831-226-2108

304 Lincoln Street,

Santa Cruz, CA

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© 2016 Navigator Medical Consultancy. Proudly created by Kelly Finan with Wix.com

  • Dr. Jay Pennock

Osteoporosis Management


Osteoporosis Management

Osteoporosis is a condition where bones become thin and porous. This reduces their strength and puts the bones at risk of fracture. Treatment once this starts to happen is elusive, so prevention is the most important aspect of management! Bone mass peaks at 30 years of age and then starts to decline after 40. There is a natural process of mineral balance that the bones play a major roll in. Many different hormones play and interactive roll with either bone growth or decay. 15% of bone turns over each year, so it is very important to give your body what it needs to maintain a healthy spine and skeleton!

Testing Points:

  1. Types of testing to determine bone density

  • DEXA scan

  • Heel and hand X-rays

  • CT scans

  • Ultrasound density measurements

  1. Osteopenia is between 1-2.5% lower than the mean

  2. Osteoporosis is >2.5% below the mean

  3. Current recommendations are that women over 65 get tested and younger patients get tested if they have a medical condition that puts them at risk

Causes:

  1. Genetic predisposition

  2. Major Medical conditions

  • Cancer

  • Stroke and neurologic conditions

  1. Liver and kidney disease

  2. Medications

  • Steroids

  • Some anti-hypertensives, sedatives and others

  1. Nutritional deficiencies

  • Absorption problems

  • Inflammatory Bowel Disease

  • Gluten sensitivity

  • Leaky gut syndrome

  • Dietary considerations

  • Inadequate dietary intake of fruits and vegetables

  • Acidifying diet

  • Diet high in animal products

  1. Inflammation and Auto-immune diseases

  • Thyroid disease

  • Lupus

  • Arthritis

  1. Hormonal issues

  • Testosterone deficiency

  • Estrogen deficiency in women

  • Thyroid insufficiency

  • Parathyroid diseases

Prevention – the MOST important of strategies!

  1. Nutritional strategies

  • Anti-Inflammatory diet

  • Alkalinizing diet

  • Eat the rainbow to get the vitamins and minerals needed

  • Foods with high Omega-3 fatty acids

  • Adequate protein (0.8gm/kg)

  1. Supplements

  • Vitamin D

  • High quality multi-vitamin and minerals

  • Vitamin K

  • Magnesium

  1. Hormonal balance

  • Estrogen

  • Thyroid

  1. Exercise

  • Moderate strenuous activity

  • Mild use of free weights

  • Helps stimulate bone growth

  • Balance training exercises

  • Reduces risk of falls

  1. Avoid the following

  • Very high protein diet

  • Damages kidneys and alters calcium and phosphorus balance

  • Animal proteins

  • Smoking

  • Excessive alcohol

  • Excessive Vitamin E

  • Excessive Caffeine consumption

  • Antacids

  • High sodium diet

  • Soda

Treatments

  1. Prescription Medications

  • Usually started after there is considerable bone loss

  • Bisphosphonates

  • Stimulate bone growth

  • Estrogen receptor blockers

  • Antibodies to bone absorption proteins

  • Calcitonin

  • Strontium and others

  1. Hormonal balance

  • Maintain optimal Vitamin D levels

  • Estrogen and testosterone replacement

  • Thyroid and parathyroid hormone support

Calcium and bone health

  1. Calcium is important as 99% of the calcium in our body is in our bones and the bones are 38% calcium!

  2. No real correlation between high or low calcium intake and bone health

  3. Important to increase calcium absorption from our diet and limit its excretion through the kidneys

  • Increase absorption by:

  • Plenty of essential fatty acids (fish oils)

  • Vitamin D levels in optimal range

  • Limiting animal products

  • Increasing fruits and vegetables

  • Avoiding simple carbs

  • Decrease excretion by:

  • Avoiding high protein diets

  • Limiting sodium intake

  • Limiting caffeine

  1. Be careful regarding calcium supplements as they are associated with increased heart and vascular disease. Best to get your calcium through your diet

  2. Milk is NOT a good way to get calcium as it acidifies the blood and increases leaching from the bones. Yoghurt – the good kind – and hard cheeses are a good way to get calcium