Bone Health
Bone is constantly building up and breaking down. Well before menopause, bone tends to break down more which may lead to osteoporosis and bone fractures. How much of this occurs is primarily determined by our genetics. Other risk factors include disease or medications, longterm lack of calcium, or a sedentary lifestyle. Women have poor nutrition and other medical conditions may also be at risk.Prevention of osteopenia and osteoporosis starts with anticipation. A small study I presented in 2005 indicated that women were not getting enough calcium UNTIL they had significant bone loss. Recommendations are evolving. The Institute of Medicine published a report in November 2010. Calcium and Vitamin D should not be taken in excess.
Vitamin D 600-800 IU daily
Calcium 1000-1300 mg a day (food is the best way.)
A bone density (DEXA) scan may detect loss in someone who is high risk . Whether to treat with medications should be discussed with a healthcare provider. Most medications have significant side effects and are generally contraindicated if someone desires future fertility. None of the bone medicines work effectively unless enough calcium and Vitamin D are taken.
For more information see: www.nof.org, www.fda.org, www.osteo.org