Posts Tagged ‘Milk’
A patient had no idea why her doc sent her to me for a Complete Bone Health Evaluation. As a “baby-boomer”, she lives by the motto: “You are only as old as you choose to be.” And she chooses to remain young. If only it were possible…..
“I can’t have Osteoporosis. I used to drink milk. I am active and I plan to stay active!!! So I just can’t have Osteoporosis!” Unfortunately, she does have Osteoporosis by BMD on her DXA, by the multiple Vertebral Fractures on VFA, and by FRAX. Still, there are simple steps to rescue her Bone Health before she Fractures.
Does this mean that you have to eat bones to have strong bones? Well, sort of. While it is fun to envision people chewing on Flintstone-sized bones, the Flintstone characters did something right. They ate huge Brontosaurus steaks, which were PROTEIN. The content of our bones is, surprizingly, over 80% Protein. Therefore, we must eat enough Protein to maintain and strengthen our bones (and muscles).
The USDA recommends approximately 1 gram of Protein per kilogram of body weight per day. Eating that much Protein daily will maintain a healthy body, including bone and muscle. Persons over age 65 actually need MORE Protein rather than less, for the same sized body.
How much Protein do you need? This often asked question is answered based on how much you weigh. If you weigh:
Punxsutawney Phil saw his shadow today. Six more weeks of winter. But NINE more weeks before we can get ANY Vitamin D from the sun in Iowa. Here the sun is high enough off the horizon only 5 months of the year. Even in the summer very few Iowans make enough of their own Vitamin D.
In all of 2013 I saw fewer than ten patients with good vitamin D levels from only: Multiple Vitamins & Minerals, Calcium Plus D Supplements, “Vitamin D Enriched” Milk, and Sunshine combined. Every other patient needed an additional 1000 IU to over 5000 IU Vitamin D3 supplements daily.
Again we have a patient whose Spine BMD has dropped despite good osteoporosis medication. She takes 500 mg Calcium at breakfast and at supper. She remembers that you can only absorb 5-600 mg Calcium at a meal. But what about lunch? She needs at least 200 mg more calcium in her day.
She plans to eat a yogurt for lunch. This would get her to her minimum of 1200 mg Calcium daily – if only she remembered more than once a week. We need to entice her with a “nooner”. We need her to crave her calcium. Adora Premium Chocolates could do it.