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Posts Tagged ‘CMP’

So how do you find out what aspects of your bone health are pretty good already, what will be easy to fix, and what will take some real work?  Start with a Complete Bone Health Evaluation.

DXA is about 1/3 of the story and should include both hips and spine.  When you are as old as I am, the spine probably is too arthritic to be really accurate, but helps complete the picture.  If you have had a total hip replacement, you should use the non-dominant forearm.

VFA will pick up many persons at increased fracture risk who are missed by DXA alone.  You should ask for VFA, especially if you or a parent have kyphosis (humpback) or have lost height.

The FRAX calculation picks up different individuals at high fracture risk.

Blood tests should include CBC, CMP, TSH, PTH, and 25-hydroxy Vitamin D as a start.  Further testing may be needed.

A medical history and examination focused on bone issues is a critical part of the full consultation.  We allot a minimum of 30 minutes for discussion.  Often a follow-up visit is needed to be sure both we and our patients are clear on the whole picture.

DXA alone misses over half of the individuals who need to improve their bone health.  Get a Complete Bone Health Evaluation.

Jay Ginther, MD

Just DXA is Not Enough

January 4, 2014 @ 3:09 pm
posted by Dr Ginther

DXA identifies only 15% of persons with increased Fracture Risk.  Are you in the other 85%?  To find out, you should get a Complete Bone Health Evaluation.  And that is…….

First and foremost, it is an entire office visit devoted to bone health.  That gives you and your doc enough time to fully discuss bone health issues.  Next there is the full panel of tests: DXA, VFA, CBC, CMP, TSH, PTH, and 25-hydroxy Vit D level.  Finally, there is FRAX.

CMP is Complete Metabolic Profile – Part 1

July 8, 2013 @ 10:55 pm
posted by Dr Ginther

CMP is “Complete Metabolic Profile”.  The tests in a CMP can be key to bone health.    We’ll start with Serum Calcium (calcium in the blood).

Bones store Calcium for later use by the rest of the body.  The serum Calcium level is very important for heart, nerve, and muscle function.  Too litttle calcium and your heart could stop.

A NORMAL serum calcium value does not mean that your are getting enough daily calcium.  You could be stealing calcium from your bones in order to keep your heart going.

What’s That For?

June 21, 2013 @ 11:49 pm
posted by Dr Ginther

Patients often ask “What’s that for?” when I order blood tests.  They understand that DXA is for Bone Mineral Density (BMD).  They understand Vertebral Fracture Assessment (VFA) when I show the lateral Spine image to them on the screen.  Blood tests are a bit more challenging.

Osteoporosis is often caused or made worse by other diseases and conditions.  We screen for the common diseases and conditions.  Some of them are easily corrected.  Easy or hard, they must be identified and corrected to maximize bone health and minimize fracture risk.  For this we need blood tests.