Evigrade

Calcium D-glucarate

Calcium salt of D-glucaric acid (food supplement under Spanish RD 1487/2009)

ATC code: A12AX-CDG

Brand names – supplements: Solgar Calcium D-Glucarate, Thorne Calcium D-Glucarate, Pure Encapsulations Calcium D-GlucarateSupplements are not tested in clinical trials and are not registered as medications.

Updated · Methodology

Marketing claims without evidence base

The drug is promoted for these uses outside international guidelines. Each entry below is analyzed against AEMPS, FDA, EMA, Cochrane and major RCTs.

D

Breast cancer prevention via supplements

Not recommended

Calcium D-glucarate is a salt of glucaric acid, sold as a "detox" supplement and promoted for breast cancer prevention through its effect on estrogen metabolism. The supplement has not shown convincing benefit for this use: there are no quality human studies that prove a lower breast cancer risk. What does lower risk is not smoking, keeping a healthy weight, limiting alcohol, age-appropriate screening, and discussing personal risk factors with a doctor. Do not take this supplement instead of approaches with proven benefit, since that can mean missing prevention or treatment that works

D

Estrogen metabolism

Not recommended

Calcium D-glucarate is sold as a supplement for so-called estrogen detox, on the idea that it slows the gut enzyme beta-glucuronidase and speeds estrogen clearance. For this use there is no solid evidence that it changes hormone levels or affects health. If you are worried about estrogen excess or related symptoms, a gynecologist or endocrinologist can look into the cause, which a supplement cannot do. The substance itself is well tolerated at usual doses.

How to read tiers A–F
  • AStrong evidence – first or second line in international guidelines
  • BRecommended in selected cases
  • CStudy data contradict each other
  • DBenefit not proven, no documented harm
  • FDocumented harm, or risk without benefit

Mechanism of action

In the gut releases D-glucaric acid, converted in the body into D-glucaro-1,4-lactone, an inhibitor of β-glucuronidase. Theoretically slows intestinal deconjugation of estrogens and other substrates, accelerating their elimination. The data come from rat models (Walaszek 1997); in humans the effect on estrogen metabolism is not confirmed by clinical research. The product is not registered with AEMPS or and is sold as a food supplement.

Safety

Contraindications

  • Hypersensitivity to glucarate or calcium
  • Hypercalcaemia and hyperparathyroidism
  • Drugs with enterohepatic recirculation (oral contraceptives, tamoxifen) without medical review
  • Pregnancy and lactation

Serious adverse effects

  • Reduced efficacy of tamoxifen and other drugs with enterohepatic recirculation (theoretical)

Common adverse effects

  • Gastrointestinal discomfort
  • Constipation (calcium-related)
  • Reduced oral contraceptive efficacy (theoretical)

Pregnancy: can you take Calcium D-glucarate?

Not recommended. Pregnancy safety data are absent; theoretically accelerated estrogen clearance may affect gestational hormonal status.

Breastfeeding: can you take Calcium D-glucarate?

Not recommended. Lactation data are absent. eLactancia rates this as moderate risk due to theoretical effects on maternal estrogen status.

Reference information, not a clinical decision. Discuss feeding pauses or changes with your physician or an IBCLC.

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Frequently asked

What is Calcium D-glucarate used for?

Calcium D-glucarate is evaluated for the following indications with varying evidence strength: Breast cancer prevention via supplements (evidence tier D), Estrogen metabolism (evidence tier D). See the full indication matrix with dosing and citations above on this page.

What are the side effects of Calcium D-glucarate?

Common side effects of Calcium D-glucarate (≥ 1 in 100): Gastrointestinal discomfort, Constipation (calcium-related), Reduced oral contraceptive efficacy (theoretical). See the Safety section for uncommon and serious reactions.

Is Calcium D-glucarate safe during pregnancy?

Not recommended. Pregnancy safety data are absent; theoretically accelerated estrogen clearance may affect gestational hormonal status.

Is Calcium D-glucarate compatible with breastfeeding?

Not recommended. Lactation data are absent. eLactancia rates this as moderate risk due to theoretical effects on maternal estrogen status.

Who should not take Calcium D-glucarate?

Calcium D-glucarate is contraindicated in: Hypersensitivity to glucarate or calcium; Hypercalcaemia and hyperparathyroidism; Drugs with enterohepatic recirculation (oral contraceptives, tamoxifen) without medical review; Pregnancy and lactation. Full list in the Safety section.

Other drugs in this group

Chromium picolinate, Copper, Magnesium (oral salts: citrate, glycinate, oxide, sulfate), Magnesium L-threonate (Magtein), Manganese, Potassium citrate, Boron, Magnesium sulfate