Introduction
You either have something wrong with parathyroid hormone governing your calcium levels, in which case you would want to see a doctor about that, or you have a long-going deficiency of related nutrients.
Not enough calcium and not enough vitamin D should not cause low serum calcium — unless the deficiency has been going on for a very long time and is very bad.
Then again, I don't know what measurement you're referring to. So, maybe the calcium was a tiny bit low, and you remeasure it, and it's not low anymore; it was a fluke.
But if you're talking about confirmed low serum calcium, then nutritionally, I would look at long-standing severe deficiencies of calcium and vitamin D. I'd follow it up with measurements of PTH and calcitriol to better assess the situation.
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