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Posts Tagged ‘Collagen’

I was told last week about the mother of an acquaintance in Chicago.  His mother has had Vertebral Fractures again and again and again.  After each fracture she has been told that nothing can be done to prevent another vertebral fracture.  She is turning into a pretzel as her spine crumbles.

After 2 vertebral fractures, she is odds on favorite to fracture another vertebra within the year.  She is also unlikely to respond well to an antiresorptive such as Fosamax, Actonel, Boniva, Reclast, Prolia or their generics because of her severe osteoporosis.  Game over?  Not at all.

Multiple vertebral fractures make her an ideal candidate for an anabolic medication.  Forteo (2002), Tymlos (2017), and Evenity (2019) all can salvage her bone health and increase her bone matrix by 20% or more.  I recommended she see someone up to date in the options available.  There are several in Chicago.  And several here in Iowa.

She needs a Complete Bone Health Evaluation and anabolic treatment.  Of course that includes enough absorbable calcium, enough Vitamin D3, and other nutrition.  Anabolic medications specifically require enough protein to work because they build new bone matrix, which is collagen, which is protein.

You don’t have to fracture again and again.  We can help.

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

Diabetes + High BMD = Brittle Bone

August 11, 2015 @ 8:50 pm
posted by Dr Ginther

Patients with poorly controlled Diabetes and high blood sugar levels often have bone with above average Bone Mineral Density (BMD).  This is good?  WRONG !!

High blood sugars lead to glycolization of the Bone Matrix, which is the protein part of the bone – collagen.  This means that glucose (sugar) molecules are incorporated into the collagen protein chains.  This distorts and stiffens the Bone Matrix.

Normally, stiffer is better,  Calcium stiffens the bone matrix, which strengthens the bone.  But too much of a good thing is bad.  Too stiff becomes brittle.  Brittle bones break more easily than “stiff enough” bones.

Persons with diabetes who routinely run high blood sugars fracture more easily than non-diabetics.  Therefore, at the same BMD and T-score, diabetics have a higher Fracture Risk.

We knew that high blood sugars in diabetics are bad for kidneys, eyes and nerves.  Now we know that high blood sugars in diabetics are bad for bones too.

Take Control of Your Future.  If you have diabetes, work with your primary doc to get your blood sugars under control.

Jay Ginther, MD

Bones Are Protein

February 10, 2013 @ 10:40 pm
posted by Dr Ginther

Bones are primarily made of protein.  Sure, we think of them as mostly calcium, but calcium is only a small portion of the total construct.  Most of Bone Matrix, the part that is not marrow, is collagen.  Collagen is protein.

Protein is essential in our diet.  But many are now cutting back on red meat because of the threat of cholesterol and triglycerides in fatty meats.  Others elininate meat for perceived ethical considerations.  But we still need protein!!  And we can get it.

Lean meats such as poultry, fish, and bison can answer the cholesterol and triglyceride issues.  So can low fat ricotta and cottage cheeses (28g/cup).  Mollusks and crustaceans too.  But what of non-animal sources?