Osteoporosis Archives - Page 7 of 8 - Clinical Advisor


Optimal vitamin D for good bone health

The currently accepted lower limit of 25-hydroxyvitamin D (25[OH]D) for optimal bone health is 32 ng/mL, which is higher than previously stated (Item 120-10).—Robert Blereau, MD, Morgan City, La. Dr. Blereau is correct: The optimal level of 25(OH)D is 32 ng/mL in most labs. Some authorities recommend levels of 40 or even higher, based on…

Vitamin C may discourage bone loss in men

There’s more to nutrition and bone health than just calcium and vitamin D. Vitamin C is an additional important nutrient that may help prevent bone loss.

Alendronate and nonhormonal breaks?

Are there any studies on alendronate (Fosamax) therapy for nonhormonally related fractures?—Jorge Guzman-Ortiz, MD, Jayuya, P.R. There is a small but growing body of literature examining the use of bisphosphonates for the treatment of osteoporosis in patients other than postmenopausal women. Two of the largest such “at-risk” groups are men and patients being prescribed glucocorticoids…

Add a bisphosphonate to raloxifene?

A healthy, asymptomatic woman with a stable bone mineral density of -2.5 on dual energy x-ray absorptiometry (DEXA) has been taking raloxifene (Evista) for seven years along with calcium and vitamin D. She also exercises regularly. Should bisphophonates be added to the Evista? Or should the Evista be stopped and the bisphosphonates used alone for…

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