In addition to reporting these possible medication side effects to your doctor, you can also report them to the U.S. Food and Drug Administration (FDA) by calling (800) 332-1088 or visiting www.fda.gov/medwatch . You can also contact Novartis, the company that manufactures Reclast, by calling (888) 669-6682. View Thread
Many of us enjoy the taste of a soft drink or soda. Others like the caffeine boost they get from soft drinks. Some studies suggest that colas, but not other soft drinks, are associated with bone loss. While more research will help us to better understand the link between soft drinks and bone health, here is what we know:
The carbonation in soft drinks does not cause any harm to bone. The caffeine and phosphorous commonly found in colas may contribute to bone loss. Like calcium, phosphorous is a part of the bones. It is listed as an ingredient in colas, some other soft drinks and processed foods as "phosphate" or "phosphoric acid."
Some experts say that Americans get too much phosphorous, while others believe that it is not a problem as long as people get enough calcium. The greatest harm to bone may actually be caused when people choose soft drinks over milk and calcium-fortified beverages.
Summary: For bone health and overall health, it is best not to drink too many soft drinks, especially colas.View Thread
The National Osteoporosis Foundation (NOF) recommends that adults under age 50 get 400-800 International Units (IU) of vitamin D every day, and that adults age 50 and older get 800-1,000 IU of vitamin D every day. Some people need more vitamin D.
There are two types of vitamin D supplements. They are vitamin D2 and vitamin D3. Previous research suggested that vitamin D3 was a better choice than vitamin D2. However, more recent studies show that vitamin D3 and vitamin D2 are equally good for bone health. Vitamin D3 is also called cholecalciferol. Vitamin D2 is also called ergocalciferol.
Experts disagree on the safe upper limit for vitamin D. In the past, experts said that people should not get more than 2,000 IU of vitamin D per day. Because of recent studies, some experts now say that a much higher amount is safe. It is difficult to get too much vitamin D unless a person is taking a prescription dose (usual dose 50,000 IUs once a week). In that case, healthcare providers can easily monitor a patient's vitamin D level with a blood test to make sure they aren't getting too much of the vitamin. Problems associated with getting too much vitamin D are rare.
Many people do not get enough vitamin D. These individuals should consider taking a supplement. Before adding a vitamin D supplement, check whether any supplements, multivitamins or medications you already take contain vitamin D. You can also estimate the amount of vitamin D that you get from foods. Subtract the total amount of vitamin D you are already getting each day from the total amount you need to get each day.
Vitamin D supplements can be taken with or without food. While your body needs vitamin D to absorb calcium, you do not need to take vitamin D at the same time as a calcium supplement. If you need help choosing a vitamin D supplement, ask your healthcare provider or pharmacist to recommend one.View Thread
Having irritable bowel syndrome (IBS) does not necessarily mean that you have problems absorbing calcium. People with inflammatory bowel disease, which includes ulcerative colitis and Crohn's disease, but not IBS, tend to have problems absorbing calcium and vitamin D. If you have not been definitively diagnosed with IBS by your healthcare provider, you may want to have a conversation about this issue. Sometimes the symptoms of IBS and celiac disease can be confused, and celiac disease can interfere with your body's ability to properly absorb nutrients like calcium and vitamin D. If appropriate, your healthcare provider can order a test to check for celiac disease. You can also ask whether there are any other tests you should have (e.g. tests to check your calcium and vitamin D levels). If you increase your calcium intake from foods and cut back on your calcium supplements, you still may need to take a separate vitamin D supplement. It is difficult to get enough vitamin D from food alone.View Thread
The article "Effect of calcium supplements on risk of myocardial infarction and cardiovascular events: meta-analysis" recently published in BMJ, suggests a possible link between calcium supplements and heart attacks. We realize that this information may raise concerns for people taking calcium supplements. In this article, the authors analyzed the results of 11 randomized trials that looked at the use of calcium supplements. Due to multiple weaknesses of the analysis, more conclusive research is needed to suggest a true association between calcium supplements and heart attacks. If additional information becomes available, NOF will share this information with the WebMD community. NOF's recommendations for calcium intake are listed below:
-Adults under age 50 need a total of 1,000 mg of calcium from all sources every day.
-Adults 50 and older need a total of 1,200 mg of calcium from all sources every day.
NOF believes that food remains the best source of calcium. Calcium supplements should only be used when adequate dietary intake cannot be achieved. Getting too much calcium from supplements can increase the risk of kidney stones and may cause other health problems. If you are unable to get enough calcium from your diet and have concerns about taking calcium supplements, you should discuss these concerns with your healthcare provider.View Thread