Pharmaceutical Industry Websites

The following sites are sponsored by the manufacturers of these pharmaceutical agents:

Posts Tagged ‘Protein’

Treat to Target # 2 – Fragility Fracture

January 31, 2018 @ 8:23 pm
posted by Dr Ginther

Treat to Target means aiming for NO NEW FRACTURES.  As discussed last time, the original target was to maintain Bone Mineral Density (BMD) at the level first tested.  25 years ago that was amended to be a T-score of -2.4 or higher, since “osteoporosis the test result” was set at -2.5.

But what if you already have fractured?  Clinical Osteoporosis the diagnosis is a T-score of -1.5 plus a “Fragility Fracture” acquired in any fall from standing height, even on ice.  That is because for the first year after a fracture your risk is 5 times normal. Your risk decreases to 2 times normal after 5 years, but always is higher after a fragility fracture.

If your Fragility Fracture was a Hip Fracture, you have Clinical Osteoporosis regardless of DXA BMD and T-score.  You are at high risk of future fracture, especially of the other hip.  You should start treatment to prevent a new fracture.  At the very least you need to optimize calcium, vitamin D3, protein, and multiple vitamins & minerals intake.

If you also need a pharmaceutical, it should be one which can raise your T-score above -2.5 if you have no fractures, and above -1.5 if you already have a fracture.  That usually means considering an anabolic.  Your goal is NO NEW FRACTURES.

FRAX next time.

Jay Ginther, MD

Choose your parents well.  Their genetics mix to form your genetics.  Your genetics play a large role in determining your potential strengths and weaknesses.  However, what you do with your potential is up to you.

We all wish we could be something we are not, and never can be.  That is completely natural, but not helpful.  You have to play the hand you were dealt.  You have to take control of your future, and you can.

If your parents had great bones, you probably will too – as long as you take care of them with Calcium, Vitamin D, Protein, Exercises, Balance, and Avoid Smoking.

If your parents crumbled into kyphosis (humpback) or broke a hip, due to osteoporosis, you better get working on what you can control as early as possible.  You will probably need medications eventually, but starting on natural treatments early enough can delay that need for years.

If you Take Control Naturally of what you can control early enough, you can achieve many years of fracture free life.  That’s as good as it gets.

Jay Ginther, MD

Bones are over 80% protein.  The organic part of bone is collagen, which is protein.  Calcium is gradually deposited into the organic bone matrix to make bone stiffer.  Ideal bone is mildly flexible, like a titanium airplane wing.

Healthy bones require adequate protein in your diet.  Milk, cheese, and yogurt are good.  Lean meats like chicken, turkey, and fish have less cholesterol than beef or pork.  All sorts of beans, lentils, garbanzos (humus), nuts are vegetarian alternatives.

Protein needs are higher when you are growing, and again starting in your 60’s.  The basic guideline during adulthood is 1 gram of protein for each kilo of lean weight.  See our previously posted Protein Chart.

Muscle is mostly protein.  Strong muscles keep bones strong by tugging on them and by compressing them.  Strong muscles maintain balance and prevent falls.

Preparing protein foods from scratch can be time consuming.  Some days I take the shortcut of Premier Protein Shakes.  30 grams of protein, only 1 gram sugar, low fat, only 160 calories, made from milk solids, and they have 500 mg Calcium.

Take Control Naturally by getting enough Protein in your diet.

Jay Ginther, MD

Calcium is responsible for the stiffness and strength in bones. Calcium is what we measure when we measure Bone Mineral Density. Without sufficient calcium intake you cannot have strong bones.

Most people can absorb 500-600 mg Calcium at a time, if taken with food containing Protein.  This only works if your Vitamin D level is high enough.

You need to consume 400-500 mg  in each of 3 meals to  reliably get 1200-1500 mg every day. This is necessary because most people  will pee and poop and sweat out at least 1000 mg of calcium daily.

Calcium is best absorbed when eaten in foods.

You can Take Control Naturally with diet alone.

Milk, Cheese, and Yogurt are all high in Calcium, but amounts can vary.  Check the label to see how many ounces are needed to make at least 200 mg.  (Check “serving size” and remember that “20%” is 200 mg when dealing with calcium.)

Some vegetables are high in Calcium.  One cup of cooked Collards, Black-eyed Peas, or 1.25 cups cooked or finely chopped Kale or Okra each have 200 mg.  4 cups of chopped Broccoli is 200 mg.  Of course you can eat these raw, if you prefer.

If you do not get enough calcium in your diet alone, Calcium Supplements are needed.

Jay Ginther, MD