Archive for the ‘Bone Health’ Category
Several patients have called us in panic because their friends told them that HyperParathyroidism means Surgery.¬† We reassured them that Surgery is almost never needed in HyperParathyroidism.¬† But we do need to treat it to preserve or restore Bone Health.
Our clinic sees a new case of HyperParathyroidism almost daily.¬† Only one or two a year actually need surgery.¬† How do we¬†cure all the others? ¬†Calcium and Vitamin D3 are¬†the key, as long as you take enough.
Most of what we see is¬†Secondary HyperParathyroidism.¬† That is the Parathyroid glands doing their job.¬† Their job is to keep sufficient Calcium in the blood. ¬†They steal it from the bones if not enough is absorbed in diet and supplements.¬† Too low a Vitamin D level prevents Calcium absorption.
Sometimes secondary hyperparathyroidism goes on for so long that the glands “reset their thermostat too high”.¬† This is Tertiary HyperParathyroidism and is successfully treated with Calcium, Vitamin D3, Protein, and Multiple Vitamins¬†& Minerals over many months.
Primary Hyperparathyroidism is that rare case where a parathyroid gland goes out of control. ¬†It becomes a tumor (not a cancer) putting out too much PTH hormone and steals calcium from bone until it is removed.
Read more about HyperParathyroidism in blogs from last year by clicking on the links.
HyperParathyroidism?¬† Take Control Naturally with proper nutrition.
Jay Ginther, MD
Spring is here. ¬†The birds are singing. ¬†Soon flowers will be blooming. ¬†All the world is coming to life. ¬†And more hips will be breaking.
32% of all hip fractures (nearly 1/3) occur in Spring! ¬†Nearly 1/3 of hip fractures over 70 are in men. ¬†And nearly 1/3 of those men die within months from medical complications initiated by their hip fractures. ¬†Dangerous!
What can we do to avoid those fractures? ¬†Decrease Fracture Risk! ¬†How? ¬†Do the following:
It is March; ¬†this is Iowa; ¬†almost 90% of persons not on major doses of Vitamin D3 are low. ¬†(By late September that falls to less than 60% that are low.) ¬†Remember that if you have a low Vitamin D level, you cannot absorb enough of the Calcium you consume in food and/or supplements. ¬†Take extra Vitamin D3.
Remember that while Calcium Citrate is always absorbable, Calcium Carbonate often is not. ¬†Remember that you need enough Magnesium to absorb Calcium. ¬†A Senior Multiple Vitamins & Minerals has enough Magnesium for those of us over age 50, and lots of other good stuff too.
Protein is a big deal, especially over age 60, when our protein needs actually increase. ¬†80% of bone and 90% of muscle are protein. ¬†Regular exercises, including Balance Exercises, are necessary to Prevent Falls.
Take Control Naturally with proper nutrition and exercises.
Jay Ginther, MD
Ann spends a week in Florida each winter with several friends¬†and was stronger, more agile and more confident this year than last. ¬†She stepped in and out of the hot-tub easily instead of slowly and awkwardly. ¬†She zoomed up and down stairs. ¬†She had to slow down when walking with her friends. ¬†What has happened?
A year ago she followed a fragility fracture with below average and decreasing BMD on DXA, and a newly crumbling vertebral fracture on VFA. ¬†She has Clinical Osteoporosis. ¬†That got her attention. ¬†She was determined to play¬†on the floor with her active preschool grandchildren. ¬†You cannot do that if you are crumbling. ¬†She was ready to do whatever it took to get back in the game.
She added Adora Chocolates (500mg calcium in each) to her usual diet. ¬†She added Protein shakes (chocolate) and increased intake of chicken, fish, and beef to meet¬†the new protein guidelines. ¬†She remembered to take extra Vitamin D3 and her Multiple Vitamins & Minerals almost every day.
She got serious about her “10,000 steps” every day and went up and down stairs frequently¬†instead of saving up things for a single trip. ¬†She did not actually join an exercise class as promised.
She started the anabolic, Forteo, to build her bone density and strength. ¬†A daily little shot is a nuisance, especially keeping it cold while travelling, but she wanted results.
This year repeat DXA showed increased BMD. ¬†VFA confirmed no further crumbling. ¬†She zoomed through airports and left her friends in the dust in Florida. ¬†These results have made her even more determined.
She has Taken Control of her Future Life. ¬†You can too.
Jay Ginther, MD
DXA is very good at determining Bone Mineral Density (BMD), provided you look at the images and over-read the computer.¬† DXA alone is less good at predicting Fracture Risk.¬† But, Fractures are¬†what we want to avoid.
At the International Society for Clinical Densitometry (ISCD) meeting this week, we will discuss the other modalities, which supplement DXA to obtain greater accuracy.¬† Vertebral Fracture Assessment (VFA) helps evaluate bone quality.¬† FRAX was specifically designed to predict Fracture Risk.¬† QCT (Quantitative Computerized Tomography) has been added in recent years as an alternative to DXA.
ISCD¬†will discuss adding ¬†TBS (Trabecular Bone Score), Hip Structural Analysis, Hip Axis Length, and uses of Central CT.¬† We are constantly pushing toward our goal – Prevent Fractures.
Preventing Fractures is not just DXA.¬† Get a Complete Bone Health Evaluation.
Take Control of your future. ¬†Check your bone health.
Jay Ginther, MD