Archive for the ‘Nutrition’ Category

Determining the correct 25-hydroxy Vitamin D level is still a work in progress.  In the 8 years I have been attending meetings, we have made considerable progress.  NOF 2007 was the first time any society proposed an intake above 400 IU daily and a 25-hydroxy Vit D level of more than 20 ng/ml.

At the 2015 U. Wisconsin “Bare Bones Symposium” the latest recommendations were discussed.  I have summarized them here.

Take Vitamin D3.  D3 is Cholecalciferol (what we make in sunshine).  Vitamin D2 is Ergocalciferol (what plants make and use).  D3 works much better in people than D2 becuse it is the right stuff.   It lasts 5 times longer and the assay is more accurate.

Test for 25-hydroxy Vitamin D level and aim for between 40 and 80 ng/ml.  At 40 ng/ml over 98% of people can absorb and utilize Calcium fully.  You want to have some margin of safety since lab test results vary by at least 20%.  If you are seriously deficient, we give 50,000 IU of D3 every M, W, F based on your level and size, to correct the level quickly.

If you do not want to test your level, and you are the “average person” of 154# or 70 kg, you should take 3800 IU daily.  This should achieve the 40 ng/ml level – eventually.  If you are very deficient, this could take a year or more.  If you are larger than the old average, or you have digestive issues, you will need more.

Finally, some cancer researchers believe that 70 ng/ml is better for preventing and treating cancers.  If they are right, you should go for the higher level.  If they are wrong, you have done no harm by going for the higher level.

Take Control of your Bone Health.  Take enough D3.

Jay Ginther, MD

Kids Learn About Bone Health

June 4, 2015 @ 9:45 pm
posted by Dr Ginther

The Imaginarium (Children’s Science Museum) at the Grout Museum in Waterloo, IA is teaching bone health this summer.  Good choices for bone health during growing years are the best way to avoid future problems and osteoporosis.

“The Bone Zone” is a special exhibit from Purdue University Department of Nutrition now through 5 September.  Interactive exhibits teach interesting facts about bone, and guide participants to healthy choices for bone health.  The target audience is K-8, but adults learn a few things too.

You can learn about Calcium content of foods.  Fortuneteller “Madame Ulna” will tell your bone future based on activity choices.  You can compare the strength of a human femur to equally strong wood, concrete and steel.

Cedar Valley Bone Health, Cedar Valley Orthopedics, and Cedar Valley Medical Specialists, PC sponsored the exhibit.  As sponsors we brought our kids and grandkids to a special opening.  “The Bone Zone” is really cool.

Take your kids and grandkids to the Grout Imaginarium this summer.  They’ll have a great time, and great bones.

Jay Ginther, MD

Happy Mother’s Day

May 8, 2015 @ 9:09 pm
posted by Dr Ginther

What can you do for your mother?  Mother’s Day is when you thank your mother for all that she did for you.  Seriously?  That is too much to accomplish in just one day with flowers and a meal.  Perhaps you can do something that could improve the rest of her life!

Your mother is getting older every year.  We all do that.  Perhaps she is shrinking or developing a humped back (kyphosis).  We can prevent that!  Perhaps she has fallen and broken a bone.  We can often prevent that too!

Over the last 20 years the world has changed.  We now know how to prevent bones from deteriorating.  We can improve bone health and prevent fractures.  The sooner we start, the better we can preserve your mother’s independent lifestyle.  Your independence too, if you are her caregiver.

Without attention to their bone health, half of all women over age 50 suffer at least one fracture.  We can prevent nearly 2/3 of those fractures.  A Complete Bone Health Evaluation tells us in what areas you have opportunities for improvement.

We start with enough Calcium in foods and supplements, enough Vitamin D3 supplements, enough Protein, Multiple Vitamins & Minerals and balance exercises.  Sometimes medications.

Your mother sacrificed her bone health for you before and after your birth.  She gave you a lot.  Give back to her.  And if you must give chocolates, try Adora Chocolates with a whole meal’s Calcium in each.

Check out your mother’s bone health.  Yours too.  Then take Control of both your futures.

Jay Ginther, MD

We recently saw yet another patient who longs for great bone health, but just cannot manage to eat dairy or take Calcium Supplements.  This is a problem!

While the basic collagen structure of bone is protein, Calcium provides strength and rigidity.  Without enough Calcium, your bones cannot be strong enough for daily activities.

You must take in about 1200 mg Calcium daily to offset normal losses in sweat, urine, and feces.  (You need a high enough Vitamin D level to be able to absorb Calcium.)  If you are over 50, or take medicines for heartburn, your supplement should be Calcium Citrate to be sure you can absorb it.

If you do not absorb enough Calcium daily, you must steal it from your bones.  Chronically stealing from your bones makes them weak enough to break.

Our goal is to keep bones strong, avoid fractures!

Consuming enough Calcium Can Be Confusing.  Check that post.  Also check our Calcium In Foods 2014 post.

You can Take Control Naturally.  Start with Calcium.

Jsy Ginther, MD