AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY CLINICAL PRACTICE GUIDELINES FOR THE DIAGNOSIS AND TREATMENT OF POSTMENOPAUSAL OSTEOPOROSIS — 2016--EXECUTIVE SUMMARY
Endocrine Practice: September 2016, Vol. 22, No. 9, pp. 1111-1118.
doi: http://dx.doi.org/10.4158/EP161435.ESGL
- 20X increase in vitamin D sold and 36 percent decrease in osteoporosis business in Australia – Nov 2013
Perhaps Osteoporosis groups hide vitamin D information because they fear losing their jobs - 8X higher Osteoporosis risk if high level of vitamin A, vitamin D important too – Feb 2013
- 5X increase in hip fracture rates in 65 years - 1998 at the same time that levels of Vitamin D have been decreasing
- Osteoporosis groups hide their synthetic vitamin D recommendations behind 40 dollar paywall – May 2015
- Osteoporosis quality of life better if more than 20 ng of vitamin D – Jan 2014
Overview Osteoporosis and vitamin D contains the following summary
- FACT: Bones need Calcium (this has been known for a very long time)
- FACT: Vitamin D improves Calcium bioavailability (3X ?)
- FACT: Should not take > 750 mg of Calcium if taking lots of vitamin D (Calcium becomes too bio-available)
- FACT: Adding vitamin D via Sun, UV, or supplements increased vitamin D in the blood
- FACT: Vitamin D supplements are very low cost
- FACT: Many trials, studies. reviews, and meta-analysis agree: adding vitamin D reduces osteoporosis
- FACT: Toxic level of vitamin D is about 4X higher than the amount needed to reduce osteoporosis
- FACT: Co-factors help build bones.
- FACT: Vitamin D Receptor can restrict Vitamin D from getting to many tissues, such as bones
- It appears that to TREAT Osteoporosis:
- Calcium OR vitamin D is ok
- Calcium + vitamin D is good
- Calcium + vitamin D + other co-factors is great
- Low-cost Vitamin D Receptor activators sometimes may be helpful
- CONCLUSION: To PREVENT many diseases, including Osteoporosis, as well as TREAT Osteoporosis
- Category Osteoporosis has
190 items - Category Bone Health has
269 items Note: Osteoporosis causes bones to become fragile and prone to fracture
Osteoarthritis is a disease where damage occurs to the joints at the end of the bones
Osteoporosis category includes the following190 items in category - see also Overview Osteoporosis and vitamin D - Overview Fractures and vitamin D
- Bone - Health
269 items - Search BMD OR Bone Mineral Density 3250 results as of July 2020
- Search Vitamin D Life for OSTEOPENIA 1740 items as of July 2020
Pages in BOTH the categories Osteoporosis and Meta-analysis
- Osteoporosis Risk varies with Vitamin D Receptor – meta-analysis July 2020
- Osteoporosis 15 percent more likely if poor Vitamin D receptor – meta-analysis Dec 2018
- Fractures reduced with any amount of vitamin D and some Calcium - Cochraine April 2014
- Vitamin D Receptor genes bb and BB and Osteoporosis, esp. for blacks – meta-analysis Nov 2012
- Hip fractures reduced 30 percent with 800 IU of vitamin D – meta-analysis July 2012
- Vitamin D for elderly 800 to 2000 IU - Osteoporosis Canada - Sept 2010
- Hip fractures in India - editorial with recommendation - Sept 2010
- Cochrane review finds that Vitamin D and Calcium treat osteoporosis – Feb 2010
An Osteoporosis Vitamin D letter behind a $40 paywall
Further major uncorrected errors in National Osteoporosis Foundation meta-analyses of calcium and vitamin D supplementation in fracture prevention
Download the PDF from Vitamin D LifePauline M. Camacho, MD, FACE1; Steven M. Petak, MD, MACE, FACP, FCLM, JD2; Neil Binkley, MD3; Bart L. Clarke, MD, FACP, FACE4; Steven T. Harris, MD, FACP5; Daniel L. Hurley, MD, FACE6; Michael Kleerekoper, MBBS, MACE7; E. Michael Lewiecki, MD, FACP, FACE8; Paul D. Miller, MD9; Harmeet S. Narula, MD, FACP, FACE10; Rachel Pessah-Pollack, MD, FACE11; Vin Tangpricha, MD, PhD, FACE12; Sunil J. Wimalawansa, MD, PhD, MBA, FCCP, FACP, FRCP, DSc, FACE13; Nelson B. Watts, MD, FACP, MACE14
Questions discussed
• Q1. How is fracture risk assessed and osteoporosis diagnosed?
• Q2. When osteoporosis is diagnosed, what is an appropriate evaluation?
• Q3. What are the fundamental measures for bone health?
• Q4. Who needs pharmacologic therapy?
• Q5. What medication should be used to treat osteoporosis?
• Q6. How is treatment monitored?
• Q7. What is successful treatment of osteoporosis?
• Q8. How long should patients be treated?
• Q9. Is combination therapy better than treatment with a single agent?
• Q10. Should sequential use of therapeutic agents be considered?
• Q11. Should vertebral augmentation be considered for compression fractures?
• Q12. When should referral to a clinical endocrinologist or osteoporosis specialist be considered?Osteoporosis treatment guidelines by US Endocrinology groups – Sept 2016Printer Friendly PDF this page! Follow this page for updates6003 visitors, last modified 22 Nov, 2017, This page is in the following categories (# of items in each category)
- Category Bone Health has