Just a note to clear up about calcium portions. The amount of calcium is not determined by ounces, but by calcium content, usually measured by 1/2 cup to 1 cup serving. Calcium can only be absorbed by the body in 500-600 mg increments.
Look at your food labels as many foods have calcium added. For instance, OJ with calcium typically has 300-350 mg per serving. The amount is given in % not mg., so convert % to mg by dropping the % and adding a zero. 30% of your daily requirement is 300 mg, 15% is 150 mg, etc.
There are many foods with calcium. I believe the NOF has a list of them and their calcium content in a serving. Go to www.nof.org to research this.View Thread
There's no shame involved in taking RX, nor are there accolades in not taking them. They save lives and preserve independence. If you've fractured, you need meds. Decide what you want from life and do what you have to do to get it.View Thread
Running is a good cardio workout, but is bad for the bones with the risk factors you have. Walking is better for your bones. Anything done on your feet is considered weight bearing - you don't actually have to lift weights. You could walk for your bones and do something else for cardio like swimming.
If you've had a femur fracture, it doesn't matter what your T-scores are, you have a clinical diagnosis of osteoporosis. With fractures, even stress fractures, you are twice as likely to fracture again. If you continue to run, which pounds the already fragile bones and depletes your calcium, you are certain to fracture.
I believe the medication you're referring to is Prolia. It's given twice a year; however, the medical director of the osteoporosis center where I've worked for 18 years is a rheumatologist on the board of the ISCD and she maintains that it is to be given ONLY when all other osteo meds have been tried and have failed. It's not just another choice of drug.
As for Fosamax causing fractures after 5 years of use...well, you've already had fractures and Fosamax has been proven to reduce your risk of having another fracture. The way, again, our medical director determines whether or not to have her patients discontinue use is by significant change in bone density.
If you've not fractured since your last DXA and your numbers are clinically stable - I'll explain that in a minute - she thinks you could go off the medication. When you have your repeat test in 2 years if you're still stable, continue without medication. If and when the time comes that your numbers are declining significantly, she advises her patients to resume medication. (I don't know why this line is appearing).
Now, as to what a significant change in bone density is...it's not just what appears to be a great increase or decrease in you T-score. It is a number derived from a specific formula
It requires that the DXA technician conduct a precision test on the machine. This is done by having 30 people have a scan of their spine and/or hip, get off the table, get back on and have the test repeated. Or 15 people doing this three times. The goal is to see how exactly the tech can replicate the test. She puts the numbers into the computer, does a calculation and comes up with the LSC or Lowest Significant Change. This is the lowest range a result can be in and be considered Stable. It's determined by the BMD, not the T-score. For example, on our machine, the LSC is 2.99 on the spine and 2.98 on the hip. That means that if your BMD (Bone MIneral Density) is higher than this number, either in the negative or positive, you have significant change. It's basically a margin of error.
When I hear people say their T-score went from -2.0 to -2.1 and that means they've lost bone, it isn't true necessarily.
Ask your testing person what their LSC is (she'll think you're brilliant) and then look at your test results where it says Change - none, gain or loss. The gain or loss will be outside the LSC. If the tech looks at you blankly and doesn't know what a precision test is or the LSC, have your future testing done somewhere else because you're not getting a quality test.
If you don't like the Fosamax, you could try the Evista, which is a synthetic hormone that has no effect on the breast tissue or Reclast, an annual IV infusion.
Got to the National Osteoporosis Foundation website, www.nof.org , for a lot more indepth information on the medications and all things osteoporosis.View Thread
There is no good or bad calcium. It's a mineral and not broken down.
Calcium Citrate (Citracal, etc) is often recommended because it's not as dense as calcium carbonate and people who have issues with gas and constipation can more easily tolerate it.
Calcium carbonate, (Oscal, Viactive, Tums, etc) is a one pill dose. You take one pill with lunch and one with supper, whereas Calcium Citrate is a 2-pill dose. You would take 2 pills with lunch and 2 with supper.
To maximize the calcium, you have to have Vit D. It's what send the calcium to the bones - so be sure to get a supplement with Vit D added. If constipation is a problem, get one with magnasium too.View Thread
How old are you? How old were you when you had the stress fractures?
What risks is your doctor talking about with the Fosamax? Your personal health risks or something else?
What were your T-scores now and what were they the last time?
Do you take your calcium all at one time?
Just right off the top of my head, without knowing the answers to these questions, I'd avise you to change the running to walking. Running pounds the spine and can cause small struts within the vertebrae to break without you having a clue until the last one (the honeycomb looking bone) breaks. Then you have a compression fracture and boy, will you know it!
Walking gives you the same benefit without the pounding and you don't sweat as much. Sweating causes you to excrete calcium.
I'd also be sure not to life any total weight over 10 lbs and not to do any movement that bends your spine forward at the waist or twisting of the spine.View Thread
This website seems to be all about promoting a specific product.
Most of its claims would make sense to a layperson, but are not valid.
Calcium is a mineral. There is no good or bad calcium. Calcium consumption in itself does not guarantee good bones. Nothing guarantees good bones - even if you do all the "right things." There are wayyy too many variables to consider in a person's bone health.
The main thing with calcium is not to consume more than 500 mg at a time. If you are Vit D deficient you'll need to get your numbers up with doctor prescribed mega doses, then take a supplement of 1000 IU a day. Vit D sends calcium to the bones. If you don't have D, the calcium doesn't work.
There is NO NATURAL WAY to reverse osteoporosis. Having your T-score increase is not the way to tell because some things, like arthritis, can make your bones appear dense when they're really not.
If you have osteoporosis, I suggest having your Vit D level checked, make sure you get 500 mg of calcium twice a day and depending on your risk factors for fracture, take an FDA approved medication for osteoporosis. That is the ONLY way to increase your bone strength.View Thread
Osteopenia means low bone density. Whether or not you need a med depends on other factors that you need to know. They are: What was your lowest T-score? Have you broken a bone after age 40? Are you on prednisone? Can you stand unassisted on one foot > 5seconds? If you had a FRAX assessment, what was the result?
You most likely should not be on Prolia. It's a medication to be taken only after all other osteo meds have been tried.
Osteoporosis is defined as having a T-score lower than -2.5 or having had a vertebral or hip fracture.
Having osteopenia in itself does not mean you won't fracture, especially if you have other risk factors for fracture.
If you have osteopenia and have the presence of at least one of the above risk factors, you should be on a medication. Those are the clinical standards. Some of the meds, like Fosamax, have been approved for the prevention as well treatment of osteoporosis.
Look at the NOF website (www.nof.org ) under the medication section to get some more information, then talk to your doctor.View Thread
You know there are ways to continue with the mulch and dirt. You can have raised flowers beds. You can also leave the mulch/dirt in the car and scoop it out into a wheelbarrow and then use it on your beds. You just don't want to be lifting 20-40 lbs of dirt. Do it a little at a time. Same with groceries. Don't load up your arms. Use more bags with fewer items in them. Hold the gallon milk close to your body.
You'll get a lot out of the booklet. I'm so glad you ordered it.
Thank you for your appreciation. I'm happy to be able to help people through this site.View Thread
What kind of help do you need? If it's just general osteoporosis and bone health information, go to the National Osteoporosis Foundation website (www.nof.org ) You'll find tons of verified good information.
If you have a specific question or problem and can't find an answer at NOF, I'll see if I can help sort it out.View Thread