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Guideline perspective·2026

Calcium intake and stone risk: guidelines and research

Page updated:2026-10-21

Guideline overview

EAU urolithiasis guidance includes normal dietary calcium among general preventive measures. Dietary calcium and additional supplements require separate assessment.

Research focus
Calcium intake in people at risk of urinary stones
Study design
Guideline context and evidence synthesis
Study population
Guidelines and pooled research
Publication / contributor
European Association of Urology (EAU) and other sources

Key recommendations

Calcium intake and stone risk: guidelines and research — Study information
MeasureResultContext
Dietary calciumMaintain normal intakeGeneral preventive measures
Additional supplementsIndividual assessmentConsider separately from dietary intake

Practical considerations

EAU urolithiasis guidance includes normal dietary calcium intake among general prevention measures. Fluid intake, dietary pattern and metabolic assessment contribute to stone-risk management, with dietary calcium and additional supplements assessed separately.

Stone composition, metabolic findings and coexisting conditions help guide nutrition plans. Specific settings such as enteric hyperoxaluria have corresponding management recommendations.

Application notes

This article concerns the EAU chapter on metabolic evaluation and recurrence prevention, with an emphasis on dietary and metabolic management. Recommendations depend on stone type and assessment findings.

For people with previous stones or renal impairment, nutrition and supplementation plans should take renal function, medicines and ongoing treatment into account.

References

European Association of Urology. EAU Guidelines on Urolithiasis: Metabolic Evaluation and Recurrence Prevention.

  1. EAU Guidelines on Urolithiasis: Metabolic Evaluation and Recurrence PreventionGuideline
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