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Posts Tagged ‘Diet’

Few healthcare providers focus primarily on Bone Health.  Many of those of us who do are members of the NOF Professional Partners Network.  Go to https://www.nof.org/find-a-professional/ to access the NOF-PPN listings.

We treat osteoporosis, but we prefer to prevent osteoporosis.  Prevention starts early with nutrition and lifestyle to optimize bone health.  Measures improving bone health often also improve overall health including preventing or controlling diabetes, hypertension, and other metabolic conditions.

Imaging helps assess metabolic conditions such as diabetes .  Body Composition by DXA differentiates “bad fat” Visceral Adipose Tissue from “good fat” under the skin.  After identifying my personal dangerous amount of VAT, I have worked with my healthcare providers and improved control of my (familial) diabetes and hypertension.  Better nutrition and better lifestyle (diet and exercise) have resulted in fewer medications.

Consider a complete bone health evaluation and Body Composition by DXA.  Then act to take control of your own health.

Jay Ginther, MD

The numbers are scary if anyone actually pays attention.  Every year about 75,000 Americans die of complications of a hip fracture.  Another 75,000 wind up in a nursing home for the rest of their life.  Most of the remaining 150,000 need a walker or cane to walk across a room.  And this goes on year after year.

We spend over $50Billion every year treating patients for 2 million fractures due to osteoporosis.  We only test or treat about 1/5th of the patients with fractures.

NOF offers http://www.nof.org/wp-content/uploads/NOF_infographic_Osteoporosis-by-the-Numbers.pdf

50% of second fractures could have been prevented with treatment, sometimes simply correcting diet and lifestyle.

Protect yourself and older loved ones.  Get a complete bone health evaluation.

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

Many individuals do not get enough calcium in their diets alone, especially as they get older and absorb calcium less well.  Most people who take precautions against sunburn and skin cancer do not get enough vitamin D.  Vitamin D needs increase as we get older, naturally making and utilizing  vitamin D less well.

We have over 100 posts on these subjects under the Calcium and Vitamin D categories.  Some specifically address the problems of Calcium Carbonate absorption in some individuals and recommend calcium citrate or another readily absorbable calcium supplement.

NOF has an excellent summary at https://www.nof.org/calcium-vitamin-d-supplement-facts/.

The NOF recommendations are for maintenance of good bone health.  Those with fractures and/or osteoporosis by DXA/VFA/TBS often need to play catch-up and require higher doses.

A complete bone health evaluation and discussion with your health care professional can individualize your situation.

Jay Ginther, MD