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Index
Cover Page
Title Page
Copyright Page
Dedication Page
Contents
Foreword by Sally Ride, PhD
Introduction: To your Bone-Healthy Life
Part 1: Bone Health Basics
Building Perfect Bones: Timing is Everything
Fracture Facts: One Tough Break Leads to Another
Challenges and Choices: What you can and cannot Change
The Bone Cycle: Cruise Control and Overdrive
Part 2: Assessment of Bone Health
General Evaluation: Visiting with your Doctor
Bone Density Scan: DXA 101
Other Measurements: The Alphabet Soup of Imaging
Bone Turnover Markers: Dynamic Assessment
Monitoring with Follow-up DXAs: NOT One and Done
Part 3: General Measures for Bone Health
Exercise: On your Mark, Get Set, GO!
Fall Prevention: Fall-Proof yourself and your Home
Nutrition: Take a Bite Out of your Fracture Risk
Calcium: It is Essential
Vitamin D: Are you Getting Enough of the Sunshine Vitamin?
Part 4: Therapies for Prevention and Treatment of Osteoporosis
FDA-Approved Medicines
Introduction
Fosamax (and Generic Alendronate): The First Kid on the Block
Actonel: Me, too?
Boniva: “The Sally Field Drug”
Reclast: Just Once a Year
Estrogens: Effects on Bone
Evista: The Designer Estrogen or “SERM”
Calcitonin—Miacalcin, Fortical: The Nasal Sprays
Forteo: A Different Approach
Prolia: In a Class of its Own
Combination Therapy: Are Two Really Better than One?
Making a Choice: How do the Medicines Compare?
Off-Label Uses: What Else is Being Treated?
Hot Topics: Cocktail Party Conversations
Drugs in Development
Novel Medicines: What is in the Pipeline?
Investigational SERMs: A Promise of an Ideal Estrogen
Other Medicines: Available Elsewhere but not in the United States
Complementary and Alternative Medicine
Introduction
Fosteum: A Food Product by Prescription
Soy: Pass the Tofu?
Strontium Citrate: Is it the Same as Ranelate?
Natural Products: Still More Questions to Be Answered
Vibration Therapy: Good, Good, Good, Good Vibrations
Physical Measures: Integrating Movement
After a Major Fracture
New Spine Fractures: Ways to Cement a Recovery
Hip Fracture: What to Expect
Other Concerns
How do you Monitor your Progress?
Living and Coping with “Osteopenia” and Osteoporosis
Expert Medical Advice: Asking the Right Questions
Part 5: The Bone Connection with Common Problems and Medicines
Pregnancy and Breastfeeding
Premenopausal Women
Birth Control: Pills and Shots
Menstrual Problems: No Periods and Endometriosis
Eating Disorders: Anorexia and Bulimia
Intestinal Problems: Celiac Disease and Inflammatory Bowel Disease
Thyroid Problems
Weight Loss, Including Surgery for Weight Loss (Gastric Bypass)
Steroid Use: Prednisone
Rheumatoid Arthritis
Diabetes
Heartburn and Reflux: “GERD”
Depression
Breast Cancer
Prostate Cancer
Long-Term Care Setting: Assisted Living and Nursing Facilities
Part 6: Final Thoughts
The Bone Health Top Ten
Putting it All Together: Tips for the Whole Family
Appendices
Bone Healthy Shopping List
Big Words: Medical Terms Broken down
Internet Resources: Click on it
Acknowledgments
References
Index
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