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...

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...

Patients Are Worried About Vitamin D

TV Newsies have reported a story about some Europeans having problems when given Vitamin D supplements.  But they did not report that these patients received 500,000 units of Vitamin D...

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...