Breast Cancer

Breast cancer is the most common cancer in women.  Some women have a family history of breast cancer.  They are at especially increased risk.  Unfortunately, most women who develop breast...

Blood Clots and HRT

Many genetic causes of excessive bleeding and excessive clotting run in families.  Fortunately they are uncommon.  Members of families with bleeding or clotting abnormalities need to be careful of medications...

Modern Hormone Replacement Therapy (HRT)

Modern Hormone Replacement Therapy (HRT) is safe in most women through their 60’s.  20 years ago, when Progesterone was included in the formulation, HRT was associated with heart problems.  Estrogen...

A Delicate Balance

A delicate balance between bone formation and bone resorption is needed for Healthy Bone.  This balance is naturally present until menopause in a woman or “Low T” in a man....

Androgen Deprivation Therapy – ADT

Androgen Deprivation Therapy is used to treat Prostate Cancer.  ADT is usually effective against Prostate Cancer, adding years to a man’s life.  However, ADT can cause Osteoporosis and Fractures, UNLESS...

Enteric Coated Atelvia

The biggest problem with oral Bisphosphonates is GI upset, especially Gastro-Esophogeal Reflux Disease (GERD).  Another problem is that you must take them on an empty stomach – then eat nothing...

Acute Phase Reaction

An Acute Phase Reaction can occur the first time a person is exposed to a new class of medication.  With each subsequent dose, half as many people have the reaction....

No GERD with Reclast

Bisphosphonates are often associated with Gastro Esophageal Reflux Disease (GERD).  When GERD cannot be adequately controlled by medication, we cannot use oral bisphosphonates.  Yet there is an advantage to taking...

Bisphosphonates Preserve Bone By Slowing Bone Turnover

Bisphosphonates accumulate in your bone.  When OsteoClasts gobble up your bone, bisphosphonates are released into the Osteoclasts and disable or kill the Osteoclasts.  This is great news when the problem...

Bisphosphonates are the Most Commonly Prescribed

Bisphosphonates are the most commonly prescribed Antiresorptive medications used to prevent or treat Ostoeporosis.  We know them as Fosamax (Alendronate), Boniva (Ibandronate), Actonel (Risendronate), Atelvia (enteric coated Risendronate), and IV...