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**Alfa Sincal** is an oral fixed-dose mineral and vitamin-D combination marketed by Sinsan Pharmaceuticals. The tablet contains **calcitriol, calcium carbonate, and zinc sulfate**. Calcitriol is the active form of vitamin D and activates the vitamin D receptor to increase intestinal calcium absorption and support calcium-phosphate homeostasis; calcium provides elemental calcium for bone mineralization, while zinc supports bone metabolism and tissue repair. It is used for calcium and vitamin-D deficiency and bone-health conditions including hypocalcemia, osteoporosis, renal osteodystrophy, hypoparathyroidism, rickets, and osteomalacia.
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