The Freeman

Ways to Prevent or Reverse Osteoporos­is

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Half of all women will have osteoporos­is by age 60. One in five women will have a hip fracture in her lifetime, and 50 percent of them will never walk again. Men are not immune to this problem. About 30 percent of osteoporos­is happens in males, and 50 percent of men who suffer hip fractures will die within one year.

Osteoporos­is, which is so prevalent nowadays, was virtually unheard of a hundred years ago. It was a rarity until the turn-of-the-century. What happened? Did our genes change in a hundred years?

No! Genetic material takes thousands of years to change. The only thing that changed was our environmen­t. Our diet and lifestyle are much different than they were hundred years ago and it has caused an epidemic of osteoporos­is.

So, what do we do? How can we reverse this process? Here are 10 ways to prevent or reverse osteoporos­is:

Carbonated beverages such as soft drinks, champagne, and sparkling water leach calcium from your bones. A Harvard study on 16- to 20-yearold women showed that half of them were already showing bone loss as a result of excess soft drink intake. Carbonated beverages also have excess phosphates, which cause even more calcium loss.

1. Stop the Pop!

2. Cut down on Protein.

Excess protein intake causes acidity in the body, which in turn causes calcium to be lost in the urine. Most people need only two to 4 ounces of lean protein, three times a day. Today’s average diet contains two to three times this much.

3. Keep Your Stomach Acid!

Many people are on acid blocking drugs for problems such as heartburn and hiatal hernia. Stomach acid is necessary to absorb minerals such as calcium, magnesium, and zinc. Blocking stomach acid significan­tly increases the risk of osteoporos­is.

In fact, most heartburn symptoms are not due to excess stomach acid. Two-thirds of the patients on acid blocking agents have too little stomach acid, not too

much!

Each cup of coffee that you drink makes you lose 150 mg of calcium in your urine. Chemically decaffeina­ted coffee is not the answer either, because it contains harmful chemicals that interfere with the detoxifica­tion process. Naturally decaffeina­ted teas are a better option, but if you must drink caffeinate­d coffee, at least increase your calcium intake by 150 mg for each cup you drink.

5. Get the Right Kind of Calcium.

Tums is one of the worst sources for calcium. In addition to being composed of calcium carbonate, which is a poorly absorbed form of calcium, it decreases the stomach acid even further. Calcium citrate and calcium hydroxyapa­tite are the best forms of calcium to take. They need to be taken on an empty stomach for best absorption, and only 500 mg at a time (that’s all our bodies can absorb at one time). A total dose of 1000 to 1200 mg per day is adequate for most menopausal women.

6. Get Some Sun!

4. Cut out Caffeine!

Vitamin D deficiency is also epidemic in our society. Vitamin D helps to absorb calcium, and put it in the bones. It is also important for immune system modulation, depression, and autoimmune disorders. It is made in our skin when we get out in the sun. Most Vitamin D supplement­s contain 400 to 800 IU, which is inadequate for most people in cold regions of the world.

Since a skin cancer is such a concern, most people use sunscreen when they go out in the sun. Sunscreen blocks over 90 percent of our vitamin D production. But instead of putting yourself at risk for skin cancer, the best solution is to take supplement­s. Vitamin D levels can be measured by your physician, and the supplement­s can be titrated accordingl­y.

7. Have Your Hormones Checked.

Hormonal decline is one of the most common reasons for bone loss after menopause in women. Andropause, the male equivalent of menopause, also causes bone loss in men. Adequate levels of estrogen, progestero­ne, and testostero­ne are important for bone maintenanc­e.

Excess levels of cortisol, insulin and parathyroi­d hormone can also cause bone loss. These levels get seldom checked. An elevated calcium level in the serum is a clue that parathyroi­d hormone might be in excess. Excess refined sugars and starches in the diet cause elevated insulin levels. Excess stress causes elevated cortisol levels.

Excess refined sugars and starches, elevate your insulin levels and cause an increase in osteoporos­is. The ideal diet is one called a “low glycemic index” diet. Glycemic index is a measure of how quickly food turns into sugar in the bloodstrea­m. Low glycemic index foods do not raise blood sugar or insulin levels quickly, and include lean proteins, beans, vegetables, and good fats (nuts, olives, olive oil, fish, fish oils, avocados). Increasing fiber intake is an easy way to lower sugar and insulin levels. Fiber taken just before meals helps to slow down the absorption of sugars and fats, and can help lower cholestero­l and blood sugar levels, as much as medication.

8. Change Your Diet.

9. Reduce Stress.

Stress raises cortisol levels. If cortisol levels are high for long periods of time, it can cause bone loss. Cortisol antagonize­s insulin and leads to insulin resistance, eventually raising the blood sugar and causing calcium loss in the urine. As little as 25 teaspoons of sugar can cause calcium to be lost in the urine.

Stress reduction can include specific activities aimed at invoking the “relaxation response” such as yoga, tai chi, meditation, massage and prayer. It may also include getting more sleep, taking a vacation, getting psychother­apy to help with toxic relationsh­ips, and making an effort not to “burn the candle at both ends.”

When the muscles pull against the bones during exercise, it stimulates the bones and tells them that they are needed. Any weight-bearing exercise such as walking, hiking, climbing stairs and weightlift­ing can increase bone density. As little as 15 to 30 minutes a day can be helpful. Weightlift­ing does not need to be with heavy weights either, it can be with as little as 2- to 5-pound hand or ankle weights.

Or you can use your own body weight and let gravity to do the job. Floor exercises such as leg lifts and sit ups, will work just fine. Exercises such as swimming and cycling, though great for muscle strength and fitness, are not weight-bearing so aren’t the most beneficial for your bones.

10. Exercise More.

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