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Trabecular Bone Score (TBS): Assessing Bone Quality and Fracture Risk in Patients with Osteoporosis

In 2012 the FDA approved a new diagnostic tool for assessing fracture risk in people with osteoporosis. Since that time, Trabecular Bone Score (TBS) has rapidly made its way into the clinical setting. For years we have relied on dual-energy X-ray absorptiometry (DXA) exams to assess bone health, or lack-there-of. But DXA analysis looks solely [...]

By |2019-05-13T16:33:10-04:00February 17th, 2019|0 Comments

Elevated Blood Glucose Increases Fracture Risk in Patients With Osteoporosis

When assessing a person's risk for breaking a bone, one of the things I like to look at are specific laboratory tests. Bone density exams are fairly good at showing us the QUANTITY of bone, but bone quantity does not equate to bone strength. Bone QUALITY, on the other hand, DOES correlate more to the [...]

By |2019-05-13T16:38:03-04:00January 18th, 2019|0 Comments

Homocysteine and its Negative Impact on Bone

Elevated levels of homocysteine (Hcy) in the blood, a condition called hyperhomocysteinemia, is a common finding in patients with osteoporosis. Unfortunately, this not only increases a person's risk for fracture (by Hcy's adverse effects on bone quality), but for each 5 micromole/liter rise in Hcy, there is a 33.6% increase in all-cause mortality risk (Fan [...]

By |2019-05-13T16:36:47-04:00December 12th, 2018|0 Comments

More on the Epigenetics of Osteoporosis

Our DNA's genetic code dictates much of who we are both physically and mentally. Genetics is also a determinant of health – good or poor.  Inherited genetic conditions can be caused by a single-gene defect or by complex factors including multiple genes and impacted by lifestyle and environmental factors.    Earlier this month I wrote [...]

By |2019-05-13T17:18:42-04:00May 24th, 2017|0 Comments

Zolpidem (Ambien) Increases Fracture Risk In Men and Women with Osteoporosis

People break bones when they fall. In fact, falling is the number one cause of fractures especially in the elderly. It therefore makes sense that people with osteoporosis should avoid taking medications that increase their risk of falling. That is exactly what a recent study published in Osteoporosis International concluded. Park et al. conducted a [...]

By |2019-05-13T17:47:38-04:00April 26th, 2016|0 Comments

Soda Intake Increases Risk of Hip Fractures

A recent analysis published in The American Journal of Clinical Nutrition found an association of soda intake with an increased risk of hip fractures in postmenopausal women. Using the Nurses' Health Study cohort, this questionnaire-based analysis found that for every additional soda there was a 14% increase in risk of hip fracture. This higher risk was [...]

By |2019-05-14T22:38:57-04:00September 15th, 2014|0 Comments

Diabetes and Fracture Risk

Your skeletal health is only as deep as its microarchitecture. With almost 50% of women and 20% of men predicted to sustain an osteoporosis-related fracture in their lifetime, the possibility of fragile bones is always something everyone should be aware of. With the diabetic individual, he or she will need to take extra vigilance as [...]

By |2019-02-18T16:08:19-04:00March 22nd, 2014|0 Comments