Pharmaceutical Industry Websites

The following sites are sponsored by the manufacturers of these pharmaceutical agents:

Posts Tagged ‘BMD’

Start with a Complete Bone Health Evaluation

June 24, 2020 @ 6:57 am
posted by Dr Ginther

You just tripped and suffered a minor fracture?  You just started menopause or male low “T”?  You are now on Medicare?  Are you concerned about your bone health?  If not, you should be.  At least concerned enough to check it out.

Don’t just get a DXA.  DXA alone misses 85% of Fracture Risk, especially in older individuals.  You should get a Complete Bone Health Evaluation to catch any problems early.  “Take Control Naturally” with enough calcium, Vitamin D, protein, and exercises every day.

What is a Complete Bone Health Evaluation?

DXA read by an ISCD Certified Clinical Densitometrist is a start.  ISCD certification assures proper reading.

Vertebral Fracture Assessment (VFA) identifies vertebrae which have collapsed, up to 80% of which are not recognized.  (I missed mine.)

FRAX calculates Fracture Risk far more accurately than DXA and Bone Mineral Density alone.

Blood tests include CBC and CMP routinely done for annual check-ups.  We add monohydroxy Vitamin D, PTH, TSH and phosphorous.

History and physical examination focused on bone health and 20-30 minutes consultation solely about bone health, fracture prevention, osteoporosis prevention, or osteoporosis treatment.

A Complete Bone Health Evaluation allows many of our patients to Take Control Naturally with proper nutrition and exercise alone.

Jay Ginther, MD

Knowing how to move safely avoids unnecessary risks for falls and fractures.  That can improve your life.  Avoid unnecessary risks.

NOF publication https://www.nof.org/wp-content/uploads/Safe-Movement-Brochure-COMBINED.pdf details proper bending, lifting, etc.

This brochure also tells how FRAX, VFA, TBS all improve the predictive power of DXA and BMD alone about who is at risk for fracture.  It also visually shows the 50% risk of fracture without antiresorptive treatment compared to the 0.017% risk of unusual fractures of jaw or femur with treatment.

Read the brochure.  If you need coaching for safe movement, Cedar Valley Physical Therapy can help.  Choose from 4 locations:  125 E Tower Park Dr, Waterloo – 319-232-6339; 1631 Logan Ave, Waterloo – 319-232-2630; UNI, 2351 Hudson Rd, Cedar Falls – 319-273-5265; 4612 Prairie Parkway, Cedar Falls.

Avoid unnecessary risks.

Jay Ginther, MD

Diet and exercise are not always enough to prevent fractures.  Medications are needed if you are fracturing or BMD is falling despite your best efforts. We have many posts about when medications should be considered and the differences among medications.

Traditionally DXA and BMD had been the main determinant of bone health.  Relying solely on BMD often lead us astray.  FRAX helps correct for factors other than BMD.  VFA, looking at the lateral spine, often finds patients with unrecognized crumbling of the spine.  TBS can be added to DXA to identify bone quality issues missed by DXA and BMD alone.

NOF has 16 pages of information at https://cdn.nof.org/wp-content/uploads/Bone-Basics_Osteoporosis-Medicines-FINAL-6.12.19.pdf

Picking the best medication for you personally requires a complete bone health evaluation and consultation with your healthcare professional.

Jay Ginther, MD

NOF Tip for 7 May – Calcium Rich Foods

May 7, 2020 @ 7:07 am
posted by Dr Ginther

BMD (Bone Mineral Density) = Calcium in Bone.  If you want strong bone you must get enough calcium.  Calcium in food is best.  Take control naturally with calcium in foods.

Different listings of calcium in foods look different.  They include different foods.  They have different serving sizes.  We have a handout at the office.  The key is to pick out foods that you like well enough to want to eat them.  Then check serving size.

NOF lists 25 common calcium rich foods at https://cdn.nof.org/wp-content/uploads/2017/04/25-TIPS-Calcium-rich-Foods.pdf

Remember to spread out your calcium over multiple meals.  Remember to take enough vitamin D that you can absorb the calcium you consume.

Jay Ginther, MD