ÜŔ•
 

Posts Tagged ‘Calcium’

Can you still do all the physical activities you want to do?  Activities of Daily Living (ADLs) are the key to enjoying your life, especially as we grow older.  At ISCD last month we learned some tricks to maintain our ability to do everything we need to do for a full life.

As we age, we lose muscle mass (Sarcopenia).  Loss of muscle mass leads to even faster loss of muscle strength (Dynopenia).  Loss of muscle strength is a strong predictor of Fall Risk and Fracture Risk.  Bummer!

Get your butt off the couch!  You should be able to stand, then sit, then stand again for 5 cycles in 15 seconds.  If you cannot, you are in danger of losing your ability to live independently.  Loss of the knee extension strength needed to stand, even once, predicts mortality.  Huge bummer!

There is no medication for loss of strength. ¬†We do have natural activities: Balance exercises (standing on one leg); Aerobic exercises (walking for distance, not speed); Progressive strength exercises (sit to stand to partial squat to stand….). ¬†Enough extra¬†Vitamin D3 to get your level above 40ng/ml helps your muscles. ¬†And you MUST get enough Protein in your diet.

Take Control Naturally.  Exercises, Protein, Vitamin D3, Calcium, and Multiple Vitamins & Minerals.  Remain strong and independent.

Jay Ginther, MD

 

Several patients have called us in panic because their friends told them that HyperParathyroidism means Surgery.  We reassured them that Surgery is almost never needed in HyperParathyroidism.  But we do need to treat it to preserve or restore Bone Health.

Our clinic sees a new case of HyperParathyroidism almost daily.  Only one or two a year actually need surgery.  How do we cure all the others?  Calcium and Vitamin D3 are the key, as long as you take enough.

Most of what we see is Secondary HyperParathyroidism.  That is the Parathyroid glands doing their job.  Their job is to keep sufficient Calcium in the blood.  They steal it from the bones if not enough is absorbed in diet and supplements.  Too low a Vitamin D level prevents Calcium absorption.

Sometimes secondary hyperparathyroidism goes on for so long that the glands “reset their thermostat too high”.¬† This is Tertiary HyperParathyroidism and is successfully treated with Calcium, Vitamin D3, Protein, and Multiple Vitamins¬†& Minerals over many months.

Primary Hyperparathyroidism is that rare case where a parathyroid gland goes out of control.  It becomes a tumor (not a cancer) putting out too much PTH hormone and steals calcium from bone until it is removed.

Read more about HyperParathyroidism in blogs from last year by clicking on the links.

HyperParathyroidism?  Take Control Naturally with proper nutrition.

Jay Ginther, MD

Spring – The Most Dangerous Season

March 22, 2015 @ 9:12 pm
posted by Dr Ginther

Spring is here.  The birds are singing.  Soon flowers will be blooming.  All the world is coming to life.  And more hips will be breaking.

32% of all hip fractures (nearly 1/3) occur in Spring!  Nearly 1/3 of hip fractures over 70 are in men.  And nearly 1/3 of those men die within months from medical complications initiated by their hip fractures.  Dangerous!

What can we do to avoid those fractures?  Decrease Fracture Risk!  How?  Do the following:

It is March;  this is Iowa;  almost 90% of persons not on major doses of Vitamin D3 are low.  (By late September that falls to less than 60% that are low.)  Remember that if you have a low Vitamin D level, you cannot absorb enough of the Calcium you consume in food and/or supplements.  Take extra Vitamin D3.

Remember that while Calcium Citrate is always absorbable, Calcium Carbonate often is not.  Remember that you need enough Magnesium to absorb Calcium.  A Senior Multiple Vitamins & Minerals has enough Magnesium for those of us over age 50, and lots of other good stuff too.

Protein is a big deal, especially over age 60, when our protein needs actually increase.  80% of bone and 90% of muscle are protein.  Regular exercises, including Balance Exercises, are necessary to Prevent Falls.

If you do not already know the quality (as well as density) of your bones, get a Complete Bone Health Evaluation.  Identify your opportunities for improvement.

Take Control Naturally with proper nutrition and exercises.

Jay Ginther, MD

Stronger, More Agile, More Confident

March 11, 2015 @ 9:57 pm
posted by Dr Ginther

Ann spends a week in Florida each winter with several friends and was stronger, more agile and more confident this year than last.  She stepped in and out of the hot-tub easily instead of slowly and awkwardly.  She zoomed up and down stairs.  She had to slow down when walking with her friends.  What has happened?

A year ago she followed a fragility fracture with below average and decreasing BMD on DXA, and a newly crumbling vertebral fracture on VFA.  She has Clinical Osteoporosis.  That got her attention.  She was determined to play on the floor with her active preschool grandchildren.  You cannot do that if you are crumbling.  She was ready to do whatever it took to get back in the game.

She added Adora Chocolates (500mg calcium in each) to her usual diet.  She added Protein shakes (chocolate) and increased intake of chicken, fish, and beef to meet the new protein guidelines.  She remembered to take extra Vitamin D3 and her Multiple Vitamins & Minerals almost every day.

She got serious about her “10,000 steps” every day and went up and down stairs frequently¬†instead of saving up things for a single trip. ¬†She did not actually join an exercise class as promised.

She started the anabolic, Forteo, to build her bone density and strength.  A daily little shot is a nuisance, especially keeping it cold while travelling, but she wanted results.

This year repeat DXA showed increased BMD.  VFA confirmed no further crumbling.  She zoomed through airports and left her friends in the dust in Florida.  These results have made her even more determined.

She has Taken Control of her Future Life.  You can too.

Jay Ginther, MD