Nutrients system

Calcium (ionized)

Ca++

The biologically active fraction of blood calcium.

What is it

Calcium (ionized) — in plain English.

Ionized calcium is the unbound, biologically active form of calcium in circulation. It is more clinically informative than total calcium in many situations.

Why it's measured

What Ca++ can reveal.

Ionized calcium has been used in research on parathyroid function, bone metabolism, and acid-base balance.

Reference range

Where most laboratories draw the standard line.

Standard laboratory reference

4.6 – 5.3 mg/dL

Reference ranges vary by laboratory. Your individual reference range will appear on your test report and should be interpreted by your physician in the context of your overall health profile.

What results may indicate

Higher vs. lower Ca++ — at a high level.

Elevated

Has been associated with parathyroid disorders and certain malignancies in research literature.

Lower

Has been associated with parathyroid dysfunction and vitamin D deficiency in research literature.

These associations are general. They are not a personal diagnosis or prediction. Discuss your individual results with your physician in the context of your full health profile.

When it's measured

When Ca++ is typically run.

Used when calcium status requires precise evaluation.

Related markers

Often measured alongside Ca++.

Measured in

Ca++ is one of 160 biomarkers in the Apex Panel.

A complete look at your heart, hormones, metabolism, inflammation, and longevity systems — drawn at Quest or LabCorp, reviewed by a U.S.-licensed physician.

Explore the Apex Panel
160 biomarkers13 body systemsPhysician-reviewed
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This information is for general educational purposes only and is not medical advice. Lab results alone are not intended to diagnose, treat, or cure any condition and do not replace the advice of a healthcare provider. OPTML does not offer medical advice, a diagnosis, medical treatment, or any form of medical opinion.