Archive for the ‘Bone Health’ Category
Today I ran across mention of an old observational study of seasonal colds and flu in northern (temperate zone) and southern (tropics) India. Colds and flu had no seasonality in southern India where vitamin D from sunshine is equally available all year.
Colds and flu were seasonal in northern India closely following the months when vitamin D is not readily available from the sun which is too low on the horizon to produce vitamin D. There is not direct evidence that lower vitamin D levels allow more colds and flu, but it seems reasonable.
We have long known that vitamin D is involved in human immune system function as well as bone health. e.g. A National Institute of Health study found that persons with monohydroxy-vitamin D levels over 33ng/ml have half the risk of colorectal cancer as those with less than 12 ng/ml.
Vitamin D toxicity is possible but very rare according to the Mayo Clinic, requiring doses of 50,000 IU (1250 mcg) daily for months.
My experience in Iowa is that most persons not taking at least 1000-2000 IU (25-50 mcg) daily have vitamin D levels below 20ng/ml December through April. That is also cold and flu season.
I take 5000 IU (125 mcg) daily to keep my level at 50-60 ng/ml. That can’t hurt and it might help prevent viral infections. Over age 65, I have started working from home and am setting up TeleMedicine capabilities because of COVID-19 guidelines.
Follow your state’s health department guidelines. And extra vitamin D could help. If you have not taken any in the past, up to 5000 IU (125 mcg) daily should be safe until you have a chance to check your level.
Jay Ginther, MD
We are cancelling Iowa Bone Club for 24 April
We plan to reschedule for September, assuming that COVID-19 will have receded by then
Jay Ginther, MD
Iowa Bone Club 2020 will meet at Allen College in Waterloo, IA on Friday 24 April. This is the only meeting in Iowa each year which is dedicated solely to optimizing Bone Health. We prefer to prevent unnecessary fractures.
We aim primarily at teaching healthcare professionals of all types about the latest advances in caring for bone health. NPs, PAs, DNPs, RNs, LPNs, CMAs, Meds, DOs are all included. Often the lecturers learn as much as the students. CME and CEU credits will be available.
This year’s meeting will include a presentation about using anabolic medications to grow bones first, then preserve the gains. We will discuss how optimizing bone quality before total joint replacement or spinal fusion results in faster healing and better results. We will learn how to minimize the ill effects of common diseases like diabetes on bone health.
As always, we will have a roundtable for staff dealing with insurance companies about medication pre-authorizations. Also our roundtable among providers sharing thoughts about difficult cases.
Full details will follow
Jay Ginther, MD
Take Control Naturally.
Get your calcium in foods!
Chart of common foods high in Calcium in mg (adapted from the USDA website):