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Osteoporosis Treatment

 

The goal of treatment for individuals with osteoporosis is to prevent fractures, decrease pain if it is present, and to maintain the physical function of skeletal structures.  Most medical doctors will prescribe a Vitamin D/Calcium supplementation routine for women.  If women have osteoporosis caused by postmenopausal cycles, estrogen replacement therapy is recommended, with or without progestin.  If women do not want to take the hormone therapy or if bone loss is extensive, biphosphates are recommended. Biphosphates (Alendronate) inhibit further bone resorption (loss), but are paralleled with adverse side effects.  Another popular treatment option, which is also recommended for the prevention of bone resorption, is calcitonin. [7]

 

Alternative treatment is also focused on preventing bone loss.  Several effective treatments have been proven in clinical studies to be effective at preventing bone loss, decreasing bone density, and even promoting the growth of new bone.

 

 

Supplements helpful for Osteoporosis

 

Ipriflavone

Ipriflavone is a synthetic isoflavonoid compound.  It is similar to a naturally occurring compound in soy.  Ipriflavone inhibits bone resorption and also promotes bone growth. It exerts its effects on the cells that produce and break down bone.

 

In one study, supplementation fwith ipriflavone for 2 years increased bone density in the vertebra of women with osteoporosis. [8]  In another clinical trial it was proven to suppress bone resorption via the osteoclastic cells.  Results were evaluated by measuring bone density in the lumbar vertebra, which did not show a decrease in bone density after 1 year. [9]  Ipriflavone has also been proven in study to reverse the bone loss normally caused by normal estrogen deficiency in postmenopausal women. [10]

 

Calcium

Calcium supplementation is a necessary aspect of any treatment regimen for osteoporosis.  Calcium is effective at reducing bone loss and can help prevent fractures by building stronger bones. Different forms of calcium are better absorbed, such as calcium citrate.

 

A study of calcium supplementation for 1-2 years in postmenopausal women proved that its supplementation reduced bone loss and exerted a protective effect on fracture prevention for women 3 years post menopause. [11]  Another study, which included elderly women suffering from osteoporosis, used calcium citrate supplementation to reverse age related increases in bone resorption and to decrease bone loss.  The use of calcium citrate in these women was shown to be as effective as conventional treatments using biphosphates. [12]

 

Vitamin D

Vitamin D is needed to maintain proper calcium metabolism in bone.  It increases absorption of calcium by the intestines and bone.  It also affects parathyroid hormone, which regulates bone turnover and release of calcium from bone.

 

In a study with vitamin D3 (cholecalciferol) supplementation caused an increase in bone mass in the lumbar vertebra of 2% of participants, as compared with a loss of 2% in the placebo group. [13]  In another study, supplementation with vitamin D increased bone density in the femur by 3% and in the lumbar spine by 2.3%.  This finding was, again, compared with a loss of bone density in the placebo groups.  Cholecalciferol has also been shown to increase strontium absorption in the gut and decreased parathyroid hormone. [14]

 

Vitamin K1

Vitamin K regulates the formation of bone.  It increases the calcium concentrations in the bone via osteocalcin.  Individuals who are deficient in Vitamin K have impaired bone mineralization. This is important as the severity of fracture is related to bone mineralization.

 

In a study of postmenopausal women that supplemented with Vitamin K, bone loss was reduced.  When vitamin K was combined with a mineral supplement, bone loss was reduced even further.  [15]

 

Magnesium

Magnesium is believed to be as important as calcium in the treatment of osteoporosis.  Magnesium is a mineral cofactor for the conversion of vitamin D3 to its more active form, calcitrol. It also assists in the mediation of parathyroid hormone.

 

Women with osteoporosis were found to be deficient in magnesium compared to controls in certain studies. [16]  Furthermore, other studies have found that magnesium improves bone strength, and is necessary for the preservation and remodeling of the bone matrix. [17]

 

Trace Minerals

There are many other trace minerals that are necessary for healthy bone formation. Copper, manganese, and zinc are all cofactors for specific enzymes involved in the metabolism of bone.  One study proved that copper, manganese, and zinc were all essential for optimal bone matrix development and bone density sustenance. [18] Boron is equally important, as it activates vitamin D to vitamin D3 in the kidneys and also reduces calcium loss via the urine. Boron has also proven its effectiveness in  reducing bone loss when individuals are deficient in other bone-building nutrients, namely, Vitamin D and calcium. [19]

 

 

Learn More About Osteoporosis

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