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 p...