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.
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.
Recently I had a patient whose spine had lost 10% of its Bone Mineral Density (BMD) since her last DXA. She has lost height in the last year. She has 3 new Vertebral Compression Fractures on her VFA. At 61 she is literally falling apart. She has severe osteoporosis. Her medical history form tells why.
She does not consume milk, or yogurt, or cheese, or calcium fortified orange juice or any veggies with Calcium in them. She will not take Calcium pills or even Calcium -rich Adora Premium Chocolates. She simply cannot have good bone health without some source of Calcium. She had me stymied……..until she admitted she liked Gummies!
I have been on the road with presentations in South Dakota and Southern Illinois recently. SD is state # 10 for me. I teach health care providers about the role for the Anabolic, Teriparatide (Forteo), in the treatment of specific patients. However, I also present a very important message about ALL patients.
A fracture, ANY FRACTURE, means that the patient deserves a Bone Health Evaluation. A fall from a standing height or other minor trauma is obviously a possible Fragility Fracture. But even a fracture during sports deserves at least a check of Calcium in diet and supplements, and a blood test for Vitamin D level.