Calcitonin: What It Is and How It Controls Calcium Balance
Calcitonin is a hormone that plays a key role in maintaining healthy calcium levels in the body. Although it works quietly behind the scenes, calcitonin is essential for bone strength, calcium balance, and skeletal health.
Understanding how calcitonin functions can help explain how the body protects bones and prevents excessive calcium buildup in the blood.
What Is Calcitonin?
Calcitonin is a hormone produced by the thyroid gland, specifically by specialized cells called C cells. Its primary function is to help regulate calcium and phosphate levels in the blood, working alongside other hormones like parathyroid hormone (PTH) and vitamin D.
How Calcitonin Regulates Calcium Levels
Calcitonin lowers blood calcium levels when they become too high. It does this through several mechanisms:
1. Inhibits Bone Breakdown
Calcitonin slows the activity of osteoclasts, the cells responsible for breaking down bone tissue and releasing calcium into the bloodstream.
Result:
More calcium stays stored in the bones, supporting bone density.
2. Reduces Calcium Release Into the Blood
By limiting bone resorption, calcitonin helps prevent excess calcium from entering circulation.
Why this matters:
High calcium levels (hypercalcemia) can lead to kidney stones, heart rhythm problems, and weakened bones.
3. Supports Calcium Excretion by the Kidneys
Calcitonin signals the kidneys to excrete more calcium through urine, further lowering blood calcium levels.
Calcitonin vs. Other Calcium-Regulating Hormones
Calcitonin works in balance with other key hormones:
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Parathyroid Hormone (PTH): Raises blood calcium levels
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Vitamin D: Increases calcium absorption from food
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Calcitonin: Lowers blood calcium levels
Together, these hormones maintain stable calcium levels essential for nerve function, muscle contraction, and bone health.
Why Calcitonin Is Important for Bone Health
Calcitonin plays a protective role by:
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Preserving bone mass
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Reducing bone loss
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Supporting skeletal strength
Because of these effects, synthetic calcitonin has been used in certain cases to help manage osteoporosis and bone pain, although newer treatments are more commonly used today.
What Happens If Calcitonin Levels Are Abnormal?
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Low calcitonin levels: Usually cause no symptoms and are often not clinically significant
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High calcitonin levels: May be associated with thyroid conditions and require medical evaluation
Doctors may measure calcitonin levels when assessing thyroid disorders or calcium imbalances.
Final Thoughts
Calcitonin is a vital hormone that helps regulate calcium levels and protect bone health. By reducing calcium release from bones and promoting calcium excretion, it plays a crucial role in maintaining balance within the body’s skeletal system.
Understanding how calcitonin works provides valuable insight into bone metabolism, calcium regulation, and hormonal balance.

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