Pharmaceutical Industry Websites

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

Posts Tagged ‘Vitamin D’

Start with a Complete Bone Health Evaluation

June 24, 2020 @ 6:57 am
posted by Dr Ginther

You just tripped and suffered a minor fracture?  You just started menopause or male low “T”?  You are now on Medicare?  Are you concerned about your bone health?  If not, you should be.  At least concerned enough to check it out.

Don’t just get a DXA.  DXA alone misses 85% of Fracture Risk, especially in older individuals.  You should get a Complete Bone Health Evaluation to catch any problems early.  “Take Control Naturally” with enough calcium, Vitamin D, protein, and exercises every day.

What is a Complete Bone Health Evaluation?

DXA read by an ISCD Certified Clinical Densitometrist is a start.  ISCD certification assures proper reading.

Vertebral Fracture Assessment (VFA) identifies vertebrae which have collapsed, up to 80% of which are not recognized.  (I missed mine.)

FRAX calculates Fracture Risk far more accurately than DXA and Bone Mineral Density alone.

Blood tests include CBC and CMP routinely done for annual check-ups.  We add monohydroxy Vitamin D, PTH, TSH and phosphorous.

History and physical examination focused on bone health and 20-30 minutes consultation solely about bone health, fracture prevention, osteoporosis prevention, or osteoporosis treatment.

A Complete Bone Health Evaluation allows many of our patients to Take Control Naturally with proper nutrition and exercise alone.

Jay Ginther, MD

Many individuals do not get enough calcium in their diets alone, especially as they get older and absorb calcium less well.  Most people who take precautions against sunburn and skin cancer do not get enough vitamin D.  Vitamin D needs increase as we get older, naturally making and utilizing  vitamin D less well.

We have over 100 posts on these subjects under the Calcium and Vitamin D categories.  Some specifically address the problems of Calcium Carbonate absorption in some individuals and recommend calcium citrate or another readily absorbable calcium supplement.

NOF has an excellent summary at https://www.nof.org/calcium-vitamin-d-supplement-facts/.

The NOF recommendations are for maintenance of good bone health.  Those with fractures and/or osteoporosis by DXA/VFA/TBS often need to play catch-up and require higher doses.

A complete bone health evaluation and discussion with your health care professional can individualize your situation.

Jay Ginther, MD

NOF Tip for 7 May – Calcium Rich Foods

May 7, 2020 @ 7:07 am
posted by Dr Ginther

BMD (Bone Mineral Density) = Calcium in Bone.  If you want strong bone you must get enough calcium.  Calcium in food is best.  Take control naturally with calcium in foods.

Different listings of calcium in foods look different.  They include different foods.  They have different serving sizes.  We have a handout at the office.  The key is to pick out foods that you like well enough to want to eat them.  Then check serving size.

NOF lists 25 common calcium rich foods at https://cdn.nof.org/wp-content/uploads/2017/04/25-TIPS-Calcium-rich-Foods.pdf

Remember to spread out your calcium over multiple meals.  Remember to take enough vitamin D that you can absorb the calcium you consume.

Jay Ginther, MD

A Bone Healthy Diet is the best way to maximize nutrition for bone health.  Dietary supplements taken with foods can often work, but nutrients in food are best.  Some nutrients, like calcium, should be spread over several meals to be properly absorbed, especially as we get older.

Start with a Bone Healthy Diet.  Quickly review your calcium, vitamin D, and other nutrients at the end of your meal.  Add supplements if you need to. 

Taking full supplements at the beginning of each meal often results in more than you need, which is not better and is sometimes worse than the right amount.

Get a complete bone health evaluation and discuss your personal needs with your health care provider.

NOF has a printable guide at https://cdn.nof.org/wp-content/uploads/2016/04/Healthy-Bone-Brochure_FINAL.pdf

The calcium and vitamin D intakes recommended in the guide are for maintenance of good bone health.  Those with fractures and/or osteoporosis by DXA/VFA/TBS often need to play catch-up and require higher doses.

Jay Ginther, MD