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Preventing Osteoporosis the Natural Way
Osteoporosis is a natural, inevitable consequence of aging. There’s really nothing you can do to prevent it. Fortunately, modern pharmaceuticals can help.
That’s what Big Pharma wants you to believe, anyway.
As with so many other health topics, there is a lot of misinformation floating around about osteoporosis.
Unfortunately, most people just don’t understand how bones really work. That means they can’t understand how osteoporosis really works. That, in turn, makes them vulnerable to the swill Big Pharma is selling.
The truth is that most osteoporosis treatments are unnecessary, and several are downright harmful. Osteoporosis is largely preventable through simple lifestyle changes that you should make anyway. Good bone health is simply a consequence of good health.
Taking care of your body is easier than it’s made out to be. The problem is sorting through all of the information that’s out there to separate the sheep from the goats. Fortunately, that’s my job.
In Friday’s article I explained how bones really work. Today I will tell you how osteoporosis really works, and how to avoid it the natural way. But before I do that, let’s review the leading treatments that you should definitely NOT be using.
The Dangers of Hormonal Replacement Therapy (HRT)
Last time I told you that up to 80% of osteoporosis patients are women. For that reason, osteoporosis was long regarded as a woman’s disease. Researchers knew that it was most common in elderly women. They also knew that women’s hormonal levels normally decrease with age. Studies showed a correlation between estrogen levels and bone density. Why not treat osteoporosis by replacing lost hormones?
It makes sense. However, it’s not a good idea for the same reason that you don’t flip the main circuit breaker to turn off the bedside lamp. Hormones are part of the body’s master control system. They are involved in osteoporosis. But they’re involved in a lot of other things, too. You just can’t mess with the master controls without getting unintended side effects.
Sure enough, the first large-scale test of HRT had some shocking results. The Women’s Health Initiative followed over 16,000 women in a randomized, placebo-controlled trial. They found that HRT did slightly lower the risk of fractures. It also significantly raised the risk of coronary heart disease, stroke, breast cancer, and pulmonary emboli.1
That frightening finding led to the creation of so-called bioidentical HRT (BHRT). BHRT is marketed as a safer alternative to traditional HRT. Unfortunately, there is no evidence to support that claim.
Some believe that BHRT may even be riskier. The hormones come from the same sources (often pregnant horse urine), but the process of making “bioidentical” hormones introduces the potential for error.
Further, the science behind the process is suspect at best. Hormonal levels normally vary throughout the day, making accurate measurement nearly impossible. Allegedly individual treatments are in fact random and arbitrary. It’s not clear what good this does, but there is no reason to think it is safer.
In short, stay away from HRT. The risks simply outweigh the possible benefits.
The Newfound Dangers of Calcium Supplements
Another of the most commonly prescribed treatments for osteoporosis is a calcium supplement. This, too, is a logical move. Replacing lost calcium should restore depleted bone density, right?
Wrong. There are a few problems with that idea. The first is bioavailability. That’s a big word that simply refers to the amount of a drug that actually makes it where it’s supposed to go. No drug has 100% bioavailability. With most forms of calcium, you absorb less than half of what you ingest.
Further, calcium is important in many parts of the body, not just in the bones. (That’s why it gets taken from the bones in the first place.) That means that a lot of the calcium you do absorb goes other places. And that’s where it can cause problems.
In 1998, researchers in New Zealand began the Auckland Calcium Fracture Study. For years they followed almost 1,500 postmenopausal women to see if taking a daily calcium supplement would decrease the risk of fracture. Their findings were disappointing. Bone density among women taking calcium was only 1-2% better than among women not taking calcium. There was no effect on fracture prevention.
That’s not all they found, though. Troublingly, the women taking calcium suffered more heart attacks than controls. Calcium supplements may actually put your heart at risk.
In light of these findings, exactly two weeks ago today, the lead researchers involved in the study called for an end to calcium supplementation as a treatment for osteoporosis.2 As with HRT, they concluded that the risks outweigh the benefits.
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Bad Statistics and Worse Medicine
Both HRT and calcium supplementation seem like good ideas to treat osteoporosis. So why don’t they work?
It’s because they aren’t the cause of the disease. They are only associated with it. As statisticians like to say, “Correlation is not causation.” That means that the relationship between two things does not necessarily tell you that one causes the other. For example, a rooster always crows around sunup. But the rooster does not cause the sun to rise.
In the same way, neither low estrogen nor low calcium causes osteoporosis. There is a relationship. But treating osteoporosis by artificially increasing estrogen and calcium levels is like kidnapping the rooster to get a few more hours of sleep.
Osteoporosis, like so many other diseases, is an adaptive response to poor conditions. Your body is an intelligent machine that learns from experience and adapts to demand. It gets better at doing whatever you regularly ask it to do.
Osteoporosis is not an inevitable consequence of aging. It is associated with aging because aging is associated with inactivity and improper nutrition. Those hidden factors are what statisticians call confounds. They suggest relationships that aren’t true.
The true causes of osteoporosis are inactivity and improper nutrition. Genetic risk plays a role, but osteoporosis is your body’s adaptive response to poor conditions. Your body doesn’t want to give up bone density. But if you’re not getting the minerals you need in your diet, it will begrudgingly give up the “excess” in the bones.
Conditioning your body to low activity levels tells it that it can afford to skimp on bone density in order to make ends meet. It makes the hard choice and sacrifices whatever it can spare to supply calcium metabolism and other mineral needs.
Preventing Osteoporosis the Natural Way
As I said before, your body is an intelligent machine that adapts to the demands you place on it. Osteoporosis is an adaptive response to poor conditions. To reverse that process, you just have to change those conditions to make it a maladaptive response. Your body will change accordingly.
First, you need to make sure that you are getting plenty of the nutrients you need. The two most critical nutrients for bone health are calcium and vitamin D.
Calcium comes from foods like dairy products, nuts and seeds, and dark leafy greens. The NIH recommendation is between 1,000 and 1,500 mg of calcium per day. Some sources advocate for up to 2,000 mg per day. Either way, most adults don’t even come close. That means that milk really will do your body good.
Even if you are getting enough calcium, you need vitamin D to absorb it. The NIH recommends 800 IU per day. Most Americans get much less than that. The problem is, studies indicate that total intake should be much higher than what the government recommends, around 4,000 IU (0.1 mg) per day.3
Vitamin D is found in fish liver oil and fatty fish species (wild-caught only), eggs, and fortified milk. It also comes from sun exposure. You can read much more about vitamin D and sun exposure in our past issue archives.
By themselves, neither calcium nor vitamin D will do your bones much good. You really need both. Make sure you’re getting the full daily recommendation of each.
Second, you need to do weight-bearing exercise. That doesn’t necessarily mean lifting weights. Weight-bearing exercise is any exercise that requires you to support your body weight (or more). Remember the six functions of bone? Weight-bearing exercise forces your bones to work harder. The message you are sending to your body is that it can’t afford to give up bone density. Your body adapts to the demand.
Swimming and bike riding are great, enjoyable forms of exercise. That’s why they’re among the most common forms of exercise for older individuals. However, they are not weight-bearing. That means they don’t help at all in preventing osteoporosis. You certainly don’t have to stop doing these things. But they’re just not enough.
What can you do instead? Glad you asked. All of the following are terrific, easy, and enjoyable forms of weight-bearing exercise:
- Running, jogging, walking, or hiking.
- Dancing.
- Tai chi, yoga, or martial arts.
- Golf.
- Racquet sports.
- Team sports (e.g., baseball, basketball, football, softball, volleyball).
- Strength training (e.g., barbells, dumbbells, machines, body weight exercises).
By participating in these activities, you will actually increase your bone density over time. You will also reap all the other myriad benefits of regular exercise. That’s a win-win deal.
Modern medicine often treats your body as the enemy, and it reacts accordingly. Instead, work with your body. Teach it to do what you want it to do. By making simple lifestyle changes, you can reprogram your body for good health.
Proper nutrition and weight-bearing exercise can go a long way toward preventing osteoporosis. They’re also good for almost every other aspect of your health.
Now that’s something Big Pharma doesn’t want you to know.
To Your Health,
Michael Noltemeyer
Managing Editor
Total Health Breakthroughs
References:
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1. Roussow JE, et al. “Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women’s Health Initiative randomized controlled trial.” JAMA, 288.3 (2002):321-33.
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Reid IR, et al. “Does calcium supplementation increase cardiovascular risk?” Clin Endocrinol, (23 Feb 2010). [Epub ahead of print.]
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Heaney RP, et al. “Human serum 25-hydroxycholecalciferol response to extended oral dosing with cholecalciferol.” Am J Clin Nutr,77.1 (2003):204-10.
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is there any treatment for pagets disease? I was told that I have it and there is no treatment. Anything new?
I submitted a question
Excellent article. Taking high bioavailable Calcium, magnesium, boron, Vitamin D and achieving alkaline pH is the best way to reverse and prevent Osteopenia & Osteoprosis.
Dr. George Grant, Ph.D.
http://www.academyofwellness.com
While I enjoy reading your articles, I do have one problem with todays article on Osteoporosis. I have read articles about BHRT, and those have said that it is made from the urin of pregnant females not horses. I think that is why it is called bioidentical. The articals I read came from Drs. Douglas and Wright.
I do believe the D in milk is D2 which is a synthetic form not D3. D3 is the form in which our body needs.Dr. Mercola has very good articles on that subject.
In good health
Ervin
Skipping for children is good for bones.
The form of Calcium you take is very important. Bioavailability you call it. The three that I know of are Advacal (good), Water Oz Calcium mineral water and Nanocal (either one is excellent). Nanocal reverses Osteopourosis in three weeks and is fairly inexpensive. See Cocoonutrition.com. (Oops, not invented here). And I am not selling any vitamins or minerals myself so I have no bias.
James
I’m surprised about your was up to date on Vitamin D which is not very useful. That Vit D3 is the better choice as previous comment. And there was no mention of K2 which is proving to be better absorbed by the body than calcium.
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very informative article. Thank you for it.
I have really enjoyed your articles on bone health. I understand weight bearing exercise is critical, but have hereditary spastic paraplegia, and have progressed to the point I need to use a wheelchair almost full time. I use a power chair, but was using a manual wheelchair to go for “walks” for exercise until the orthopedic doc told me it wouldn’t help the bones in the legs. Suggestions?? Ankle weights with leg lifts is difficult, and not nearly body weight!
Thanks for the great articles.
Marilyn
Am 65 and have severe scoliosis. Am on heavy pain meds that help in one way, but destroy other areas. Am told that I cannot have surgery, but I know there are alternatives. I am looking forward to discovering what your finding are for all my health.
Thanks for the info. You have made it where the average person (me) can understand. Keep up the good work!!!
I noticed that the info that you reference seems a bit old. I will look into the BHRT being from horse urine as I see my dr. next week. I also know that the article from 2002 does include the use of progestin which is another synthetic hormone. I do agree with weight bearing workouts. Overall it was a good article and did give some info that I have to look into. Thanks
Congratulations to you mission.. I like the article to day, about osteoporosis, its preventions and cause, and its tells me what I can do to at least avoid it to happen to me, as I age… Now am guided well, as I am a gym person, am assured that I am on my path to a future good healthy living, now I can also improved and add more activity that can enhance my health and avoid to have osteoporosis in hte future.. thank you so much for this article, and I wish your mission well, may you continue to give us more of this healthy tips, making us well imform how to be healthy and beautiful as we age, Now I dont fear to age and still be healthy and have a waulity of life ahead..
God bless you all and more to come please…I rate you excellent!!!
Daisy
I read that magnesium was also very important in preventing osteoporosis and also strontium.
Is that true?
Don’t forget magnesium is key. Low magnesium and you can’t utilize the calcium.
My understanding is the US has the highest per capita consumption of milk products in the planet. It also has one of the highest (if not the highest) incident rates of Osteoporosis. So if milk really does a body good, why is it failing at providing the bioavailable D and calcium to offset this trend? Could it be the milk sugars (processed as acids in the body) contribute to bone loss as well? Something to think about…
Just because you personally asked me to comment.
I found in this excellent artice three statements with which
I beg to differ, as follows:
1) In the paragraph which starts with “Some believe
The hormones come from the same sources(often pregnant
horse urine)”. If we are talking of “bioidentical”hormones, then the hormone that comes from horse urine is NOT bio-identical. 2)”Hormonal levels normally vary throughout the
day, making accurate measurement nearly impossible”, that
is true, if you measure it via blood test. For accurate mea-
surement it needs to be tested via 24 hour urine. 3)Vit,D3
of the patient requires a lab test, if low, be raised to
optimal value. 400 or 800 IU’s are outdated. For instance
4,000-10,000 IU is now recommended. I am taking 5,000 IU,
should raise it after a Lab Test close to 10,000, which is
overdue. The name of the blood test is “25(Hydoxy…)…”.
Respectfully, Jeff Tabrizi, Budapest, Hungary, (my main pro
fession is Engineer, having worked for Oil Companies.at Persian Gulf). I hope I have not offended
40 years ago i read that bone meal is a good source of calcium and magnesium.