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Osteoporosis & Bone Health

Osteoporosis & Bone Health

Mercy Health - Osteoporosis and Bone Health focuses on bone diseases. Osteoporosis, a silent and painless bone condition, is the most common bone disease and represents a major health problem for women and men in the United States. One in two women and one in five men over the age of 50 will have an osteoporosis-related fracture in their remaining lifetimes. The most common fractures associated with osteoporosis are at the wrist, spine and hip. A wrist fracture is often an unappreciated “red flag” that the risk of additional fractures is high. Spine fractures contribute to height loss, muscle pain and decreased mobility. Twenty percent of people who sustain a spine fracture will fracture again within the first year. Hip fracture is a serious consequence of osteoporosis with 20% mortality within one year for women and 30% mortality for men. Fifty percent of hip fracture patients must forgo their ability to live independently. This is a devastating outcome.

Most patients are referred to Mercy Health - Osteoporosis and Bone Health Services after having completed bone density testing. We carefully review the past and present medical history, radiologic reports, laboratory results and bone density images with the patient. We have a strong commitment to patient education. The initial discussion includes calcium and vitamin D intake, safe exercise for bone health, an explanation of the bone density imaging results and bone treatment options. We emphasize the individualization of care. Not every patient we see is at high risk for fracture or needs bone treatment, but every patient can benefit from an understanding of his or her risk for fracture and measures to help reduce fracture risk. Our advocacy is not limited to individual patient education and care, but also to enhancing the understanding of osteoporosis and other bone diseases in the Cincinnati medical community and to the region at large.

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Calcium and Calcium Supplement Information
Calcium and Cardiovascular Disease
Calcium Content of Common Foods
Calcium Supplement List

Medication General Information
Aredia® (Pamidronate)
Atelvia® (Risedronate Delayed Release)
Boniva® (Ibandronate)
Boniva® Intravenous (Ibandronate)
Evista® (Raloxifene)
Forteo® (Teriparatide)
Fosamax® (Alendronate)
HCTZ (Hydrochlorothiazide)
Prolia™ (Denosumab)
Reclast® (Zoledronic Acid, Zoledronate)
Osteoporosis Treatment Options – Comparison Chart
Osteoporosis Treatment Options with Explanation

Medication Dosing Instructions
Actonel® or Fosamax® Liquid Dosing Instructions
Fosamax® Liquid Dosing Instructions
Actonel® or Fosamax® Daily Dosing Instructions
Actonel® or Fosamax® Weekly Dosing Instructions
Actonel® Monthly Dosing Instructions
Boniva® Monthly Dosing
Didronel® Dosing Instructions
Forteo® Traveling Instructions
Drug Holidays in the Treatment of Osteoporosis

Osteonecrosis of the Jaw (ONJ)
“Bisphosphonate-Associated Osteonecrosis of the Jaw” (BON or ONJ) – ADA
Bisphosphonates and Jaw Problems (Osteonecrosis of the Jaw - ONJ)
“Dental Management of Patients Receiving Oral Bisphosphonate Therapy” – ADA
“Managing the Care of Patients Receiving Antiresorptive Therapy for Prevention and Treatment of Osteoporosis” – JADA

Osteoporosis-Related Products
Hip Protector Information
Spinomed Brace
Yaktrax Information

Primary Hyperparathyroidism
Questions and Answers
Surgical Treatment

Proton Pump Inhibitors
Proton Pump Inhibitors (PPIs or “Acid Blockers”)
“Proton Pump Inhibitors – Comparing Effectiveness, Safety and Price” – Consumer Reports

24-Hour Urine and Urine NTX Collections Instructions
24-Hour Urine Collection Instructions
Urine NTX Collection Instructions
Bone Density Testing for Monitoring Osteoporosis
Bone Density Testing Patient Letter
Laboratory Tests at Quest or LabCorp/Tristate
Understanding DXA Results

Vitamin D
Vitamin D Information
Vitamin D3 50,000 IU Ordering Instructions

Other Osteoporosis and Bone Health Related Information
Activity DOs and DON’Ts
Bisphosphonates and Atypical Fractures
Osteoporosis General Information
Oxalates and Kidney Stones
Purines and Uric Acid
“A Reminder on Maintaining Bone Health” by Jane E. Brody – New York Times

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