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.