However, at the maximum recommended doses of Calcium Gluconate Injection, and based on the Applicant’s proposed release specification for aluminum, the daily aluminum exposure will be below 4 mcg/kg/day, levels associated with central nervous system and bone toxicity in patients with impaired kidney function, including premature neonates. Tissue loading may occur at even lower rates of administration, but Calcium Gluconate for Injection is indicated only for acute use until calcium homeostasis is restored.