Archive for the ‘Calcium’ Category
Welcome to the European Breakfast Buffet. Calcium rich foods are featured in cheeses and yogurts. At least 3 choices of cheeses on a rotation from day to day. Yogurt comes plain, with dollops of fruit compote, and prepackaged Yoplait and competitors. Milk is skim, whole, almond, walnut.
Cheeses are featured again at the luncheon buffet. Capri salad of sliced Mozzarella, tomato, and garnish is a popular alternative to other salads with Feta or Goat Cheese. Further north Gouda, Emmentaller, Cheddar, Jarlesberg step forward.
After dinner, after dessert, the cheese plate, often with port or a dry red wine, finishes the meal. Many Europeans consume 1000, 1200 or even 1500 mg calcium daily in foods. This they have done for centuries.
Smoked Salmon is a constant at breakfast. The best source of Vitamin D3 other than Cod Liver Oil. Cod is the dominant fish in the Portuguese diet, along with Sardines, eaten whole, often bones and all, high in Calcium and D3.
Cured meats, sausages, and eggs are good sources of protein at every breakfast buffet. Hearty whole grain breads are available, but are losing ground to chocolate filled puff pastries.
Traditional diets have persisted because they work. They fulfill the nutritional needs of the peoples who have eaten them for generations.
Make sure your diet meets your nutritional needs for good bone health. Calcium, Vitamin D3, Protein, and Vitamins & Minerals. Take Control Naturally with proper nutrition.
Jay Ginther, MD
Tertiary HyperParaThyroidism is becoming common among older individuals. Or maybe we are just beginning to notice what it really is. The blood tests are the same as Primary HyperParaThyroidism – high Calcium and high PTH. But the cause and treatment are very different.
Tertiary HyperParaThyroidism happens when Secondary HyperParaThyroidism has been going on for so long that the “thermostat is reset too high”. The ParaThyroid Glands have been maintaining a high PTH level for so long that they forget to shut off when Calcium levels are high enough.
Again we have a patient whose Spine BMD has dropped despite good osteoporosis medication. She takes 500 mg Calcium at breakfast and at supper. She remembers that you can only absorb 5-600 mg Calcium at a meal. But what about lunch? She needs at least 200 mg more calcium in her day.
She plans to eat a yogurt for lunch. This would get her to her minimum of 1200 mg Calcium daily – if only she remembered more than once a week. We need to entice her with a “nooner”. We need her to crave her calcium. Adora Premium Chocolates could do it.
We have “known” for years that 25-hydroxy Vitamin D levels over 50ng/ml are “too high” (hypervitaminosis D) and often cause high Calcium levels (hypercalcemia). The Mayo Clinic designed a 10 year study to confirm that causal relationship. It was presented at ASBMR.
NOF and others have called for higher Vitamin D supplementation and higher blood levels. Mayo researchers expected to find many more cases of hypercalcemia related to many more cases of hypervitaminosis D. The numbers of Vitamin D levels above 50ng/ml have doubled during the 10 years. Levels above 80 and 100ng/ml have not increased. The numbers of high calcium levels have not increased. Those patients with the highest Vitamin D levels were not the patients with the highest Calcium levels.