Dear O.H.,
At 78, you’re already doing great by keeping active and managing your blood pressure. Osteoporosis can be tricky, especially if you’re hesitant about medications like Fosamax. Your doctor’s suggestion of calcium and vitamin K is a step in the right direction, along with vitamin D3.
Calcium and vitamin D are often the basics for bone health. However, studies show that while they can help, they may not be enough on their own for severe osteoporosis. A balanced diet filled with calcium-rich foods can make a big difference. Foods like yogurt, cheese, and dark leafy greens are great sources. Even small inclusions like almonds and beans can contribute to your daily intake.
Getting enough vitamin D through diet alone is tough. The sun is a natural source too, especially if you live in warmer regions. Just a bit of daily sunlight could boost your vitamin D levels significantly.
There’s also something interesting about vitamin K2. In Japan, it seems helpful for bone health, but research in the U.S. hasn’t shown enough benefit yet. Still, it’s safe to consider. On top of that, prunes can be beneficial for bone density—aim for about four ounces a day if you’re open to it.
It’s crucial to check testosterone levels too, as low testosterone can lead to bone loss in men your age. If your osteoporosis is severe, discussing further treatment options like parathyroid hormone therapies with your doctor might be worthwhile. These have shown promise in improving bone density and reducing fracture risks.
For the second part, dealing with idiopathic peripheral neuropathy is challenging. Medications like duloxetine and gabapentin help but often come with side effects. Thiamine (vitamin B1) is getting attention too. Some studies indicate it might assist with diabetic and alcohol-related neuropathy, yet larger, well-structured trials are rare. My experience shows that while thiamine is safe and inexpensive, it may not work for everyone.
In the end, explore options with your doctor. Combining dietary changes, potential supplements, and medical advice can create a comprehensive plan for both osteoporosis and nerve health.
— Your Health Advocate
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