Posts Tagged ‘Smoking’
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
Smoking is a major risk factor for fractures. Smoking suppresses the osteoblasts (the cells that make new bone). The osteoclasts (cells that eat away bone) then can easily outdo the osteoblasts, and you lose bone mass. Lower bone mass = more fractures.
Stopping smoking altogether is the best for your bone health. That is really tough to do. E-cigarettes have not proven less harmful to bone. Nicotine patches help only if they eventually lead to less nicotine intake than with smoking.
The damage smoking does to your bones (and lungs, and heart) is dose related. Therefore, cutting way down is almost as good as quitting, and often much easier to do.
Especially if you are trying to heal a fracture, stopping smoking, even for a few weeks, is really important. 1 ppd smokers are 5 to 10 times as likely to not heal a fracture. The same is true for infection rate after surgery.
Steroid Inhalers also suppress osteoblasts and bone formation. Unfortunately many cannot get off their steroid inhalers, even after they quit smoking. Major bummer.
Take Control Naturally of your bone health. Stop Smoking. Or at least cut way back.
Jay Ginther, MD
Fractures are NOT FUN. Not something you want to repeat. Any fracture is a Bone Attack. It is a warning that you probably have Bone Health issues that can be improved. Get a Complete Bone Health Evaluation and work to prevent a second fracture. Most people can succeed in preventing that second fracture.
I see many individuals who have had a first fracture. Often the DXA, BMD, and T-score are not that bad. I even see many who have good DXA test scores. But they still fractured with relatively minor trauma. They proved that they have increased Fracture Risk. Why?
Anabolic medication for osteoporosis actually increases bone thickness and strength! Antiresorptive medications for osteoporosis (Fosamax, Alendronate, Actonel, Atelvia, Boniva, Evista, Reclast, Prolia) only preserve bone.
We have talked about all of the Antiresorptive medications over the last 2 months. They are excellent treatment if slowing down the OsteoClasts (cells that eat away your bone) is sufficient. That is not always the case.
Now it is time to talk about something completely different. Anabolic medication stimulates the OsteoBlasts (cells that make new bone matrix). OsteoBlasts can rebuild your bones. If you have Fractures, your bones may need to be rebuilt.
Forteo (Teriparatide) is the only Anabolic medication for osteoporosis in the USA. Close cousins of Forteo are available in other countries.
You may need the Anabolic, Forteo, if you have a hip fracture, multiple other fractures, or if VFA testing reveals a Vertebral Compression Fracture. A DXA T-score well below -2.5 can be reason enough without fracture.
Glucocorticoid (Cortico-Steroid) medications (Prednisone, Steroid Inhalers) specifically supress OsteoBlasts (cells that make new bone). Stimulating the OsteoBlasts with the Anabolic, Forteo, can offset the bone loss from Steroid medications. Smoking also supresses OsteoBlasts, leading to bone loss. Stopping Smoking would be best, but Forteo can help.
Not everyone needs an Anabolic, but some individuals do. A Complete Bone Health Evaluation will tell you if an Anabolic is right for you.
More about Forteo (Teriparatide) next time.
Jay Ginther, MD