What is your approach to patients with recurrent nephrolithiasis and hypercalciuria who take daily calcium supplements?

Calcium-based stone disease and osteopenia/porosis commonly occur together in postmenopausal women. Calcium supplements are the basic treatment for osteopenia/porosis but may aggravate stone disease in hypercalciuric patients.

My approach is first to ask our Stone Clinic dietitian to estimate the pa...