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...

“Salt Free” in a Salty World

Sodium intake of less than 2500 mg daily helps preserve your bone health, decrease fracture risk, and prevent osteoporosis.  It also helps prevent high blood pressure, heart attack, and stroke....

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...

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...

Prolia for Men Too – A Few Men

Prolia has been available for postmenopausal women for 2 years.  It is the only Antiresorptive appropriate for persons with both reflux disease (GERD) and decreased renal function (mild kidney failure). ...

Medication Alone is Not Enough

I see many patients who have failed to improve on osteoporosis medications.  The vast majority of those patients are not getting enough Calcium and Vitamin D to succeed. Osteoporosis medication...

Want to Avoid Meds? Quit Smoking!

My patient desperately wants to avoid taking medication for her worsening osteoporosis.  She considers medications to be unnatural.  She has already maintained her 25-hydroxy Vitamin D level above 40 ng/mL...