Bone “Good Enough” for an Antiresorptive?

November 30, 2012 @ 7:07 am
posted by Dr. Ginther

How do you know when an Antiresorptive medication is best?  First, the situation needs to be beyond the capability to Take Control Naturally with Calcium Citrate and Vitamin D3 alone.  A dropping Bone Mineral Density (BMD) or a worsening Vertebral Fracture Assessment (VFA) despite adequate Calcium and Vit D3 indicates the need for medication.

Second, the bone needs to be Good Enough that preserving it at current levels will prevent fractures.  Good enough means no Fragility Fractures and no Vertebral Compression Fractures detectable on the VFA by DXA machine or by lateral spine x-ray.

Aunt Henrietta & Superstorm Sandy

November 27, 2012 @ 10:40 pm
posted by Dr. Ginther

Aunt Henrietta has beaten Severe Osteoporosis with high dose Vitamin D, Adora Calcium Premium Chocolates, Forteo, and now Prolia.  I have written about her adventures with a throw rug, her bifocals, unexpected black ice, and her attic stairs.  Recently she tangled with Superstorm Sandy.

Aunt Henrietta lives in the steeply hilly part of New Jersey, far from the ocean.  No ocean storm surge there.  However, heavy rain, high winds, shallow soils, older trees, and narrow, twisting roads strung with power lines combined to almost do her in.  All she had was candles, layers of sweaters, and her stubborness (of which she has quite a lot).

Pregnancy, Vitamin D, & MS in the UK

November 24, 2012 @ 9:39 pm
posted by Dr. Ginther

Vitamin D3 has become a key part of Multiple Sclerosis (MS) treatment.  MS is a disease more common in persons with low Vitamin D levels.  MS sufferers treated with Vitamin D3 supplements maintain function longer.  Now British researchers have confirmed evidence that MS is more common in those whose mothers had low Vitamin D levels while pregnant.

The Journal of Neurology, Neurosurgery & Psychiatry has published a meta-analysis of over 150,000 births in the UK looking for MS decades later.  MS was significantly more common in individuals born in April and May, than in persons born in October and November.  Looking at only those born further north increases the difference.

Give Thanks

November 21, 2012 @ 6:12 am
posted by Dr. Ginther

Tomorrow is Thanksgiving in the USA.  Originally, Thanksgiving was a day of giving thanks for a bountiful harvest.  As I was growing up, it was a day to eat yourself into a near coma and to watch college football on TV.  Now it has become the day to begin the shopping frenzy  of “black Friday” and beyond.

We should pause to consider how blessed we are.  Adequate food and medical care are available to over half of the world’s population.  The technology so many will acquire this season is beyond the wildest dreams of the world’s wealthiest few of only a generation ago.  Sure, the world is far from perfect, but we have come a long way.