Strontium is a mineral element that builds up in bone. Strontium ranelate was a prescription osteoporosis drug in the EU (Protelos) until 2020; supplements sold for bone health usually use other forms such as strontium citrate.
Also known as: strontium citrate, strontium ranelate, Protelos.
The main fracture trial used 2 g of strontium ranelate a day for 3 years (Meunier 2004). People in a bone-strontium study chose their own strontium citrate products (Moise 2014). These are study protocols, not a recommendation.
The NIH Dietary Supplement Label Database lists strontium citrate products labeled as dietary supplements, such as NusaPure Strontium Citrate 680 mg, and no strontium ranelate product. 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. Drugs@FDA lists no strontium ranelate product.
The former drug: in a 3-year trial in 1,649 postmenopausal women with osteoporosis and a prior spine fracture, 2 g a day of strontium ranelate lowered the risk of new spine fractures by 41% (Meunier 2004). EMA authorized it as Protelos in 2004. After a 2014 review of heart risk, EMA restricted it to people who cannot use other osteoporosis medicines, barred it in people with a history of heart attack or stroke, and required stopping if heart or circulation problems develop. It was not marketed in the EU after 2017, and its authorization was withdrawn in April 2020 at the company's request for commercial reasons.
Supplements: those trials tested strontium ranelate, not strontium citrate. In a study of 10 women taking strontium citrate on their own, bone strontium rose within 24 hours and kept rising for up to 4 years, with large differences between people (Moise 2014). We found no fracture trials of strontium citrate.
Safety: the heart and circulation concerns above come from the prescription drug; we found no safety trials of strontium citrate supplements.
We could not find a single published half-life or time to peak for strontium supplements that applies to a supplement dose, so we do not list one. One study found bone strontium kept rising over years of strontium citrate use (Moise 2014).
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