The Bone Health Guidelines are Changing

University of Wisconsin hosts biennially the Bare Bones of Osteoporosis Care Symposium.  This year the Wisconsin Bone Club followed the symposium. Felicia Cosman, MD from Helen Hayes in New York was the guest...

“Treat to Target” and “Use VFA” in 2017

Clinical Osteoporosis 2017, NOF and ISCD joint meeting had a different emphasis this year.  Fracture Risk, rather than Bone Mineral Density (BMD) is now the key metric.  Several speakers emphasizd...

Use the Anabolic, Forteo, First => Then Use an Antiresorptive

Recent studies have shown that the order in which we use osteoporosis medications matters.  Traditionally most docs have used Antirsorptives first to preserve bone.  All osteoporosis medications except one are Antiresorptives....

Forteo Treats Atypical Fractures of the Femur

Patients, Primary Care Docs, and Orthopedic Surgeons all worry about bone surgery while on Osteoporosis Medications.  They also worry about Atypical Fractures of the Femur (AFF).  There is one medication...

Prevent and Treat ONJ with Forteo

Dentists and Oral Surgeons are sometimes wary of their patients being on ANY Osteoporosis Medications when they undergo tooth extractions or other dental proceedures.  One osteoporosis medication is different from...

Stronger, More Agile, More Confident

Ann spends a week in Florida each winter with several friends and was stronger, more agile and more confident this year than last.  She stepped in and out of the hot-tub...

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...

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...