Osteoporosis

Question:

Ken that was a good article on Osteoporosis. I had been on Heparin due to a clotting disorder that 3% of all Chron’s patients can develop. I was fracturing bones all the time, so we did a bone biopsy and found that the bone chip was full of Heparin,and I ended up with Osteoporosis. I’m now back on Coumadin IV-push. Also, I wanted to tell all of you, if you have had your colon removed make sure you drink at least 10-12 full glasses of water daily. I developed kidney stones, as soon as I had taken my colon out. Your large intestine primarily holds 1-2 cups of water, and was functioning to flush the kidneys. Without it, you need to do it on your own by forcing fluid through the kidneys. Believe me, you’ll be sorry if you dont. Stones hurt like —-! Angelj1001

Response:

Angelj1001 wrote : > < >I had been on Heparin due to a clotting disorder that 3% of all Chron’s > patients can develop. < >

Could you tell us more about this clotting disorder? Thanks. Robert Silver

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Fosamax is not a good calsium vitiam to take when you have crohns it can give more problem with the stomach irritation there is a proven fact about this. love, your friend krissy

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Thats good to know!! thanks….never heard of Fosomax being a calcium vitamin….Fosomax from my understanding is a drug and like most drugs there is a side effect to them…Personally though i just makke sure i am getting all my vitamins and minerals and i have done excellent by this…

Fosamax is not a good calsium vitiam to take when you have crohns it can give more problem with the stomach irritation there is a proven fact about this. love, your friend krissy

Response:

I have osteoporosis and all the broken bones to prove it. Fosomax can be an irritant to your stomach if not taken properly, but when taken properly can really help keep the disease from getting worse. Some people, like me, have real problems with this disease. I am lactose intolerant, I have had a hysterectomy(which means no hormones naturally which help against bone loss in women), I lost my large intestine 10 years ago to cancer which makes vitamin absorbsion very difficult. All of this together means I need all the help I can get. With all my broken bones especially in my left leg, I find exercise which does help very hard and smetimes impossible. Please keep an open mind about certain medications and vitamins, because sometimes there are the only alternative. Thanks for letting me lecture. tee-hee! Love with hugs & kisses Susan

Response:

Osteoporosis is an epidemic nutritional deficiency in the United states!There are more than 25 million Americans who have osteoporosis,and the cost to the economy of the United States is about 14 billion dollars.At least 1.2 billion fractures occur each year in the US as a direct result of osteoporosis. Calcium is an essential nutrient in the fight against osteoporosis.Calcium should be taken in supplementation at a level of 800 to 1500 mg daily. Magnesium is important in several biochemical reactions that take place within the bone.Alkaline phosphatase,which is an enzyme that is required in the process of forming new bone crystals, is activated by magnesium.Vitamin D needs magnesium to convert it to its most active form. Vitamin K is required to synthesize osteocalcin, a protein found in large amounts within the bone.It is therefore critical in bone formation,remodeling, and repair. Vitamin D is necessary for the absorption of calcium. Manganese is necessary for the synthesis of connective tissue in cartilage and bone. Folic Acid, Vitamin B6, and Vitamin B12 cause Homocysteine is not only bad for your blood vessels,but it is also bad for your bones. Boron when given in supplementation, the urinary excretion of calcium decreases by some 40%.Also there is a significant increase in 17 beta-estradiol,which is the most biologically active form of human estrogen. Silicon is important in its ability to strengthen the connective tissue matrix by cross-linking collagen strands. Zinc is essential for the normal functioning of Vitamin D.

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Thanks for this, Ken. A couple of things I’ve read too. – weight bearing exercise is esstential for maintaining bone mass – steroids can reduce bone mass even with short course of treatment – suppliments and exercise are good ways to maintain bone mass, but don’t always rebuild it – there are medications that can help build bone mass (one is called Fosamax and I have a research paper about it on my home page — the URL is below) — Jason Smith Coping with IBD? Me too! – check out http://www.passport.ca/~pax —Share what you know. Learn what you don’t.—

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Hills do not add more weight to your body, but they make you lift it more! Chris – Hide quoted text — Show quoted text – > Hills do NOT add ‘more weight bearing’. That would be like saying that you > weigh more when walking on hills. Running or jumping increase weight bearing > because you have to bear your WHOLE weight. When you walk you always have one > foot on the ground. Hills add more of an aerobic aspect to the walk and use > different muscles but that’s about all. > Debs >Good point, weight bearing exercise is important or exercise in general. I >would start out slowly. Walking and especially walking up and down hills is >very good. The hills will add more of the weight bearing aspect to the >activity. >Regards, >Jeff 2 >>>My gi called me today to let me know I have osteoporosis from the >>>prednisone. She told me to start taking calcium. However I have been >>>taking calcium for months. Is anyone on any medication for this? >>Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about >> it. If you don’t get a lot of sun you should also take vitamin D. >>Wieght bearing exercise is also important. Walking, or jogging, and >>light weightlifting are good choices. Talk to the doc. before you start >>any heavy weightlifting, or contact sports, you may be at risk for >>fractures. Also check out the website: http://www.fore.org/ >>for more info. >>Chris

Response:

> Thanks for you suggestions and for the emails. I am taking 10 150 mg > capsules of Calcium. I will ask my doctor about fosamax. I didnt > know that excercise would help. I guess this will be a good time to > start a program. I am really quite out of shape.

Time to start walking then! You may even find that exercise helps your other IBD symptoms as well. I say find an exercise buddy and start out with reasonable goals. Say walk a half hour three times per week. Then try to build up from there. I belong to a gym and I see a lot of people that say they will exercise 6 times per week for an hour each day. They almost alway quit within a couple weeks. Chris

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Thank you that is what I was trying to say but no conveying too well! Debs – Hide quoted text — Show quoted text – > Hills do not add more weight to your body, but they make you lift it more! > Chris > Hills do NOT add ‘more weight bearing’. That would be like saying that you > weigh more when walking on hills. Running or jumping increase weight bearing > because you have to bear your WHOLE weight. When you walk you always have one > foot on the ground. Hills add more of an aerobic aspect to the walk and use > different muscles but that’s about all. > Debs >>Good point, weight bearing exercise is important or exercise in general. I >>would start out slowly. Walking and especially walking up and down hills is >>very good. The hills will add more of the weight bearing aspect to the >>activity. >>Regards, >>Jeff 2 >>>>My gi called me today to let me know I have osteoporosis from the >>>>prednisone. She told me to start taking calcium. However I have been >>>>taking calcium for months. Is anyone on any medication for this? >>>Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about >>> it. If you don’t get a lot of sun you should also take vitamin D. >>>Wieght bearing exercise is also important. Walking, or jogging, and >>>light weightlifting are good choices. Talk to the doc. before you start >>>any heavy weightlifting, or contact sports, you may be at risk for >>>fractures. Also check out the website: http://www.fore.org/ >>>for more info. >>>Chris

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Yes, you are lifting your weight, that means weight lifting, which means weight bearing. Another factor which applies to all walking whether flat or hilly terrain is that when you walk your body creates an electrical current. This current has been studied and I have read that it has been credited with the bones to "grow". Also I believe that the heat generated plays a part as well. Regards, Jeff 2

– Hide quoted text — Show quoted text -> Thank you that is what I was trying to say but no conveying too well! > Debs > Hills do not add more weight to your body, but they make you lift it more! > Chris > > Hills do NOT add ‘more weight bearing’. That would be like saying that you > > weigh more when walking on hills. Running or jumping increase weight bearing > > because you have to bear your WHOLE weight. When you walk you always have one > > foot on the ground. Hills add more of an aerobic aspect to the walk and use > > different muscles but that’s about all. > > Debs > >>Good point, weight bearing exercise is important or exercise in general. I > >>would start out slowly. Walking and especially walking up and down hills is > >>very good. The hills will add more of the weight bearing aspect to the > >>activity. > >>Regards, > >>Jeff 2

– Hide quoted text — Show quoted text -> >>>>My gi called me today to let me know I have osteoporosis from the > >>>>prednisone. She told me to start taking calcium. However I have been > >>>>taking calcium for months. Is anyone on any medication for this? > >>>Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about > >>> it. If you don’t get a lot of sun you should also take vitamin D. > >>>Wieght bearing exercise is also important. Walking, or jogging, and > >>>light weightlifting are good choices. Talk to the doc. before you start > >>>any heavy weightlifting, or contact sports, you may be at risk for > >>>fractures. Also check out the website: http://www.fore.org/ > >>>for more info. > >>>Chris

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If you take a hill and carve out a flat place to step for each step then you have stairs. Stairs are simply a hill with a flat spot that you step on instead of an inclined spot that you step on. Hope this helps. Jeff2 – who used to be a big fan of Mr Wizard.

– Hide quoted text — Show quoted text -> When you walk up a hill you always have one foot on the ground, part of the > definition of walking. Force and weight are two different things. I stand by > that. Walking up a hill and up stairs are NOT the same thing. I have said the > forces are different based on incline and that you use different muscles but > the weight is the same. weight = mass x gravity. > Debs > When you go up a hill or up a stair you are lifting that weight. This does > not happen on a flat surface. > Try going up 10 flights of stairs and then tell me you did not lift weights. > Regards, > Jeff 2 > > But extra stress is not extra weight. IIRC weight= mass x gravity and your > mass > > is the same and the gravity is the same on an incline and a flat road. > Stress > > is another situation. > > Debs > > > Wow you sound just like my physical therapist after surgery! That’s > > > exactly what they told me and that I had to be careful about to prevent > bone > > > stress fractures until my body got stonger and healed. UM MOM Susan > > > > >> Good point, weight bearing exercise is important or exercise in > > > general. I > > > > >> would start out slowly. Walking and especially walking up and down > > > hills is > > > > >> very good. The hills will add more of the weight bearing aspect to > the > > > > >> activity. > > > > >> Regards, > > > > >> Jeff 2 > > > > >Hills do NOT add ‘more weight bearing’. That would be like saying > that > > > you > > > > >weigh more when walking on hills. Running or jumping increase weight > > > bearing > > > > >because you have to bear your WHOLE weight. When you walk you always > have > > > one > > > > >foot on the ground. Hills add more of an aerobic aspect to the walk > and > > > use > > > > >different muscles but that’s about all. > > > > Nonsense. Your weight is taken on almost straight legs when walking on > > > > the flat. Walking up hill means you have to lever your weight upwards > > > > using knee and gluteus. This extra muscular effort throws extra stress > > > > on the bones concerned. Walking down hill stresses different muscles, > > > > and stresses the bones in a different way. The leverage of weight > > > > bearing muscles puts far more stress on the bones than simple standing > > > > on a nearly straight leg, because of the lever moments. The forces on > > > > the bones don’t simply relate to your weight at all because of these > > > > lever moments, which can exert much larger bending forces in lifting > > > > the weight. > > > > — > > > > School of Artificial Intelligence, Division of Informatics > > > > Edinburgh University, 5 Forrest Hill, Edinburgh, EH1 2QL, UK > > > > [http://www.dai.ed.ac.uk/daidb/people/homes/cam/ ] DoD #205

Response:

Deb – try examining the dynamics of going up a hill closer. I have studied movement for many years and it is clear that when going up a hill you have to lift your body up with each step. See which muscles are used next time you climb a hill. You will notice your quads and gluts are working harder. You may need to climb a bit to notice this but I am sure you will discover this to be correct. Thanks, Jeff 2

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OK, walk up Beacon Hill and see if your thighs don’t feel the burn. Your front leg has to push up when you go up a hill. Climbing a hill is almost the same as climbing stairs. When you climb stairs one foot is always on the ground, unless you can fly, so when you say one foot is on the ground that is not a valid arguement – IMHO. When you move 150 lbs up 100 feet then you have lifted weight whether up stairs or whatever level incline. Moving in a horizontal direction does not lift as much weight although there is some lifting due to the fact that you are supporting the weight of your body during each transition of weight shift. As you walk, the weight shifts from one leg to the other and so you are supporting the weight of your body on one leg which by itself is weight bearing. And no – it is not weight =mass x gravity, it is force = mass x gravity or the force to "lift you up an incline" is equal to the mass times gravity. So "force" is the operable factor. Did you study physics? Going up an inclined plane requires force. The more you weigh the more the force. The higher the incline the more the force. If both weight and incline are increased then the force required is all the more greater. Thanks, Jeff 2 – physics master.

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When you walk up a hill you always have one foot on the ground, part of the definition of walking. Force and weight are two different things. I stand by that. Walking up a hill and up stairs are NOT the same thing. I have said the forces are different based on incline and that you use different muscles but the weight is the same. weight = mass x gravity. Debs – Hide quoted text — Show quoted text – > When you go up a hill or up a stair you are lifting that weight. This does > not happen on a flat surface. > Try going up 10 flights of stairs and then tell me you did not lift weights. > Regards, > Jeff 2 > But extra stress is not extra weight. IIRC weight= mass x gravity and your > mass > is the same and the gravity is the same on an incline and a flat road. > Stress > is another situation. > Debs > > Wow you sound just like my physical therapist after surgery! That’s > > exactly what they told me and that I had to be careful about to prevent > bone > > stress fractures until my body got stonger and healed. UM MOM Susan > > > >> Good point, weight bearing exercise is important or exercise in > > general. I > > > >> would start out slowly. Walking and especially walking up and down > > hills is > > > >> very good. The hills will add more of the weight bearing aspect to > the > > > >> activity. > > > >> Regards, > > > >> Jeff 2 > > > >Hills do NOT add ‘more weight bearing’. That would be like saying > that > > you > > > >weigh more when walking on hills. Running or jumping increase weight > > bearing > > > >because you have to bear your WHOLE weight. When you walk you always > have > > one > > > >foot on the ground. Hills add more of an aerobic aspect to the walk > and > > use > > > >different muscles but that’s about all. > > > Nonsense. Your weight is taken on almost straight legs when walking on > > > the flat. Walking up hill means you have to lever your weight upwards > > > using knee and gluteus. This extra muscular effort throws extra stress > > > on the bones concerned. Walking down hill stresses different muscles, > > > and stresses the bones in a different way. The leverage of weight > > > bearing muscles puts far more stress on the bones than simple standing > > > on a nearly straight leg, because of the lever moments. The forces on > > > the bones don’t simply relate to your weight at all because of these > > > lever moments, which can exert much larger bending forces in lifting > > > the weight. > > > — > > > School of Artificial Intelligence, Division of Informatics > > > Edinburgh University, 5 Forrest Hill, Edinburgh, EH1 2QL, UK > > > [http://www.dai.ed.ac.uk/daidb/people/homes/cam/ ] DoD #205

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Chris – good explanation. I used to do a lot of Tai Chi and they have many weight bearing exercises that involve low stances and they also incorporate twisting motions which use all of the leg muscles and affect the bones by exerting the stress from different angles. My old Tai Chi master used to say that Tai Chi makes the bones heavier. This was 20 years ago – way before "science" validated that weight bearing exercise increased bond density. Just another example of how science is rapidlly catching up with what people have known for many (hundreds of) years. :-o Thanks, Jeff 2

– Hide quoted text — Show quoted text ->> Good point, weight bearing exercise is important or exercise in general. I >> would start out slowly. Walking and especially walking up and down hills is >> very good. The hills will add more of the weight bearing aspect to the >> activity. >> Regards, >> Jeff 2 >Hills do NOT add ‘more weight bearing’. That would be like saying that you >weigh more when walking on hills. Running or jumping increase weight bearing >because you have to bear your WHOLE weight. When you walk you always have one >foot on the ground. Hills add more of an aerobic aspect to the walk and use >different muscles but that’s about all. > Nonsense. Your weight is taken on almost straight legs when walking on > the flat. Walking up hill means you have to lever your weight upwards > using knee and gluteus. This extra muscular effort throws extra stress > on the bones concerned. Walking down hill stresses different muscles, > and stresses the bones in a different way. The leverage of weight > bearing muscles puts far more stress on the bones than simple standing > on a nearly straight leg, because of the lever moments. The forces on > the bones don’t simply relate to your weight at all because of these > lever moments, which can exert much larger bending forces in lifting > the weight. > — > School of Artificial Intelligence, Division of Informatics > Edinburgh University, 5 Forrest Hill, Edinburgh, EH1 2QL, UK > [http://www.dai.ed.ac.uk/daidb/people/homes/cam/ ] DoD #205

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When you go up a hill or up a stair you are lifting that weight. This does not happen on a flat surface. Try going up 10 flights of stairs and then tell me you did not lift weights. Regards, Jeff 2

– Hide quoted text — Show quoted text -> But extra stress is not extra weight. IIRC weight= mass x gravity and your mass > is the same and the gravity is the same on an incline and a flat road. Stress > is another situation. > Debs > Wow you sound just like my physical therapist after surgery! That’s > exactly what they told me and that I had to be careful about to prevent bone > stress fractures until my body got stonger and healed. UM MOM Susan > > >> Good point, weight bearing exercise is important or exercise in > general. I > > >> would start out slowly. Walking and especially walking up and down > hills is > > >> very good. The hills will add more of the weight bearing aspect to the > > >> activity. > > >> Regards, > > >> Jeff 2 > > >Hills do NOT add ‘more weight bearing’. That would be like saying that > you > > >weigh more when walking on hills. Running or jumping increase weight > bearing > > >because you have to bear your WHOLE weight. When you walk you always have > one > > >foot on the ground. Hills add more of an aerobic aspect to the walk and > use > > >different muscles but that’s about all. > > Nonsense. Your weight is taken on almost straight legs when walking on > > the flat. Walking up hill means you have to lever your weight upwards > > using knee and gluteus. This extra muscular effort throws extra stress > > on the bones concerned. Walking down hill stresses different muscles, > > and stresses the bones in a different way. The leverage of weight > > bearing muscles puts far more stress on the bones than simple standing > > on a nearly straight leg, because of the lever moments. The forces on > > the bones don’t simply relate to your weight at all because of these > > lever moments, which can exert much larger bending forces in lifting > > the weight. > > — > > School of Artificial Intelligence, Division of Informatics > > Edinburgh University, 5 Forrest Hill, Edinburgh, EH1 2QL, UK > > [http://www.dai.ed.ac.uk/daidb/people/homes/cam/ ] DoD #205

Response:

Thanks for you suggestions and for the emails. I am taking 10 150 mg capsules of Calcium. I will ask my doctor about fosamax. I didnt know that excercise would help. I guess this will be a good time to start a program. I am really quite out of shape.

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Exactly, walking up stairs is like walking up a hill. You use your quads and gluts much more. And walking down uses other muscles. Debs – I thought you lived in Beacon Hill and therefore should know this. Jeff 2

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Wow you sound just like my physical therapist after surgery! That’s exactly what they told me and that I had to be careful about to prevent bone stress fractures until my body got stonger and healed. UM MOM Susan

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But extra stress is not extra weight. IIRC weight= mass x gravity and your mass is the same and the gravity is the same on an incline and a flat road. Stress is another situation. Debs – Hide quoted text — Show quoted text – > Wow you sound just like my physical therapist after surgery! That’s > exactly what they told me and that I had to be careful about to prevent bone > stress fractures until my body got stonger and healed. UM MOM Susan > >> Good point, weight bearing exercise is important or exercise in > general. I > >> would start out slowly. Walking and especially walking up and down > hills is > >> very good. The hills will add more of the weight bearing aspect to the > >> activity. > >> Regards, > >> Jeff 2 > >Hills do NOT add ‘more weight bearing’. That would be like saying that > you > >weigh more when walking on hills. Running or jumping increase weight > bearing > >because you have to bear your WHOLE weight. When you walk you always have > one > >foot on the ground. Hills add more of an aerobic aspect to the walk and > use > >different muscles but that’s about all. > Nonsense. Your weight is taken on almost straight legs when walking on > the flat. Walking up hill means you have to lever your weight upwards > using knee and gluteus. This extra muscular effort throws extra stress > on the bones concerned. Walking down hill stresses different muscles, > and stresses the bones in a different way. The leverage of weight > bearing muscles puts far more stress on the bones than simple standing > on a nearly straight leg, because of the lever moments. The forces on > the bones don’t simply relate to your weight at all because of these > lever moments, which can exert much larger bending forces in lifting > the weight. > — > School of Artificial Intelligence, Division of Informatics > Edinburgh University, 5 Forrest Hill, Edinburgh, EH1 2QL, UK > [http://www.dai.ed.ac.uk/daidb/people/homes/cam/ ] DoD #205

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Good point didn’t look at it this way! oops! :-) UM MOM Susan

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- Hide quoted text — Show quoted text -> > >> Good point, weight bearing exercise is important or exercise in > general. I > > >> would start out slowly. Walking and especially walking up and down > hills is > > >> very good. The hills will add more of the weight bearing aspect to the > > >> activity. > > >Hills do NOT add ‘more weight bearing’. That would be like saying that > you > > >weigh more when walking on hills. Running or jumping increase weight > bearing > > >because you have to bear your WHOLE weight. When you walk you always have > one > > >foot on the ground. Hills add more of an aerobic aspect to the walk and > use > > >different muscles but that’s about all. > > Nonsense. Your weight is taken on almost straight legs when walking on > > the flat. Walking up hill means you have to lever your weight upwards > > using knee and gluteus. This extra muscular effort throws extra stress > > on the bones concerned. Walking down hill stresses different muscles, > > and stresses the bones in a different way. The leverage of weight > > bearing muscles puts far more stress on the bones than simple standing > > on a nearly straight leg, because of the lever moments. The forces on > > the bones don’t simply relate to your weight at all because of these > > lever moments, which can exert much larger bending forces in lifting > > the weight. > Wow you sound just like my physical therapist after surgery! That’s > exactly what they told me and that I had to be careful about to prevent bone > stress fractures until my body got stonger and healed. UM MOM Susan >But extra stress is not extra weight. IIRC weight= mass x gravity and your mass >is the same and the gravity is the same on an incline and a flat road. Stress >is another situation.

What we’re talking about is weight-bearing exercise intended to strengthen bones. What matters is the force exerted on the bone. Weight-bearing exercise is just a convenient way of imparting large forces to the bones, and in that context walking up and down hills exerts *much* more stressing force on the bones than walking on the flat. — School of Artificial Intelligence, Division of Informatics Edinburgh University, 5 Forrest Hill, Edinburgh, EH1 2QL, UK [http://www.dai.ed.ac.uk/daidb/people/homes/cam/ ] DoD #205

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>> Good point, weight bearing exercise is important or exercise in general. I > would start out slowly. Walking and especially walking up and down hills is > very good. The hills will add more of the weight bearing aspect to the > activity. > Regards, > Jeff 2 >Hills do NOT add ‘more weight bearing’. That would be like saying that you >weigh more when walking on hills. Running or jumping increase weight bearing >because you have to bear your WHOLE weight. When you walk you always have one >foot on the ground. Hills add more of an aerobic aspect to the walk and use >different muscles but that’s about all.

Nonsense. Your weight is taken on almost straight legs when walking on the flat. Walking up hill means you have to lever your weight upwards using knee and gluteus. This extra muscular effort throws extra stress on the bones concerned. Walking down hill stresses different muscles, and stresses the bones in a different way. The leverage of weight bearing muscles puts far more stress on the bones than simple standing on a nearly straight leg, because of the lever moments. The forces on the bones don’t simply relate to your weight at all because of these lever moments, which can exert much larger bending forces in lifting the weight. — School of Artificial Intelligence, Division of Informatics Edinburgh University, 5 Forrest Hill, Edinburgh, EH1 2QL, UK [http://www.dai.ed.ac.uk/daidb/people/homes/cam/ ] DoD #205

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Good point, weight bearing exercise is important or exercise in general. I would start out slowly. Walking and especially walking up and down hills is very good. The hills will add more of the weight bearing aspect to the activity. Regards, Jeff 2 – Hide quoted text — Show quoted text -> My gi called me today to let me know I have osteoporosis from the > prednisone. She told me to start taking calcium. However I have been > taking calcium for months. Is anyone on any medication for this? > Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about > it. If you don’t get a lot of sun you should also take vitamin D. > Wieght bearing exercise is also important. Walking, or jogging, and > light weightlifting are good choices. Talk to the doc. before you start > any heavy weightlifting, or contact sports, you may be at risk for > fractures. Also check out the website: http://www.fore.org/ > for more info. > Chris

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Hills do NOT add ‘more weight bearing’. That would be like saying that you weigh more when walking on hills. Running or jumping increase weight bearing because you have to bear your WHOLE weight. When you walk you always have one foot on the ground. Hills add more of an aerobic aspect to the walk and use different muscles but that’s about all. Debs – Hide quoted text — Show quoted text – > Good point, weight bearing exercise is important or exercise in general. I > would start out slowly. Walking and especially walking up and down hills is > very good. The hills will add more of the weight bearing aspect to the > activity. > Regards, > Jeff 2 > > My gi called me today to let me know I have osteoporosis from the > > prednisone. She told me to start taking calcium. However I have been > > taking calcium for months. Is anyone on any medication for this? > Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about > it. If you don’t get a lot of sun you should also take vitamin D. > Wieght bearing exercise is also important. Walking, or jogging, and > light weightlifting are good choices. Talk to the doc. before you start > any heavy weightlifting, or contact sports, you may be at risk for > fractures. Also check out the website: http://www.fore.org/ > for more info. > Chris

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My calcium supplement also has D in it…I agree with Jeff..it took me a long time to find a calcium supplement I could tolerate… If you don’t have access to a gym or weights or other such equipment, try using those stretchy bands that you hook on a door frame…they provide good resistance exercise….I have small hand held weights in sizes from 1-5 pounds and there are a lot of exercises you can do with them as well ..small curls, etc. I also have one of those exercise balls…got it while in phys ther after I threw out my back..good for strengthening the abs, which in turn tones the lower back … – Hide quoted text — Show quoted text ->Good points, I agree. You need vitamin D as well to help utilize the >calcium. Calcium is used for energy as well as for helping bone structure. >The process that turns food into energy is called the Krebs Cycle. This >needs calcium in order to function. Check it out on the web if you want to >find out more. >Regards, >Jeff2 > > My gi called me today to let me know I have osteoporosis from the > > prednisone. She told me to start taking calcium. However I have been > > taking calcium for months. Is anyone on any medication for this? > Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about > it. If you don’t get a lot of sun you should also take vitamin D. > Wieght bearing exercise is also important. Walking, or jogging, and > light weightlifting are good choices. Talk to the doc. before you start > any heavy weightlifting, or contact sports, you may be at risk for > fractures. Also check out the website: http://www.fore.org/ > for more info. > Chris

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Good points, I agree. You need vitamin D as well to help utilize the calcium. Calcium is used for energy as well as for helping bone structure. The process that turns food into energy is called the Krebs Cycle. This needs calcium in order to function. Check it out on the web if you want to find out more. Regards, Jeff2 – Hide quoted text — Show quoted text -> My gi called me today to let me know I have osteoporosis from the > prednisone. She told me to start taking calcium. However I have been > taking calcium for months. Is anyone on any medication for this? > Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about > it. If you don’t get a lot of sun you should also take vitamin D. > Wieght bearing exercise is also important. Walking, or jogging, and > light weightlifting are good choices. Talk to the doc. before you start > any heavy weightlifting, or contact sports, you may be at risk for > fractures. Also check out the website: http://www.fore.org/ > for more info. > Chris

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My gi called me today to let me know I have osteoporosis from the prednisone. She told me to start taking calcium. However I have been taking calcium for months. Is anyone on any medication for this?

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Yes, I take Fosamax, 1 tab each week along with daily calcium. Fosamax is a prescription medication. Tom

– Hide quoted text — Show quoted text -> My gi called me today to let me know I have osteoporosis from the > prednisone. She told me to start taking calcium. However I have been > taking calcium for months. Is anyone on any medication for this?

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> My gi called me today to let me know I have osteoporosis from the > prednisone. She told me to start taking calcium. However I have been > taking calcium for months. Is anyone on any medication for this?

Yes, you can take Fosamax,or calcitonin (sp?). Talk to your doctor about it. If you don’t get a lot of sun you should also take vitamin D. Wieght bearing exercise is also important. Walking, or jogging, and light weightlifting are good choices. Talk to the doc. before you start any heavy weightlifting, or contact sports, you may be at risk for fractures. Also check out the website: http://www.fore.org/ for more info. Chris

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Depends what type of calcium you are taking. Calcium is very hard to absorb unless taken in the right combination with other nutrients. You need to have the proper balance of calcium and magnesium. I take a product called Calcium +. This has the proper balance of nutrients so that you can absorb the calcium. This product is by Rainbow Light. Check out your local health food store. Pred is definitely known to deplete calcium. I’m surprised that your doctor did not tell you this from the start. It is listed on the label even. Good luck and let me know if you need more information. Regards, Jeff 2

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Are you still recommeding Ca for your patients. There is a test that checks the intracellular Ca and Mg..IntraCelluar Diagnostics in Foster City, CA. When we check our patients there is usually far too much calcium and too low magnesium. I certainly agree with the other supplements.

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1. Predisposing factors a. Diets high in refined carbohydrated and hydrogenated fats and oils b. Excessive use of alcohol and/or tobacco c. Obesity d. Genetic predisposition (small, thin boned females) e. Excessive use of aluminum containing antacids f. Primary calcium, magnesium, Vitamin K or manganese insufficiency or insufficiency due to hypochlorhydria (low stomach acid) g. Endocrine dysfunction (thyroid, parathyroid) h. Lack of exercise 2. Dietary suggestions a. Eliminate all refined carbohydrates and tobacco b. Limit alcohol, processed foods and caffeine containing foods such as coffee, tea, cola and chocolate c. Eliminate all hydrogenated fats and oils. Increse raw and fresh oils, especially Extra Virgin Olive Oil d. Increse raw foods and quality protein e. Exercise moderately and increase as stamina increases do not become fatigued f. Drink at least 8 full glasses of pure water a day, no chlorine or fluoride Supplemental Support Vitamin C, Boron, Silica, Calcium Magnesium . Contact me for others

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SUGGEST YOU GET OFF OF "ALL" DAIRY PRODUCTS YOU GET "INORGANIC CALCIUM VEGETABLES HAVE SUFFICIENT AND ORGANIC FORMS OF CALCIUM WHICH THE BODY USES GOOD LUCK

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> SUGGEST YOU GET OFF OF "ALL" DAIRY PRODUCTS YOU GET "INORGANIC CALCIUM > VEGETABLES HAVE SUFFICIENT AND ORGANIC FORMS OF CALCIUM WHICH THE BODY > USES GOOD LUCK

Good luck trying to get the RDA for calcium through consumption of vegetables alone. There’s about 28mg of calcium in a half cup of spinach (one of the better vegetable sources of calcium). For a woman to get 1000 mg of calcium, she would have to eat 36 servings of spinach each day. Of course there’s brocolli with 21mg of calcium in a half cup serving which would require 48 servings. Now consider that only 9% of the US population consumes 5 or more servings of fruit and vegetables each day. For those interested… Suggested "Optimal Clacium Intake" (OCI) from the National Institutes of Health (NIH) Consensus Development Conference on Optimal Calcium Intake, held June 6-8, 1994, in Washington, D.C., OCI from the NIH conference / OCI from current RDA Children Birth-6 mos. 400 mg. / 400 mg. 6 mos.-1 year 600 mg. / 600 mg. 1-10 years 800 mg. / 800 mg. Teenagers 1,200-1,500 mg. / 1,200 mg. Women 25-50 years 1000 mg. / 800 mg. over 50 w/estrogen 1000 mg. / 800 mg. Over 50 w/o estrogen 1,500 mg. / 800 mg. Pregnant & nursing Additional 400 mg. / 1,200 mg. Men 25-50 years 800 mg. / 800 mg. 51-65 years 1,000 mg. / 800 mg. over 65 years 1,500 mg. / 800 mg. Jeff Johnson, MS P.S. – STOP SHOUTING!

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Go to; http://www.highfiber.com/~laser This is the site of Dr Van Wormer. I work with him through the hospital. I do not work for him directly, so this is in no way advertising his practice. The site actually has to do with his other specialty, but he is a good resource for info on Fosamax because the company sposored a program he gave on Osteoporosis, he has implemented a comprehensive program to treat osteoporosis in our very small community which includes bone density studies per CAT scan. I did go to the program he presented last month on Osteoporosis and the newest drug regimes for the treatment of it. Fosamax is one of the most current and exciting drug used but is the only one which actually increase bone density. I learned that there is an ideal time for women to start taking Fosomax based on their risk factors and age proximal to menopause in order to prevent the inevitable decrease in bone density. This time last year we RNs started seeing this medicine on patients medications lists and knew nothing about it, it wasn’t even in the PDR then. This year it is prescribed more.

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– Hide quoted text — Show quoted text -Tyndall) writes: >Can Topical Progesterone Eliminate Osteoporosis? >** >by E.W. McDonagh, D.O. >* >The Estrogen Myth >** >For more than 50 years, medicine has believed that lack of estrogen >was the primary cause of osteoporosis. Even today, medical students >are taught that the proper treament is estrogen replacement therapy. >Estrogen does, in fact inhibit the osteoblast cells that function to >resorb bone and as a result can slow the rate of bone loss. But >estrogen alone cannot rebuild bone. Progesterone rebuilds bone by >stimulating the osteoblast cells that re-mineralize and restore bone >mass. Transdermal progesterone does this with virtually no side >effects.

Please note, everybody, that this statement is being promulgated with absolutely no reference. I personally think it is boloney. However, always willing to learn, I’d be glad to review any published peer reviewed clinical trial in human beings which suggests that what is said above is so. Not a letter to some journal claiming something– I want to see a fully documented human trial. >Use of estrogen without the balance of progesterone is fraught with >side effects: hypertension is one example. Also, salt and water >retension, increase in blood clotting, promotion of fat synthesis, >hypothyroidism, painful breasts, fibrocystic breast disease, increased >risk of gallbladder disease and gallstones, liver dysfunction, >increased risk of endometrial cancer of the uterus, pituitary >prolactinoma tumor and probably breast cancer are additional >undesirable effect (Genant et al., Western Journal of Medicine, Aug. >1983; Gambrell et al., Medical Times, Sept. 1989).

The above is pretty silly, in that many of the effects mentioned (water retension, nipple tenderness) are side effects of progesterone as well. Come on, folks– does the premenstrual syndrome occur in the part of cycle when progesterone is low, or the part when it is high? >Progesterone in appropriate doses to balance estrogen effects, >prevents proliferative endometrium from becoming hyperplastic or >developing carcinoma (Padwick et al., New England Journal of Medicine, >1986). Progesterone also acts with estrogen on breast tissue. Breast >cancer may arise if normal or high amounts of estrogen are present >without cyclic progesterone — a situation that occurs with chronic >anovulation in women with regular cycles. It has been suggested that >progesterone treatment can prevent breast malignancy in >estrogen-treated women (Cowan et al., American Journal of Epidemia, >1981; Gambrell et al., Obstetrics and Gynecology, 1983).

It’s been suggested, and is an interesting hypothesis. What direct evidence is there for it? None. >Topical Natural Progesterone >Many undesirable side effects can occur with the use of test tube >designed progestins or progestenogens prescribed by many doctors.

Suggesting that they don’t occur with natural progesterone. Wrong. As a long time prescriber of micronized progesterone capsules, I can tell you that they do. If they don’t with progesterone CREMES, it is only because the DOSE is lower. It has nothing to do with the agent (the fact that it is natural vs artificial). In >addition, they are not as effective as natural progesterone which is >made by the body or made by plants.

Progesterone is never made by plants. This is more bull. More than five thousand plants can >produce progesterone. They are well accepted by the human body.

More bull. Unreferenced bull. >Probably the most workable and effective from the standpoint of >accuracy of dosage, and ease of usage is liquid progesterone derived >from wild yam.

Triple bull. There is no progesterone in wild yam. There is no evidence that the human body can convert the diosgenin in yam to any hormone whatsoever. Period. >E.W. McDonagh obtained his degree from Kansas City College of >Osteopathic Medicine in 1961. He has a family practice incorporating >the treatment of all common afflictions by combining conventional >treatment with preventive modalties using vitamins, trace minerals, >chelation, etc. In 1984 he was named Doctor of the Year by the >Townsend Letter for Doctors.

And with that, you can see why I think what I think of the Townsend Letter for Doctors. Steve Harris, M.D.

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– Hide quoted text — Show quoted text ->> I have just been diagonosed as having rather severe osteoporosis. I am 45 >> years old, and am not yet reached menepause. I am looking for >> alternatives to hormone therapy to help replace bone density mass. Has >> anyone heard of Fosamax and how to get it? >> Thanks. >> Holly >you should read a book by alan gaby ‘preventing and reversing >osteoporosis. >richard

Hi Holly Some relevant information to read. Can Topical Progesterone Eliminate Osteoporosis? ** by E.W. McDonagh, D.O. ** Osteoporosis is a progressive loss of mone mass with demineralization and a proclivity of the bones to fracture, The disease accelerates with menopause. Each year it is responsible for more that 1.3 million fractures and 40,000 deaths, usually within six months of their fractures. Fifty percent of all people who experience hip fractures due to osteoporosis never regain the ability to walk independently. ** The patient stereotype familiar to medical students, as well as practicing physicians, is of an elderly frail female with stooped-forward curvature of the upper torso, requiring a cane to walk. The sponge-like structure to the vertebral column bones has become weakened and shortened and the patient may have gradually lost several inches in height over the course of the disease. The patient complains of pain, muscle soreness, stiffness, loss of motion, excess fatigue, depression and fitful sleep. Bones of the vertebral column, especially in the mid and low back, hips, knees and ribs are chronically painful and frequently fracture. ** This is after-the-fact osteoporosis, the after-effect of prolonged progesterone hormone deficiency. Progesterone levels routinely fall several years before menopause. The condition is also propagated by inadequate exercise, multiple vitamin and mineral deficiency (not just calcium), deficiency of Vitamins D and K, excessive dietary protein, alcoholism, cigarette smoking, and environmental pollution. ** eliminated and bones rebuilt without cortisone like drugs or prescription pain medication. Functions is reestablished, muscle pains disappear, joint pain is eliminated and the patient can walk, move and sleep soundly once more. ** Osteoporosis in Young Women ** For the prevention-minded physician this is an exciting area capable of great medical effectiveness. Seemlingly separate and disconnected pelvic pathologies have a common connection to osteoporosis: progesterone deficiency. Recent scientific reports have shown that short luteal phases (time between ovulation and mestruation) and especially lack of ovulation in menstrual cycles of normal length may be potential risk factors for excess bone loss in women (Prior et al., New England Journal of Medicine, Nov. 1990). ** Under these circumstances, progesterone is deficient. It is reasonable, therefore, to believe that osteoporosis can develop in young women with these menstrual disorders, and the diagnosis should not be relegated only to post-menopausal women. ** Progesterone Properties **

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