Hormone Replacement Therapy (HRT) Saves Lives

July 19, 2013 @ 10:22 pm
posted by Dr. Ginther

Estrogen alone as Hormone Replacement Therapy (HRT) is safe.  Estrogen actually saves lives compared to no estrogen replacement after hysterectomy in women between 50 and 59.  13 women’s lives were saved for every 10,000 women in the Women’s Health Initiative (WHI) study between 2002 and 2011.

Many women have avoided HRT ever since 2002 when HRT was reported to slightly increase cardiovascular deaths.  Further analysis of that data showed that Progestin was the problem.  Estrogen by itself protects against heart disease!  NOT taking Estrogen is dangerous!  Estrogen also protects against osteoporosis and fractures!

Gluten Free

July 15, 2013 @ 7:17 am
posted by Dr. Ginther

Some of my patients have an icky tummy.  They are thin, anemic, and have osteoporosis.  They have been evaluated for Lactose Intolerance, Crohn’s, Colitis, Irritable Bowel Syndrome (IBS), and Celiac Disease.  What do they have?

I recommend that they try a Gluten Free Diet.  Half a dozen are now cured of their chronic icky tummy.  Many more are feeling somewhat better.  Most are now able to digest their calcium well enough to improve their osteoporosis!  Amazing!  What do they have?

Fracture Risk is much more than Bone Mineral Density and t-score.  Bone Health is affected by many medical conditions.  That is why we check blood tests.

Alkaline Phosphatase (alk phos) is the most interesting serum (blood) enzyme because it is produced in liver, bone, intestine and placenta.  High alk phos can mean rapid bone formation.  If Bone Alk Phos is high, we need to determine why.  Most commonly bone alk phos is high in bone healing after a fracture or orthopedic surgery, and will return to normal within 6 months.

CMP is Complete Metabolic Profile – Part 1

July 8, 2013 @ 10:55 pm
posted by Dr. Ginther

CMP is “Complete Metabolic Profile”.  The tests in a CMP can be key to bone health.    We’ll start with Serum Calcium (calcium in the blood).

Bones store Calcium for later use by the rest of the body.  The serum Calcium level is very important for heart, nerve, and muscle function.  Too litttle calcium and your heart could stop.

A NORMAL serum calcium value does not mean that your are getting enough daily calcium.  You could be stealing calcium from your bones in order to keep your heart going.