Posts Tagged ‘Vitamin D’

Goodbye to “Totally Natural” Vitamin D

September 14, 2014 @ 8:18 pm
posted by Dr Ginther

I was out at high noon (about 1:12 CDT) today, and may have made some Vitamin D in my exposed skin.  We had beautifully clear skies with cool, dry air and lots of sunshine.  I did not use sun-block for the few minutes of skin cancer risk.  Unfortunately, it was also only a few minutes of Vitamin D opportunity. 

Ultraviolet light is attenuated and eventually blocked by the atmosphere.  The lower the sun is on the horizon, the less UV light gets through.  In Waterloo, IA we are entering the 7 months of the year when the sun is too low on the horizon.  We do not get enough UV to produce any Vitamin D.

Less than half of Iowans, who do not take substantial Vitamin D3 supplements, have sufficient Vitamin D levels in September.  By early April, that is less than 15%.

Aunt Henrietta – A Triumph

September 6, 2014 @ 8:48 pm
posted by Dr Ginther

Aunt Henrietta’s 90th birthday party was a triumph.  Over 100 friends, neighbors, and relatives attended.  She planned and arranged it all herself.  This was not the feeble 89 year old of last fall.  This was the comeback kid.

6 years ago Henrietta had fallen and broken both wrists and a shoulder in 3 separate incidents.  That was before she took Forteo, followed by Prolia.  Last year she was sick enough to be falling several times a day.  But she did not break anything!  Had she broken she would probably not have celebrated her 90th.

Aunt Henrietta waited until age 83 to start taking enough Calcium (Adora Premium Chocolates), enough Vitamin D, and almost enough Protein. Then she waited until she had fractured both wrists and a shoulder before starting osteoporosis medication.

I am not happy that she still falls ocassionally in her 3 level house, but I know that now she doesn’t break anything.

Aunt Henrietta is a triumph.

You don’t have to wait as long as she did to check up on your bone health.  Get a Complete Bone Health Evaluation.

Take Control of your future now.

Jay Ginther, MD

“Baby-Boomers” Should Check Their Bones

June 6, 2014 @ 6:26 am
posted by Dr Ginther

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.

Sometimes We Need Medications

May 30, 2014 @ 5:23 pm
posted by Dr Ginther

Patients who have already fractured may need osteoporosis medications.  Adding fractures to a low BMD or T-score on DXA makes the Clinical Osteoporosis more severe and increases Fracture Risk.  This is true of vertebral fractures detected on VFA, as well as clinically obvious fractures, like hip or wrist or shoulder.

Fracture Risk is the big deal.  Fractures are what we want to avoid.  Having suffered one fracture makes a Second Fracture 3 to 5 times as likely as the first.  Bummer.  Calcium, Vitamin D, Protein, Multivits and Exercise alone often cannot overcome those odds.  Real bummer.  Adding a medication often can avoid the Second Fracture.