How do you manage osteopenia, osteoporosis and calcium / Vit D supplementation in a patient with calcinosis?

Calcinosis is mineralization of the blood vessels.

Currently, there is no evidence to support any association with circulating calcium levels and calcinosis. Therefore, calcium and vitamin D supplementation at recommended levels for age will not increase calcinosis. Also, remember that ASCVD, renal disease, and osteoporosis are all chronic low-grade inflammatory diseases of aging. These diseases cluster together, however, there is no evidence that calcium supplements worsen calcinosis.