Posts Tagged ‘Nutrition’
This week a patient told me “I can’t have Osteoporosis, because I feel fine!” Osteoporosis is often silent. Osteoporosis can sneak up on you. You do not feel a thing – until the first fracture. And even then you must pay attention to realize that you have been warned.
High blood pressure can hide until the first stroke, or TIA if you are lucky. High cholesterol can hide until the first heart attack, a minor one if you are lucky. Diabetes can be overlooked until your eyesight or kidneys fail, or you lose a leg to ulcers. However, all of these, including Osteoporosis, can be successfully treated before a major problem arrives!!!
The National Osteoporosis Foundation presented “Interdisciplinary Symposium on Osteoporosis 13″ last Thursday through Sunday. Over 400 attendees braved flooded streets and major delays at O’Hare. It was well worth it.
Lectures focussed on bringing new knowledge into clinical practice. The emphasis was on what we can do for individual patients. That is how we practice – helping one individual person achieve better bone health at a time.
This year the theme was teamwork. A coordinated program involving doctors, nurses, nurse practitioners, physician assistants, physical therapists, dietitians, all working in a single coordinated effort works the best.
We learned more about what can be done to improve bone health without medications. We studied the very limited data about “natural” substances and how they may work. We reviewed the data from clinical trials of pharmaceutical medications involving tens of thousands of human patient years. We learned more about how each pharmaceutical medication works compared to other meds and compared to the natural disease process.
We debated the “ideal levels” of calcium and vitamin D3. People are all different. Even the same person has different needs at different ages.
I will be discussing the topics covered at the symposium over the next weeks. The really good news is that each year we know more and can do more to prevent osteoporosis, to decrease fracture risk. And we can do more to treat osteoporosis too.
Jay Ginther, MD
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?