What to do? I suggest, first of all, to have a complete skeletal survey for osteoporosis. If you have normal values, do not take additional calcium. If you have a strong family history of osteoporosis, combined with a survey that indicates osteoporosis, you may want to take additional calcium, but not alone. You should take a complete supplement with all the factors we talked about, including magnesium, zinc, vitamin K, DHA, vitamins C and D3, and boron.
There are many ways to diagnose osteoporosis, some very accurate and some of questionable value. Dual-energy x-ray absorptiometry, also called DXA or DEXA, is the most accurate. Not only can it diagnose full-blown osteoporosis, but it can identify those at high risk before the disorder manifests. Of great value is its ability to measure density of bones that are most at risk for osteoporosis, such as the hip, lower spine and bones of the forearm. Other methods, such as simple x-ray absorption and SXA (single-energy x-ray absorptiometry) have little value, except as a screening tool for follow-up.
Urine tests are available as well. Biochemical evaluation of bone loss has been shown to be very accurate in pinpointing those at the greatest risk of osteoporosis and for following patients' progress. Pyridinium and deoxypyridinium crosslink excretion are based on the release of collagen, mainly from bone, with disease states such as osteoporosis and other bone disorders. Pyridinium crosslink excretion can also increase with osteoarthritis and rheumatoid arthritis, while deoxypyridinium is increased primarily in bone disorders.
The urine test can be used as a screening test and for follow-ups, while the more sophisticated DXA should be used for more accurate assessment.
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