Secondary HyperParaThyroidism is the result of the ParaThyroid glands doing their job. Their job is to keep the calcium in the blood “just right”. Too often this requires stealing calcium from the bones. This is necessary to make up for not absorbing enough calcium every day. But stealing too much Calcium from bones can cause Fractures.
Most of us need 1200 mg calcium in 3 doses spread across every day. Older individuals absorb less well and can require 1500 mg. We also need high enough Vitamin D levels to absorb the calcium. This usually means 1000 to 5000 units of Vit D3 daily. Many of us fail to absorb enough calcium daily. We need Secondary HyperParaThyroidism to keep our blood calcium high enough.
High ParaThyroid Hormone (PTH) levels take Calcium out of your Bones. This is good as an occasional event to cover short periods of low calcium intake. Bones store calcium for use in the body. Only recently have we discovered that the flow of calcium into and out of bones is a minute by minute process, controlled by PTH.
As long as equal amounts of calcium flow into and out of your bones daily and weekly, life is good. But, if PTH is high most of the time, you eventually drain too much calcium from your bones and you Fracture. We check PTH as part of a Complete Bone Health Evaluation. High PTH is much more common than we once thought. It is called HyperParaThyroidism and comes in 3 types.
Fracturing once is enough. No one wants to fracture a second time. Yet, if you fracture once, you have proven that you probably have inadequate bone health, and you are twice as likely to fracture a second time. Fracture twice and you are 5 times as likely to have a third fracture. The future is grim, unless you evaluate and improve your bone health.
Cedar Valley Bone Health Institute of Iowa is now offering a Fracture Liaison Service. We will offer a Complete Bone Health Evaluation to all patients who have fractured, attempting to prevent a second fracture. The tricky part is getting patients to recognize that a “Bone Attack” fracture is a warning.
Several years ago researchers discovered that women with breast cancer had much lower blood levels of Vitamin D than women without breast cancer. Another study showed that, among women being treated for breast cancer, those with low Vitamin D levels were only half as likely to survive. Patients with other cancers show similar patterns.
Now we have a study which points out that this does not prove that low Vitamin D causes cancer. True. The new theory is that cancer causes low Vitamin D levels. However, there is no proof of that either, and I find it hard to believe. What does this all mean?