Saturday, February 11, 2012
Don't let RA limit your routineLearn more now about a treatment that may help
Thursday, December 04, 2008 MichiganBob asks

Q: Osteoporosis and the 35th Parallel?

My wife (47) was recently diagnosed with a pretty advanced case of osteoporosis for someone of her age. Her doctors wanted to immediately put her on some kind of medication (HGH?) where she would have to give herself a shot every day for three years just to get her back to a stable bone density.

 

So far, we are resisting taking the drug route, and my wife has launched an aggressive lifestyle adjustment, eating and drinking more dairy based on recommendations of a nutrionist, getting more weight bearing exercise with the help of a trainer, taking more calcium and vitamin D, etc.

 

One thing we have heard is that the sunlight one gets during the winter months if you live above the 35th parallel (we live in Michigan at about 43) does very little for your Vitamin D creation, so we are planning some trips to Souther locations throughout the winter. However, we have also heard reports of women who have moved to places below the 35ht parallel who, within a year, had their osteoporosis improve dramatically, mostly because of the additional sunlight and year round outdoor activity.

 

We are currently considering moving for other reasons and would consider moving to a city below the 35th parallel if we thought it would improve my wife's situation and help her avoid the drug treatment. I have not found any studies on this and wondered if anyone know of any or could site examples where this might work.

 

My wife is not overweight, in generally good health (except for mild asthma) and has not suffered any broken bones due to this disease. She also is of Mexican-American descent (if that makes any difference) and her family only moved north a generation or so ago. No other family members have been diagnosed with osteo. Oh, and she also has had jobs over the past 10 years that kept her indoors at a desk for long hours, so while she is trying to get more sunshine, it is proving difficult to do.

Answer This
Answers (1)
12/ 4/08 7:31pm

Hi Bob:  Has your wife had her vitamin D levels checked to see where she stands with this issue.  I think having this info would help to determine if she is deficient or at optimal levels of D.  This test is a very simple blood test, and is called 25(OH)D. If she were at a deficient level that would tell you how much additional D3 would be necessary for someone living above the 35th parallel. 

 

Here's a good link explaning this issue from the Canadian Family Physicians Org. on D3.  I don't know if supplementation of Calcium, and D3 alone would reverse her osteoporosis; usually it requires an additional drug, but who knows it may be possible to revert her scores with supplementation and sun alone, but I wouldn't completely count on that.

 

You mentioned Human Growth Hormone, is that what the Dr wanted to try or could it have been daily injections of Forteo which is recombinant human parathyroid hormone, given for 2 years?  I took Forteo and did really well on it, but it's ususally rx'd for those with relatively low t-scores at apprx less than -3.0.  Some Drs will rx it at -2.5 with existing or previous fractures.

 

If your biggest issue is not using bone meds, or that you would prefer something more natural, have you looked into Fosteum?  Here's a link on Fosteum if you aren't familiar with it.

 

I haven't found any particular studies about your hypothesis of moving to a location that has greater sun exposure year round for osteoporosis.  I live in an area with plenty of sunshine (CA Desert) but I still have a low reading on D in spite of the fact that we get sun most everyday.  I spend at least 15 minutes, several times a week or more, in the sun without sunscreen and take some D3 but remain below the optimal level.  This is probably due to a mineral metabolism problem that I have, but you need to take other things into consideration when you are trying to raise someones Calcium and D levels.

 

If I find any studies that answer your question I'll repost it, but in the mean time read the link above which should give you a very good base of info on D3 exposure, how to obtain it and also maintain it throughout the winter months when sunshine is limited or non-existent.  The additional graphs within the link, and included studies and charts are very helpful in understanding the mechanism of D.

 

Good luck and do you know her t-scores, if so that would help to answer this question better.

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of The HealthCentral Network. The HealthCentral Network does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

Ask a Question

Get answers from our experts and community members.

Btn_ask_question_med
View all questions (1283) >