John W Jones, MD, MPH
jjConsulting.net
Download Osteoporosis pdf 
healthy bones

Supplements until 
Menopause 

Ultra Omega Linic
Ultra Vites
Vitamin D3 5000 IU
Calcium Chelate

Add After Menopause

Vitamin D3 & K
Vitamin E
Ultra Magnesium Chelate
Ultra Strontium

An article for your consideration: The Manufacturing of Bone Diseases


Until menopause the basic protocol should be followed, unless there are risk factors for osteoporosis or there is a known low bone mass density.  

Did you know?  High bone density is associated with an increased risk of breast cancer. 
Did you know? Dense, brittle bones shatter rather than bending & stretching - a characteristic closer to glass. 
Did you know? Calcium is NOT the only mineral your bones need. 
Did you know? Your bones are living tissue with many functions. Bones are a rigid, protective organ. They are constantly undergoing ‘reconstruction’, 
Did you know? Bones are lightweight, strong and hard. They are made up of a honeycomb matrix
Did you know? High bone density is NOT equivalent to bone health or bone strength.
Did you know?studies which show weight loss by restriction of fat in the diet result in an increase of bone loss. Restrict carbohydrate for weight loss, not fat.
Osteoporosis Risk Factors you cannot change: Risk factors you CAN change
  • gender, 
  • age, 
  • body size, 
  • ethnicity 
  • and family history.
  • your weight
  • exercise
  • smoking habits

About Osteoporosis - loss of minerals from the bones

January 2018 
So - you have had your annual bone density test. (radiation exposure)  Lo and behold you have osteoporosis. 

Every effort should be made to follow a healthy lifestyle. For a variety of reasons, the elderly are at greater risk of falls. Preserving vision and promoting balance will go a long way towards preventing the consequences of falls. 
If you have a low z score you have a low bone mass density for your age group. A decrease in bone density is a normal part of aging. Standard bone density testing (t score) compares your current density with that of a 30 year old, not with your age group norms (z score). This natural bone density decrease with age is not an indicator of disease. Unfortunately there is no way to measure the tensile strength of your bones. 

Once thought to be a natural part of aging among women, osteoporosis is no longer considered age or gender dependent.**  It is the most common metabolic bone disease and is characterized by a reduction in bone mineral and matrix so that bone is reduced in amount but has normal composition.  It is very important to rule out underlying causes of osteoporosis such as thyroid disease and diabetes.  The use of cortisone (even low dose), anti-convulsants and many other drugs can also cause bone loss.  Current thinking is that hormone replacement therapy should not be used to prevent bone loss because of the increased risk of complications. **

NUTRITIONAL SUPPLEMENTATION
Supplementation with a good multi-vitamin-mineral, like Ultra Vites,  is very important to make sure that the body has all of the necessary nutrients for good bone production (and optimal health).  The B Vitamins have been shown to be very important in bone metabolism.  This is the reason that I use the basic protocol as the starting point of any nutritional recommendations.  Ultra Vites contains B vitamin levels that are very high.  It has 1000 IU of Vitamin D3 and 5 mg of Boron (Boron has been shown to help improve bone mass, probably by its effect on Vitamin D metabolism)  - plus 250 mg Magnesium. Supplementation of numerous trace minerals have been shown to be useful for bone health. The required trace minerals are present in Ultra Vites.

Ultra Preventive may be considered because it offers Spirulina - a rich source of many nutrients.  If Iron is needed, consider Ultra Preventive Plus Iron. 

Ultra Omega-Linic: Essential Fatty Acids (EFA)
Studies have shown that the supplementation of long chain, polyunsaturated essential fatty acids (LCPUFA), containing preformed eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA) and gamma linolenic acid (GLA), will slow bone loss.    This is thought to be caused by the modulation of the inflammatory cytokines Interleukin-1 (IL1), Interleukin-6 (IL6) and tumor necrosis factor alpha (TNFa).  

Factors such as weight control, exercise and smoking cessation should also be addressed.  It is noteworthy that studies which show weight loss by restriction of fat in the diet also result in increased bone loss because of the restriction of Essential Fatty Acids (EFA). 

VITAMIN E
The supplementation of Vitamin E (Vitamin E-400) protects the EFAs from lipid peroxidation at the cellular level.  EFAs also enhance the effect of Vitamin D so that more Calcium is absorbed, less is lost in the urine, more Calcium is deposited in bone, bone strength is increased and the synthesis of bone collagen is enhanced.  An added plus for EFAs is that they reduce ectopic calcification.

Note: There is considerable disagreement on the proper amount and forms of Vitamin D and Calcium.  

VITAMIN D
I recommend vitamin D3 (not D2).  The Multi Vitamin/Mineral formulas mentioned above each contain 1000 IU Vitamin D3.  If more is needed Vitamins D3 5000 + K is my preferred vitamin D nutrient because vitamin K is necessary for bone health, and it is vital for the regulation of blood clotting and cardiovascular health. Since vitamin K is involved in blood clotting, it should only be used under the direction of a health care provider if you are taking anti coagulant drugs.  In this event, consider Vitamin D3 5000.  Vitamin D is important for a variety of health issues, like bone and prostrate health, the prevention of colds, blood pressure and chronic pain.  It is impossible to maintain normal calcium metabolism without adequate amounts of vitamin D.

A recent study from Finland, called The Big Vitamin D Mistake, recommends a much higher level of Vitamin D intake daily than has been recommended for years. If in doubt request a 25-hydroxy vitamin D test. 

MINERALS
Some authorities feel that Magnesium  supplementation is as important as Calcium.  Ultra Vites contains 250 mg Magnesium.  For additional Magnesium use Ultra-Magnesium chelate. 

For maximum bioavailability of Calcium I recommend Calcium D chelate at 3/day.  Recent studies indicate that dairy products are a poor source of these important nutrients.

Silica is a mineral that increases the absorption and utilization of calcium. Horsetail is a rich source of this mineral. In addition, it is a very good source of both macro- and trace minerals in a readily available form. In addition to promoting healthy bones, Horsetail may benefit rheumatoid and osteoarthritis. 

Ultra-Strontium - Increase bone density without drugs!
If following these basic recommendations for bone health does not maintain adequate bone density, 
the most effective method of increasing bone mass is by the use of Ultra-Strontium (strontium citrate) with  adequate amounts of vitamin D and Calcium  supplementation.  Since Strontium uses the same pathway for absorption as do calcium and magnesium, it is very important that it be taken on an empty stomach, and that no food or mineral-containing supplements be taken for at least three hours after.  For this reason I recommend taking it at bedtime.  Strontium Citrate can be absorbed directly without ionization.  

Strontium should NOT be used by pregnant or lactating women.  It should NOT be used by children because it will interfere with bone growth.  Since Strontium is eliminated by the kidneys people with compromised kidney function should be carefully monitored by a physician.


Complications of Osteoporosis Drug therapy

* US Preventive Services Task Force
**Osteoporosis Prevention, Diagnosis and 
Therapy.  NIH Consensus Statement Online
2000 March 27-29;17,1-36
http://consensus.nih.gov/2000/2000Osteoporosis111html.htm

While bisphosphonate drugs are generally well tolerated,  there are some very significant adverse reactions to their use.  

  • As a group they cause upper GI problems, particularly esophageal irritation and erosion and gastric ulceration.  For this reason they should not be taken if the individual cannot remain upright for at least one half hour after taking them. 
  • They can cause hypocalcemia.  
  • Necrosis of the jaw is a rare but a catastrophic possibility.  
  • Serious complications of the eye, such as Uveitis and Scleritis are rare possibilities.  
  • Musculoskeletal pain, sometimes very severe, has been reported.  
  • Acute renal failure is a rare but very serious side effect.
These statements have not been evaluated by the Food and Drug Administration.  Products are not intended to diagnose, treat, cure, or prevent any disease.

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