Thank You For Serving

November 11, 2014 @ 7:56 am
posted by Dr Ginther

On Veterans Day we should thank those who have served our country.

Serving in the military is always a sacrifice.  Military service, especially combat, forever changes a person.  Some changes are positive.  Too often there is damage – physical or psychological.

Our veterans have given part of themselves for our country.  Sometimes a large part, or even all.  So have their families.  We owe our veterans and their families our thanks, whether or not we agree with the particular military actions that our politicians required of them.

We are obligated to meet their needs in a timely manner.  The housecleaning at the Veterans Administration is long overdue.  These are fellow human beings, injured by what we asked them to do.

Thank you for your service.  We promise to do better in showing our thanks.

Jay Ginther, MD

Calcium in Foods 2014

November 6, 2014 @ 11:47 pm
posted by Dr Ginther

We can get ALL of our Calcium from foods.  We need 1200-1500 mg daily, especially if we have not been getting that much for years.  Most of us have not been getting enough Calcium – or our Vitamin D levels have been too low to absorb all we cansume.

Your body can absorb only 500-600 mg of Calcium at each meal.  Therefore you must spread out your calcium over 3 meals a day.  Do NOT exceed 2,000 mg Calcium daily.  Too much Calcium can be bad for kidneys or heart.

Chart of common foods high in Calcium in mg (adapted from the USDA website):

Calcium Can Be Confusing

November 2, 2014 @ 4:41 pm
posted by Dr Ginther

Getting the right amount of Calcium every day can be confusing.  The total of 1200 mg (1500 mg to correct long term deficiency) daily sounds easy.  You can only absorb 500 mg (maybe 600 mg) in a single meal.  Therefore, split your Calcium into 3 doses.

Calcium is best when it is in food.  Calcium Supplements with meals are good too.  Many of us need “Calcium CITRATE” rather than plain “Calcium” for easier absorption and fewer side effects.

Try to get a total of 400-500 mg Calcium in each meal.  Count Calcium in Foods and Calcium in Supplements.  If you have the same foods every day, it is easy to set up your supplements.  But the same diet every day is boring!  I like variety.  

Fractures are NOT FUN.  Not something you want to repeat.  Any fracture is a Bone Attack.  It is a warning that you probably have Bone Health issues that can be improved.  Get a Complete Bone Health Evaluation and work to prevent a second fracture.  Most people can succeed in preventing that second fracture.

I see many individuals who have had a first fracture.  Often the DXA, BMD, and T-score are not that bad.  I even see many who have good DXA test scores.  But they still fractured with relatively minor trauma.  They proved that they have increased Fracture Risk.  Why?