On prednisolone for 9 months - does anyone know if it’s PMR or the pred which might cause calcium deficiency?
About 3 months ago a bit of a molar broke off and yesterday the same thing happened on the other side of my mouth. Plus my nails have become very soft and are splitting.
I can’t get in to see a dentist because I’m not an urgent case.
Has anyone else experienced these symptoms?
Thanking you in advance, 😷
Pred makes you lose more calcium through the kidneys - which is why you should consider a calcium supplement unless your diet is very good.
However - once calcium is in the teeth it doesn't really leach out unless you have periodontal (gum) disease and very acid conditions leading to decay. Several people have complained about teeth breaking but for many it is more age-related, teeth have a hard life. A couple of mine have broken but they really were cases of there being more filling than tooth and it was amazing they'd lasted this long!
My nails were soft and split when I had PMR without pred but once I was on pred they were in the best condition of my life and I have heard of both versions from people on the forum.
Thanks for this. I forgot to add that I do take Adcal so maybe I’m looking for a problem that’s isn’t there!
No signs of reflux overnight? That can lead to teeth deteriorating too.
Yes overnight reflux is frequent😞
I'd speak to the doctor and dentist - try and find a solution to the reflux. It isn't good for gullets either!
Im stuck with reflux and its long term treatment with esomeprazole unfortunately
Ah, right - but that does mean it should be less of a problem unless the pred has made it worse and you maybe need more or a 2x daily dosing. Mostly you are looking for mealtime relief - but silent reflux at night may mean a change of approach is needed and many people need it just because of the pred.
thank you again. Actually my reflux did worsen and the GP prescribed halving my usual am dose into twice daily so although I still get reflux occasionally at night, its not nearly as often.
I suspect you may need a bit more ...
D3 taken with K2 is better than Calcium. I take 3000 iu D3 daily with K2 MK 7 75 ug. Magnesium Malate, and Boron.
Neither D3 nor vit K2 will build bone - you need an adequate source of calcium as well.
Not according to my friend who has researched this with her medical group. She has told me that Adcal is terrible - low calcium levels are a result of low Vit D levels. To raise calcium one only needs Vit D (and co factor) Magnesium and Boron are more important. Calcium can deposit in soft tissues without D3 and K2 to ensure calcium goes to the bones and teeth. She's been studying this for yrs.
Good for her - but they are no use if you don't have a source of calcium ...
Been chatting with my friend this morning on facebook. What she evidently was saying was that there is no need for supplementation of Calcium if we all eat a good diet with it in. Calcium increases a lot if one takes D3 too and K2 of course.
Exactly - but there has to be enough and unless you eat a fair bit of dairy, you may well need some supplement.
Wish my nails were good. Both thumb and index finger bad dents, rest of finger nails are just ridged.
CRP/ESR and calcium levels
Blood calcium level testing?
Calcium supplements - are they essential for PMR
