Tertiary HyperParaThyroidism – Reset Thermostat

Tertiary HyperParaThyroidism is becoming common among older individuals.  Or maybe we are just beginning to notice what it really is.  The blood tests are the same as Primary HyperParaThyroidism – high...

Enjoy A Nooner

Again we have a patient whose Spine BMD has dropped despite good osteoporosis medication.  She takes 500 mg Calcium at breakfast and at supper.  She remembers that you can only absorb...

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...

HyperParaThyroidism Steals Calcium From Bone

High ParaThyroid Hormone (PTH) levels take Calcium out of your Bones.  This is good as an occasional event to cover short periods of low calcium intake.   Bones store calcium for...

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;...

Are We Cabbages?

A patient recently insisted on Vitamin D2 instead of D3.  She told me that she always uses plant sources because they are “more natural”.  Indeed Vitamin D2 (Ergocalciferol) is more...

October 20th is World Osteoporosis Day

World Osteoporosis Day recognizes the ravages of osteoporosis on women internationally.  Worldwide the risk of Hip Fracture is equal to the risk of Breast Cancer, Ovarian Cancer, and Uterine Cancer...

Goldilocks and Calcium Supplements

The question whether calcium supplements are good or bad for you, and how much you should take, is very controversial.  That is because it is the wrong question.  The answer is...