Coral calcium has been promoted as an alternative treatment or cure for a number of health conditions, often as part of an alkaline diet, by Robert Barefoot and others; Barefoot coauthored a book called The Calcium Factor, and marketed coralcalcium supplements with infomercials. According to a Timemagazinearticle about Barefoot by Leon Jaroff, "The monthly cost of the recommended dose of Barefoot's calcium tablets is some 15 times greater than that of the ordinary drug store variety." Jaroff called Barefoot's marketing of coral calcium "one of the more successful scams of our age" and "sheer nonsense," and labeled him a "huckster". There is no medical evidence to support these health claims, and coral calcium has been identified by the United States Food and Drug Administration as a "Fake Cancer 'Cure' Consumers Should Avoid". The Federal Trade Commission prosecuted several individuals, including Barefoot, for making unsupported health claims about coral calcium, and the National Center for Complementary and Alternative Medicine has issued a consumer advisory regarding false and misleading marketing claims associated with coral calcium supplements.
Living coral reefs are endangered and cannot be harvested without significant damage to the ecosystem, and because of this, coral calcium is harvested by grinding up above-ground limestone deposits that were once part of a coral reef. Calcium from coral sources needs to be refined to remove pollutants of the source environment. It is marketed as a dietary supplement, but its benefits over other calcium supplements are unproven and biologically unlikely, and several marketers have been found guilty of fraud and were ordered to pay $20.4 million and to refrain from making unsubstantiated claims in the future. Additionally, coral near Okinawa has absorbed relatively high amounts of lead and mercury, leading to concern that these unregulated supplements may be contaminated. Further, coral takes millennia to grow, leading to environmental concerns if harvesting of live coral becomes widespread.