Extra D3, Osteo-Poretical, Oysco 500 + D, Oysco D, Oystercal-D Calcium

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• constipation
• dehydration
• heart disease
• high level of calcium or vitamin D in the blood
• high level of phosphate in the blood
• kidney disease
• kidney stones
• liver disease
• parathyroid disease
• sarcoidosis
• stomach ulcer or obstruction
• an unusual or allergic reaction to calcium, vitamin D, tartrazine dye, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the label. Take with food or within 1 hour after a meal. Take your medicine at regular intervals. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. While this medicine may be used in children for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• ammonium chloride
• methenamine

This medicine may also interact with the following medications:

• antibiotics like ciprofloxacin, gatifloxacin, tetracycline
• captopril
• delavirdine
• diuretics
• gabapentin
• iron supplements
• medicines for fungal infections like ketoconazole and itraconazole
• medicines for seizures like ethotoin and phenytoin
• mineral oil
• mycophenolate
• other vitamins with calcium, vitamin D, or minerals
• quinidine
• rosuvastatin
• sucralfate
• thyroid medicine

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Taking this medicine is not a substitute for a well-balanced diet and exercise. Talk with your doctor or health care provider and follow a healthy lifestyle.

Do not take this medicine with high-fiber foods, large amounts of alcohol, or drinks containing caffeine. Do not take this medicine within 2 hours of any other medicines.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• confusion
• dry mouth
• high blood pressure
• increased hunger or thirst
• increased urination
• irregular heartbeat
• metallic taste
• muscle or bone pain
• pain when urinating
• seizure
• unusually weak or tired
• weight loss

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• constipation
• diarrhea
• headache
• loss of appetite
• nausea, vomiting
• stomach upset

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Drug – Oscal 500mg – 10 Tablets Tablet   (Calcium Carbonate) Price List or Cost of Medication

Drug information on Oscal (Calcium Carbonate) from Osper Pharmaceutics Pvt. Ltd.

Drug Name : Calcium Carbonate

Calcium Carbonate(Alka-Mints) generic Oscal is a dietary supplement, prescribed for calcium deficiency state which may occur in diseases such as decreased levels of parathyroid hormone (acute and chronic), postmenopausal osteoporosis, rickets and osteomalacia (softening of the bones). It is also used as an antacid.

More Info about Calcium Carbonate

Other Trade Names for Calcium Carbonate

India : 

More…

International : 

Alka-Mints, Calel-D, Caltrate 600, Chooz, Os-Cal 500, Rolaids Calcium Rich, Titralac, Tums

Medindia currently has information on 3080 generic drugs and 110,061 brands that have their prices listed. New drugs with their prices are listed as and when they get approved by the drug controller. Please do write to us ([email protected]) if a drug is missing from our comprehensive drug price list.

Medical Condition(s) for which Oscal may be prescribed

•  Heart:
Slow heart rate, cardiac arrest, abnormal heart rhythm.

•  Gastrointestinal:


Constipation, loss of appetite, flatulence, nausea, abdominal pain and diarrhea.

•  Genitourinary:

Kidney stone, kidney failure.

•  Metabolic:

Increased calcium level, muscle weakness, headache, coma.

•  Allergic reactions:


Itching, rash and hives.

Oral- 1 to 3 chewable tablets containing 500 mg calcium carbonate per day, or as directed by your physician. Maximum dose is 16 tablets/day. For pregnant woman maximum dose is 7 tabs/day.

It comes as a tablet, liquid to take by mouth, after meals.

Contraindicated to patients with increased calcium level in blood and/or increased calcium in urine, kidney stone, increased level of vitamin D, and phosphate in blood.

• Impaired calcium absorption in achlorhydria, which is common in elderly.

•
Increased risk of increased calcium level in blood and/or increased calcium in urine in hypo parathyroid patients receiving high doses of vitamin D.

•

Caution needed when using in patients with history of kidney stones, kidney impairment.

•

Frequent monitoring of serum calcium and phosphorus is recommended.

•

Do not take in larger or smaller quantity or for longer than recommended.

Oral: Store below 25°C. Store it at room temperature and in airtight container.

Calcium and Vitamin D | Memorial Sloan Kettering Cancer Center

This information from Lexicomp^® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider.

Brand Names: US

Cal-Citrate Plus Vitamin D [OTC]; Calcet Petites [OTC]; Calcitrate [OTC] [DSC]; Calcium 500/D [OTC] [DSC]; Calcium 600+D [OTC]; Calcium 600-D [OTC] [DSC]; Calcium Citrate + D3 Maximum [OTC]; Calcium High Potency/Vitamin D [OTC]; Calcium Plus Vitamin D [OTC]; Calcium+D3 [OTC]; Caltrate 600+D3 Soft [OTC]; Caltrate 600+D3 [OTC]; Caltrate Gummy Bites [OTC]; Citrus Calcium +D [OTC] [DSC]; Liquid Calcium with D3 [OTC]; Liquid Calcium/Vitamin D [OTC]; Os-Cal Calcium + D3 [OTC]; Os-Cal Extra D3 [OTC]; Os-Cal [OTC]; Oysco 500+D [OTC]; Oyster Calcium + D [OTC]; Oyster Shell Calcium + D [OTC]; Oyster Shell Calcium + D3 [OTC]; Oyster Shell Calcium 250+D [OTC]; Oyster Shell Calcium 500 + D [OTC]; Oyster Shell Calcium 500+D [OTC]; Oyster Shell Calcium Plus D [OTC]; Pronutrients Calcium+D3 [OTC]; Vita-Calcium [OTC] [DSC]

What is this drug used for?

• It is used to help growth and good health.
• It is used to prevent or treat soft, brittle bones (osteoporosis).
• It is used to treat or prevent low calcium levels.
• It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take this drug?

• If you have an allergy to calcium, vitamin D, or any other part of this drug.
• If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
• If you have any of these health problems: High calcium levels, high vitamin D levels, kidney stones, or low phosphate levels.

This is not a list of all drugs or health problems that interact with this drug.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take this drug?

All products:

• Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
• If you are allergic to tartrazine, talk with your doctor. Some products have tartrazine.
• This drug may prevent other drugs taken by mouth from getting into the body. If you take other drugs by mouth, you may need to take them at some other time than this drug. Talk with your doctor.
• Follow the diet plan that your doctor told you about.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
• Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

Chewable tablets:

• If you have phenylketonuria (PKU), talk with your doctor. Some products have phenylalanine.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Very bad constipation.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

• Upset stomach or throwing up.
• Constipation.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to your national health agency.

You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

How is this drug best taken?

Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.

All products:

• Take this drug with food.

Chewable tablets:

• Chew well before swallowing. Some brands may be swallowed whole or dissolved in your mouth. Talk to your pharmacist if you have questions.

Powder:

• Mix with food or liquids before taking.

Liquid:

• Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, ask the pharmacist for a device to measure this drug.

What do I do if I miss a dose?

• Take a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not take 2 doses at the same time or extra doses.

How do I store and/or throw out this drug?

• Store at room temperature.
• Store in a dry place. Do not store in a bathroom.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

General drug facts

• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else’s drugs.
• Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
• Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

Last Reviewed Date

2016-12-27

Copyright

© 2021 UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.

Tips From Other Journals – American Family Physician

Tips from Other Journals

Am Fam Physician. 2000 Oct 15;62(8):1895-1896.

A high dietary calcium intake combined with vitamin D can increase bone density and reduce fractures in older women and, probably, men. The Institute of Medicine recommends that persons 19 to 50 years of age consume 1,000 mg per day of calcium and that persons older than 50 years consume 1,200 mg per day. The average American consumes less than 800 mg of calcium per day. Medical Letter consultants reviewed the efficacy and safety of current calcium supplements (see the accompanying table).

View/Print Table

Comparison of Calcium Supplements

Comparison of Calcium Supplements

Calcium supplements are derivatives of natural products, such as oyster shell or bone. Some are marketed primarily as antacids. Calcium carbonate and phosphate preparations have the highest concentration of elemental calcium, about 40 percent. Calcium citrate contains 21 percent elemental calcium, and calcium lactate and gluconate contain 13 and 9 percent, respectively. A recent meta-analysis found that absorption of calcium citrate was 27 percent higher than that of calcium carbonate when taken on an empty stomach and 22 percent higher when taken with meals. It did not make a difference which preparation of calcium was taken or in which dosage.

Taking calcium with food in dosages of 500 mg or less increases absorption. Calcium preparations must be dissolved before they can be absorbed; the absorption rate for calcium is about 20 to 30 percent. The absorption of calcium supplements differs by preparation. Foods such as spinach, rhubarb and wheat bran can decrease calcium absorption. Calcium can interfere with absorption of iron, zinc, bisphosphonates and tetracycline. Absorption also requires adequate doses of vitamin D. The recommended daily intake of vitamin D is 200 IU for adults younger than 50 years and 600 IU for those older than 70 years. Vitamin D supplementation is especially important in elderly persons because skin synthesis and absorption of vitamin D may be impaired.

In postmenopausal women with low dietary calcium intake, specially prepared 500-mg tablets of calcium citrate malate were more effective in preventing bone loss than 500-mg tablets of calcium carbonate, although the difference was not significant. In another study, 500 mg of calcium citrate taken with breakfast produced serum calcium levels significantly higher than those demonstrated after 500 mg of calcium carbonate.

The most common adverse effects of calcium supplements are constipation, intestinal bloating and excess gas. Adverse effects occur most frequently with calcium carbonate. Switching preparations or increasing fluid intake may relieve symptoms. Patients who form calcium-containing stones are generally advised not to take calcium supplements. However, a low intake of calcium can aggravate the risk of stone formation by increasing absorption and urinary excretion of oxalate. High calcium intakes can increase stone formation in patients with absorptive hypercalciuria. Those with renal hypercalciuria may experience increased bone loss if calcium intake is too low.

Medical Letter consultants reiterate the need for adequate calcium supplementation in all persons, regardless of age or sex. Calcium carbonate may cause more adverse events. Calcium citrate may be better absorbed than the other calcium salts. The consultants conclude that any calcium supplement taken in dosages of 500 mg or less with meals may improve absorption.

Choosing a calcium supplement – Harvard Health

What you should know about taking calcium to boost your nutrients

Experts agree that the ideal way to get the nutrients you need to stay healthy is from food. But when it comes to taking calcium, some people may not find it practical or possible to meet the recommended daily intake (RDI) from diet alone. For adults, the RDI is 1,000 milligrams (mg) daily, which rises to 1,200 mg per day for women over age 50 and men over age 70.

If your doctor advises you to take a calcium supplement, how do you choose among the dizzying array of available choices, which include pills, chewable tablets, flavored chews, and liquids? The following information may help you decide.

What form of calcium?

The calcium in supplements is found in combination with another substance, typically carbonate or citrate. Each has benefits and downsides. Calcium carbonate supplements tends to be the best value, because they contain the highest amount of elemental calcium (about 40% by weight). Because calcium carbonate requires stomach acid for absorption, it’s best to take this product with food. Most people tolerate calcium carbonate well, but some people complain of mild constipation or feeling bloated. Some well-known calcium carbonate products include Caltrate, Viactiv Calcium Chews, Os-Cal, and Tums.

Calcium citrate supplements are absorbed more easily than calcium carbonate. They can be taken on an empty stomach and are more readily absorbed by people who take acid-reducing heartburn medications. But because calcium citrate is only 21% calcium, you may need to take more tablets to get your daily requirement. Calcium citrate products include Citracal and GNC Calcimate Plus 800.

How much calcium per serving?

Reading the labels with an eye toward cost and convenience may help you sift through your options. Check the serving size and the “% Daily Value” for calcium and multiply the percentage by 10 to find out how much elemental calcium the product contains. For example, if the label says a serving of the product contains 40% of the Daily Value, it has 400 mg of elemental calcium.

While products that yield a high amount of calcium may seem to be the best bet at first blush, they may not serve you best. Because your body has difficulty absorbing more than 500 mg of calcium at a time, more of the mineral may go to waste. So, while you may think that you’ve met your daily requirements by taking that 1,000-mg calcium pill, you may actually be only halfway to your target. Calculate your cost per serving based on how many tablets or chews the package contains, and consider whether you might find it inconvenient to take several tablets a day.

Here are some final tips for choosing and taking calcium supplements as found in the Harvard Special Health Report Osteoporosis: A guide to prevention and treatment:

• Avoid products made from unrefined oyster shell, bone meal, dolomite, or coral, as they may contain lead or other toxic metals.

• Don’t exceed the daily dose recommended by the manufacturer—doing so increases the risk for side effects.

• If you take iron or zinc supplements, tetracycline antibiotics, or levothyroxine (used to treat hypothyroidism), take them several hours before or after takingcalcium to avoid potential negative interactions.

• Make sure you’re also getting enough vitamin D, which helps your body absorb calcium. If you aren’t getting enough from sunlight, your diet, or your multivitamin, you may want to choose a calcium supplement that contains vitamin D.

– By Julie Corliss
Executive Editor, Harvard Heart Letter

Share this page:

Disclaimer:
As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

OSCAL-12 Side effects, Price, Brand, Qty India | Write a Review

Abdominal pain

Albuminuria

Anaphylactoid reactions

Anaphylaxis

Anorexia

Arrhythmias

Bloating

Calcification of soft tissues (blood vessels, parenchymal organs including heart)

Confusion

Constipation

Delirium

Diarrhoea

Dry mouth

Elevated liver enzymes

Excess gas

Fatigue

Growh retardation in children

Hypercalcaemia

Hypertension

Itching

Nausea

Pain and burning sensation at injection site

Peripheral vascular thrombosis

Polyuria

Pulmonary oedema

Renal stones

Sluggishness

Thirst

Transient diarrhea

Urticaria

Vomiting

Weakness

Oscal-M | Tablet Uses, Doses, Side Effects, Price | Calcium + Vitamin D3 + Multimineral

Oscal-M contains Calcium + Vitamin D3 + Multimineral. Oscal-M uses:

This preparation is indicated for- Prevention and treatment of osteoporosis; To maintain strong bone growth and teeth; For proper functioning heart, muscle and nerves; As nutritional supplement; For bone development and constant regeneration of bone; Pregnancy & lactation; Deficiency state of calcium, vitamin D, magnesium, zinc, copper, manganese & boron

Introduction

Each Film coated tablet contains-

• Calcium Carbonate 1500 mg equivalent to 600 mg elemental Calcium
• Vitamin-D (as Vitamin-D3) 200 I.U. as Cholecalciferol
• Magnesium Oxide BP 66.34 mg equivalent to 40 mg Magnesium
• Manganese Sulfate Monohydrate 5.54 mg equivalent to 1.8 mg Manganese
• Cupric Oxide 1.25 mg equivalent to 1 mg Copper,
• Boron Citrate 5 mg equivalent 250 mcg Boron
• Zinc Oxide 9.34 mg equivalent to 7.5 mg Zinc

Calcium, magnesium and vitamin-D are the macro nutrients for bone. Calcium is used as a pharmacological agent in humans almost entirely to remedy deficiency. Adequate calcium in the blood is so vital to a wide variety of bodily functions that our internal biochemistry will not tolerate a deficiency even for short periods. Clinical evidence suggests that calcium is useful for the prevention and treatment of osteoporosis and associated fractures. Vitamin-D is also essential for healthy bones as it aids in calcium absorption from the GI tract. In addition to this it stimulates bone formation. Clinical studies show that calcium and vitamin-D has synergistic effects on bone growth as well as in osteoporosis and fracture prevention. Magnesium also increases bone strength and rigidity. Some micro nutrients like copper, manganese, zinc and boron also play important role in bone health.

Doses

Oscal-M contains Calcium + Vitamin D3 + Multimineral . Oscal-M doses:

Adults, Elderly and children above 12 years of age: 2 tablets per day, preferably one tablet each morning and evening. 

Children below 12 years of age: Not recommended.

Side Effects

Orally administered calcium carbonate may be irritating to the GI tract. It may also cause constipation. Hypercalcemia is rarely produced by administration of calcium alone, but may occur when large doses are given to patients with chronic renal failure. Also there may be allergic reactions, irregular heartbeats, nausea, vomiting, decreased appetite dry mouth and drowsiness. Following administration of vitamin-D supplements occasionally skin rash has been reported. Side effects from micro nutrients are rare.

Precaution

Patients with mild to moderate renal failure or mild hypercalciuria should be supervised carefully. Periodic checks of plasma calcium levels and urinary calcium excretion should be made in patients with mild to moderate renal failure or mild hypercalciuria.

Interaction

It has possible interaction with digoxin, antacids containing calcium, aluminum or magnesium, other calcium supplements, calcitriol or other vitamin-D supplements; tetracycline, doxycycline, aminocycline or oxytetracycline etc. So before taking any of these drugs consultations of the physicians are needed.

Pregnancy Lactation use

Usually should be used considering the risk benefit ratio.

Contraindication

Hypercalcemia and hyperparathyroidism, Hypercalciuria and nephrolithiasis, Hypersensitivity to the component of this preparation, Severe renal insufciency, Concomitant digoxin therapy.

Special Warning

Acute Overdose

Symptoms of overdose may include nausea and vomiting, severe drowsiness, dry mouth, loss of appetite, metallic taste, stomach cramps, unconsciousness, diarrhea, weakness, headache, constipation, dizziness or irritability.

Interaction with other Medicine

Storage Condition

Store at a cool and dry place protected from light and moisture. Keep out of reach of children. Keep the container tightly closed.

Oscal-M Tablet price in Bangladesh 7.00

90,000 As expected, foxes and magpies that came to the North began to oppress the Arctic fauna Yamal. Current news Yamal

This year, scientists from the Ural Branch of the Russian Academy of Sciences are celebrating their little anniversary. For 10 years they have been observing the predators of the Baidaratskaya tundra. Today it is one of the most objective methods for studying natural processes occurring in this part of the Arctic.

From the bait – the deer’s head – only a bone remained.All the meat was carefully scraped out by sharp teeth. Scientists immediately identify a hungry guest – this is a wolverine. She tried to pull the battery off the camera as well, but threw it along the way.

The cunning predator also visited other feeders, and she killed one of the cameras to death. There are 9 of them in total. From Erkuta, every 5 kilometers, up to Baydaratskaya Bay. Each cycle of seasonal monitoring provides tens of thousands of images and valuable scientific facts.

By the way, the wolverine did not appear on the footage of a month ago, but other predators “shone” with might and main.

“For the first time in 10 years we have filmed more than one species of predators on cameras, that is, they have ceased to be afraid of each other and, unfortunately, these are the predators that we least expect here, and which oppress the Arctic fauna – these are the fox and the magpie” , – says Alexander Sokolov, Deputy Director of the Arctic Research Station IERiZh UB RAS.

And exactly a week ago, the fox appeared on the farthest camera – at Cape Rock.The redhead had never gone so far to the North before. There are no explanations for this yet.

In the new winter expedition, the Yamal scientists are for the first time accompanied by colleagues from France.

“We came here because we want to start an experiment with cameras in Greenland, to design this study, the Yamal experience helps us. We are glad that we came here, because in Greenland we are not able to work in the winter due to the lack of logistics, ” – explained Olivier Gilg, a scientist from the University of Burgundy, France.

This year’s research promises to be even more accurate. Yerkut has its own weather station. The nearest one before that was located 150 kilometers in any direction. During the next expedition, scientists promise to return to the mystery of last year. They will again drive along the northernmost railway, under the bridges of which, by some quirk of nature, the Red Book Gyrfalcon are raising their chicks.

Last year, Yamal scientists examined 45 bridges up to the Kara Sea, on 5 of them they found living nests of the gyrfalcon.Cases when these birds of prey settled on man-made structures were known before, but it was always something deserted and abandoned. Perhaps the Yamal gyrfalcones were the first in the world to choose existing facilities as their home.

Clinical observation of a patient with Guillain-Barré syndrome after vaccination against COVID-19

1) Federal State Autonomous Educational Institution of Higher Education “Russian National Research Medical University. N.I. Pirogov “Ministry of Health of Russia, Moscow;
2) JSC “Medicine”, g.Moscow

Abstract. Vaccination is currently the most effective method of preventing the spread of highly contagious COVID-19 infection and its complications, which has been widely used in recent months around the world. The article presents a clinical observation of a 47-year-old patient with the development of clinically confirmed Guillain-Barré syndrome 18 days after the administration of the Sputnik V vaccine against COVID-19. On the example of the considered clinical case, the issues of the safety of vaccination against COVID-19 and the identification of patients at risk of developing side effects are discussed.

To date, there are numerous literature data that vaccination is the most effective method for preventing the spread of COVID-19 infection and associated complications [1–4]. Below is a clinical case of Guillain – Barré syndrome in a young patient after administration of the Sputnik V vaccine. This is one of the first observations of a patient with the development of serious neurological complications after vaccination against COVID-19.

CLINICAL CASE DESCRIPTION

Patient A., 47 years old, office worker, was admitted to the hospital of the clinic of JSC “Medicine” 01/18/2021.

Complaints on admission: weakness in the legs, less in the hands, constipation requiring an enema, straining when urinating.

History of the disease: the patient considers himself ill from 01/14/2021, when, after local hypothermia at home (he slept with the window open), he began to be bothered by headaches in the occipital region and severe weakness. 01/16/2021 asymmetry of the face appeared on the left, lacrimation from the eyes, more on the left.I went for an appointment with a neurologist of the polyclinic and was admitted to a hospital with a diagnosis of acute peripheral neuropathy of the facial nerve on both sides. The patient reported that on December 28, 2020, for a preventive purpose, he was vaccinated against COVID-19 infection: the first administration of the Sputnik V vaccine was performed.

Life history: for a long time the patient notes an increase in blood pressure (BP), up to a maximum of 160-170 / 90 mm Hg. Adapted to 130/80 mm Hg, he does not receive permanent antihypertensive therapy.

Observed on an outpatient basis with a diagnosis of multinodular goiter, euthyroidism. Impaired fasting blood glucose. Adenoma of the parathyroid gland. Right kidney cyst “.

Drug and allergic history: history of Quincke’s edema on penicillin.

Smokes 2 cigarettes a day since 2008

Condition on admission: relatively satisfactory. The physique is normosthenic, the food is moderate. Skin: face and neck are hyperemic, normal moisture, elastic.Visible mucous membranes: pink, clean, moist, shiny. Musculoskeletal system without visible pathology. Lymph nodes were normal. No edema. Body temperature 36.4 ° C. Free breathing through the nose. Respiratory rate 18 / min. The voice is clear, the palatine curtain does not hang. The ribcage is cylindrical, evenly participates in the act of breathing. With auscultation, breathing is carried out through all departments, vesicular, no wheezing. Pathological pulsation in the region of the heart, vessels of the neck and epigastrium is not observed.Percussion borders of the heart are not changed: right – along the edge of the sternum, left – 0.5 cm medially from the midclavicular line, the upper – in the third intercostal space. On auscultation, heart sounds are muffled, rhythmic, no murmurs.

HELL 160 \ 100 mm Hg Pulse 82 beats / min, rhythmic, satisfactory filling and tension. Appetite is preserved, but patient eats little due to difficulty in chewing. The tongue is moist and clean. The abdomen is of the correct shape, not swollen, participates in the act of breathing evenly, on palpation it is soft, painless.Auscultatory peristalsis is heard. The edge of the liver on palpation is sharp, elastic, painless. There are no dysuric phenomena. The kidney area is not visually changed. The tapping symptom is negative on both sides.

Nervous system: the patient is conscious, oriented, adequate. There are no meningeal symptoms. There are no speech disorders. The movement of the eyeballs in full. No nystagmus. Eye slits, pupils are equal. Light lagophthalmos on both sides, more on the left. Paresis of the circular muscle of the eyes on both sides.Convergence saved. The nasolabial folds are absent on both sides. A grin is impossible on both sides.

Tongue along the midline. Swallowing, phonation are not disturbed. Movements in the limbs in full. Strength and tone are not significantly changed. Reflexes without clear side difference. There are no pathological signs, no sensitivity disorders. The patient performs coordination tests satisfactorily on both sides. Stable in the Romberg position.

Movement in the spine is limited in the cervical spine on both sides due to pain syndrome.Palpation of the paravertebral points and points of the spinous processes is sharply painful in the cervical spine from both sides. Stretching symptoms: Neri – positive, Lassegue – negative on both sides. Defense of the paravertebral muscles in the cervical spine from both sides. The strength of the extensors of the first toes of both feet is normal. Deep sensitivities are not disturbed.

Clinical analysis of blood and urine is normal.

Study of a swab from the throat and nose by polymerase chain reaction (PCR) for COVID-19 – the result is negative.IgG antibodies to COVID-19 – 5.34 (positive), IgA antibodies to COVID-19 – 10.31 (positive).

It should be noted that already 18 days after the administration of the first dose of the vaccine, the patient had a protective titer of antibodies to COVID-19 infection. Although the data on the timing of the appearance of antibodies in those vaccinated with the Sputnik V vaccine is still preliminary, it is known that usually the immune response is formed much later – h …

G.E. Roitberg, J.V. Dorosh, N.V. Kondratova, G.N. Chudinskaya

: Analytics and comments :: AVA.MD

With the onset of 2021, the coronavirus pandemic, contrary to the expectations of optimists, has not receded and continues to keep governments, doctors, scientists and ordinary citizens around the world in suspense.

The measures taken by the authorities of different countries in an attempt to prevent the collapse of health systems differ in their severity and effectiveness, but in general, the crisis has affected the vast majority of people. Fear and ignorance, lack of confidence in the future against the backdrop of growing economic problems and gloomy statistics on the incidence of COVID infection – this is just a short list of challenges faced by the population of many countries.

Putin’s Russia is trying to exploit these fears to achieve its own geopolitical goals. Acting along the lines of its previous hybrid operations, Moscow is carefully studying the existing weaknesses of its potential victims and is channeling colossal funds and battle-hardened propaganda army to take control of these weak links, cultivate in target audiences a sense of distrust of the actions of its own authorities and wreak havoc. within their countries.

To date, the Kremlin propagandists have achieved the greatest success in promoting the Russian Sputnik V vaccine. Completely hushing up the statistics of their victims and deaths from coronavirus after the use of this vaccine, but in every possible way focusing attention on the victims from vaccines produced in other countries, acting where propaganda, where by bribery, information scandals and terror against all those who doubt the quality of the Russian vaccine, the Russian Federation managed to create Sputnik V the image of the “safest” and “effective” vaccine of all currently existing.

From the very beginning of the process of developing vaccines against coronavirus by the world’s giants, it was very clear that the Kremlin is entering this game with specific goals – and among them, concern for public health far beyond the top three.

It was also very clear that the Kremlin would not play by the rules, which certainly gives the Russian Federation a number of advantages – as in all bridgeheads of a hybrid war.

Not passed all phases of clinical testing? Not a problem! After all, you can simply say that Russia was the first to invent a vaccine against coronavirus – Sputnik V.Are Western Experts Fitting With Research Results? No question, because you can send a set of “verified data”, confirmed by the “most authoritative Russian experts”, in which, as a result, there are atypical statistical anomalies hinting at possible falsifications (after the most shameful story with the doping pyramid of Russian Olympic functionaries, attention to such assumptions became West even more intent).

When the pharma heavyweights – Pfizer / BionTech, AstraZeneca, Moderna – appeared on the market, Russians switched from exclusively praising Sputnik to a targeted campaign to discredit Western competitors.This is how the fake horror stories about mass deaths from the Pfizer vaccine in Norway, about the “horrific” statistics of thrombosis in patients around the world who received a dose of AstraZeneca, about degenerative diseases allegedly caused by the Moderna vaccine …

The US recently identified at least four Internet resources from which Russians – in different languages ​​- bombarded international audiences with false messages about the deadly threats of these vaccines. At the same time, Sputnik V was presented as the only effective alternative, from which no side effects were detected, there are no cases of re-infection with coronavirus, and even more so there is not a single death after vaccination with it.

Of course, there are many more such sites, and Moscow does not intend to stop in the near future on the path of glorifying its vaccine and compromising its competitors.

Carrying out such work on all continents, Russia either relies on long-standing friendships – for example, in African countries or in Italy, which last year Russian doctors (for some reason the military) vowed to save from illness, but apparently somehow did not grow together. Russia is right there when it feels that besides desperate attempts to get a vaccine for its own population, officials are not averse to warm their hands (hello Argentina!)

But in Slovakia, lobbyists for the Russian vaccine in the highest echelons of power got on their heads with a political crisis – when the Minister of Foreign Affairs openly spoke out against the Prime Minister, who carried out an allegedly almost secret operation and negotiated Sputnik supplies behind his colleagues’ backs.In this situation, the Minister of Health simply washed his hands and wisely resigned …

In a word – where Sputnik V is, there are problems.

By the way, despite all the loud statements from Moscow about the success of the Russian vaccine and the “incredible interest” shown to Sputnik around the world, the Russians themselves are in no hurry to vaccinate them. Only about 5 percent of the population has received their dose to date. In addition, it is important to note that the authorities are also in no hurry to advertise the vaccine among their own citizens.It is paradoxical, but true: trying to enter international markets and offering Sputnik to foreign clients, Russia simply does not have enough production capacity to satisfy even domestic demand.

It is difficult to say what the Kremlin is counting on, convincing foreign governments that the volumes and timing of deliveries are guaranteed … Paraguay, Argentina and Myanmar, by the way, have already burned themselves on such assurances. The delivery time has already been disrupted there.

But the most disgusting thing about this story is that the Russian authorities, as it turned out, are looking for opportunities to secretly purchase lots of Pfizer vaccine, continuing to hypocrite on their information platforms about the indispensability of Sputnik V.Apparently, there is no need to remind that Vladimir Putin, perfectly aware of the true “quality” of the Russian vaccine and the fact that in fact it cannot compete remotely with the same Pfizer in quality, flatly refused to be vaccinated with Sputnik. Russian officials also, apparently, are not particularly eager to inject themselves with something incomprehensible. Recently, State Duma Speaker V. Volodin actually confirmed this trend, saying that only 22 percent of the deputies had been vaccinated. So, it is easy to guess who exactly is intended for the Pfizer party, which Russia so wants to get, trying to organize the supply in the strictest secrecy, negotiating through its intelligence agents under the guise of diplomatic missions abroad.

In the post-Soviet space, the situation with the promotion of Sputnik V remains ambiguous.

In Ukraine, attempts to lobby for Sputnik V fail completely due to the toxicity of the figure of the main lobbyist – Putin’s godfather Viktor Medvedchuk, who was recently hit by a package of sanctions and who completely fell out of the information field after the blocking of the pool of his TV channels.

In Moldova, along with the AstraZeneca vaccine provided by Romania and the COVAX platform, as well as BionTech / Pfizer, the National Medicines Agency also registered Sputnik V.One can only guess what methods were used for this by the socialists who still control the Moldovan government, who slavishly worship everything that comes from the Russian Federation. Nevertheless, the incident caused a scandal in the Parliament of Moldova and, under pressure from pro-Western politicians, the distribution of the Russian vaccine was stopped. A. Nemerenko, health advisor to President Maia Sandu, commenting on this situation, said on Facebook that Sputnik V would be sold only in private clinics and vaccinated only for money.She also noted a wave of fake messages in some media and Telegram channels about the allegedly low quality of vaccines transferred by Romania.

It is obvious that Russia will fiercely fight for the Moldovan market and by hook or by crook, including using sharp contradictions in the policy of Moldova, continuing to lobby for its vaccine, although even I. Dodon, when he was President, said that it might not arrive until the end April, because there is a queue. That is, the residents of Moldova were asked, at the height of the pandemic, to wait several months (!!!) before the receipt of the Russian vaccine.Dodon clearly hoped to launch Western vaccines on the Moldovan market only after the arrival of the Russian one, regardless of the new surge in coronavirus diseases and hundreds of new deaths from this dangerous disease. But he lost the election and his plan fell through.

It remains for the authorities, experts, doctors and ordinary citizens to draw balanced conclusions and not succumb to the tricks and manipulations of the Kremlin. Indeed, looking closely at the supposedly “saving” ampoule with Sputnik V, you can only see a bear grin…

Read “Rudagand (SI)” – “El’Rau” – Page 32

The living threads themselves reproduced the required number of nats. It was only necessary to develop them themselves. The stagnation phase made it clear that it doesn’t matter how high the rank of the rudagandha is. The quality of pumping skills at each individual level is important.

Out of boredom, Ripper invested in the development of the abandoned skill of the second rank “Gloomy grin”. It would seem nonsense, because its more advanced analogue “Dark Roar” appeared in the development map of the Rudagandha in the branch available from the fourth rank.But …

Both skills have the same trigger mechanism and the main task is to cause a numb fear in the enemy in order to immobilize for a while. The only difference is in the strength of the impact. However, when Grim Grin reached the pumping limit, there was a sudden jump in parameters. The skill has changed, becoming an elite skill of the third rank, which is in no way inferior to “Dark Roar”.

Among other things, “Grim grin” has side effects. For a few seconds, Borgest received an invigorating boost.And the enemy, for the same time, seemed to sink into despondency and melancholy. The reluctance to live was almost physically felt, one had only to notice the effect on one or another Rudagandha monster. And this seemed to Ripper very strange, because the puppets, which they were considered to be, could not experience emotions.

It was believed that the alien boulders are just an obedient tool, nothing more. However, now everything seemed different to Ripper. He felt a pulsating living vein in every, even the smallest cobblestone. With his mind, he tried to sort everything out on the shelves, tried to limit new knowledge to the existing logic.It turned out badly. The more he tried, the less he understood.

– May my loneliness be like an ocean. I cannot draw it out and drink it. I look into it and feel a flaw that cannot be measured by any element. Feelings are full of themselves, because fear is not known that way, – Ripper hesitated, forgetting the next line. – My desires are like the wind on my lips, or like the salt of unshed tears. There is no good in them, only water. Mental thrashing is not serious. And all that remains to me is the darkness of emptiness. His cold embrace. And you can shout, but the lips are silent.Indulging death by conception …

Rudagandha threads soared around Ripper, forming the body of Borgest. Just a few moments, and now the darkness habitually embraced him from all sides. The guy relaxed. Consciousness calmed down, fully synchronized with the alien colossus. Now he felt the world through Borgest, he was as much as the thread-hard connection would allow. And so every day!

When, six months later, the “disciples” entrusted to Protea were able to transform their monsters, Mr. Karn decided to hold a general meeting-seminar.Ripper was also told to appear. As expected, the event turned out to be boring, because its main task was to brainwash the children. An inspiring speech by the head of the training center, a speech by the head of doctors and a demonstration lecture by Protea on the topic of pumping “dragon” skills – everything came together in one slogan: “you are the chosen one and therefore you must …”. And what he owes and to whom, and most importantly, why and why – a particular, which was carefully pushed into the shadows.

The worst thing about this seminar was that in the final the word was given to Ripper.Judging by Mr. Karn’s gaze, the man was hoping for another inspiring example. The guy really wanted to disappoint him to the very depths of his soul. But it seemed unfair to Ripper to send Protea’s efforts to the bottom of the company. He glanced at the absurd girl and noticed how she had changed since the time she worked on Yasher. And it was not so much about appearance as about character. Undoubtedly, she was benefited by the opportunity to teach, guide, take care of students, patronize them.But there was also something that remained unchanged.

“You are a great smart girl. Versatile. You quickly grasp any innovation. You come across so much with ease. And still, for some reason, you consider yourself inferior, flawed, – Ripper, as before, wondered why Protea tries to imitate everything and adapts to those who are not worth her little finger. – When will you mature enough to love yourself and believe in yourself?

“Dragon’s head”, as Proteus was sometimes called by others, suffered from a complex of contrived inferiority.And for some reason, she always looked at Ripper with hostility, as if he owed her and did not even remember how much. So, he did not begin to destroy the castles of the air of Mr. Karn and nullify the efforts of triad pilots.

– That’s right. I have almost nothing to add. Unless … – Ripper scratched his chin, thinking about what to say next, what else can be helped to the “disciples” of the followers of the “dragon head”.

– Protea, for a reason, suggests not to get hung up on pumping your levels of skills.You yourself noticed that the skills at the third and fourth ranks are similar to those that you now have at the second. It turns out that there is no need to pump the existing abilities to the limit. All the same, they cannot be compared with the same ones, but of a higher rank. She is right in saying that for now, you just need the skills to master the basic functions. Learn to use them, understand the principle of action, feel at the nato level what is happening and how. What for? – Ripper silently looked at Proteus. Then he nodded, as if he had received permission for further explanation.

– At the fourth rank, all of you will begin the “stagnation” phase. This is a very important and difficult cultivation period. It is needed to move to the fifth rank. Take a look at the Rudagandha development map. From the fifth rank to the tenth there are practically no new skills. It is not a glitch or a lack of access. In the “stagnation” phase, you will have the opportunity to pump all your skills to the limit. Then you will notice that the skills of the second level at their limit point receive an additional ability and improve to the third advanced rank.Also with the initial skills of the third and fourth levels. You will not be able to pump them right away. Therefore, wait for the “stagnation” phase. When cultivation reaches a special level.

– It turns out that the skills of the fifth level are pumped skills from the fourth? Then the second and third can also be upgraded to the fifth? – the disciples of Proteus immediately perked up.

– No, – in one fell swoop he dispelled the bright hopes of the guys. – Improved skills with a plus rank cannot be improved, no matter how many nats you would spend on them.

– Then why are they needed? Only the skills of the fourth rank to pump to the limit and that’s it!

– Hey, stop! But if it is possible to improve the skill only once, then it turns out that the skill cannot be raised above the fifth rank.

There was a din in the hall. Protea tried to raise her voice and calm everyone, but no one listened to her.

– It’s not like that! – Ripper shouted loudly and slammed the counter to heighten the effect. – Starting at rank 5, the cultivation conditions change a lot. For example, you can combine similar skills of different ranks.Thus, getting a new skill. This ability will become available during the “zealous” phase. Having advanced beyond the fifth rank, you will be able to combine even dissimilar skills. It’s too early for you to know what will happen next. To begin with, go to the sixth or even seventh rank.

– Soon certification, – it seems Protea has finally found what to say and how to lead the conversation into a neutral channel. – All of you have to prepare for friendly sparring.

– Will Volum and Borgest also fight? – came the expected question from the audience.

– No. Our task is to control the course of the battle as special observers. ”Protea put on a smile that seemed to Ripper a deceitful fox grin.

Two months remained before certification. In fact, Ripper disagreed with Proteus. He believed that it was worth initially pumping skills to the limit, and only then moving to the next rank and already on it to distribute the accumulated nats into new skills. So the transitions between levels will take a little longer, but the effectiveness of the rudagand at each rank will become maximum.However, Ripper decided not to share his thoughts with anyone yet. In the end, he did not develop friendly relations with any of those present, rather the opposite.

Capitalism’s eerie grin. 🙂 – Anarchy

Side effects of the struggle of worldviews – inner fight club “millennium” – LiveJournal

The war in Syria, in which (as every civil activist knows from the Western media that never lies), bloody Vlad Putin personally flies out in a “Russian machine of destruction” to bombing the moderate opposition fighting the tyrant Assad in conscience has some curious side effects.

For example, as reported by The Gospel Herald, thousands of Muslim Kurds in northern Iraq have suddenly become interested in Christianity.

According to the head of the Kurdish regional office of the Christian Relief Mission, people want to learn about Christ after stories of miraculous healings, mercy and love.

These stories made an impression on the Muslim Kurds after a close acquaintance with the pseudo-Muslim shaitans of the “Iblis state”.And also for the reason that the aforementioned organization and others similar to it gave food, water and shelter to 900 thousand refugees. The contrast played a role, as they say. The stories of mercy sound very convincing from the lips of the people who fed the listener and gave him a place in the tent.

Humanity in its development is steadily moving towards harmony. While Hellenistic culture gave impetus to this development, it dominated the Mediterranean. Then this culture rotted, and it was replaced by the Roman culture.Also, at first, it was quite clean and pushed the society in the right direction.

When the Roman society was mired in perversions and other degenerative moments, Christianity appeared inside it, like a wasp larva inside an infected caterpillar. Then it hatched and took over in harmony. However, it was the turn of Christianity, first to split into two large branches, and then to rot (we are talking about the western branch – Catholicism, originally based on the pride of the Roman curia; the eastern branch developed in a different way).

When Western Christianity was rotten through and through, its internal resources to generate something new immediately were not enough, but a new religion appeared – Muslim. She and her followers at the time of their appearance were internally more harmonious than Catholicism, and therefore Islam began to spread rapidly, pushing Christians away.

However, contacts with the “Franks” were not in vain. Islam also began to rot, and when the process went far, the Reformation was born within Catholicism. Compared to the Catholic clergy, mired in drunkenness and debauchery, Lutherans, Calvinists and other Protestants were much less attached to the earthly, striving for spirituality, which gave these branches of Western Christianity the opportunity to gain strength.

Then everything was according to the same scheme. As soon as one of the worldviews that had previously pushed the masses of people towards greater awareness and increased harmony, rotted away, a certain counterbalance immediately appeared.

Why do you think German women are so willing to marry Wahhabis and convert to Islam? Because in Germany Christianity has completely rotted away. Churches are being turned into gyms and clubs, propaganda of homosexuality and other things in this vein reigns everywhere. So people rush to the other extreme.

However, Wahhabism / Salafism is extreme in the Middle East.And Christians helping refugees, in comparison with shaitans, look much more harmonious, attracting, for example, Muslim Kurds to their worldview.

Russian civilization stands apart from this whole process, where there is really freedom of religion, and the general striving of society for harmony after the intoxication of the end of the last century has increased many times. Therefore, many foreigners who marry Russian women willingly convert to Orthodoxy, shining like a beacon against the background of the degenerate Sabbath taking place in Europe.

In general, further I am too lazy to describe what is obvious to me. I think you get the idea.

I will end with the following statement: the general vector of human development towards harmony does not change, regardless of how Yin and Yang fight inside the wheel of being rolling forward. And the best feeling in this wheel is those who try to stay in the middle, without falling into either Western or Middle Eastern extremes. That is, we are.

This is one of the reasons why the XXI century will be the Century of Russia.

Hypocritical grin of European “freedom”: how Europe has sunk to the censorship of the Russian media

The European establishment is once again expanding its own vision of “threats from the East.” Now their “piggy bank” has been replenished with one more image – a man with a dictaphone and a video camera. On the eve of the MEPs voted for the adoption of a resolution on counteracting the Russian media, allegedly conducting “hostile propaganda”. To reinforce such rhetoric, European parliamentarians did not even hesitate to compare Russia’s opposition in this area with the fight against the “Islamic State” (the group is banned in the Russian Federation).

In the adopted document, the Sputnik news agency and the RT channel were named the most dangerous resources for the West. It is noteworthy that, even despite the alarming analogies with IS voiced, this decision was supported by only less than half of the deputies: 304 out of 691. 208 parliamentarians abstained from expressing their opinion at all, and 179 strongly opposed the adoption of such an openly provocative document.

Inspired by Orwell

It is known that the resolution entitled “EU Strategic Communications as Counteraction to Third Party Propaganda” was initiated by the Polish MP Anna Fotyga.The document turned out to be crammed with an impressive number of anti-Russian clichés, traditional for the current composition of the European Parliament. However, it was the aggressive attacks against the Russian media that caused the greatest resonance. In particular, the document practically proposed to introduce censorship in relation to the press from the Russian Federation, and also reflected a recommendation to the EU countries to adopt “legal initiatives to solve the problem of disinformation and propaganda.” Particularly cynical against this background was the need, emphasized in the same resolution, “to observe media pluralism and freedom of information.”

It is known about the author of the scandalous document that she has been serving for the second term in the European Parliament, and in general, in politics, she positions herself as a professional “fiery revolutionary” since the days of Lech Walesa’s “Solidarity”. It was in those early years that the star of the young graduate of the Trade Faculty of the University of Gdansk was lit up. At first, having joined the protest movement popular among Polish youth, she ended up in the international negotiations department of this opposition organization, and then headed the so-called “Bureau of Foreign Affairs” of “Solidarity”.The closeness to Walesa brought yesterday’s trade specialist to the highest circles of the new Polish government: Fotyga managed to stay in the post of foreign minister of the country (albeit not for long – only a year), headed the office of the Polish president (also for a year), and sat in the Polish Sejm.

Recently, the “revolutionary” has firmly established herself in Strasbourg, where she represents her country in the European Parliament, being considered one of the most odious representatives of the group of European conservatives.

It is interesting that Fotyga and her associates also expect to put the fight against the Russian media on a professional basis. It is known that the European Union allocates a very substantial budget for these purposes, the initial size of which is already estimated at one million euros. The EU Observer portal, which revealed the details of this plan, reported that a certain “working group on information countermeasures to Russia” has already been created within the EU. It is she who will have to master the financing of future measures to combat Russian journalists.Note: the current scandalous decision of the European Parliament so far has the status of only recommendations. It is not difficult to assume that with its adoption one can expect the creation of official structures, such as those described in George Orwell’s novel “1984” …

“Standards” of pseudo-democracy

Russian President Vladimir Putin believes that the decision of the European Parliament can be regarded as nothing other than “an absolutely obvious degradation (in the political sense of the word) of the concept of democracy in Western society, in this case at the level of the European Parliament.”As the Russian leader recalled, “quite recently, and these attempts are still continuing, everyone has tried and is still trying to teach democracy. And we have always heard from these teachers that the most vicious way to deal with opponents is to prohibit something, that it does not correspond to the principles and norms of democracy. The best way is to openly discuss and present in this discussion your bright and convincing arguments in defense of your point of view. ”

At the same time, Vladimir Putin assumes that in this situation common sense will prevail and no restrictions will follow.At the same time, the head of the Russian state supported the journalists who prompted the representatives of the representative European body to make such decisions.

“I would like to congratulate them on the fact that they are doing, apparently, very actively, efficiently and talentedly,” the President of Russia noted.

In the Russian Foreign Ministry, the European Parliament’s resolution on counteracting the Russian media was directly called a “crime”. This is how Maria Zakharova, Director of the Information and Press Department of the Russian Foreign Ministry, described the situation when “in the presence of a real threat in the form of terrorism, fundamentalism, and moreover, a breeding ground in the form of nationalism, xenophobia, the view of the international community is taken in a completely different direction.”

According to Zakharova, Western politicians do not give people the opportunity to analyze and think based on alternative sources of information. In this regard, she recalled: “only in a dispute is the truth born, only if there are several arguments, you can understand how to proceed.”

Russian parliamentarians are unanimous in the opinion that the adoption by the European colleagues of such an odious resolution is not aimed at rapprochement of positions. For example, Konstantin Kosachev, chairman of the Federation Council Committee on International Affairs, believes that such documents “are an instrument of propaganda and information warfare.”Another senator, Alexei Pushkov, believes that the adopted resolution “creates a myth about the Russian information threat, and also testifies to the unpreparedness of MEPs for competition and the crisis of the liberal elite in the EU.”

First Deputy Chairman of the Federation Council Committee on Defense and Security Franz Klintsevich calls the adoption of the resolution a “black day” in the history of the European Parliament.

“In fact, the voices of the Russophobic minority trampled down, reduced to zero, freedom of speech, which the West initially postulated as its main value, as the basis of the foundations of democracy,” he said.

Leonid Slutsky, head of the Russian State Duma’s international affairs committee, did not rule out retaliatory measures in the event of censorship of the Russian media in the European Union. True, he expressed the hope that common sense will prevail and that it will not come to this. In turn, Deputy Speaker of the State Duma Pyotr Tolstoy proposed to allocate a million euros planned for the information war to accommodate and improve refugees.

“This would correspond to the humanistic values ​​declared by Europe much more,” he believes.

Not freedom of speech

It is interesting that in the European Parliament itself, opinions on the adoption of the resolution were divided. The impressive number of those who abstained and voted against this anti-Russian statement is a vivid confirmation of this. During the preparation of the document, the most harsh statements were removed from it. Such as “propaganda war”, “hostile propaganda”, as well as references to certain “authoritarian regimes”, which supposedly “take an example from the Kremlin.”

Spanish MEP Javier Kouso Permui called the document prepared by his Polish colleague Anna Fotyga as “inadequate, dangerous”.

“It is aimed at confrontation,” says the Spanish MEP. – This is an infringement on freedom of information. To put a state, which is a member of the UN Security Council and other international organizations, on a par with the terrorist group ISIS, which distributes videos of torture and murder, is an insult to intelligent Europe. “

Javier Kouso Permui also points out that the resolution ignores US propaganda “to legitimize recent incursions into, for example, Iraq, leading to regional chaos.”

French MEP Emerick Shoprad noted that this document overlooks the existence of strong anti-Russian propaganda in the West, which is being carried out in the major world media.

“They talk about RT, but they don’t talk about CNN, BBC, other Anglo-Saxon and French channels,” the parliamentarian notes.”In general, the resolution aims to create a unified point of view on the world, interfere with the free competition of information and limit Russia’s presence in the information market.”

It is worth noting that Sputnik has already approached international organizations such as the UN, UNESCO, OSCE and Reporters Without Borders, with a request to take measures to prevent restrictions on media freedom in the EU. The appeal was also sent to the European Federation and the International Federation of Journalists, the International Center for Journalism (USA), the International Press Institute (Austria), the Committee to Protect Journalists (USA) and the international organization Censorship Index (UK).

Sputnik Editor-in-Chief Margarita Simonyan said that “the European Parliament’s resolution strikes a blow at the authoritative Russian media and is aimed at stopping their activities in the European Union.” By the way, the head of the news agency also emphasizes that the decision taken contradicts a number of the EU’s own standards in the field of human rights and freedom of the media. For example, article 19 of the International Covenant on Civil and Political Rights, article 11 of the EU Charter of Fundamental Rights, as well as the 2012 EU resolution on the development of a Digital Freedom Strategy in EU foreign policy.

Censorship ricocheted

According to Timur Shafir, Secretary of the Union of Journalists of Russia, head of the International Department of the UJR, the resolution of the European Parliament poses a danger of direct violation of the rights of Russian journalists, and also, which is no less dangerous in the future, of the introduction of direct censorship throughout Europe.

“Any restriction on the work of the media, any restriction of the rights of journalists to access information and deliver it to the audience, clearly as well as the right of people, peoples to receive this information, runs counter to the statutory, fundamental principles on which the common European project was originally based” , – notes the secretary of the UJR.

“It is no longer surprising that the authors of the resolution, on the one hand, accusing the Russian media of“ engagement ”and“ propaganda, ”demand their limitation, and on the other, without even for a moment doubting their own infallibility, demand an increase in the budget of the so-called “European groups for information countermeasures,” – said Timur Shafir. – In the face of such a blatant use of the practice of double standards (all media are equal, but some are “more equal”), in the face of the fact, in fact, of directly pushing for censorship and professional segregation, in a situation where journalists are increasingly being used as weapons of information warfare , the authors of such resolutions continue to find the strength, confidence and audacity to use the concept of “freedom of speech and information”.