Posts Tagged ‘Bone Matrix’
A patient was very disappointed recently, that his Bone Mineral Density (BMD) had NOT IMPROVED, despite anabolic medication for his Osteoporosis. The reason for failure became obvious as soon as we reviewed his diet and supplements.
His total Calcium intake is 500 mg daily in diet, with NO supplements. He prefers to avoid supplements as “unnatural”. This is OK. Natural Calcium in Foods is actually better than supplements. But you have to consume it. And you need to take it properly spaced throughout the day.
Bones are primarily made of protein. Sure, we think of them as mostly calcium, but calcium is only a small portion of the total construct. Most of Bone Matrix, the part that is not marrow, is collagen. Collagen is protein.
Protein is essential in our diet. But many are now cutting back on red meat because of the threat of cholesterol and triglycerides in fatty meats. Others elininate meat for perceived ethical considerations. But we still need protein!! And we can get it.
Lean meats such as poultry, fish, and bison can answer the cholesterol and triglyceride issues. So can low fat ricotta and cottage cheeses (28g/cup). Mollusks and crustaceans too. But what of non-animal sources?
Bone that has Fractured = Bone NOT Good Enough = Bone which requires the Anabolic, Forteo. Any fracture, especially vertebral compression fracture, can mean that the bone is NOT Good Enough. A Falling Bone Mineral Density (BMD) can mean that the bone is NOT Good Enough.
Orthopedic Surgeons see patients because their bone has fractured. Often this is a Fragility Fracture – a fracture due to a fall from standing height. I treat osteoporosis because of the patients I saw as an orthopedic surgeon. My orthopedic training makes Fracture Prevention my #1 goal.
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.