Secondary HyperParaThyroidism – Doing Their Job

Secondary HyperParaThyroidism is the result of the ParaThyroid glands doing their job.  Their job is to keep the calcium in the blood “just right”.  Too often this requires stealing calcium...

So, There Is Nothing You Can Do For Me

Recently a patient finished her half hour visit by saying, “so there is nothing you can do for me”.  We had discussed Low Bone Mineral Density (BMD) on her DXA;...

DXA Alone Misses Most Fracture Victims

If you screen by DXA alone you fail to identify most of the individuals who will fracture.  Over 80% of fracture patients over age 50 have “osteopenia” or “normal” as their Bone...

Fracture Risk!!!!!!!! Not DXA Alone

This week a patient was delighted to know she had no bone worries – based on her t-score of -2.4 in her hips.  Unfortunately she was very wrong!  “Osteopenia” is just...

BMD Measures Calcium in Bone

A patient was very disappointed recently, that his Bone Mineral Density (BMD) had NOT IMPROVED, despite anabolic medication for his Osteoporosis.  The reason for failure became obvious as soon as...

CMP is Complete Metabolic Profile – Part 4

Fracture Risk is much more than Bone Mineral Density (BMD) or t-score.  Many medical conditions cause osteoporosis and fractures.  Blood tests can detect those medical problems.  This is the post on...

CMP is Complete Metabolic Profile – Part 3

Fracture Risk is much more than Bone Mineral Density (BMD) or t-score.  Many medical conditions cause bone loss, osteoporosis and fractures.  Blood tests can detect medical problems.

What’s That For?

Patients often ask “What’s that for?” when I order blood tests.  They understand that DXA is for Bone Mineral Density (BMD).  They understand Vertebral Fracture Assessment (VFA) when I show...

Strontium Should Increase BMD, But…

Based on advertizements and extensive research on the internet, a patient recently added Strontium Citrate to her treatment for falling Bone Mineral Density (BMD).  What she read claimed that Strontium...