Bone Mineral Density is Calcium in Bone

Why do some patients, who are already on good osteoporosis preventing or treating medications, still have a falling Bone Mineral Density?  Are the medications not working?  Not as well as...

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...

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....

Enteric Coated Atelvia

The biggest problem with oral Bisphosphonates is GI upset, especially Gastro-Esophogeal Reflux Disease (GERD).  Another problem is that you must take them on an empty stomach – then eat nothing...

No GERD with Reclast

Bisphosphonates are often associated with Gastro Esophageal Reflux Disease (GERD).  When GERD cannot be adequately controlled by medication, we cannot use oral bisphosphonates.  Yet there is an advantage to taking...

Bisphosphonates are the Most Commonly Prescribed

Bisphosphonates are the most commonly prescribed Antiresorptive medications used to prevent or treat Ostoeporosis.  We know them as Fosamax (Alendronate), Boniva (Ibandronate), Actonel (Risendronate), Atelvia (enteric coated Risendronate), and IV...

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...

Bone “Good Enough” for an Antiresorptive?

How do you know when an Antiresorptive medication is best?  First, the situation needs to be beyond the capability to Take Control Naturally with Calcium Citrate and Vitamin D3 alone....

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...