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astrid · 03-26-2007, 09:43 AM

When estrogen levels fall, bone density (strength) starts to decline, and, over time, a woman can develop osteoporosis and even fractures. Several alternatives to HRT can help keep bones strong and even partially reverse osteoporosis, but effective treatment for established osteoporosis usually requires the combination of a supplemented diet, lifestyle changes, and medication.

Calcium — Calcium is an essential component of bones, and dietary calcium can help strengthen bones in postmenopausal women. However, calcium supplements alone cannot reliably prevent osteoporosis. All postmenopausal women should be sure to get 1500 mg of calcium each day. To get this amount of calcium, most women will need to eat a well-balanced diet and take a daily supplement that contains 1000 mg of calcium, usually in the form of calcium carbonate, calcium citrate, or an equivalent calcium compound.

Vitamin D — Vitamin D helps the body absorb calcium and incorporate calcium into bone. It is therefore also important for bone strength. Many older adults, particularly those over 70 years, have vitamin D deficiencies. Postmenopausal women under the age of 70 years should get at least 400 IU of vitamin D each day in their diet or with a vitamin supplement. Women over 70 years should take 800 IU of vitamin D. Some calcium supplements include vitamin D; patients should read the label to know the amount included.

Exercise — Bones remain stronger when they are used in day-to-day activities, and inactivity increases the rate of postmenopausal bone loss. At least 30 minutes of weight-bearing exercise three times a week can reduce this loss. Weight-bearing exercise includes activities such as walking, aerobics, or tennis, but does not include bicycling or swimming.

Alendronate, risedronate, and ibandronate — Alendronate (Fosamax), risedronate (Actonel), and ibandronate (Boniva) are prescribed for the prevention and treatment of osteoporosis in postmenopausal women. They are able to prevent and reverse bone loss as effectively as estrogen

03-26-2007, 09:43 AM	#5
astrid Senior Member Join Date: Jun 2006 Location: Central North Carolina, USA Posts: 112	When estrogen levels fall, bone density (strength) starts to decline, and, over time, a woman can develop osteoporosis and even fractures. Several alternatives to HRT can help keep bones strong and even partially reverse osteoporosis, but effective treatment for established osteoporosis usually requires the combination of a supplemented diet, lifestyle changes, and medication. Calcium — Calcium is an essential component of bones, and dietary calcium can help strengthen bones in postmenopausal women. However, calcium supplements alone cannot reliably prevent osteoporosis. All postmenopausal women should be sure to get 1500 mg of calcium each day. To get this amount of calcium, most women will need to eat a well-balanced diet and take a daily supplement that contains 1000 mg of calcium, usually in the form of calcium carbonate, calcium citrate, or an equivalent calcium compound. Vitamin D — Vitamin D helps the body absorb calcium and incorporate calcium into bone. It is therefore also important for bone strength. Many older adults, particularly those over 70 years, have vitamin D deficiencies. Postmenopausal women under the age of 70 years should get at least 400 IU of vitamin D each day in their diet or with a vitamin supplement. Women over 70 years should take 800 IU of vitamin D. Some calcium supplements include vitamin D; patients should read the label to know the amount included. Exercise — Bones remain stronger when they are used in day-to-day activities, and inactivity increases the rate of postmenopausal bone loss. At least 30 minutes of weight-bearing exercise three times a week can reduce this loss. Weight-bearing exercise includes activities such as walking, aerobics, or tennis, but does not include bicycling or swimming. Alendronate, risedronate, and ibandronate — Alendronate (Fosamax), risedronate (Actonel), and ibandronate (Boniva) are prescribed for the prevention and treatment of osteoporosis in postmenopausal women. They are able to prevent and reverse bone loss as effectively as estrogen __________________ DX 11/14/05, Stage 1C, Her2+ 3.4, ER+, PR+, K167 23%, Node Negative, MX0, Grade 3, 1.8CM, Lumpectomy 12/7/05; 6 rounds dense dose Taxol bi-weekly, 35 radiation, 1 year Herceptin, & Tamoxifen ongoing.