Prolia for Men Too – A Few Men

July 2, 2012 @ 7:11 am
posted by Dr. Ginther

Prolia has been available for postmenopausal women for 2 years.  It is the only Antiresorptive appropriate for persons with both reflux disease (GERD) and decreased renal function (mild kidney failure).  But it was not FDA approved for men.  Now it is approved, but only for a few men.

Men with Prostate Cancer taking medications to eliminate Testosterone (hormonal ablation) and without metastases (cancer spread to bone and other tissues) are now approved for Prolia.  Prolia can delay the spread of cancer to bone, sometimes for years.  All other men must wait for studies demonstrating that Prolia works on osteoporosis the same in  men as in women.

Increased Access to ??

June 28, 2012 @ 9:39 pm
posted by Dr. Ginther

Access to medical insurance is not the same as access to medical care.  Access to medical insurance was the objective of “Obamacare”.  The second issue, access to medical care, has not been addressed at all.

Here in Iowa, access to medical care is getting tougher to find.  Primary Care Physicians are retiring faster than they are being replaced.  Nurse Practicioners and Physician Assistants are increasing, but nowhere near fast enough to fill the vacancies.  Nearly 40% of the MD and DO docs are over 60.  We are slowing down and many will soon retire.   We are decreasing the number of healthcare providers while adding access to insurance to another 40,000,000 people.  How will this help access to medical care?

Medication Alone is Not Enough

June 21, 2012 @ 11:11 pm
posted by Dr. Ginther

I see many patients who have failed to improve on osteoporosis medications.  The vast majority of those patients are not getting enough Calcium and Vitamin D to succeed.

Osteoporosis medication alone is not adequate.  A study released last week of patients in France in 2010 brought this home again.  Patients receiving medication AND Enough Calcium in Diet and Supplements Together AND Enough Vitamin D, maintained Bone Mineral Density significantly better than those who did not get all 3.

Patients Are Worried About Vitamin D

June 17, 2012 @ 9:29 pm
posted by Dr. Ginther

TV Newsies have reported a story about some Europeans having problems when given Vitamin D supplements.  But they did not report that these patients received 500,000 units of Vitamin D as a single dose.  This is ten times the recommended maximum daily dose.  Of course there was a problem!

Their theory was that the national health service would save money and assure compliance by giving Vitamin D just once a year.  Unfortunately there were increased falls in the first week after this HUGE dose.  Falls increase fracture risk.