World Osteoporosis Day 2014

October 20, 2014 @ 6:47 am
posted by Dr Ginther

“Real Men Build Their Strength from Within” is this year’s campaign by the International Osteoporosis Foundation.  Today is World Osteoporosis Day for 2014, and the beginnning of the international campaign.

Men have Osteoporosis too, although they are only half as likely as women to be treated, even after a fracture.

One third of all hip fractures are in men.  And a man is twice as likely as a woman to die of complications of his hip fracture.

Use the Links to the upper right to go to the International Osteoporosis Foundation website.  Visit National Osteoporosis Foundation too.

Then get a Complete Bone Health Evaluation, and Take Control of your bone health.

Jay Ginther, MD

Travel Is Great – Jet-Lag Is The Pits

October 17, 2014 @ 8:17 pm
posted by Dr Ginther

We have just returned from nearly 2 weeks in Portugal and northwest Spain.  We had never been to either location.  As always, visiting new places and experiencing different cultures is enlightening.  We were thrilled.

Portugal is attempting to preserve the best aspects of its past, while moving to integrate into the EU.  Family and Community are strong bonds for many.  Blue Zones abound.

Porto and the Douro River are all about the ancient vineyards and steeply terraced hillsides.  Port wine is giving way to a renaissance of dry reds and whites.  We visited a small villiage which produces wines and bakes thousands of loaves of bread daily the old-fashioned way, in wood fired ovens.

Castello Rodrigo is a small hilltop fortified village occupied in tun by Celts, Romans, Moors and Christians over millenia.  The streets are steep, narrow, and primarily pedestrian only.  The buildings are mostly from the eleventh and twelfth centuries.

We visited the 4th and 5th oldest Universities in Europe.  We explored Salamanca and Santiago de Compostella.  Not all of history is pretty, but it is enlightening.  How can you understand where you are, or have any idea where you are going, if you do not know where you have been?

River Cruises make travel easy.  This was our second trip with Viking.

European diets are different.  More about that later.  First I need to recover from west-bound jet-lag.

Jay Ginther, MD

Forteo is a daily shot.  That is a nuicence, but a small price to pay for the only Anabolic, the only osteoporosis medication which will increase bone mass in spongy (cancellous) bone.  Diabetics give themselves a daily shot for the rest of their lives.  Forteo is for only 2 years and uses a tiny insulin needle. 

People worry about the warning that lab rats got Osteosarcoma after being given very high doses of Teriparatide for the equivalent of 70 human years.  We have not seen this in humans, or chimps, or monkeys, or dogs.  Rats have bones that grow all their lives.  We do not give Forteo to growing humans, pregnant women, nursing women, persons with Paget’s Disease or unexplained elevated Alkaline Phosphatase, or persons who have had radiation to their bones.

Remember that you must take adequate Calcium, with food, spread out over 3 meals. You must take enough Vitamin D3 to be able to absorb Calcium.  You must eat enough Protein for your OsteoBlasts to make new bone matrix.

Forteo Increases Bone Thickness on the Inside

October 9, 2014 @ 5:19 pm
posted by Dr Ginther

Forteo (Teriparatide) increases the thickness of the struts making up spongy (cancellous) bone.  Forteo is the only osteoporosis medication to do that.  It also makes the hard outer shell (cortical bone) thicker.  How?  Forteo stimulates OsteoBlasts.  They make bone matrix, the collagen protein that is more than 80% of bone.

Forteo also stimulates bone turnover.  Healthy bone is constantly being resorbed and replaced.  This allows bone to eliminate the micro-cracks that gradually accumulate with activity.  Bone is strongest when it is a mixture of older more calcified (stiffer) material mixed thoroughly with younger less calcified (somewhat bendable) material.  Cracks cannot enlarge.  Strength is better.  More force is required to fracture the bone.