Vitamin D3 and Osteoporosis
I would like to know whether Vitamin D3 capsules or tablets may be taken to treat osteoporosis, instead of injections of the same and will the effectiveness be the same?
*** Answer by Alan Braun, MD, FACP
Vitamin D orally is helpful in treating osteoporosis, but neither it nor the injectable forms should be relied on as sole treatment in someone with proven osteoporosis. The diagnosis should first be confirmed by some sort of bone density test such as a DEXA scan. Then, treatment would include calcium supplement (at least 1000 mg a day), vitamin D (at least 400 units a day), and some sort of drug to increase calcium deposition in bone. Depending on the age, sex and menstrual status of the person, as well as certain underlying but unrelated diseases such as breast cancer, the drug could include a female hormone, Evista, Fosamax, or nasal calcitonin.
DISCLAIMER: The material contained here should not be considered a
substitute for a physician. These are only general guidelines to help
you think about the medical possibilities. You are encouraged to consult
your own health care provider with any questions or concerns you may
have regarding your condition.
Participating doctors and other professionals
Dr. Nancy Appleton, writer, lecturer, researcher, Santa Monica, Cal.
Specialty - Nutrition, allergies, degenerative diseases
Ph.D. in Health Services. Walden University, Bonita Springs, Fl.
BSc. with honors, University of California, Los Angelos UCLA.
Dr. Allan Braun, Rheumatology, Jefferson City, MO (USA)
MD University of Kansas School of Medicine, Kansas City KS
Residency: Univ of Kansas Affiliated Hospitals, Wichita KS;
Rheumatology Fellowship: University of Missouri, Columbia MO
Dr. Fiona S. L. Brinkman, Research Associate,
Dept. of Microbiology and Immunology, UBC, Canada.
Specialty: Microbiology, Genetics
Ph.D. Biology (Molecular Microbiology), University of Ottawa, Canada.
B.Sc. Biochemistry, University of Waterloo, Canada.
Dr. Carlos Antonio Daudt, Thoracic Surgeon
Dona Helena, Sco Josi, and Regional Hospitals;
Joinville, Santa Catarina, Brazil
Rosaleen Dickson, moderator for Ask the Doctors
On faculty of Ryerson University School of Journalism
BA, Psych. Guilford College, North Carolina
Graduate studies, Carleton University, Ottawa, Ontario
Dr. Peter Duffy, Staff Physician - Ottawa Hospital
Anesthesiology, Hyperbaric Medicine, Diving Medicine
MD, University of Ottawa
Assistant Professor of Anesthesia, Ottawa
Dr. Peter K. Glaser, Toxicologist, Pischelsdorf, Austria
Toxicology, Bacteriology, Virology, Pharmacy
Chairman, Institut of pharmaceutical Chemistry
PhD, Pharmaceutical Chemistry, Toxicology, Pharmaceut
Karl-Franzens UniversitŠt, Graz, Austria
Post grad in Microbiology and Virology
Served in the military hospital in Graz / Austria
Dr. Edmund M. Hayes, Pharmacotherapy,
Diabetes, Metabolic disorders, Parenteral nutrition.
University Hospital and Medical Center
State University of New York at Stony Brook
Pharm.D., Albany College of Pharmacy, Albany, New York
Faculty member, College of Medicine
State University of New York at Stony Brook,
Albany College of Pharm., and St. John's University (Pharmacy)
Dr. Ulrich Kamphausen, vascular medicine, proctology
practice in cooperation with angioforum
MD, Rheinische Friedrich-Wilhelms-University, Bonn
Clinics: in Germany
Krefeld, Moenchengladbach, University Bonn
Allen Lawrence, M.S., M.D., Ph.D. , Obstetrics and Gynecology
Medical Nutrition, Illness Prevention and Intuitive Healer
M.D. from University of California, Irvine, Irvine California
M.S. Medical Nutrition; Ph.D. in Psychology
Author, Lecturer, Consultant, Elder Care Consultant, Medical Practitioner
Dr. Leonardo Longo, Firenze, Italy
Degree in Medicine and Surgery, University of Florence
Specialization in Endocrinology
Teacher of Laser therapy and Surgery Fondazione Fatebenefratelli - Rom
Dr. Franco Pagotto, Research Microbiology, Immunology,
Infectious Diseases, Food, Virology, Parasitology
B.Sc. Honours Biotechnology, University of Ottawa,
M.Sc. Food Microbiology, University of Guelph, Canada
Ph.D. Biochemistry, Microbiology and Immunology,
Faculty of Medicine, University of Ottawa, Canada
Dr. Paras Kirit Parekh, Sports Medicine, Chicago
Foot Health, Foot and Ankle Surgery
Primary Podiatric Medical Residency Program,
William M. Scholl College of Podiatric Medicine, Chicago, IL, USA
Dr. Neal Pinckney, Retired, Sacramento, California
Ph.D. Clinical Psychology, Oxford University
Private Practice 30 years; Administrator, Psychiatric clinic
University Professor 23 years
Founder and director, Healing Heart Foundation
(Reversing heart disease through lifestyle changes)
Dr. Olli Sallinen, General Internal Medicine, Consultant Physician
MehilŠinen Hospital Group, Kielotien laakariasema, Finland
MD, University of Vienna, Austria
Specialized at the Lund University Medical Clinics
Consultant Physician, Victoria Hospital, Seychelles
Consultant Physician, Umtata National Hospital, Umtata, South Africa
Dr. G.L. Schmidt, Clinical Optometry, Palm Beach Gardens, FL
O.D, The Ohio State University College of Optometry, Columbus, OH
U.S. Air Force Hospital, Tyndall Air Force Base
Nigel Simmons, Pharmacy and drug related issues
Hospital - Cambridgeshire, UK
BSc Pharmacy, Leicester School of Pharmacy, UK
(Now De Montfort University)
Worked in range of UK hospitals - 18 years
Helen Stanbro, MEDLINE indexer for Information Ventures
On contract for National Library of Medicine, Bethesda, Maryland, USA
Specialties: Molecular Biology, Biochemical Genetics
M. Phil. in Genetics, The George Washington University, Washington, D.C.
Molecular biology researcher at the National Institutes of Health for 10 years
Indexing for the National Library of Medicine for the last 20 years.
Dr. Aaron Stone, Plastic Surgery, Hand Surgery
Century City, Los Angeles, California
MD, Yale University, New Haven, Connecticut
General Surgery Residency: Wayne State University, Detroit
Plastic Reconstructive & Hand Surgery Residency: Wayne State
Aesthetic Rotation, Manhattan Eye, Ear & Throat Hospital, NY
Fellowship Plastic, Maxillofacial & Hand Surgery,
Hospital Sirio-Libanes, Rio de Janeiro, Brazil
Fellowship Plastic Surgery, University of Sao Paulo, Brazil
Prof. Alain Tenenbaum, MD, Padania, Italy
ENT- plastic restorative surgery-_maxillo facial surgery
Milan, Italy; Novosibirsk, Russia; Minsk, Belarus, Istanbul, Turkey..
PhD mathematical models in medicine and signal treatment. Paris, Cochin
MD, Paris ; Hosp Lariboisiere, Hosp Cochin, Hosp St Louis.
Sofia : Military Medical Academy
St Petersburg : Military Medical Academy
Erevan, Armenia; Red Cross Hospital
Dr. A. Van Beveren, Biochemistry, Clinical Physiology. Nutrition, Homeopathy,
Color Therapy, Bodywork, Sensory Reduction, Anti-Aging Techniques.
Health Integration Center, Princeton, New Jersey
Ph.D., Clinical Physiology, Rijksuniversiteit, Leiden, Nederland
Worked with Mother Theresa's Mission, Calcutta, India,
"La Cruz Roja" (Red Cross) in Guatamala,
Researched at Loma Linda University and at the
Hollywood Presbytarian Hospital among others.
Aase Marit Waage, Practicing Social Worker, Norway
Volunteer for the Norwegian Psoriasis Association
"Psoriasis, Psoriatic Arthritis and Eczema"
http://w1.2380.telia.com/~u238000263/flaker/docs/
Dr. Craig Whiting, Family Practice, Fort Worth, Texas
D.O. University of North Texas
Health Science Center, Fort Worth, Texas
Intern: Corpus Christi Osteopathic Hospital, Corpus Christi, Texas
Residency: Case Western Reserve University
University Hospitals, Cleveland, Ohio
Dr. Alan S. M. Wu, Dentistry; Public Health
Director (Retired), Child and Adolescent Directorate,
Ottawa-Carleton Health Department, Ottawa, Ontario, Canada
DDS, University of Alberta, Edmonton, Alberta.
DDPH, University of Toronto, Toronto, Ontario
*** Answer by Alan Braun, MD, FACP
Vitamin D orally is helpful in treating osteoporosis, but neither it nor the injectable forms should be relied on as sole treatment in someone with proven osteoporosis. The diagnosis should first be confirmed by some sort of bone density test such as a DEXA scan. Then, treatment would include calcium supplement (at least 1000 mg a day), vitamin D (at least 400 units a day), and some sort of drug to increase calcium deposition in bone. Depending on the age, sex and menstrual status of the person, as well as certain underlying but unrelated diseases such as breast cancer, the drug could include a female hormone, Evista, Fosamax, or nasal calcitonin.
DISCLAIMER: The material contained here should not be considered a
substitute for a physician. These are only general guidelines to help
you think about the medical possibilities. You are encouraged to consult
your own health care provider with any questions or concerns you may
have regarding your condition.
Participating doctors and other professionals
Dr. Nancy Appleton, writer, lecturer, researcher, Santa Monica, Cal.
Specialty - Nutrition, allergies, degenerative diseases
Ph.D. in Health Services. Walden University, Bonita Springs, Fl.
BSc. with honors, University of California, Los Angelos UCLA.
Dr. Allan Braun, Rheumatology, Jefferson City, MO (USA)
MD University of Kansas School of Medicine, Kansas City KS
Residency: Univ of Kansas Affiliated Hospitals, Wichita KS;
Rheumatology Fellowship: University of Missouri, Columbia MO
Dr. Fiona S. L. Brinkman, Research Associate,
Dept. of Microbiology and Immunology, UBC, Canada.
Specialty: Microbiology, Genetics
Ph.D. Biology (Molecular Microbiology), University of Ottawa, Canada.
B.Sc. Biochemistry, University of Waterloo, Canada.
Dr. Carlos Antonio Daudt, Thoracic Surgeon
Dona Helena, Sco Josi, and Regional Hospitals;
Joinville, Santa Catarina, Brazil
Rosaleen Dickson, moderator for Ask the Doctors
On faculty of Ryerson University School of Journalism
BA, Psych. Guilford College, North Carolina
Graduate studies, Carleton University, Ottawa, Ontario
Dr. Peter Duffy, Staff Physician - Ottawa Hospital
Anesthesiology, Hyperbaric Medicine, Diving Medicine
MD, University of Ottawa
Assistant Professor of Anesthesia, Ottawa
Dr. Peter K. Glaser, Toxicologist, Pischelsdorf, Austria
Toxicology, Bacteriology, Virology, Pharmacy
Chairman, Institut of pharmaceutical Chemistry
PhD, Pharmaceutical Chemistry, Toxicology, Pharmaceut
Karl-Franzens UniversitŠt, Graz, Austria
Post grad in Microbiology and Virology
Served in the military hospital in Graz / Austria
Dr. Edmund M. Hayes, Pharmacotherapy,
Diabetes, Metabolic disorders, Parenteral nutrition.
University Hospital and Medical Center
State University of New York at Stony Brook
Pharm.D., Albany College of Pharmacy, Albany, New York
Faculty member, College of Medicine
State University of New York at Stony Brook,
Albany College of Pharm., and St. John's University (Pharmacy)
Dr. Ulrich Kamphausen, vascular medicine, proctology
practice in cooperation with angioforum
MD, Rheinische Friedrich-Wilhelms-University, Bonn
Clinics: in Germany
Krefeld, Moenchengladbach, University Bonn
Allen Lawrence, M.S., M.D., Ph.D. , Obstetrics and Gynecology
Medical Nutrition, Illness Prevention and Intuitive Healer
M.D. from University of California, Irvine, Irvine California
M.S. Medical Nutrition; Ph.D. in Psychology
Author, Lecturer, Consultant, Elder Care Consultant, Medical Practitioner
Dr. Leonardo Longo, Firenze, Italy
Degree in Medicine and Surgery, University of Florence
Specialization in Endocrinology
Teacher of Laser therapy and Surgery Fondazione Fatebenefratelli - Rom
Dr. Franco Pagotto, Research Microbiology, Immunology,
Infectious Diseases, Food, Virology, Parasitology
B.Sc. Honours Biotechnology, University of Ottawa,
M.Sc. Food Microbiology, University of Guelph, Canada
Ph.D. Biochemistry, Microbiology and Immunology,
Faculty of Medicine, University of Ottawa, Canada
Dr. Paras Kirit Parekh, Sports Medicine, Chicago
Foot Health, Foot and Ankle Surgery
Primary Podiatric Medical Residency Program,
William M. Scholl College of Podiatric Medicine, Chicago, IL, USA
Dr. Neal Pinckney, Retired, Sacramento, California
Ph.D. Clinical Psychology, Oxford University
Private Practice 30 years; Administrator, Psychiatric clinic
University Professor 23 years
Founder and director, Healing Heart Foundation
(Reversing heart disease through lifestyle changes)
Dr. Olli Sallinen, General Internal Medicine, Consultant Physician
MehilŠinen Hospital Group, Kielotien laakariasema, Finland
MD, University of Vienna, Austria
Specialized at the Lund University Medical Clinics
Consultant Physician, Victoria Hospital, Seychelles
Consultant Physician, Umtata National Hospital, Umtata, South Africa
Dr. G.L. Schmidt, Clinical Optometry, Palm Beach Gardens, FL
O.D, The Ohio State University College of Optometry, Columbus, OH
U.S. Air Force Hospital, Tyndall Air Force Base
Nigel Simmons, Pharmacy and drug related issues
Hospital - Cambridgeshire, UK
BSc Pharmacy, Leicester School of Pharmacy, UK
(Now De Montfort University)
Worked in range of UK hospitals - 18 years
Helen Stanbro, MEDLINE indexer for Information Ventures
On contract for National Library of Medicine, Bethesda, Maryland, USA
Specialties: Molecular Biology, Biochemical Genetics
M. Phil. in Genetics, The George Washington University, Washington, D.C.
Molecular biology researcher at the National Institutes of Health for 10 years
Indexing for the National Library of Medicine for the last 20 years.
Dr. Aaron Stone, Plastic Surgery, Hand Surgery
Century City, Los Angeles, California
MD, Yale University, New Haven, Connecticut
General Surgery Residency: Wayne State University, Detroit
Plastic Reconstructive & Hand Surgery Residency: Wayne State
Aesthetic Rotation, Manhattan Eye, Ear & Throat Hospital, NY
Fellowship Plastic, Maxillofacial & Hand Surgery,
Hospital Sirio-Libanes, Rio de Janeiro, Brazil
Fellowship Plastic Surgery, University of Sao Paulo, Brazil
Prof. Alain Tenenbaum, MD, Padania, Italy
ENT- plastic restorative surgery-_maxillo facial surgery
Milan, Italy; Novosibirsk, Russia; Minsk, Belarus, Istanbul, Turkey..
PhD mathematical models in medicine and signal treatment. Paris, Cochin
MD, Paris ; Hosp Lariboisiere, Hosp Cochin, Hosp St Louis.
Sofia : Military Medical Academy
St Petersburg : Military Medical Academy
Erevan, Armenia; Red Cross Hospital
Dr. A. Van Beveren, Biochemistry, Clinical Physiology. Nutrition, Homeopathy,
Color Therapy, Bodywork, Sensory Reduction, Anti-Aging Techniques.
Health Integration Center, Princeton, New Jersey
Ph.D., Clinical Physiology, Rijksuniversiteit, Leiden, Nederland
Worked with Mother Theresa's Mission, Calcutta, India,
"La Cruz Roja" (Red Cross) in Guatamala,
Researched at Loma Linda University and at the
Hollywood Presbytarian Hospital among others.
Aase Marit Waage, Practicing Social Worker, Norway
Volunteer for the Norwegian Psoriasis Association
"Psoriasis, Psoriatic Arthritis and Eczema"
http://w1.2380.telia.com/~u238000263/flaker/docs/
Dr. Craig Whiting, Family Practice, Fort Worth, Texas
D.O. University of North Texas
Health Science Center, Fort Worth, Texas
Intern: Corpus Christi Osteopathic Hospital, Corpus Christi, Texas
Residency: Case Western Reserve University
University Hospitals, Cleveland, Ohio
Dr. Alan S. M. Wu, Dentistry; Public Health
Director (Retired), Child and Adolescent Directorate,
Ottawa-Carleton Health Department, Ottawa, Ontario, Canada
DDS, University of Alberta, Edmonton, Alberta.
DDPH, University of Toronto, Toronto, Ontario
Labels: age sex, bone density test, calcitonin, calcium deposition, calcium supplement, dexa scan, evista, female hormone, fosamax, md facp, orally, osteoporosis, unrelated diseases, vitamin d, vitamin d3
| Permalink | 
