strath replied: "Coral calcium has been hyped a lot, but my nutrition prof was not impressed with it. As a supplement in pill form, we'd look for calcium citrate, chelated calcium or (last choice) calcium lactate.
A good idea is to buy high-quality products and rotate among brands each time you buy. We are never 100% sure that these "natural" products have in them exactly the ingredients they say, hence the high-quality names and the rotation.
At the risk of sounding like a nag, may I add a few remarks:
1) there's something wrong with your 2mg dosage. A minimum dose for an osteoporosis patient would be one gram per day, which is 1000 milligrams. Please pay strict attention to the label on the bottle. You are looking for the "elemental calcium" content, not the milligrams or grams of calcium compound. For example, a 600 mg Ca tablet can actually contain only 150 mg of elemental calcium. Most high-quality manufacturers will specify on the label the milligram content of the compound and also the milligram content of "elemental calcium." If the label does not present this information, it would be best to avoid this product.
2) calcium (Ca) must always be combined with magnesium (Mg). The reason is that a high-calcium or calcium-only intake will result in a net calcium depletion of the bone tissue. The body must always maintain Ca/Mg in a specific balance in the bloodstream. If the human being overdoses on calcium only, the ingenious body will dissolve bone tissue to obtain the magnesium necessary to keep the blood balance.
This important fact is sometimes neglected by medical doctors. A common practice is to prescribe 1 or 2 grams of calcium only, while neglecting magnesium. A recipe for disaster.
The proportion of Ca to Mg is about 2 to 1. Most high-quality calcium preparations will also present magnesium in the right proportion. Or you can buy them separately. If buying separately, the same caution re "elemental magnesium" will apply. Ideally, you will be looking for something like 1 gram of elemental calcium plus 500 mg elemental magnesium per day.
This should be taken in staggered doses during the day, with meals because Ca & Mg absorb better with food. For example, one 500 mg Ca with 200-250 mg Mg with lunch, another with dinner, a third with breakfast if you like.
3) all osteoporosis patients should modify and re-work their entire nutrition program. The goal here is to prevent calcium loss from the bones, rather than simply increasing the oral intake. Can you find someone to work with you, possibly in a low-cost clinic associated with a good school of naturopathy or a nutrition faculty in your area.
Your goal here is to change gradually from a diet that burns to an acid ash - this is the typical North American diet - to one that leaves a more alkaline ash. Foods to reduce are meat, excessive protein, junk foods, processed commercial foods, soda pop, excessive sugar, white flour products and coffee. Foods to increase are simple. More vegetables. More fruit. More vegetables. Whole grains. More vegetables. Beans and lentils. More vegetables.
4) more on nutrition. Authorities are divided as to whether calcium from dairy products such as milk, yoghurt and cheese or calcium from dark-green-leafy vegetables is better assimilated by the human body. I mean really good authorities with plenty of academic studies to back up each point of view. What to do when the authorities can't agree? The answer seems simple - keep lots of both in your diet.
The dark-green-leafies include broccoli, rapini, chard, kale, beet and turnip greens, and to a much lesser extent the deeply colored lettuces such as oak leaf and romaine.
If your nutrition is not very healthy right now, it will take some time to accustom yourself to a better regime, perhaps an entire year. That's why a knowledgeable nutritionist or naturopath could help with support & suggestions. I'd start by visiting my local farmers' market, most cities have them now, and please especially check out the organic produce.
5) a walk on the wild side - something to think about. Wild greens are chock-full of valuable minerals including calcium, magnesium and potassium, and they're brimming with vitamins. Dandelion leaves, for example, contain more minerals and vitamins than spinach. Another high-mineral wild green leaf is nettles, traditionally made into nettle soup or an infusion to drink (combine with fruit juice or your favorite tea if you like.) You can find these wild greens at a local farmers' market, or perhaps at your health food store. You could even learn to find and gather them in the countryside yourself.
One interesting herb called horsetail helps to deposit calcium into bone tissue. It grows wild across north America and is sold in health food stores. You'd make it into an infusion (steep for 4 hours or more to extract the minerals.) In the morning, combine with tea & heat as a breakfast beverage. Use this no more than 1 or at the most 2 weeks out of 4, as it contains silica. This is good for your joints in small quantities, but should not be taken daily for long period of time.
6) certain foods are a big caution because they contain oxalic acid. This combines with calcium in the bloodstream and gets excreted as calcium oxalate, so the result of eating these foods is a net calcium loss. These foods are: rhubarb, spinach, sorrel and to a much lesser extent, chocolate. It's OK to have rhubarb 1 or 2 or 3 times a year, when it's fresh, but it's not OK to scarf down spinach 3 times a week while believing it's good for you. Pop-eye was wrong.
7) I'm sure your doctor has gone on and on about how you must do weight-bearing exercises. These build up bone tissue. Walking is just great. It's perfect for you. Please leave that car at home. Could you join a hiking or walking group. They're interesting & fun & a painless way to save your bones. Swimming, by the way, is not considered a weight-bearing exercise, because the water supports the body. Bicycling is not as helpful as walking, because the bike bears the weight, not the human skeleton.
8) re: Fosamax. The questionable news about this is that the bone tissue that results is lacey and brittle. Studies have shown that patients taking this and other similar medications have just as many fractures as control groups, even if their bone readings improve in tests.
9) if you smoke, your doctor has already lectured you about this. It's a real no-no for osteoporosis patients.
Wishing you the very best. It's a long year of work, but I personally believe osteoporosis can be avoided. If the disorder is present it can be stopped. I even believe it can be reversed,"
bt130550 replied: "I would say the following are the best for both osteoporosis and arthritis:
Kelp : - Kelp contains all the vitamins, amino acids and minerals you need. It also contains Calcium, Magnesium and Manganese . All these nutrients are in a bio-absorbable format and the magnesium aids in the absorbtion of the other nutrients(particularly Calcium). It also contains iodine which is good for the thyroid.
Chlorella, Spirulina: These are similar to Kelp but cost about 4 times as much. Personally, I prefer kelp.
Try looking these up on a google search. These are also good for arthritis:
Glucosamine sulphate
Squalene
Shark Cartiledge
Yucca Root
Good luck"
What is aspartate and what does it consist of? Especially in relation to calcium.? I need to know anything about calcium aspartate anhydrous. Have accelerated osteoporosis at 62 and must find something that really works. I will not take Evista or Fosamax, feel like they don't really do a good job. Anyone had any good results with anything to date? I have been told about calcium with vitamin D, magnesium, etc. I have been told to take calcium lactate with magnesium 8:1 ratio, then I have been told that this is not a good ratio of calcium and magnesium. So does anyone know about anything that is tried and true? Have researched all the emotional reasons for of which there are many. This stuff, osteoporosis, is epidemic now and I have to know why. Thank you for any info you can give.
pearly_wings replied: "Aspartic acid (Asp), also known as aspartate, the name of its anion, is one of the 20 natural proteinogenic amino acids which are the building blocks of proteins.
As with each of the 20 natural amino acids, there are two abbreviations commonly used to designate aspartic acid: Asp (three letter) and D (one letter). The abbreviations signifying a choice of either aspartic acid or asparagine are Asx (three-letter) and B (one letter).[1]
As its name indicates, aspartic acid is the carboxylic acid analog of asparagine. It is non-essential in mammals, and might serve as an excitatory neurotransmitter in the brain. It is also a metabolite in the urea cycle, and participates in gluconeogenesis.
As a neurotransmitter, aspartic acid may provide resistance to fatigue and thus lead to endurance, although the evidence to support this idea is not strong."
What is the best brand of calcium citrate? And a combination of calcium + magnesium (for osteoporosis)? After research on the net and Yahoo questions, and on the basis of the valuable feedback I got from you, the best compromise of price, percentage of elemental calcium, and absorption seems to be calcium citrate (against orotate and ascorbate, too expensive). I read good things about amino acid chelates too.
My bone density is terribly low (65% of my age class, I'm a 40 y old male), and I'm already having a small fracture on the "plateau tibial" that's lingering. So I'm tempted by exceeding the recommended dosage (on which, by the way, my doctors don't seem to agree, ranging between 1 to 2 grams a day). Would increasing the dosage speed up the reconstruction and my overall density? What are the risks of taking too much calcium? Or would the extra calcium just be eliminated?
At the moment I take 1g of calcium carbonate in the morning, 1g in the evening, a monthly vial of vitamin D, and Fosamax.
evon stark replied: "THE insert in your fosomax box should tell you the parameters of extra supplements you should take...work those dosages around your fosamax.you need some vit,E..B12 B6...No dont increase your calcium intake..it could cause trouble with your heart.Calcium is stored ..and no..it will not speed up bone growth to take more...You are young to be taking fosomax..you also need to do some strengthening exercises to help those bones...see a different doctor..try a sports dr and get some more detailed info..hope this helps"
racs replied: "Dolomite (£3 for 90 tabs)...get it from a health store.. it is natural and easy on the stomach.... an excellent mix of calcium and magnesium in the correct ratio. Turmeric has had some favorable reports.
Make sure your omega 3 and 6 are in the correct ratio. And keep your potassium up (2-4 grams) and drink fluid. As you know exercise and a proper diet is the key."
What could cause high vitamin B12 in urine? In my annual physical urine test, vitamin B12 is always much higher than normal level. To me, it means my body cannot absorb or hold it, so it gets drained to the urine. Who knows what could cause this to happen? BTW, I'm taking prescription drugs of "Armour Thyroid" and "Fosamax".
I appreciate for any helpful answers!
I'm taking multi-vitamins too.
Prophet 1102 replied: "Are you taking supplemental B12 - the body can only absorb so much then it sluffs off the rest.
B12 is important in the making of red blood cells - are you on the anemic side."
kay_flood replied: "celiac's disease, irritable bowel syndrome and crohn's display B-12 in the urine."
drake f replied: "vitamin B12 is in meat low down on your meat products okay? meats good for u but its has lots of b12 so just dont eat lots of meat"
Paris replied: "It just means that the excess vitamin your body can't use is being peed out. Are you taking just B-12? I thought that riboflavin was what caused the yellow urine.
I think it usually just means that it's more than your body is using, but it's probably something along the lines of 1000% of the RDA (Bvits are often much, much higher than the RDA and the amount in food), so you may need (probably need) somewhere in between what you're getting from your supp and what's in your food.."
formerly_bob replied: "I don't know the significance of elevated B-12 levels in urine, but I do know that it is not an absorption problem. For something to end up in the urine, it has to first be in the bloodstream. Vitamin B-12 would not be in the bloodstream if it wasn't absorbed in the intestines. Most likely, the urinalysis results mean nothing more than you have a healthy kidney and you are taking B-12 supplements in excess of what your body needs."
Can low levels of testosterone be the only cause for osteoporosis? Can low levels of testosterone be the only cause for osteoporosis?
so being a 27 year old MALE, this is quite uncommon, my dr said that I have VERY thin bones, he put me on fosamax or somethin, plus ive been taking vitamin d.
when i saw my endocrinologist last month and he said that my blood and urine tests came out with the low levels of testosterone, he said i need to go back, earlier in the day, like at 8 am, because i guess it changes during the day.
ive already had a non tramatic compression fracture last year in august, and im a little worried that im going to get more fractures in the future. my calcium levels are fine as well too, so does anybody have any info about this?
so being a 27 year old MALE, this is quite uncommon, my dr said that I have VERY thin bones, he put me on fosamax or somethin, plus ive been taking vitamin d.
when i saw my endocrinologist last month and he said that my blood and urine tests came out with the low levels of testosterone, he said i need to go back, earlier in the day, like at 8 am, because i guess it changes during the day.
ive already had a non tramatic compression fracture last year in august, and im a little worried that im going to get more fractures in the future. my calcium levels are fine as well too, so does anybody have any info about this?
Ask a Doc replied: "Good Question: As I was reading through your question I felt the
frustration of this form to not being able to ask you a few more question(s). I wanted to say a few things but I would like to know more facts. I would like to email you a few things that at the very least will offer a few ensights and a few things to consider.
With your permission of course!
Physician 21 Years
M.D. F.A.C.C.
PhD"
Osteoporosis....is it permanent? I have just recently been told that I have osteopenia with resulting osteoporosis. I am 50 years old, and have a family history of osteoporosis. I have broken several ribs over the past year. I also have been on medication that causes osteoporosis, (prednisone) for prolonged periods of time. In the past several months I have begun having to walk assisted with a cane bc I cannot walk across the room without excruciating pain. I also cannot walk straight up anymore and walk bent over. Is this permanent? I am taking calcium with vitamin D and Fosamax for my bones. I'm hoping these meds will help rectify these problems. Anyone else that can give me advice that has the same problem? Thank you..
Sawyer replied: "different calciums are absorbed/utilized differently by the body.
Look into Living Calcium by Garden of Life. My Aunt also has osteopenia & takes this."
Jilliane D replied: "You can't undo what the bone loss that has already occured.But you can fight it now and in the future.The meds you are taking will be the main aid in this.Good luck!"
PAwatcher replied: "Also, some exercise is good. Try core systems with the large exercise ball to work with. Also, don't drink cola. I take fosamax too and understand it will actually reverse some of the deterioration. Try yoga and swimming too. There should be classes at your local YMCA or YWCA and your local hospital. Good luck."
mr.answerman replied: "Oral Pred. will steal bone mass like crazy. Couple that with your family history and you have osteoporosis. Now you have to do something to limit this. First you must get on a plan for life to take 1200mg of calcium citrate daily with a good dose of vit.D. I like citracal or you can get good ones at Sams club or Costco. Next any deformity of the spine is forever. The bent over posture is caused by compression fractures of the spine. The good part is that now there are drugs like Fosamax to help shore up your skeleton and since you are young should you fracture a hip you should have a good outcome. Make sure you do not miss a day with the calcium."
Maggie replied: "My Mom had osteoporosis. She also took Fosamax and Vitamin D and calcium supplements. Osteoporosis doesn't go away. Those meds are to help decrease the bone deterioration, slow it down. My Mom indirectly died from osteoporosis so make sure you do everything the doctor tells you and take your stuff consistently. Good Luck to you!"
imaqt_727 replied: "it's not reversable...but you can prevent further damage to your body. I recommend taking a over the counter calcium supplement and continue taking your prescription fosamax. They also make a calcuim supplement for osteoporosis called Boniva. Instead of taking fosamax once a week for 4 weeks, boniva is once a month! It is pretty expensive if you dont have insurance (it's relatively new) , but it's worth it!"
janisko replied: "You've been given mostly wrong answers here so far...
I was also diagnosed with osteopenia (just beyond the border of normal) and immediately put on 70mg of Fosamax. By my next bone scan a year later I was back in normal range but am still on Fosamax.
Besides the Fosamax you need to do weight bearing exercise. That will help improve your bone density, too. Between the two you may be just fine. Hopefully, you won't need more prednisone. That stuff is really hard on your body in so many ways."
gramma replied: "I too have osteopenia. I recently saw a commercial for a new medication that actually helps to rebuild the bones. I am sure you can search to find the name of it. Good luck. Check out the link below for more information."
cowboydoc replied: "I have something similar Osteoarthritis in the degenerative stages, severe. There are controls for us and pain medications but, sorry to say, there's no turning back. We're paying for what our parents gave us. A genetic code handed down that we'll, I'm afraid hand down to our children. I already have two daughters that are showing signs of this. Good luck"
im 27, male and have osteo, i hurt very bad but get little help? i suffered a non traumatic compression fracture this time last year and it took a long time before it started to heal, longer than normal...and then i had to move, so i was doing a lot of heavy lifting, basically doing things i shouldnt be doing but out of neccessity i had to.
i got x rays and theres no new fractures, but i still feel extreme pain in the original fracture area (t9) and a lot of weak pain in my neck area, and all i got was 1 med from an er dr....voltaren, then from my pcp all i got was motrin...is this normal? i mean, if im going to be feeling this chronic pain for the rest of my life, its gonna be too much.
im also rxd fosamax and vitamin d, my calcium levels are good, i am supposed to see my endocrinologist on the 9th, but i need some relief!
and these drs think ibuprofen and a similar med is going to help?!? im not asking for vicodin, though i have been rxd it many times during my fracture, i cant take tramadol due to my seizure while taking it, and my dr knows im bi polar and i CAN be suicidal at times, attempted twice, though, my second time wasnt as serious as my first attempt, i know this because i know i wouldnt have died the 2nd time, the first time i attempted i knew i would die.
so because of that my dr wont, atleast for now that i know of, he wont rx me vicodin, how am i suppose to get real help for chronic pain, anybody who has osteo, what has helped you?? please let me know, im in serious pain, and it angers me that i cant get a med that takes away the pain, i know the ibuprofen will only relieve my muscle pain, wont do anything with bones....so why do my drs rx me it in the first place? do they think im stupid? and apparently from my bone density scan, i am a -3, not sure how bad that is compared to others but, please give me some opinions, suggestions, feedback, anything...
yes, i mean osteoperosis
k m replied: "I would see another Dr and try to get opiates. Opiates get a bad rap, but for pain management they are the best. Many Dr.s now are afraid to prescribe it, they shouldn't be. I would seek out a different Dr and don't be afraid to ask for the prescription that you want! If you hem and haw about it, they may think that you are trying to get something that you shouldn't have. TELL your (new) doctor that Motrin and whatever you have been prescribed is not helping. I would not volunteer information that you have attempted suicide to the doctor, by the way - that may be preventing them from prescribing the opiates."
Morigu replied: "Here's a link to the Arthritis foundation section for Osteoarthritis. They have a section on pain and alternative treatments. I'm not entirely sure you don't mean Osteoporosis, but thought I'd give you these links anyway."
creed replied: "you're very young, all these meds are gonna add up & that is a huge reason your doc's are starting out lightlty;; the pain from your previous fracture is most likely from scar tissue build-up, & with having OP, you are limited re: defraying some of that scar tissue;; since your scar tissue has @ least another 6months >a yr of "setting", you can STILL work on getting that defrayed;; then you really need to get into weight bearing activites & exercises;; you need to get set up with therapy to teach you body mechanics for the disease process you have, & to get you on a regular weight bearing ex protocol & ya need to folow it regularly (like brushing your teeth);; try getting set up with a specialist (rheumatolgist or orthopod);; but TRY your best to get other treatment protocols besides just pain killers;; the ex's & the breaking up of the excess scar tissue will help with the pain, but as you know this is a progressive disorder, & if you can slow it down in any way, you'll be better off;; remember, body mechanics (& it's NOT all just common sense), get into PT...good luck!!
btw, the ibuprofen helps with the muscles & the bone pain;; & if you do relieve the muscle tension, the pull on the bones will be less severe..."
susan replied: "As you know opiates are not indicated for bipolars. There are no pain sensors in bone. They cannot hurt. It is the soft tissue around the break that hurts, and that's why ibuprofen works. Opiates also can leach the calcium from the bones. Since you understand that you are suicidal on occasion, a Dr would be negligent to give you a script for any medication that you can use to commit suicide. Try a Dr who is a pain specialist. They may have better options for you."
My fingernails have verticle lines and two have pinhole sized dips.? My nails are very strange and the lines that run through them go from cuticle to tip. Someone told me that it's a nutritional problem and I asked my doctor but he had no answer. I take tricor, synthroid and fosamax. I also take coral calcium, fish oil, vitamin E, vitamin D and a super B complex. Every three days I take Centrum silver. I eat an extremely healthy diet with a good deal of veggies and my proteins are turkey and chicken breast that I roast myself.
jr replied: "I was told this was caused by not eating enough fiber"
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