Hi Denny, you can always have a chat to the ROS nurse,they give great advice. And would answer all your questions. You have Osteopeninia, which if you look that up its natural aging of bones,but you need to take action to try and prevent it
becoming osteoporosis.
Again ROS have loads of info on exercise,diet and supplements. If you can eat a diet with plenty of calcium you won't need a supplement.
Good luck ,get informed and go for it ,you are lucky to have this information now . How come you had a scan with no fractures ???
I agree the ROS is a great source of information and there is a calculator on the site which tells you how much calcium is in a particular food. Dietary calcium trumps a supplement and I have certainly upped my intake of green leafy veg, however this is what I take. It maybe a bit over the top but I have osteoporosis only discovered after 6 spinal fractures.
Calcium from algae source, Vit D and K2, magnesium, boron, silica, omega 3, zinc, vitamin C. You can get all this from a good diet, but it's belt and braces for me. I make sure not to take the calcium at the same time as the magnesium and zinc as they compete for absorption. I also have 10mg bovine collagen in my morning tea.
The other very important thing is weight bearing exercise. This would be my number one endeavour. You can get a lot of information about this from again the ROS and also youtube.
in answer to Lopera’s post. Hi, do you mind me asking which brand of collagen supplement you take? It’s been suggested I take a collagen supplement. Thanks.
hi I found the area of supplements to be a complete minefield, with all sorts of people (qualified or not) recommending what should be taken. I decided to consult a professional nutritionalist, recommended by my physio, who looked in detail at my diet before recommending which supplements to support bone health that I should take.
If it’s affordable, I would advise doing the same!
Your t-scores (compare your bone density to an average 30 year old) show you don't have osteoporosis, only osteopenia, which simply means you've lost some bone density, something that's normal as we age. Your z-scores (compare your bone density to average for your age), although below the average of zero, are within the normal range for age. Don't forget that there will be a whole range of scores that are used to create the average. The NHS website says that any z-score above -2.0 is within the normal range. Your fracture risk is very low, a 97% likelihood that you won't fracture in the next 10 years! The important thing for you is to maintain your bone density - you need a healthy diet with plenty of calcium, lots of weight-bearing and resistance exercise, and supplements to make up any shortfalls, in particular Vitamin D. To know how much vitamin D to supplement, you need to know your blood level, and aim to get/keep this above 75nmol/litre (many say over 100nmol/litre). In addition, a Vitamin K2-MK7 supplement will help send calcium to the bones. Magnesium is recommended too, but calcium should preferably be from diet if possible, and only supplement to make up any shortfall.
Met, excellent reply - two questions - what do you think of the research claiming that supplementing into a high level is bad for bones?
I think the answer probably is that you need K2 too, but I haven't yet found studies on supplementing D3 and K2 with the outcome bone density. Maybe haven't looked hard enough. My instinct is you are right, with D and K2.
Good meta analysis studies on K2 and density though which are very encouraging.
Too many studies with falls as an outcome in my view.
It's all very confusing, isn't it? As far as K2 is concerned, the original research comes from Japan, where they realised that people with a diet high in natto (one of the few rich food sources of K2) had fewer fractures than those without. They consequently introduced K2-MK4 as an osteoporosis treatment there, although the K2 in natto is actually in the form of K2-MK7!
Like you, I've read conflicting advice about Vitamin D, but most of the research has been done without its co-factors (K2 and magnesium), plus there have at times been some questionable research parameters (eg giving low-dose supplements then claiming they make no difference). I also believe, as far as Vitamin D supplementation is concerned, it isn't so much to do with how much you take as what your blood level is. I aim to keep mine above 100nmol/litre (40ng/ml).
The other thing that often gets overlooked, and which I failed to mention, is that we need a high protein diet. Vitamin D is essential for calcium absorption, K2 helps send it to the bones, and protein provides the structure for the bone-building nutrients. I may not have explained that very well, as I'm not a scientist, but I think that's the gist of it!
Excellent again. I am following you Met00 and possibly stalking you. If you look outside your sitting room window I will be crouching near the garden wall with a notebook.
Yes, very low doses of D in some studies, and some, like Prof Cyrus Cooper's try at injecting a mega dose each autumn, insanely high.
The association with D intake with falls is of little interest to me. Most falls have a mechanical element. Maybe they felt better with more D, went out for the first time in months and tripped over the dog. They're of interest to the government because mending hips costs money, hence the research grants, but compression fractures are what interest us as a group I suspect.
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