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Not sure where to put this - osteopenia Not sure where to put this - osteopenia

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Unread 06-08-2010, 09:00 AM
Re: Not sure where to put this - osteopenia

I do take HRT. I've been battling feeling really bad for about the last 5 years or so. I had switched the delivery several times in search of something that would work better. I discovered that probably most of the 2 years I used the Vivelle Dot patch I wasn't absorbing it for some reason. My level was down to 4. I'm now using Femring for the last 8 weeks and I think I may be stabilizing some.

I was also checked for Celiac. It came up negative. We did discover that my iron level was WAY too high! The internist I saw did the check because of my serious digestive issues. I think looking back, the loose BMs for several years were related to the constant anxiety and adrenaline surges. Once my estrogen level got elevated, the anxiety and adrenaline surges are gone. I would assume that would be the factor in my not absorbing the Vitamin D I was taking for so long.

I have also had kidney stones in the past. I'll never know what my Vit. D level was back then, but I'll bet it was really low. I probably wasn't using the calcium I was taking in and just dumped it through urinary tract. I've been scared to take any calcium at all for the last 15 years.

I've recently been using calcium citrate. Dr Holick mentions taking no more than 500 mg at a time as that is about all your body can handle at once. I split it up to take it. I also use 200 mg magnesium twice per day. I'm hoping for no more kidney stones and surgeries!

One other fact I read in his book that caught my eye was that when you have health issues due to the Vit D deficiency, it takes months to years for them to become apparent. He said it also takes about that long for those symptoms to disappear. I would say that I've noticed that fact in my case as well. It's been very slow!
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Unread 06-08-2010, 09:04 AM
Re: Not sure where to put this - osteopenia

Please let us know if there is improvment when you get your next DEXA scan...i'll be curious and I"m sure others will as well.

Vit D may be part of the issue. I also have fibromyalgia and "they" say there may be a link to low Vit D. My Vit D bounces around depending on the time of year, so I know I'm manufacturing it during the summer. I am fair skinned and avoid the sun, but do get in a lot of gardening/landscaping so I'm outside a lot April-September. In the winter time though it drops very low even with taking supplements.
Unread 06-08-2010, 11:59 AM
Re: Not sure where to put this - osteopenia

I have Fibromyalgia too. I'm really wondering about the connection myself.
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Unread 06-08-2010, 01:27 PM
Re: Not sure where to put this - osteopenia

Makes you wonder doesn't it. If maybe, the correlation between ERT and oseopenia, isn't estrogen per se, but losing the ability to absorb/manufacture the Vit D caused by the change in hormones from the hysterectomy.

I wonder if any of the studies that showed the correlation between conjugated estrogens and osteopenia also did a Vit D rating.
Unread 06-08-2010, 01:55 PM
Re: Not sure where to put this - osteopenia

an interesting link...(but again note the tests were done with conjugated equine estrogens and is quite old)
Unread 06-08-2010, 03:47 PM
Re: Not sure where to put this - osteopenia

The link states pretty much the same kinds of facts Dr Holick talks about in his book. Our bodies are so complex that when one aspect lags behind, it creates a domino effect. I think that's where I've been missing the big picture these last few years... hoping that replacing one deficient hormone or nutrient will fix everything! It appears that things are usually much more complicated than that.

Did you also ever notice on any of your drug information sheets from the pharmacy that they make mention of hypercalcemia as a possible side effect of taking estrogen? I'm guessing it must also confirm that the estrogen makes us much more efficient at grabbing onto the calcium we take in. Unfortunately without the right amount of Vit D it doesn't do us much good!
Unread 06-08-2010, 09:16 PM
Re: Not sure where to put this - osteopenia

I was told that I needed to take 1,200 mg of calcium every day but to split it up into two dosages since, as you mentioned, you can only absorb 500-600 mg per that's what I've done. Plus there's the calcium that I get in my diet. With my DEXA scan results, I do have to wonder how much is actually getting absorbed and I wonder if there is any difference between tablets/caplets and gel both calcium and Vit D.

I, too, have heard that it takes a long time for changes like vitamin D deficiency to show up. How often have all of you had your level checked?

My OB/GYN's nurse called me today to tell me that with these results, the advice is still to take 2,000 IUs of D per day. I was already taking 1,600 so I wonder if this will really make any difference. I see my Dermatologist on the 17th...we'll see what she has to say.
Unread 06-08-2010, 10:18 PM
Re: Not sure where to put this - osteopenia

I've had my Vit D checked 5 times in the last 1.5 years. The Dr I see now keeps an eye on the level to make sure it's staying up. My level didn't go up more than a couple of points until she had me start taking 4000 IU a day. As long as she keeps checking my level I'll use the higher amount.
Unread 06-09-2010, 08:50 AM
Re: Not sure where to put this - osteopenia

an organic apple a day?

The U.S. Department of agriculture conducted an experiment in which postmenopausal women took 3 mg of boron a day. The results showed that supplemental boron reduced excretion of calcium by 44%, and activated estrogen and vitamin D. However, whether these effects were conventionally nutritional, or medicinal, could not be determined.

If you do not wish to take medication, there are natural solutions too. You can slow down your body’s loss of calcium by eating foods that contain boron – including apples, prunes, raisins, pears, figs, spinach, and broccoli.

Interesting theory. There is much information out there on this if anyone wants to check on it's importants to postmenauopausal women with oesteoporosis risks.
Unread 06-18-2010, 09:55 AM
Re: Not sure where to put this - osteopenia

Saw the dermatologist yesterday and discussed the results of my Vit D test. She was quite surprised that it was a 45, considering I am so fair skinned and don't do the sun at all. She said that 45 is good for bone health, at my age (45). She indicated that higher levels are needed for good general health as I age....if I was over 50 she would advise me to get that level higher. For now, she agrees with my OB/GYN that 2,000 IUs of D is enough. Two of my doctors that agree on something -- Hooray!!

Since I have a general physical due at the end of the year, she suggested I get the Vit D test repeated to see if it declines at all in the winter.

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