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....

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...

Increased Fracture Risk = Osteoporosis

Fracture Risk is the elephant in the room.  Fractures can keep you from doing what you want for weeks or months.  Fractures can put you in a Nursing Home, sometimes...

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...

Gluten Free

Some of my patients have an icky tummy.  They are thin, anemic, and have osteoporosis.  They have been evaluated for Lactose Intolerance, Crohn’s, Colitis, Irritable Bowel Syndrome (IBS), and Celiac...

Crohn’s, Colitis, Irritable Bowel Syndrome

Getting enough Calcium, Vitamin D, and other nutrients is tough enough when you have normal bowels.  Crohn’s, Colitis, IBS, Celiac, Bariatric Surgery for Weight Loss, and other bowel problems make...