Be Well health tips

Bone density Osteoporosis

Yikes! I’m shrinking!

Our bone density peaks at twenty-five and the slide downhill begins. What is good bone health and how do we maintain it?
Bones are in a constant state of remodeling – dissolving microscopic bits of old bone, a process called resorption, and rebuilding new bone. After age 30 or so, a woman’s bones start to dissolve faster than they can be rebuilt, and after menopause she may develop thin, brittle bones that are easily broken.

I was told years ago (age 51) that my bones were not dense enough to perform a spinal fusion with a plate and screws. My doctor gave serious thought to doing just that after I herniated a disc at L4 in my lumbar spine. Instead he advised me to get strong. I went to work with an exercise regimen together with a nutritional and supplement program and managed to build enough strength to hike sixty-five miles of the Wonderland Trail around Mt. Rainier (1990, age 53). It turns out that it is possible to build bone after menopause.

Fast forward to 2014 and a diagnosis of osteopenia. I was offered Bisphosphonates, including Fosamax, Procter & Gamble’s Actonel and GlaxoSmithKline’s Boniva, to slow the progression to osteoporosis. I asked my doctor to give me two years and enrolled in Xgym, determined to reverse the trend with focused weight bearing exercise. Two years later I had reversed the bone-loss.

Nine years later, February 14, 2024, the decrease in bone density has doubled and my doctor recommends Fosamax. I try it for two weeks and do not tolerated it well. I also read about the side effects and decide to go a different route. I will get an infusion of Reclast every year. Reclast (zoledronic acid) is a bisphosphonate. It works to slow down bone breakdown so the body can make new, healthy, and strong bones. Reclast (zoledronic acid) helps raise bone mineral density (BMD), which is a measure of how strong your bones are. A higher BMD means your bones are stronger, which helps lower your risk of bone fractures. If results are good in two to three years, I can stop the treatment.

What is my (your) part in rebuilding healthy bone?

Calcium supplements: I will continue to take Shaklee’s Osteomatrix, Chewable Cal Mag ,Vita D3, and Vita Lea Gold. It is important to get a blood test to determine your calcium levels so your doctor can modify the supplement intake to meet your particular needs.
Diet: Greens provide calcium naturally. Broccoli is everything the say it is. Lots of calcium that is absorbed easily. Here is a chart of ways to get your calcium from your food. What the chart doesn’t tell you is that absorption is a challenge. Collard greens and other green leafed calcium loaded foods need a catalyst, vinegar or lemon juice to help break down the minerals so they can get to your bones. I don’t eat dairy (or very little) so beans and vegetables make up the difference.

I’ll continue to do weight bearing exercises, walking a couple of miles or more daily and hiking most Wednesdays.

How are you doing in this department?

I gave some thought to doing nothing. After all, I’m 88. What do you expect with a Nordic heritage. But the possibility of a spontaneous fracture is real. That would not be good while hiking somewhere in the deep wilderness or walking across my living room.
Let me know what your bone issues and concerns are. Shop at my Shaklee Personal Website for products that have been studied and proven to help maintain bone density. Who knows where I would be if I hadn’t been using these supplements for forty years?! Let’s get a bone health conversation going.

Be well, Do well, and Keep Moving! Betsy


900 University St., 8-B, Seattle, WA 98101.    betsy@hihohealth.com.     206-409-5940

Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Annual Physical

Gentle Reader,

 

My intention is to have my annual physical coincide with my birthday in early August. Travel and the rule that 365 days must pass before the insurance company will pay for another wellness check-up have pushed this forward. We are in early October, and I have been parading to not one primary care physician, but a total of five medical practitioners who administer their tests and make a judgment as to how I am doing.

 

I notice that I am invested in the outcomes.  These are the Gold Stars I work for when I eat kale, carrots, beets in my Shaklee powered protein shake each morning; when I submit to the torture of the trainers at the Xgym each week; when I sit quietly to calm my mind and body; when I climb trails full of roots and rocks; when I stop in the middle of a writing passage to get enough sleep each night so I can do it again the next day.

 

The practice of gratitude moment by moment eases the intensity of this competitive attitude toward life, but I admit I have been working to outrun illness and death.  And crave and expect thunderous applause for winning the race.  How ridiculous. No one gets out alive, not even me.

 

Seventy eight is humbling me.  I notice that I chose sitting in the back garden instead of taking that pain-causing walk around the neighborhood.  I notice that I sleep in on Mondays, finding longer hours in bed delicious after a too busy weekend. I notice that I put my glasses on immediately upon rising because it is too fuzzy to walk around my familiar setting without them.

 

I carry a flashlight in my pocket when I go to the hot tub at night because my eyes don’t adjust to the darkness sufficiently for my safety.

 

I notice I go without a hat just to feel the wind in my hair, ignoring the genetic abnormality may result in melanoma.

 

I accept that I have lost another half inch in height, that my HDL/LDL ratio is not as good as last year; that my bone density did not improve as a result of intense weight bearing exercise; that I need to go home to put in my hearing aids (which I forgot last Sunday) if I want to hear the proceedings of the meetings and the family dinner party; that I must carry my hiking sticks with me every time I go out, because I never know when the sciatica will make one more step without them unbearable.

 

The results of my annual physical come in.  None of my doctors is worried about me.  Internal medicine finds me better than average.  Dermatology burns off a few pre-cancerous spots on my face and affirms my overall skin health.  Audiologist declares my hearing loss is increasing less than might be expected.  The bone people say I am still losing bone as you would expect at my age but not bad enough for medication.  The diagnosis is osteoporosis.  They ask, “Did you fall this past year?”  I crashed heavily on the way down the rocky trail from Lake Twenty Two this past spring. The scar where I tore the skin on my arm is still visible, but I didn’t break anything.  “Stay strong,” they say.  I don’t get a fight when I decline the flu shot.  I accept the new pneumonia vaccine.  My upper respiratory system is vulnerable.  I’ve had pneumonia twice in the last five years.

 

Someone in my circle of friends and acquaintances appears in a draped box on the altar every other week. I join the still living to sing the hymns and repeat the promises of eternal life.  I look into the eyes of the spouse (I didn’t know her well enough to interpret her stoicism) and imagine the final weeks and days and hours of suffering and grieving.  I remember my own two husbands and their dying.  I was the strong one, holding everything together.  Now I picture myself in their places.

 

Recently I finished reading the August issue of The Sun Magazine in which the lead interview gives Stephen Jenkinson, the Griefwalker, the opportunity to talk with us about dying.  The default manner of death was for the dying person to endure — to not die — for as long as possible.

 

Health, Jenkinson says, is not the absence of disease or hardship or brokenness. Health includes all of that. It includes dying.

 

I have no intention of adopting a morbid fatalism going forward in my seventy-ninth year.  I do intend to stop striving for Gold Stars.  Numbers on the MyChart read out may neither discourage me nor encourage me.  They just are.  I will pay more attention to the pleasures of the moment, and less to accomplishments.  Like two weeks ago when hiking betsy Green MtGreen Mountain, one of my favorites in the North Cascades.  It has been inaccessible for eight years due to a road wash out.  It wasn’t in me to climb to the top, so my companions went on up the autumn patch work quilt of color to the newly strengthened fire lookout.  I lay on the heather, alternating watching their progress through my binoculars and dozing off in the autumn sun, relishing the quiet, the beauty, the privilege of being in  this remote place one more time.  I was happy.

 

Jenkinson describes the healthy life as a tripod: In the dominant North American culture we talk about health as a possession, something you have and are responsible for maintaining. But I see our health as like a tripod, a dynamic thing: One leg is your relationship with all other human beings. It’s not possible for you to be healthy when there are people living under a freeway overpass in cardboard boxes. Your health is dependent on theirs. The second leg is your relationship with all in the world that’s not human. If you have only these two legs, you can try to live a good life, but it’s like walking on stilts. The third leg is what gives you a place to rest, and that leg is your relationship with the unseen world, everything not described by the other two. Having all three constitutes health. That’s where it lives. This tripod sustains you. You don’t exist as an individual without these relationships.

 

This is the kind of health I intend to cultivate.  The awareness of relationships.  The holding all those friends who no longer climb on physical legs.  The awareness and pleasure of my slow (or sudden) progress toward the rest I will share with them.

 

Thoughts on aging?  I’d love to hear them. Let us cultivate an attitude toward health that embraces death, a giving back of ourselves to the Earth.

 

Be well, Do well and Keep moving,

 

Betsy

www.HiHoHealth.com  shopping for Shaklee

www.EmpoweredGrandma.com  travel blog

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Tips for women who have back pain because of osteoporosis

Here they are:

Tip #1 Increase your vitamin D3   (more info about Vitamin D3 for bone density here)

Tip #2 Add weight bearing exercise to your routine

Tip #3 Eat more greens

Gentle Reader,

You have a sharp pain in your back and can’t remember that you lifted that bag of groceries 3 days ago even though you knew it was too heavy for you.  The pain subsides after a few weeks with the help of rest and some pain meds.    And then it happens again.

What’s going on?   You probably had a vertebral compression fracture, caused either by falling or by placing a load on outstretched arms such as raising a window or lifting a small child or a bag of groceries.  The front of the vertebrae collapse.  The spine is weakened by low bone density.  Our bodies can repair these hair line fractures on their own.  The trick is to lessen the chances of reoccurrence.

You go for your check up and they do a bone density test.  The dreaded report comes back. You have osteopenia.  They tell you that is probably why you’ve been having back pain.  This happened to me a few years ago.  My doctor immediately offered me drugs to increase the bone density.  I asked him to give me a couple years to change this picture and reverse the trend to osteoporosis.  The next bone density showed full blown osteoporosis.  I was very disappointed.  I’d been taking a good quality calcium for years.  Why hadn’t it protected me?  I was very physically active, walking all the time, skiing, working in the garden.  I pleaded again for more time and turned down the prescription.  It worked.  Here’s what I did.

#1 Increased Vitamin D3 to 6000 mg a day.  My blood test indicated a major increase was necessary.

#2 Stair climbing.  The advice was climb 200 steps every day while carrying 20 lbs.  I climbed 200 steps several times a week but didn’t carry any extra weight.

#3 Add minerals by eating lots more greens.  I eat 3 – 5 heads of greens (kale, chard, mustard greens, and collards) every week, usually steamed or in soups.  LacinatoKaleSpinach is good, too.  I also increased the supplement Alfalfa.

I was able to reverse the condition.  You can too.

I know you have done amazing things to turn osteoporosis around.  Let us know by leaving a comment.  If you found this helpful, pass it along.  And thanks,

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com