Archive for February, 2011
Antiresorptive medications for osteoporosis preserve the bone you have. They slow down the Osteoclast cells that eat away bone. They slow down “Osteoclasts Gone Wild”. This markedly slows down bone loss. They also slow down bone turnover. Slower bone turnover allows more Calcium to accumulate in the bone that you have. This can increase the Bone Mineral Density seen on DXA.
This past week I went on the road to present information about osteoporosis identification and treatment to other doctors. Fortunately the big storm was finished the day before I headed for Omaha. The formal presentations are set pieces. The informal discussions afterwards with other healthcare professionals are usually stimulating for all.
I have seen the difference between healthy and osteoporotic bone as an orthopedic surgeon. Some bones I have operated on were not as strong as Styrofoam. I understand fractures and the physical aspects of bone structure. Others often know more about metabolism and general medical issues. We all learn, and that is good for us and for our patients.
Older children, teenagers, and adults need much more than the 400 IU of Vitamin D that is “100%” listed on a multiple vitamin bottle. Panel members at the 2010 National Osteoporosis Foundation meeting recommended 1400 to 3000 IU of Vitamin D daily for teenagers and adults. Individuals vary in their needs. I recommend 2000 IU of Vitamin D daily as a good first estimate of daily need.