Posts Tagged ‘Nutrition’
Aunt Henrietta looked like half a raccoon with her entire left eye blackened. She dismissed her looks as not a problem saying, “I fall all the time, but I don’t break anything.” This is a change on both counts. Five years ago, falls were infrequent. Even so, she broke one wrist, then the other wrist, then her shoulder.
Two wrists, one shoulder, and half a dozen vertebral fragility fractures indicated Very Severe Osteoporosis. That was before she took the Anabolic, Forteo, for 2 years. She was the ideal patient for serious measures to stop her fractures. And it has worked!!
Fracture Risk is much more than Bone Mineral Density (BMD) or t-score. Many medical conditions cause osteoporosis and fractures. Blood tests can detect those medical problems. This is the post on CMP.
Albumin is the major protein in the blood. A large portion of the calcium in the blood is bound to albumin. What is important is “free calcium”, so a mildly low calcium combined with a low albumin is less of a problem for heart and nerves. However, a low albumin generally means poor nutrition, especially too little protein intake, and protein is the major component of bone, so too little protein is a problem.
Fracture Risk is much more than Bone Mineral Density (BMD) or t-score. Many medical conditions cause bone loss, osteoporosis and fractures. Blood tests can detect medical problems.
CBC is Complete Blood Count. That means red cells, white cells, and platelets. A normal CBC eliminates diseases of the bone marrow such as leukemia or myeloma, both of which can cause osteoporosis and Fragility Fractures. I rarely find patients with these conditions, and then, almost always in early, treatable stages.
By far the most common finding in a CBC is mildly low numbers of red cells. This is usually something a person has had for years and is of no concern. However, low red cells (anemia) can indicate a problem with nutrition.