Andrea Stein, M.D.

Comprehensive Hormone & Menopause Management




Bone Health






Andrea SteinBone is constantly building up and breaking down.  As we go through menopause, bone tends to break down more which may lead to osteoporosis and bone fractures.  How much of this occurs is primarily determined by our genetics.  Other risk factors include disease or medications, longterm lack of calcium, or a sedentary lifestyle.  Women who are elite athletes, have poor nutrition, and other medical conditions may also be at risk.

Prevention of osteopenia and osteoporosis starts with anticipation.  A small study I presented in 2005 indicated that women were not getting enough calcium UNTIL they had significant bone loss.  Recommendations include:

Vitamin D 800-1000 IU daily 
Calcium 1000 mg daily for women 19-50 years
                1200 –1500 mg daily for women over 50 and 9-18 years

Calcium supplements may be taken in one dose, but not with a few medications.  FOOD is the BEST way to get one’s calcium.

A bone density (DEXA) scan may detect loss in someone who is high risk or over 65. Whether to treat with medications should be discussed with a healthcare provider.  Most medications have significant side effects and are generally contraindicated if someone desires future fertility. None of the bone medicines work effectively unless enough calcium and Vitamin D are taken.

For more information see: www.nof.org, www.fda.org, www.osteo.org, www.bonedensitytest.com.