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Archive for October, 2011

“Drug Holiday”

October 28, 2011 @ 9:00 am
posted by Dr Ginther

“Drug Holiday”.  How does that work?  After 5 or more years on Bisphosphonate medication, there is often enough accumulated medication to maintain Bone Mineral Density for 2 or 3 or more years without adding more medication.  That is a great way to Take Control Naturally – with only occasional help from pharmaceuticals.

Of course you still must consume enough Calcium, Vitamin D, and Multiple Vitamins & Minerals in food or in supplements.

How long does that work?  We don’t know unless we monitor BMD with DXA, and also monitor VFA.

Shrinking? Poor Posture? Kyphosis! Osteoporosis!

October 24, 2011 @ 6:00 am
posted by Dr Ginther

I recently noticed that a friend seems to be Shrinking!  She is not as tall as she used to be.  When I mentioned it, she said that her kids had been on her about her Poor Posture!  She has tried exercises and PT, but her “posture” is getting worse.

When I looked at her with my “doctor eyes”, I realized that she has Kyphosis or Vertebral Compression Fractures.  It is also called the “Dowager Hump” or “Humpback”.

Her mother’s back became so badly humped that she could not see in front of herself when standing!  Now my friend is developing the same problem!  It is time to get serious about evaluation and treatment of her Osteoporosis!

Teaching Osteoporosis Prevention

October 22, 2011 @ 9:00 am
posted by Dr Ginther

Nurse Practitioners need to know how to Screen for and Prevent Osteoporosis.  This past week I taught both the lecture and lab sections at Allen College.  The lab covered DXA, VFA, and FRAX.

The PowerPoint lecture emphasized the basic measures needed to Take Control Naturally, and the use of medications when needed.  As always, teaching was enjoyable and an opportunity to grow my understanding of Osteoporosis and how to deal with it.

The most important aspect of the lab was that DXA is only part of the story.  I showed patients whose Osteoporosis can only be diagnosed by VFA.  One example has Vertebral Compression Fractures of 30% and 60% despite a DXA t-score of +3.0!

FRAX demonstrates that Fracture Risk varies more with age and other Risk Factors than with t-score.  More about FRAX next week.

Jay Ginther, MD

October 2011

Higher Vit D Makes Meds Effective

October 13, 2011 @ 6:00 pm
posted by Dr Ginther

New evidence shows that you need a vitamin D level much higher than “100%” of federal standards for osteoporosis medications to be fully effective.  That is why I always aim for 40 to 80 ng/ml 25-hydroxy Vitamin D in my patients.