E170iColour · Stabiliser
Calcium carbonate
What the research shows
PrototypeConflicting
studies in people disagree or haven’t settled it
6 health findings on this page · See the findings
What research says
Studies in people
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Benefit
Phosphate control in dialysis patients4
In people on dialysis, cheese with added calcium carbonate led to lower phosphate rises between sessions than regular cheese.
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No harm found
Bone density in teens5
In teens with HIV, calcium carbonate plus vitamin D did not change bone density overall.
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Concern
Thyroid hormone absorption6
Taking calcium carbonate within two hours of thyroid pills raised TSH and cholesterol in women.
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Open question
Bone health in children7
In children with HIV, scientists are testing whether calcium carbonate plus vitamin D helps bones grow stronger.
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Benefit
Calcium absorption in teen girls8
In teen girls, calcium carbonate supplements helped the body hold onto more calcium than a placebo, but smaller particles were no better.
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Open question
Calcium absorption after stomach surgery9
In people who had stomach-shrinking surgery, calcium citrate got into the body better than calcium carbonate.
Study type not stated
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Open question
How well calcium is absorbed11
Scientists do not yet know whether calcium carbonate needs stomach acid to be absorbed well.
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Concern
Aluminium in a food additive12
Calcium carbonate can contain small amounts of aluminium, which scientists say is a concern.
How it’s made and used
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How much calcium the body absorbs3
In people, calcium from calcium carbonate was absorbed about as well as from another calcium supplement.
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What it does in food10
Calcium carbonate is used in food to carry nutrients and hold mixtures and gels together.
The signal at the top counts the findings in people and in animal and lab studies. A concern in studies of people outranks animal and lab studies, and “No concerns” needs at least two findings in people. Findings whose study type is not stated are shown but not counted. This page is a reference, not medical advice. It describes what regulators and published research say. Talk to a doctor or dietitian about your own diet.
Regulatory status
Checked Sep 2026-
United States Permitted FDA 21 CFR 73.70
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Canada Permitted Health Canada · Colouring Agents
Status reflects the named register on the date checked. It is not a safety rating. A country appears here once we've found this ingredient on its official list.
How we checkProducts
The 6 most-scanned of 17,212 products on Open Food Facts that list calcium carbonate.
- Geröstete Mandel Ohne Zucker alpro · 1 l 3 additives
- White Ciabatta Sourdough Bread Jason's Sourdough · 580 g 0 additives
- Sliced White Sourdough Bread with Grains & Seeds Ciabattin Jason's · 580 g 0 additives
- sourdough bread jason's sourdough · 450 g 0 additives
- Seeded Sourdough Bread Specially Selected · 500 g 0 additives
- JASON'S SOURDOUGH JASON'S SOURDOUGH · 450 g 0 additives
References
- 1Calcium carbonate: ingredient taxonomy entry. Open Food Facts.
- 2Calcium carbonate. Wikipedia. Accessed September 25, 2026.
- 3Wiria M, Tran HM, Nguyen PHB, Valencia O, Dutta S, Pouteau E. Relative bioavailability and pharmacokinetic comparison of calcium glucoheptonate with calcium carbonate. Pharmacol Res Perspect. 2020;8(2):e00589. doi:10.1002/prp2.589
- 4Ardissino G, Matta R, Patricelli M, et al. Calcium carbonate-enriched cheese to improve nutrition, compliance and phosphorus control in patients on kidney replacement therapy. J Nephrol. 2022;35(1):305-309. doi:10.1007/s40620-021-01102-1
- 5Ferrand RA, Dzavakwa NV, Bandason T, et al. Impact of high-dose vitamin D and calcium carbonate supplementation on bone density in adolescents living with HIV: a randomised, placebo-controlled trial. Lancet Child Adolesc Health. 2026;10(2):111-121. doi:10.1016/S2352-4642(25)00301-3
- 6Morini E, Catalano A, Lasco A, Morabito N, Benvenga S. L-thyroxine malabsorption due to calcium carbonate impairs blood pressure, total cholesterolemia, and fasting glycemia. Endocrine. 2019;64(2):284-292. doi:10.1007/s12020-018-1798-7
- 7Dzavakwa NV, Chisenga M, McHugh G, et al. Vitamin D(3) and calcium carbonate supplementation for adolescents with HIV to reduce musculoskeletal morbidity and immunopathology (VITALITY trial): study protocol for a randomised placebo-controlled trial. Trials. 2022;23(1):78. doi:10.1186/s13063-021-05985-0
- 8Elble AE, Hill KM, Park CY, Martin BR, Peacock M, Weaver CM. Effect of calcium carbonate particle size on calcium absorption and retention in adolescent girls. J Am Coll Nutr. 2011;30(3):171-7. doi:10.1080/07315724.2011.10719957
- 9Tondapu P, Provost D, Adams-Huet B, Sims T, Chang C, Sakhaee K. Comparison of the absorption of calcium carbonate and calcium citrate after Roux-en-Y gastric bypass. Obes Surg. 2009;19(9):1256-61. doi:10.1007/s11695-009-9850-6
- 10Dong Y, Liu Z, Lan T, Zhang Y, Sui X. Calcium carbonate particles: Template-driven structural design and functional innovation applications in food systems. Food Chem. 2025;485:144447. doi:10.1016/j.foodchem.2025.144447
- 11de Jonge HJ, Gans RO, Huls G. [Calcium suppletion for patients who use gastric acid inhibitors: calcium citrate or calcium carbonate?]. Ned Tijdschr Geneeskd. 2012;156(34):A4343.
- 12Younes M, Aquilina G, Castle L, et al. Re-evaluation of calcium carbonate (E 170) as a food additive in foods for infants below 16 weeks of age and follow-up of its re-evaluation as food additive for uses in foods for all population groups. EFSA J. 2023;21(7):e08106. doi:10.2903/j.efsa.2023.8106