You Are What You Eat

February 10, 2014 @ 9:38 pm
posted by Dr Ginther

Does this mean that you have to eat bones to have strong bones?  Well, sort of.  While it is fun to envision people chewing on Flintstone-sized bones, the Flintstone characters did something right.  They ate huge Brontosaurus steaks, which were PROTEIN.  The content of our bones is, surprizingly, over 80% Protein.  Therefore, we must eat enough Protein to maintain and strengthen our bones (and muscles).

The USDA recommends approximately 1 gram of Protein per kilogram of body weight per day.  Eating that much Protein daily will maintain a healthy body, including bone and muscle.  Persons over age 65 actually need MORE Protein rather than less, for the same sized body.

How much Protein do you need?  This often asked question is answered based on how much you weigh.  If you weigh:

Primary HyperParaThyroidism

February 6, 2014 @ 7:31 am
posted by Dr Ginther

Primary HyperParaThyroidism is the result of one of the 4 Parathyroid glands going completely out of control.  It grows in size and puts out increasing amounts of Parathyroid hormone.  This steals calcium from bone and raises calcium levels in the blood.  This tumor is called an Adenoma.  The good news is that it is NOT a cancer.  The bad news is that it can and will destroy your bones.

Primary Hyperparathyroidism and Tertiary Hyperparathyroidism both have high PTH and high Calcium levels.  The treatments are very different; so it is necessary to tell them apart.  This is done by Parathyroid Scan.

Punxsutawney Phil saw his shadow today.  Six more weeks of winter.  But NINE more weeks before we can get ANY Vitamin D from the sun in Iowa.  Here the sun is high enough off the horizon only 5 months of the year.  Even in the summer very few Iowans make enough of their own Vitamin D.

In all of 2013 I saw fewer than ten patients with good vitamin D levels from only:  Multiple Vitamins & Minerals, Calcium Plus D Supplements, “Vitamin D Enriched” Milk, and Sunshine combined.  Every other patient needed an additional 1000 IU to over 5000 IU Vitamin D3 supplements daily.

Tertiary HyperParaThyroidism – Reset Thermostat

January 30, 2014 @ 7:37 am
posted by Dr Ginther

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.