Guest guest Posted August 10, 2009 Report Share Posted August 10, 2009 Jerry, Thanks so much for all this information. It's a great reminder for all of us. I am actually having bone mineral density testing done tomorrow. We are all at higher than normal risk for osteoporosis. I've been in the habit of taking all my supplements in the morning after breakfast which is only about an hour or so after taking the omprozole. Duh....thanks for the reminder....I'm going to switch my supplements taking to lunch time. Beth Moderator Fibrotic NSIP 06/06 Dermatomyositis 11/08 To: Breathe-Support <Breathe-Support >Sent: Monday, August 10, 2009 2:07:27 AMSubject: PF And Osteoperosis If you haven't been screened for Osteoporosis, remind your doctor on your next visit. In a large study at Emery University Medical School, it was found the chances of a male having Osteoporosis increased five fold when lung disease of any kind was introduced. A male taking steroids for a pulmonary disease has an even higher risk of Osteoporosis of nine fold that of the control group. Chances of a post- menopausal woman from age 60 to 90 developing Osteoporosis are calculated to be around 30%, So if we add add lung disease, and most probably steroids to the equation, we can begin to see the overwhelming risk of undiagnosed Osteoperosis. Now if we further consider that GIRDS can be a problem in PF, we can add even more risk if symptoms are being treated with Proton Pump Inhibitors or Histamine Blockers. As much as a 40% reduction in calcium (as well as other minerals) absorption has been observed for those taking medications for GIRD. The most pronounced decrease in absorption was found in those individuals taking more than one dose daily of such medicines. It follows then that calcium supplementation should be scheduled as far removed from scheduled medication for acid reduction. For most, lunch would appear to be the most practical time to take supplemental calcium. Below is a table of the FDA recommendations for calcium: Table 1: Adequate Intakes (AIs) for Calcium [1] Age Male Female Pregnant Lactating Birth to 6 months 210 mg 210 mg 7-12 months 270 mg 270 mg 1-3 years 500 mg 500 mg 4-8 years 800 mg 800 mg 9-13 years 1,300 mg 1,300 mg 14-18 years 1,300 mg 1,300 mg 1,300 mg 1,300 mg 19-50 years 1,000 mg 1,000 mg 1,000 mg 1,000 mg 50+ years 1,200 mg 1,200 mg Ask your doctor how much calcium is right for you. Vitamin D and Phospherous have been shown to increase calcium absorption. It is likely that a diet need only supplement more than half the RDA for calcium if osteoperosis or osteopenia are not detected in the screening. Very rare instances of kidney problems have been noted with the intake of too much calcium. Here are the upper limits for daily calcium intake: Table 3: Tolerable Upper Intake Levels (ULs) for Calcium [1] Age Male Female Pregnant Lactating Birth to 12 months None established None established 1-13 years 2,500 mg 2,500 mg 14-50 years 2,500 mg 2,500 mg 2,500 mg 2,500 mg 51+ years 2,500 mg 2,500 mg So the evidence is there for all of us to undergo annual screening for osteoperosis, and if found, begin therapy to halt, and hopefully reverse, a problem all of us with IPF could face sooner or later. Jerry/Mississippi/ 54/IPF/dx April 05 Those interested in further reading can consult the below URLs: Who believes that hard times help us appreciate the good times even more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2009 Report Share Posted August 10, 2009 Jerry, How right you are!!!! I now have Osteoporosis and GERD thanks to Prednisone and Cataracts . The drug stopped my NSIP from progressing but messed up many parts of my body along the way. Z fibriotic NSIP/05 Z 65, fibriotic NSIP/05/PA And “mild” PH/10/07 and Reynaud’s too!! No, NSIP was not self-inflicted…I never smoked! Potter, reader,carousel lover and MomMom to Darah and Sara “I’m gonna be iron like a lion in Zion” Bob Marley Vinca Minor-periwinkle is my flower Jerry Brown wrote: If you haven't been screened for Osteoporosis, remind your doctor on your next visit. In a large study at Emery University Medical School, it was found the chances of a male having Osteoporosis increased five fold when lung disease of any kind was introduced. A male taking steroids for a pulmonary disease has an even higher risk of Osteoporosis of nine fold that of the control group. Chances of a post- menopausal woman from age 60 to 90 developing Osteoporosis are calculated to be around 30%, So if we add add lung disease, and most probably steroids to the equation, we can begin to see the overwhelming risk of undiagnosed Osteoperosis. Now if we further consider that GIRDS can be a problem in PF, we can add even more risk if symptoms are being treated with Proton Pump Inhibitors or Histamine Blockers. As much as a 40% reduction in calcium (as well as other minerals) absorption has been observed for those taking medications for GIRD. The most pronounced decrease in absorption was found in those individuals taking more than one dose daily of such medicines. It follows then that calcium supplementation should be scheduled as far removed from scheduled medication for acid reduction. For most, lunch would appear to be the most practical time to take supplemental calcium. Below is a table of the FDA recommendations for calcium: Table 1: Adequate Intakes (AIs) for Calcium [1] Age Male Female Pregnant Lactating Birth to 6 months 210 mg 210 mg 7-12 months 270 mg 270 mg 1-3 years 500 mg 500 mg 4-8 years 800 mg 800 mg 9-13 years 1,300 mg 1,300 mg 14-18 years 1,300 mg 1,300 mg 1,300 mg 1,300 mg 19-50 years 1,000 mg 1,000 mg 1,000 mg 1,000 mg 50+ years 1,200 mg 1,200 mg Ask your doctor how much calcium is right for you. Vitamin D and Phospherous have been shown to increase calcium absorption. It is likely that a diet need only supplement more than half the RDA for calcium if osteoperosis or osteopenia are not detected in the screening. Very rare instances of kidney problems have been noted with the intake of too much calcium. Here are the upper limits for daily calcium intake: Table 3: Tolerable Upper Intake Levels (ULs) for Calcium [1] Age Male Female Pregnant Lactating Birth to 12 months None established None established 1-13 years 2,500 mg 2,500 mg 14-50 years 2,500 mg 2,500 mg 2,500 mg 2,500 mg 51+ years 2,500 mg 2,500 mg So the evidence is there for all of us to undergo annual screening for osteoperosis, and if found, begin therapy to halt, and hopefully reverse, a problem all of us with IPF could face sooner or later. Jerry/Mississippi/54/IPF/dx April 05 Those interested in further reading can consult the below URLs: Who believes that hard times help us appreciate the good times even more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2009 Report Share Posted August 10, 2009 , Sorry to hear about your cataracts and osteoperosis. When we have PF, so many other things have to be taken care of at the same time. None of my doctors had ever mentioned Osteoperosis, and probably would have skipped it altogether iif I had let it go. I forgot to mention that all of the men in the study, minus the control, had some degree of bone loss. I had to read that twice to make sure of what I read. At least linda the cataracts can be removed rather easily these days. Enjoy the afternoon and take care.Who believes that hard times help us appreciate the good times even more. If you haven't been screened for Osteoporosis, remind your doctor on your next visit. In a large study at Emery University Medical School, it was found the chances of a male having Osteoporosis increased five fold when lung disease of any kind was introduced. A male taking steroids for a pulmonary disease has an even higher risk of Osteoporosis of nine fold that of the control group. Chances of a post- menopausal woman from age 60 to 90 developing Osteoporosis are calculated to be around 30%, So if we add add lung disease, and most probably steroids to the equation, we can begin to see the overwhelming risk of undiagnosed Osteoperosis. Now if we further consider that GIRDS can be a problem in PF, we can add even more risk if symptoms are being treated with Proton Pump Inhibitors or Histamine Blockers. As much as a 40% reduction in calcium (as well as other minerals) absorption has been observed for those taking medications for GIRD. The most pronounced decrease in absorption was found in those individuals taking more than one dose daily of such medicines. It follows then that calcium supplementation should be scheduled as far removed from scheduled medication for acid reduction. For most, lunch would appear to be the most practical time to take supplemental calcium. Below is a table of the FDA recommendations for calcium: Table 1: Adequate Intakes (AIs) for Calcium [1] Age Male Female Pregnant Lactating Birth to 6 months 210 mg 210 mg 7-12 months 270 mg 270 mg 1-3 years 500 mg 500 mg 4-8 years 800 mg 800 mg 9-13 years 1,300 mg 1,300 mg 14-18 years 1,300 mg 1,300 mg 1,300 mg 1,300 mg 19-50 years 1,000 mg 1,000 mg 1,000 mg 1,000 mg 50+ years 1,200 mg 1,200 mg Ask your doctor how much calcium is right for you. Vitamin D and Phospherous have been shown to increase calcium absorption. It is likely that a diet need only supplement more than half the RDA for calcium if osteoperosis or osteopenia are not detected in the screening. Very rare instances of kidney problems have been noted with the intake of too much calcium. Here are the upper limits for daily calcium intake: Table 3: Tolerable Upper Intake Levels (ULs) for Calcium [1] Age Male Female Pregnant Lactating Birth to 12 months None established None established 1-13 years 2,500 mg 2,500 mg 14-50 years 2,500 mg 2,500 mg 2,500 mg 2,500 mg 51+ years 2,500 mg 2,500 mg So the evidence is there for all of us to undergo annual screening for osteoperosis, and if found, begin therapy to halt, and hopefully reverse, a problem all of us with IPF could face sooner or later. Jerry/Mississippi/ 54/IPF/dx April 05 Those interested in further reading can consult the below URLs: Who believes that hard times help us appreciate the good times even more. Quote Link to comment Share on other sites More sharing options...
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