Are you wondering how much calcium you need daily to keep your bones strong and your body functioning properly? At HOW.EDU.VN, we understand the importance of this essential mineral and how it supports overall health, offering you expert advice from leading professionals. This article will give you the daily recommended intake of calcium, the best food sources, and how to supplement if necessary, while addressing related concerns and how you can connect with our team of Doctors for more insights. Let’s discover the key to maintaining healthy calcium levels, ensuring a healthier, stronger you, and explore the role of bone density and the benefits of consulting with a doctor.
1. What is Calcium and Why is it Important?
Calcium is a vital mineral for building and maintaining strong bones and teeth. It plays a crucial role in various bodily functions, including muscle movement, nerve transmission, and hormone release. The human body stores nearly all of its calcium in the bones and teeth, which are responsible for maintaining their structure and hardness.
1.1. Key Functions of Calcium in the Body
- Bone Health: Calcium provides the necessary foundation for building and maintaining bone strength, preventing osteoporosis and fractures.
- Muscle Function: Calcium is essential for muscle contraction, enabling movement and physical activity.
- Nerve Transmission: Calcium helps nerves transmit messages between the brain and the body, ensuring proper communication and function.
- Blood Clotting: Calcium plays a role in the blood clotting process, which is necessary for wound healing and preventing excessive bleeding.
- Hormone Secretion: Calcium helps release hormones that regulate many bodily functions, including growth, metabolism, and reproduction.
1.2. The Role of Vitamin D in Calcium Absorption
Vitamin D is necessary for the body to absorb calcium effectively. Without sufficient vitamin D, the body cannot utilize calcium properly, which can lead to deficiencies and health problems. It is important to ensure adequate vitamin D intake through sunlight exposure, diet, or supplements to optimize calcium absorption.
2. How Much Calcium Do I Need a Day?
The recommended daily calcium intake varies depending on your age, sex, and life stage. Meeting these needs is essential for maintaining optimal bone health and overall well-being. Here’s a detailed breakdown of the recommended daily allowances (RDAs) for calcium:
Life Stage | Recommended Amount (mg) |
---|---|
Birth to 6 months | 200 mg |
Infants 7–12 months | 260 mg |
Children 1–3 years | 700 mg |
Children 4–8 years | 1,000 mg |
Children 9–13 years | 1,300 mg |
Teens 14–18 years | 1,300 mg |
Adults 19–50 years | 1,000 mg |
Adult men 51–70 years | 1,000 mg |
Adult women 51–70 years | 1,200 mg |
Adults 71 years and older | 1,200 mg |
Pregnant and breastfeeding teens | 1,300 mg |
Pregnant and breastfeeding women | 1,000 mg |
2.1. Calcium Needs for Infants and Children
Infants and children require different amounts of calcium to support their rapid growth and development. The recommended amounts are:
- Birth to 6 months: 200 mg per day
- Infants 7–12 months: 260 mg per day
- Children 1–3 years: 700 mg per day
- Children 4–8 years: 1,000 mg per day
- Children 9–13 years: 1,300 mg per day
These amounts ensure that children build strong bones and teeth as they grow.
2.2. Calcium Needs for Adolescents
Adolescents need higher amounts of calcium during their teenage years due to rapid bone growth. The recommended intake for teens aged 14-18 is 1,300 mg per day. This is a critical period for building bone mass, which can affect bone health later in life.
2.3. Calcium Needs for Adults
Adults need to maintain sufficient calcium levels to preserve bone density and prevent bone loss. The recommended intake for adults aged 19-50 is 1,000 mg per day. Women over 50 and men over 70 should increase their intake to 1,200 mg per day to compensate for age-related bone loss.
2.4. Calcium Needs During Pregnancy and Breastfeeding
Pregnant and breastfeeding women have increased calcium requirements to support both their health and the development of their babies. The recommended intake is 1,000 mg per day for pregnant and breastfeeding women. Teen mothers need 1,300 mg per day.
3. What are the Best Food Sources of Calcium?
Consuming calcium-rich foods is the most effective way to meet your daily requirements. Dairy products, fortified foods, and certain vegetables are excellent sources of calcium.
3.1. Dairy Products
Milk, yogurt, and cheese are the most common and easily accessible sources of calcium. They offer high levels of calcium and are readily absorbed by the body.
- Milk: One cup of milk contains about 300 mg of calcium.
- Yogurt: One cup of yogurt contains about 400 mg of calcium.
- Cheese: One ounce of cheddar cheese contains about 200 mg of calcium.
3.2. Fish with Edible Bones
Canned sardines and salmon with bones are excellent sources of calcium. The bones in these fish are soft and edible, providing a significant amount of calcium.
- Sardines: 3 ounces of canned sardines with bones contain about 325 mg of calcium.
- Salmon: 3 ounces of canned salmon with bones contain about 180 mg of calcium.
3.3. Leafy Green Vegetables
Certain leafy green vegetables like kale, broccoli, and Chinese cabbage (bok choy) are good sources of calcium, although the calcium may not be as readily absorbed as from dairy products.
- Kale: One cup of cooked kale contains about 90 mg of calcium.
- Broccoli: One cup of cooked broccoli contains about 60 mg of calcium.
- Bok Choy: One cup of cooked bok choy contains about 75 mg of calcium.
3.4. Fortified Foods and Beverages
Many foods and beverages are fortified with calcium to increase their nutritional value. These include fruit juices, milk substitutes (soy and almond beverages), tofu, and ready-to-eat cereals. Always check the product labels to confirm the calcium content.
- Fortified Orange Juice: One cup can contain up to 350 mg of calcium.
- Fortified Almond Milk: One cup can contain up to 450 mg of calcium.
- Fortified Tofu: Half a cup can contain up to 200 mg of calcium.
4. What Types of Calcium Supplements are Available?
When dietary sources are insufficient, calcium supplements can help you meet your daily requirements. There are several types of calcium supplements available, each with its own advantages and considerations.
4.1. Calcium Carbonate
Calcium carbonate is the most common and cost-effective form of calcium supplement. It contains a high concentration of calcium and is best absorbed when taken with food. Many over-the-counter antacids, such as Tums and Rolaids, also contain calcium carbonate.
4.2. Calcium Citrate
Calcium citrate is another popular form of calcium supplement that is easily absorbed on an empty or full stomach. It is a good option for older adults and individuals with low stomach acid, as it does not require stomach acid for absorption.
4.3. Other Forms of Calcium
Other forms of calcium in supplements include calcium sulfate, calcium ascorbate, calcium microcrystalline hydroxyapatite, calcium gluconate, calcium lactate, and calcium phosphate. These forms may have varying absorption rates and are less commonly used than calcium carbonate and calcium citrate.
4.4. Considerations for Taking Calcium Supplements
Calcium is absorbed best when taken in doses of 500 mg or less at one time. If you need to take 1,000 mg per day, divide the dose and take it twice a day. Calcium supplements can sometimes cause gas, bloating, and constipation. If you experience these symptoms, try spreading out the dose throughout the day, taking the supplement with meals, or switching to a different form of calcium.
5. Am I Getting Enough Calcium?
Many people do not get enough calcium from their diets. Several groups are at higher risk of calcium deficiency:
- Children and teens aged 4 to 18 years
- People who are Black or Asian
- Adults aged 50 years and older
- People living in poverty
5.1. Factors Affecting Calcium Absorption
Several factors can affect your body’s ability to absorb calcium, including:
- Vitamin D Deficiency: Vitamin D is necessary for calcium absorption.
- Age: Calcium absorption decreases with age.
- Certain Medical Conditions: Conditions such as celiac disease and Crohn’s disease can interfere with calcium absorption.
- Medications: Some medications can affect calcium levels in the body.
5.2. Symptoms of Calcium Deficiency
Symptoms of calcium deficiency can range from mild to severe and may include:
- Muscle cramps and spasms
- Numbness and tingling in the hands and feet
- Weak and brittle nails
- Frequent bone fractures
- Osteoporosis
6. What Happens if I Don’t Get Enough Calcium?
Insufficient calcium intake can lead to several health problems, including:
- Osteoporosis: A condition characterized by weak and brittle bones, increasing the risk of fractures.
- Hypocalcemia: A condition in which blood calcium levels are too low, causing muscle cramps, confusion, and seizures.
- Rickets: A condition in children that causes soft and weakened bones due to calcium and vitamin D deficiency.
- Osteomalacia: A condition in adults that causes soft and weakened bones due to calcium and vitamin D deficiency.
7. What are the Health Effects of Calcium?
Scientists are continually studying the effects of calcium on health. Here are some examples of what this research has shown:
7.1. Bone Health in Older Adults
After age 30, bones slowly lose calcium, accelerating in middle age, leading to osteoporosis and fractures. While bone loss is more common in women, it affects men too. Bone mineral density tests measure bone health. Some studies show calcium supplements with or without vitamin D increase bone mineral density in older adults, but others do not clearly show that calcium supplements prevent fractures. More research is needed.
7.2. Cancer
Some research indicates that high calcium intakes from food and supplements may lower the risk of colon and rectal cancers, but other studies do not confirm this. Some studies have shown that men with high calcium intakes from dairy foods have an increased risk of prostate cancer. Calcium does not appear to affect the risk of other types of cancer. More research is needed to understand the effects of calcium on cancer risk.
7.3. Heart Disease
Calcium can bind to fats and reduce their absorption. Some studies suggest that calcium supplements have no effect on heart disease, while others show they might increase the risk. Experts generally believe that calcium intakes with or without vitamin D from foods or supplements do not affect heart disease risk.
7.4. Preeclampsia
Preeclampsia, a serious pregnancy complication, is characterized by high blood pressure and high protein levels in the urine. Calcium supplements may reduce the risk of preeclampsia in pregnant women with low calcium intakes. Many experts recommend calcium supplements for these women during pregnancy.
7.5. Weight Management
Research has not clearly demonstrated whether calcium from dairy products or supplements helps with weight loss or prevents weight gain. Some studies show that consuming more calcium helps, but others do not.
7.6. Metabolic Syndrome
Metabolic syndrome increases the risk of heart disease, stroke, and diabetes. Risk factors include a large waistline, high blood levels of fat (triglycerides), low levels of high-density lipoprotein cholesterol (good cholesterol), high blood pressure, and high blood sugar levels. Some research suggests that a higher intake of calcium might lower the risk of metabolic syndrome in women but not men. More studies are needed.
8. Can Calcium Intake Be Harmful?
High calcium intakes might increase the risk of heart disease and prostate cancer. High levels of calcium in the blood and urine can cause muscle weakness, kidney problems, low phosphate levels, constipation, nausea, weight loss, fatigue, frequent urination, abnormal heart rhythms, and increased heart disease mortality risk. These high levels are usually caused by underlying health conditions, not by high calcium intakes.
8.1. Tolerable Upper Intake Levels for Calcium
The daily upper limits for calcium, including intakes from food, beverages, and supplements, are listed below:
Life Stage | Upper Limit (mg) |
---|---|
Birth to 6 months | 1,000 mg |
Infants 7–12 months | 1,500 mg |
Children 1–8 years | 2,500 mg |
Children 9–18 years | 3,000 mg |
Adults 19–50 years | 2,500 mg |
Adults 51 years and older | 2,000 mg |
Pregnant and breastfeeding teens | 3,000 mg |
Pregnant and breastfeeding women | 2,500 mg |
8.2. Side Effects of Excessive Calcium Intake
Excessive calcium intake can lead to several side effects, including:
- Constipation
- Kidney stones
- Interference with the absorption of other minerals like iron and zinc
- Hypercalcemia (high levels of calcium in the blood), which can cause serious health problems
9. Does Calcium Interact with Medications or Other Dietary Supplements?
Calcium supplements can interact with certain medications, and some medicines can lower calcium levels in the body. Here are some examples:
- Antibiotics: Calcium can interfere with the absorption of certain antibiotics, such as tetracycline and quinolones.
- Bisphosphonates: These medications, used to treat osteoporosis, can be less effective if taken with calcium supplements.
- Thyroid Medications: Calcium can interfere with the absorption of thyroid hormones.
- Diuretics: Some diuretics can increase calcium loss in the urine.
Always inform your doctor, pharmacist, and other health care providers about any dietary supplements and prescription or over-the-counter medicines you are taking to avoid potential interactions.
10. How to Get Calcium Through Healthful Eating
According to the Dietary Guidelines for Americans, people should get most of their nutrients from food and beverages. Foods contain vitamins, minerals, dietary fiber, and other components that benefit health. Fortified foods and dietary supplements can be useful when it is not possible to meet nutrient needs through diet alone, such as during pregnancy.
10.1. Building a Healthy Dietary Pattern
To build a healthy dietary pattern that includes adequate calcium, focus on:
- Consuming a variety of calcium-rich foods, such as dairy products, leafy green vegetables, and fortified foods.
- Ensuring adequate vitamin D intake through sunlight exposure, diet, or supplements.
- Limiting the intake of foods and beverages that can interfere with calcium absorption, such as caffeine and alcohol.
- Following a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean protein.
10.2. Tips for Increasing Calcium Intake
- Add milk or yogurt to your breakfast cereal or oatmeal.
- Include cheese in your sandwiches, salads, or omelets.
- Snack on almonds, which are a good source of calcium.
- Add leafy green vegetables to your soups, stews, or stir-fries.
- Choose fortified foods and beverages, such as orange juice and almond milk.
11. Understanding Calcium’s Interaction with Other Minerals
Calcium’s relationship with other minerals is essential for overall health. It works closely with magnesium, phosphorus, and vitamin K to support bone health and various bodily functions. Maintaining a balance of these nutrients is crucial for optimal health.
11.1. The Interplay Between Calcium and Magnesium
Magnesium plays a key role in calcium absorption and utilization. It helps regulate calcium transport and ensures that calcium is deposited in the bones rather than soft tissues. A magnesium deficiency can lead to calcium buildup in soft tissues, potentially causing health issues.
11.2. Calcium and Phosphorus in Bone Health
Phosphorus is another essential mineral for bone health. It works synergistically with calcium to form hydroxyapatite, the main mineral component of bone. Maintaining the correct ratio of calcium to phosphorus is essential for bone strength and density.
11.3. Vitamin K’s Role in Calcium Utilization
Vitamin K helps direct calcium to the bones and teeth, preventing it from accumulating in arteries and soft tissues. Adequate vitamin K intake supports bone mineralization and cardiovascular health.
12. How to Address Calcium Deficiency in Specific Diets
People following specific diets, such as vegan or lactose-free diets, may find it challenging to meet their daily calcium requirements. However, with careful planning and awareness, it is possible to ensure adequate calcium intake.
12.1. Calcium Sources for Vegans
Vegans can obtain calcium from various plant-based sources, including:
- Fortified Plant-Based Milks: Almond, soy, and rice milk are often fortified with calcium.
- Tofu: Tofu processed with calcium sulfate is a good source of calcium.
- Leafy Green Vegetables: Kale, collard greens, and bok choy contain calcium.
- Calcium-Set Tofu: Look for tofu that has been set with calcium sulfate.
- Fortified Cereals and Juices: Some cereals and juices are fortified with calcium.
12.2. Calcium Sources for Lactose-Intolerant Individuals
Lactose-intolerant individuals can still obtain calcium from various sources, including:
- Lactose-Free Dairy Products: Lactose-free milk, yogurt, and cheese are available.
- Hard Cheeses: These generally contain less lactose.
- Yogurt with Live Cultures: The live cultures help break down lactose.
- Non-Dairy Sources: Almond milk, soy milk, and fortified foods.
13. The Role of Exercise in Enhancing Calcium’s Benefits
Physical activity, particularly weight-bearing exercises, can enhance the benefits of calcium for bone health. Exercise stimulates bone formation and helps maintain bone density, working synergistically with calcium to strengthen bones and prevent osteoporosis.
13.1. Weight-Bearing Exercises
Weight-bearing exercises, such as walking, running, and dancing, put stress on the bones, stimulating them to become stronger. These exercises are particularly beneficial for improving bone density in the hips and spine.
13.2. Resistance Training
Resistance training, such as lifting weights, also helps strengthen bones by placing stress on them. This type of exercise is effective for increasing bone density in the arms and legs.
13.3. Balancing Exercise and Calcium Intake
Combining regular exercise with adequate calcium intake is the best approach for maintaining strong, healthy bones throughout life. It is important to find a balance between exercise and rest to avoid overtraining and injuries.
14. Debunking Common Myths About Calcium
There are several common myths about calcium that can lead to confusion and misconceptions. It is important to debunk these myths to ensure that people have accurate information about calcium and its role in health.
14.1. Myth: Dairy is the Only Good Source of Calcium
While dairy products are excellent sources of calcium, they are not the only option. Various non-dairy sources, such as fortified plant-based milks, tofu, and leafy green vegetables, can also provide significant amounts of calcium.
14.2. Myth: Taking More Calcium is Always Better
Taking excessive amounts of calcium can lead to side effects and health problems. It is important to adhere to the recommended daily intake and avoid exceeding the upper limit.
14.3. Myth: Calcium Supplements Are Unnecessary if You Eat a Healthy Diet
While a healthy diet can provide adequate calcium for many people, some individuals may still need supplements to meet their daily requirements. Factors such as age, medical conditions, and medications can affect calcium absorption and utilization.
15. The Future of Calcium Research and Recommendations
Calcium research continues to evolve, providing new insights into the role of calcium in health and disease. Ongoing studies are exploring the effects of calcium on various aspects of health, including bone health, cardiovascular health, and cancer prevention.
15.1. Emerging Research on Calcium and Bone Health
Emerging research is focusing on the effects of different forms of calcium supplements on bone health. Studies are also investigating the role of other nutrients, such as vitamin K and magnesium, in enhancing calcium’s benefits for bone density and fracture prevention.
15.2. Calcium and Cardiovascular Health
Ongoing research is examining the relationship between calcium intake and cardiovascular health. Studies are exploring the effects of calcium supplements on heart disease risk and the potential mechanisms involved.
15.3. Personalized Calcium Recommendations
Future calcium recommendations may become more personalized, taking into account individual factors such as age, sex, genetics, and health status. This personalized approach could help optimize calcium intake for each individual, maximizing its benefits and minimizing potential risks.
16. Expert Insights from Doctors at HOW.EDU.VN
At HOW.EDU.VN, our team of over 100 renowned Doctors is dedicated to providing you with expert advice and personalized solutions for your health concerns. With years of experience and specialized knowledge, our Doctors offer comprehensive consultations to address your unique needs and help you achieve optimal health.
16.1. Benefits of Consulting with Our Doctors
- Personalized Advice: Receive tailored recommendations based on your individual health profile and needs.
- Expert Guidance: Benefit from the expertise of leading Doctors in various fields of medicine.
- Comprehensive Solutions: Get holistic solutions that address the root causes of your health issues.
- Reliable Information: Access accurate and up-to-date information to make informed decisions about your health.
16.2. How Our Doctors Can Help with Calcium-Related Concerns
Our Doctors can provide guidance on various calcium-related concerns, including:
- Assessing Calcium Intake: Evaluating your current calcium intake and identifying potential deficiencies.
- Recommending Dietary Changes: Providing advice on incorporating calcium-rich foods into your diet.
- Suggesting Supplements: Recommending appropriate calcium supplements and dosages.
- Managing Health Conditions: Developing personalized management plans for health conditions related to calcium deficiency or excess.
17. Why Consult with Experts at HOW.EDU.VN?
Navigating the complexities of health and wellness can be challenging. That’s why HOW.EDU.VN is dedicated to connecting you with leading experts who can provide personalized guidance and support. Our team of over 100 Doctors offers a wealth of knowledge and experience across various medical fields.
17.1. Personalized Consultations for Your Unique Needs
At HOW.EDU.VN, we understand that every individual has unique health needs and concerns. Our Doctors take the time to listen to your specific situation and develop tailored solutions that address your individual requirements. Whether you have questions about nutrition, fitness, or managing a health condition, our experts are here to provide the guidance you need.
17.2. Comprehensive Support for a Healthier Lifestyle
Our goal is to empower you to lead a healthier and more fulfilling life. Our Doctors provide comprehensive support to help you make informed decisions about your health and wellness. From dietary recommendations to exercise plans, we offer practical advice and strategies that you can incorporate into your daily routine.
17.3. Stay Informed with the Latest Health Insights
HOW.EDU.VN is committed to providing you with the most up-to-date and reliable health information. Our Doctors stay abreast of the latest research and advancements in medicine to ensure that you receive the best possible care.
18. Addressing the Challenges of Finding Reliable Health Advice
Finding trustworthy health advice can be overwhelming, with so much information available online and through various media channels. However, it’s essential to distinguish between credible sources and those that may not provide accurate or reliable information.
18.1. Identifying Credible Sources of Health Information
When seeking health information, look for reputable sources that are based on scientific evidence and medical expertise. Consider the following:
- Expert Authors: Ensure that the information is written or reviewed by qualified healthcare professionals.
- Evidence-Based Content: Look for content that cites scientific studies and research.
- Reputable Organizations: Trust sources from well-known medical and health organizations.
- Peer-Reviewed Information: Prefer information that has been reviewed by other experts in the field.
18.2. Avoiding Misinformation and Scams
Be cautious of health information that seems too good to be true or is based on anecdotal evidence. Avoid sources that promote unproven treatments or make exaggerated claims. Always consult with a healthcare professional for personalized advice and guidance.
19. The Importance of Professional Medical Advice
While online resources can provide valuable information, they should not replace professional medical advice. Consulting with a healthcare provider is essential for accurate diagnosis, personalized treatment plans, and ongoing care.
19.1. When to Seek Medical Attention
It’s important to seek medical attention if you experience any concerning symptoms or have questions about your health. Some signs that you should consult with a healthcare provider include:
- Persistent or severe pain
- Unexplained changes in weight or appetite
- Changes in bowel or bladder habits
- Unusual bleeding or discharge
- Difficulty breathing or chest pain
19.2. Communicating Effectively with Your Doctor
When you visit your doctor, be prepared to provide a detailed medical history, including any medications, supplements, or health conditions you have. Be honest and open about your concerns and ask questions to ensure you understand your diagnosis and treatment plan.
20. Call to Action: Connect with Our Doctors Today
Are you struggling to find reliable health advice or looking for personalized solutions to your health concerns? At HOW.EDU.VN, our team of over 100 renowned Doctors is here to help. Contact us today to schedule a consultation and receive expert guidance tailored to your unique needs.
20.1. How to Get Started
- Visit our website at HOW.EDU.VN.
- Browse our directory of Doctors and find a specialist who matches your needs.
- Schedule a consultation to discuss your health concerns and receive personalized recommendations.
20.2. Contact Information
For more information or to schedule a consultation, please contact us:
- Address: 456 Expertise Plaza, Consult City, CA 90210, United States
- WhatsApp: +1 (310) 555-1212
- Website: HOW.EDU.VN
Don’t wait any longer to take control of your health. Connect with our Doctors today and experience the difference that expert guidance can make.
FAQ: Common Questions About Calcium and Consulting with Experts
Q1: What is calcium, and why is it important?
Calcium is a vital mineral for building and maintaining strong bones and teeth. It also plays a crucial role in muscle function, nerve transmission, and hormone secretion.
Q2: How much calcium do I need a day?
The recommended daily calcium intake varies depending on your age, sex, and life stage. Adults generally need 1,000-1,200 mg per day, while children and teens need more.
Q3: What are the best food sources of calcium?
Dairy products, leafy green vegetables, fortified foods, and fish with edible bones are excellent sources of calcium.
Q4: What if I can’t get enough calcium from my diet?
If you can’t get enough calcium from your diet, you may need to take calcium supplements. Consult with a healthcare professional to determine the appropriate dosage.
Q5: Can I get too much calcium?
Yes, excessive calcium intake can lead to side effects and health problems. It’s important to adhere to the recommended daily intake and avoid exceeding the upper limit.
Q6: How can HOW.EDU.VN help me with my calcium-related concerns?
Our team of Doctors can provide personalized advice on assessing your calcium intake, recommending dietary changes, suggesting supplements, and managing health conditions related to calcium deficiency or excess.
Q7: What are the benefits of consulting with an expert at HOW.EDU.VN?
Consulting with an expert at HOW.EDU.VN provides personalized advice, expert guidance, comprehensive solutions, and reliable information tailored to your unique health needs.
Q8: How do I schedule a consultation with a Doctor at HOW.EDU.VN?
Visit our website at HOW.EDU.VN, browse our directory of Doctors, and schedule a consultation with a specialist who matches your needs.
Q9: What types of health concerns can the Doctors at HOW.EDU.VN address?
Our Doctors can address a wide range of health concerns, including nutrition, fitness, disease management, and overall wellness.
Q10: How can I be sure that the information I receive from HOW.EDU.VN is reliable?
how.edu.vn is committed to providing up-to-date, evidence-based information from qualified healthcare professionals. Our Doctors stay abreast of the latest research and advancements in medicine to ensure that you receive the best possible care.