Osteoporosis Medications Reviewed

Recently a patient asked me to review all osteoporosis medications for her to consider and choose from.  We had already optimized her Calcium intake, 25-hydroxy Vitamin D level, Protein intake, Multiple...

Birthday Disease

“Why did I Fracture?” and “Why do I have Osteoporosis?” are common questions I hear from older women and men.  They are taking Calcium and Vitamin D3, eating a diet...

You Don’t Have To Fall To Break A Hip

Sometimes a person breaks a hip first, then they fall.  This happens a lot more often than we realize.  When the break is just below the ball of the hip,...

How Hard Is It To Manage Bone Density?

Wrong Question!  What you should be managing is Fracture Risk.  If you only look at Bone Mineral Density (BMD), you miss the chance to decrease Fracture Risk in the overwhelming...

World Osteoporosis Day 2014

“Real Men Build Their Strength from Within” is this year’s campaign by the International Osteoporosis Foundation.  Today is World Osteoporosis Day for 2014, and the beginnning of the international campaign....

Forteo Increases Bone Thickness on the Inside

Forteo (Teriparatide) increases the thickness of the struts making up spongy (cancellous) bone.  Forteo is the only osteoporosis medication to do that.  It also makes the hard outer shell (cortical...

Anabolic Medications Make New Bone

Anabolic medication for osteoporosis actually increases bone thickness and strength!  Antiresorptive medications for osteoporosis (Fosamax, Alendronate, Actonel, Atelvia, Boniva, Evista, Reclast, Prolia) only preserve bone. We have talked about all...

Aromatase Inhibitors for Breast Cancer

Aromatase Inhibitors (AI) do a great job treating Breast Cancers which are Estrogen dependent.  The AI wipe out all Estrogen thereby depriving the breast cancer of a needed stimulus. Unfortunately,...

Denosumab – Prolia – OPG Analog

Denosumab (Prolia) mimics the natural process that keeps OsteoClasts (the cells that gobble up bone) under control before menopause.  OsteoCytes release Osteoprotegrin (OPG) when Estrogen (or Testosterone) is on board....