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The NKF DOQI guidelines recommend that serum calcium levels, corrected for any alteration in serum albumin (see the subsequent text), should be maintained within the normal range for the laboratory used but preferably toward the lower end of normal (8.4 to 9.5 mg/dL) (11)

However, improper or excessive use, especially through unsupervised injections, can lead to side effects such as allergic reactions, digestive discomfort, or stress on the liver