Microcrystalline hydroxyapatite (MCHC), studied as ossein-hydroxyapatite complex (OHC), is a calcium supplement made from bone, compared in trials with plain calcium carbonate.
Also known as: MCHC, ossein-hydroxyapatite complex, OHC, microcrystalline hydroxyapatite, bone meal calcium.
Trials used 3.32 g a day for 2 years (Castelo-Branco 1999) and 1,660 mg a day for 6 months (Castelo-Branco 2015). These are study protocols, not a recommendation.
It is sold in the US as a dietary supplement. Under the 1994 dietary supplement law (DSHEA), FDA does not approve dietary supplements before they are marketed, and the maker, not FDA, is responsible for safety and labeling.
What studies show: a 2009 meta-analysis of 6 trials found bone density changed about 1 percentage point more favorably with OHC than with calcium carbonate (Castelo-Branco 2009). In an open 2-year study in 60 postmenopausal women, bone density held steady on OHC but fell on calcium carbonate in year 2 and in untreated women (Castelo-Branco 1999). In 74 perimenopausal women with low bone mass, 6 months of OHC eased back and knee pain more than calcium carbonate (Castelo-Branco 2015). These studies were open-label (not blinded) and share the same lead author, so independent trials would help.
Safety: the sources here do not report safety problems. The sources here do not describe drug interactions.
We could not find a single published half-life or time to peak for MCHC that applies to a supplement dose, so we do not list one.
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