simply means weakening
bone: osteopenia can be considered mild, early stages of osteoporosis >>. << The most common cause of osteoporosis / osteopenia is
deficiency of vitamin D. In addition, in postmenopausal women, the loss of ovarian function
during menopause is another important cause of osteoporosis >>. << However, if a woman is surgical removal of ovaries in
young age, she is prone to osteoporosis at a young age. Some women experience premature
ovarian failure in the twenties or thirties
. So, these women also are at high risk of osteoporosis
at a young age. A. Deficiency of vitamin D
2. Menopause
3. Spontaneous absence of menstruation for more than 6 months (Pregnancy
exception). 4. Low testosterone levels in men
5. Hyperactivity >>
<< thyroid 6. Hyperactivity parathyroid glands (4 glands, which lie only
behind the thyroid gland in the neck)
7. Some gastrointestinal disorders
8. Some medications such as prednisone, Dilantin and the thyroid hormones
in excessive doses. 9. Excessive leakage of calcium from the kidneys, rare >> << state. is the most common cause >> << osteoporosis in men and women. Unfortunately, vitamin D deficiency remains unrevealed to most people. The main natural source of vitamin D is sun. The fear of skin cancer
and private life led to the epidemic deficiency of vitamin D. Even worse things in the sanatorium patients, patients with malabsorption syndrome
and patients on certain medications such as
Dilantin and steroids. Another common cause >> << osteoporosis in women. Most women have low vitamin D
when they reach menopause. Then they get hit by lack of estrogen:
, double blow! in men, is a frequent cause of osteoporosis. Other causes of osteoporosis >> << men and women include: taking medications for the treatment of thyroid disorder or
. If you treat the thyroid gland is very
important to test thyroid function (blood test) done on >> << regularly. Your doctor will recommend changes in dose
thyroid hormones based on tests of thyroid function. Note that
in many patients with thyroid cancer, thyroid hormones intentionally
in large doses to prevent a recurrence of cancer. In such cases,
, the measures taken to prevent or reduce bone loss should be
discussed with a physician, preferably an endocrinologist. Such as prednisone, which when used in a daily dose of more than
7. 5 mg for more than a few weeks, can lead to significant loss of bone tissue. Another common cause of osteoporosis, which is usually found
the way to a regular blood test that indicates a high level of calcium. (Idiopathic renal calcium leak) is
rare condition that can lead to osteoporosis. In the U.S., osteoporosis is often diagnosed using >> << widely available test called drive (dual energy x-ray absorbtsiometrii)
test. It is important to note that the reliability of this test depends on >> << techniques. Interpretation of test you need a doctor
knowledge of osteoporosis, such as an endocrinologist, a rheumatologist
or radiologist. So do your homework and use a decent place to go
this test. Testing bone density
available in most hospitals in the United States. Repeat testing in 1-2 years should be done in >> << the same place, using the same machine in order to monitor effects of therapy >>. << Who should have a bone density test done? A. Anyone with raw deficiency of vitamin D. 2. In postmenopausal women. 3. Men with low testosterone
4. Not on
prednisone, Dilantin, or excessive thyroid hormone. 5. Anyone with
untreated overactive thyroid (hyperthyroidism). 6. Anyone with
untreated thyroid hyperactivity parathyroid glands. 7. Anyone with absence of menstruation for more
6 months (excluding pregnancy). Need more tests
in addition to bone density test? Yes. Bone density test can only
diagnose whether you have osteoporosis. The next step is to find out why >> << osteoporosis. Vitamin D deficiency is the most common cause of osteoporosis. In most in postmenopausal women, estrogen deficiency
and vitamin D, deficiency is a major cause of osteoporosis >>. Other reasons << osteoporosis should be investigated
as many of these reasons, such as overactive thyroid and parathyroid glands
usually not clinically apparent. Therefore
special laboratory tests should be done to diagnose these conditions. Osteoporosis in men is usually found
by the way, such as detection of pathologic fractures (fractures
virtually nothing the injury) with ribs, hips or spine on the X-ray for
other reasons. To determine the degree of bone loss, bone density measurements
is usually bone test DEXA. The corresponding >> << testing should be done to determine the cause of osteoporosis, as
, treatment will depend on the cause identified in a patient >>. << Treatment of osteoporosis depends on its main reason >>. << This is why it is important to determine the exact cause of osteoporosis >>. << Most patients with osteoporosis, vitamin D and calcium
in appropriate doses is an important part of treatment. People who are on long-term
steroids (eg prednisone or hydrocortisone) or
Dilantin, Vitamin D replacement is even more important. Avoid excessive thyroid hormone when it is done intentionally, as in
patients with thyroid cancer. Hyperactivity buy lasix 100 mg thyroid disease, such as should be properly treated endocrinologist >>. << Indeed, consider parathyroid surgery. Drugs
for the treatment of osteoporosis in the U.S.:
1. Fosamax (alendronate)
2. Actonal (ryzedronat)
3. Boniva (Ibandronat)
4. Evista (raloksifen)
5. 6. Miacalcin (calcitonin) nasal spray
7. Estrogen
therapy, testosterone therapy in men with low testosterone >>. << 8. (Sold under the brand name Zometa,
Zomera,
Aclasta and Reclast Fosamax, Actonel, Boniva and zoledronovoyi acids belong to a class of drugs known as bisphosphonates
. 9. Are newly eligible to use anti- -osteoporosis drugs. Each anti-osteoporosis drug has possible side effects that you should
discuss with your doctor before you go to any of these drugs. This article was written by Sarfraz Zayed, MD, FACE. Doctor Zayed
specializes in diabetes, endocrinology
and Metabolism. Dr. Zayed is Assistant Professor of Clinical Medicine in Los Angeles and director of the Diabetes
Jamila and Endocrine Medical Center a thousand
Oaks, California. Copyright © 1999-2011 All rights reserved.
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