Lactose Intolerant

People who are lactose intolerant develope digestive problems when they eat dairy products.  Live culture yogurts or other “probiotics” may help in mild cases.  Persons with more serious intolerance should avoid dairy...

Pictures Tell How Osteoporosis Medications Work

Dr David Dempster presented spectacular pictures to the 2012 meeting of the American Society for Bone and Mineral Research (ASBMR).  They show clearly the different actions of the anabolic, Teriparatide...

Stress Fracture = Osteoporosis

A fragility fracture is a fracture which happens from minor trauma.  A stress fracture happens from repeated normal daily activities, like walking or going up or down stairs.  This is...

Prolia Is Now For Men Too!

The FDA has approved Prolia for men with osteoporosis, who are “at high risk for fracture”.  This affects a sizeable number of men.  High fracture risk includes men with crumbling...

Healthy Vegan is More than No Meat

A parent is worried about a teen-aged daughter who has decided that she is a Vegan.  She has decided that she will be more healthy if she avoids all animal...

Bone Mineral Density = Calcium in Bone

I recently saw a patient who has not improved her Bone Mineral Density despite 2 years of Forteo followed by 3 years of Reclast.  The good news is that she stopped...

Lower Your Salt – Save Your Bones

More Salt in your diet can result in more Calcium loss from your bones.  This also explains the association of Osteoporosis with Calcium containing Kidney Stones.  Calcium containing kidney stones...

Grandsons and Black Bears

Last week we were on vacation near Ely, MN on the edge of Boundary Waters Canoe Area with our 2 year old grandson.  His favorite day trip was to the...

TANSTAAFL

There Ain’t No Such Thing As A Free Lunch.  As true now as when Robert Heinlein shortened it to TANSTAAFL. Every medication has benefits and risks.  Every decision to not...

Different Doses – Different Names

We have talked about Reclast and Prolia, two meds for osteoporosis.  We have not talked about Zometa and Xgeva, two meds for prevention and treatment of cancer spreading to bone...