Posts Tagged ‘Bone Matrix’

“Bisphosphonate Holiday” 2014

March 8, 2014 @ 8:56 pm
posted by Dr Ginther

“You are entering a Data-Free Zone”   That was unfortunately the messasge at the joint meeting of the International Society for Clinical Densitometry (ISCD) and the International Osteoporosis Foundation (IOF) last month.  We simply do not have data from a study involving tens of thousands of patients.  We do know some things that are helpful.

Bisphosphonates build up in bone over time.  After about 5 years of Bisphosphonate therapy, you should have enough medication in your bones to last for additional years.  How many years?  That depends.  Different individuals lose Bisphosphonates from their bones at different rates.  Different Bisphosphonates tend to stay in bone longer or shorter than others.  We call the time you are able to stop taking medication for a while (because you have enough in your bones already) ”Bisphosphonate Holiday”.

BMD Measures Calcium in Bone

August 17, 2013 @ 10:42 pm
posted by Dr. Ginther

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 Protein

February 10, 2013 @ 10:40 pm
posted by Dr. Ginther

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 Not “Good Enough” = Anabolic Forteo

December 4, 2012 @ 10:40 pm
posted by Dr. Ginther

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.