Joseph Aiello, D.O.
Mari jo Hanson, P.A.



San Diego Center for Integrative Medicine

619 670-8028

Bone Health
Bone Health Program

Bone health becomes critical after age 40.  Patients, including men and women start to lose bone mass after age 40.  This is when paying attention to your bone health should begin.  You can do many things to improve your bone density.  First, is to avoid risk factors that can cause a reduction in bone density.  Those factors are smoking, overuse of cortisone, and inactivity.  Therefore, for your bone health, you should stop smoking, be careful of the medications that you take, and remain as active as possible. Second, calcium and vitamin D are extremely important to your bone health as well.  Calcium is the mineral that is deposited in your bones to make them dense and strong.  Vitamin D is a cofactor that is involved with calcium metabolism.  Vitamin D comes from our diet and is activated by sunlight exposure to our skin.  Therefore, it is important to be outside and it is important to get sun exposure.  We now have an epidemic of vitamin D deficiency in people over 40 years old.  Finally, there are several natural supplements that can be taken to improve bone health.  People should be consuming 1000 mg of calcium daily and 800-1000 mg of vitamin D daily as well.

If a person has osteoporosis,or osteomalacia, they definitely need calcium and vitamin D.  Osteoporosis is a decrease in bone density.  Osteomalacia is abnormal calcium mineralization of the bones.  Patients can experience pain in their bones from osteomalacia.  Often there is a significant vitamin D deficiency in osteomalacia which causes an inability of the body to deposit calcium in the bones.  This can be remedied by Vitamin D supplementation.  Patients with osteoporosis can be helped by prescription drugs such as Fosamax or Actonel.  But they have significant side effects.  More natural remedies for osteoporosis and osteomalaciahe are calcium, vitamin D and Strontium.  Strontium has been shown in Europe to be highly effective in treating osteoporosis and osteomalacia.  In European studies bone density increased 15 to 25 percent over one year after starting strontium treatment and no other prescription drugs were used.  It has no significant side effects.

In summary: For your bone health.
1.  Avoid risk factors that cause decreased bone density.
2.  Be as active as possible. Get sunlight.
3.  Supplementation with calcium, vitamin D and strontium when necessary.





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