Osteoporosis Testing: Dr. Leia Discusses Bone Facts and Best Supplements and Stimulators for Healthy Bones

Question for Dr. Leia: I am now past menopause, and have never had a bone density scan.

I do take nutrition, but not sure that I am taking enough bone supplements for my age. What are you recommendations for women over 50 to ensure we support our body in maintaining healthy bones and cartridge.

I would appreciate your insight on bone facts of the aging so that I am better educated to care for myself as I grow older. Thanks, Marlene

Dr. Leia's Answer: Dear Marlene, Osteoporosis, or decreased bone density, also called thinning of the bones, is a very serious problem which women face after menopause.

Younger women's bones are strengthened by the protective effect of their hormones, particularly by the body's production of estrogen and progesterone during child bearing ages.

Since fifty is the average age for menopause when the hormone production of the body begins to drastically decline, maintaining healthy bone structure and cartilage strength and elastisicity is important.

Recent studies have shown that the most important thing which women can do to help strengthen their bones is to get regular exercise, particularly strength bearing exercises, such as weight lifting, swimming or resistance exercise.

Most women think that obtaining adequate amount of calcium will help to prevent osteoporosis. However, even though the recommended daily amount of calcium intake of 1200 to 1500mg. is important, studies have shown that just taking the calcium alone was not sufficient to prevent osteoporosis or to build up the bone density.

Exercise combined with certain calcium supplementations which included trace minerals and vitamins were found to be more effective in preventing osteoporosis. Since bone continues to break down and build up constantly, it is necessary to make sure the building up process is not lagging behind the break down process.

Not all calcium supplements are created equal. And not all women can adequately absorb the calcium which they ingest for a variety of complex reasons. To make matters more complicated, the major minerals such as calcium, magnesium, and phosphorus must be in correct balance with each other in order to maintain and create strong, healthy bones.

Usually, decades of living on planet earth, and eating fast foods, and the standard American diet (SAD diet), being sedentary, not getting enough exercise, and daily stress, takes its toll on the whole body, including the bone structure. Your grandmother was correct when she told you to eat all of your vegetables and fruit, because plenty of veggies and fruit help to keep the body in an alkaline state of balance which fosters strong bones and prevents osteoporosis.

So, armed with these facts, it is still never too late to start a regular exercise program, eat healthy foods, especially 4-6 servings of vegetables each day, take your calcium supplement along with a trace mineral supplement which contains all of the minerals necessary for bone growth, such as boron, phosphorus and magnesium in the correct ratio, and also the vitamins D (the sunlight vitamin) and vitamin K, which have been found to be necessary for keeping the bones strong.

The best absorbable forms of calcium are calcium citrate and calcium lactate. Some forms of coral calcium may also be well tolerated and absorbed, however, it should be a high quality form and source, not a cheaper quality. Even though calcium carbonate is absorbed by the body, it is also called chalk, and is the cheapest and most abundant form of calcium found in most of the supplements. It is best not to use this form because it may cause plaque formation on the lining of the blood vessels, and it may upset the acid-base balance of the body.

Calcium hydroxyapatite is the form of choice for women who have osteopenia (borderline low bone mass) and osteoporosis because it has been shown in studies to increase the bone density of women who took this supplement. The only drawback is that it is not suitable for vegetarians because it comes from bovine or cow bones. Stay away from dolomite and oyster shell calcium sources because both of these forms are contaminated by heavy metals and mercury which can be toxic to the body.

By all means, please have a bone density scan done to assess the health of your bones. It is usually recommended that a woman have her first bone density scan done right before menopause to see what the baseline strength of her bones are before she enters menopause. This way, your doctor can help to monitor your progress of your bone health and bone loss as your age.

Another consideration would to ask your doctor about hormone supplementation especially progesterone balanced with estrogen and the roll which hormone balancing can play in the continued care for keeping your bones strong and healthy.

By Dr. Leia Melead

Using Natural Supplements to Improve Joint Health

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By Karen A.
2008-01-03 09:54:00
 

I recently had a bone density scan and blood work done for PTH and Vitamin D. Not putting any diagnosis on this situation yet, my doctor says that my bones are not absorbing the calcium I am taking. I take 1500 milligrams per day with Vitamin D as well. The blood work came back OK on the Vitamin D, but they are redoing the blood work for the PTH in 2 months. What could be causing this to happen? What changes do I need to make? I take B12, B6, Calcium, Iron, Vitamin C, daily and sometimes twice a day. I have heard also that when taking Iron and Calcium together, that the Iron cancels out the Calcium. What are your thoughts on this? I thank you for your response.

 
By Dr. Leia
2008-01-08 18:28:40
 

Dear Karen, The role in which the parathyroid glands play in relationship to the calcium levels and it's absorption in the body is a complex subject. The parathyroid glands are responsible for maintaining the proper levels of calcium and phosphorus in the body. They do this by turning off and on the production of PTH or parathyroid hormone. The amount of Vitamin D is also important in regulating calcium levels. PTH is an abbreviation for parathyroid hormone which is a hormone produced by the parathyroid glands. This test usually is not ordered by your doctor unless your calcium levels where abnormal. A PTH blood test measures the amount of parathyroid hormone that is present in the blood, and this test can identify a condition known as hyperparathyroidism, which can cause abnormal calcium levels in the blood. If your blood calcium levels are too low, the parathyroid glands release more PTH. So, knowing the level of your PTH and your blood calcium is important in assessing your situation. PTH levels that are either too high or too low can affect the kidneys and bones, as well as the calcium and vitamin D levels in your blood. Make sure that when you have this PTH blood test done, that it be done early in the morning, usually before 10 AM, because PTH levels are at their lowest during this time of the day. Also, a fasting specimen should be drawn, so make sure that you do not eat or drink anything except water for a period of about 8-10 hours before having your blood taken. You mentioned that you take calcium, but did not mention what type of calcium and whether you are also taking magnesium to balance your calcium. You also mentioned that you take 1500 mg. of calcium each day, and sometimes twice per day. This is alarming to me because you could be taking too much calcium and it could be depositing in your soft tissues. You could also be interfering with the normal regulation of the parathyroid glands' production of PTH by taking this amount of unopposed calcium, so you can see that this is a fine balancing act occurring in your body here. Normally, this balancing act works well. When calcium levels in your blood fall too low, your parathyroid glands secrete enough PTH to restore the balance. PTH raises calcium levels by releasing calcium from your bones and increasing the amount of calcium absorbed from your small intestine. When blood calcium levels are too high, the parathyroid glands produce less PTH. But sometimes one or more of these glands produce too much hormone, leading to abnormally high levels of calcium, hypercalcemia, and low levels of phosphorus in your blood. This information is taken from the Mayo Clinic's website and you may go here to read more about this complex role which the parathyroid plays in regulating your mineral and calcium levels > Parathyroid Information. It might be wise to stop taking your calcium and iron supplements and repeat the blood tests after you have stopped taking them for about two weeks. Please follow your medical doctor's advice and allow him or her to continue to monitor your case and do not try to self diagnose or prescribe for yourself. Natural medicine and supplements are important for our optimal health, however, too much of one supplement could cause an imbalance or mask the real cause of your problem. Seek a medical professional who has knowledge about the interaction between natural substances, supplements, and chemical drugs if you are taking any. Good luck in your search for a diagnosis.

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