Medicines That Can Cause Bone Loss. Some types of medicines can cause bone loss, making your bones weak, if used for a long time. Use over a short time is usually not a problem. When you have weak bones—a condition called osteoporosis—your risk of bone fractures goes up. Broken bones can lead to pain and disability. For example, some older people who break a hip may lose their ability to function independently.
Which medicines can cause bone loss? A number of medicines can cause bone loss if used over the long term (several years). Some common ones include: Glucocorticoids, also called steroids, such as cortisone and prednisone.
Why do people with lupus need to watch what they eat? Many people with lupus take prednisone, a corticosteroid (steroid) that calms the body's immune system, which is. How Stress and Anxiety Can Cause Hair Loss. There are many symptoms of anxiety that seem to become self-fulfilling. A common example is hair loss.
They are used to treat arthritis, asthma, lupus, multiple sclerosis, and other conditions. Please visit our information page on glucocorticoid- induced osteoporosis for more information. Some medicines such as phenytoin and phenobarbital, used to treat epilepsy. Gonadotropin- releasing hormone agonists (Gn. RH agonists), such as goserelin acetate and leuprolide acetate. They are used to treat endometriosis, prostate cancer, or female infertility.
Aromatase inhibitors, such as anastrozole, exemestane, and letrozole. They are used to treat breast cancer. Other medicines that may cause bone loss. Medicine. Used For.
Antacids that contain aluminum. Heartburn. Chemotherapy drugs. Cancer. Cyclosporine and tacrolimus. Preventing rejection of organ transplant. Heparin. Preventing blood clots.
Researchers have uncovered a mechanism by which a hormone system that controls blood pressure can also promote weight gain, causing obesity. Lupus can be an unpredictable disease; people with the disease can have many different symptoms. You’ve likely lived with symptoms for awhile before knowing your. Lupus is a chronic autoimmune disease in which the body's immune system becomes hyperactive and attacks normal, healthy tissue. This results in symptoms such as. Hair loss can result from a diet that lacks vital nutrients causing malnutrition. Too few calories, or a very restrictive diet, are usually to blame. For healthy. Learn systemic lupus erythematosus (SLE) symptoms (butterfly rash), treatment options, diagnosis, prognosis, causes, and pregnancy flares. Read about diet. Lupus is an autoimmune disease that can affect almost any part of your body, most often your joints, skin, kidneys, heart, lungs, blood, or brain.
Loop diuretics such as furosemide and torsemide. Heart failure, edema (tissue swelling), some kidney problems. Medroxyprogesterone acetate. Contraception. Methotrexate. Cancer and rheumatoid arthritis. Thiazolidinediones such as pioglitazone and rosiglitazone. Diabetes. Some people who take thyroid hormone worry about bone loss.
The doses of thyroid hormone used to treat hypothyroidism (underactive thyroid) don’t harm bone and shouldn’t be cause for concern. Only high doses, used for thyroid cancer treatment, can cause bone loss. High doses or long- term use of medicines called proton pump inhibitors (PPIs) can raise the risk of bone loss.
PPIs, such as esomeprazole, lansoprazole, and omeprazole, are used for GERD (acid reflux), peptic ulcer, or heartburn. However, getting enough calcium and vitamin D may be enough to lower the risk. Experts don’t know yet whether selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine and escitalopram, increase fracture risk. Some studies show a small effect on bone but others do not.
SSRIs are used for depression and obsessive- compulsive disorder. Talk to your doctor if you take an SSRI and are concerned about bone loss. Did you know? Normally, your body continuously removes old bone and replaces it with new bone. Bone loss occurs when old bone breaks down faster than new bone can form. How is bone strength measured?
A bone mineral density test called a DEXA scan—a type of very low dose X- ray—checks bone mass (the amount of calcium and other minerals in your bones). This test can show early bone loss before the more serious condition of osteoporosis occurs. What can I do to prevent bone loss and avoid fractures? Talk with your doctor about what’s best for you. Your doctor may advise you about: Adjusting your current medicines. If your medicines may cause bone loss, make sure that you are taking the lowest possible dose for the shortest possible time. Taking osteoporosis medicines.
Some medicines can prevent or treat osteoporosis. The most common type, called a bisphosphonate, is taken as a pill by mouth or as a liquid through a vein. This type of medicine keeps bones strong by helping the bones retain calcium. Getting enough calcium and vitamin D. Calcium and vitamin D are found in some foods. Good sources of calcium include milk, yogurt, cheese, collard greens, and foods with added calcium, such as cereal and soy drinks. Vitamin D, which helps the body absorb calcium, is made in the skin when people spend time in the sun.
It’s also found in salmon, shrimp, and milk with added vitamin D. You may also need dietary supplements to get enough calcium and vitamin D.
Exercising regularly. Two kinds of exercise help keep bones strong: weight- bearing exercise, such as walking, running, dancing, and climbing stairs; and exercise that strengthens muscles, such as lifting weights. Choosing a healthy lifestyle. Avoiding smoking can help keep bones strong. Smoking may lower the amount of calcium that the body can absorb. Some studies also show that drinking a lot of alcohol might weaken bones.
Questions to ask your doctor. Do any of my medicines cause bone loss? Are there different medicines I can take? Do I need a bone density test? What should I do to protect my bones? Should I be taking medicine to protect my bones? Should I see an endocrinologist?
Weight Loss and Adrenal Stressby Marcelle Pick, OB/GYN NPWe go through periods of time in our lives when the demands are greater and the stress load is heavier. Regardless of the reasons – illness, relationship difficulties, work struggles, caring for an aging parent or ailing child – there can be a physical impact. We may turn to food for comfort, or we may not nourish ourselves adequately. During times of stress there are actual physiological changes that happen in our bodies, one of which is weight gain. It may not happen overnight, but if we do not pay attention to our body’s needs, over time we may notice we are putting on the pounds. Our adrenal glands govern our stress response, by secreting hormones relative to our stress levels.
They actually help control many hormonal cycles and functions in our body. When the adrenal glands are overworked, the body prepares for disaster, by storing fat and calories. We crave foods, we lose precious energy, and we gain weight. So how can we keep the heavier stress load from equaling heavier bodies? How stress becomes physical. For millions of years, humans were forced to protect themselves from environmental factors. From the earliest days of dinosaurs and cavemen, nature has proven its ability to put fear in human beings.
Life and death circumstances have evolved around the ability to understand danger, and seek protection and survival. If you were being chased by a predator, your adrenal glands initiated a “fight or flight” response, releasing adrenaline and cortisol into the body.
These hormones provided extra physical energy and strength from stored carbohydrates and fats. While most of our stressors are not the same a our earliest ancestors, the body’s natural course of evolution has maintained this original fight- or- flight stress response. But whether we are being physically threatened or not, with any increased stress our body looks to its stored fuel, and then replenishes it when used. Also, with increased levels of cortisol, our body also does not respond as well to leptin, the hormone that makes us feel full, so we eat more. Modern- day stress may be more psychological than physiological, but it is also more constant. Many of us face chronic stress as a way of life, which means we have consistently elevated levels of cortisol.
Now the body thinks it continually needs extra fuel, and typically stores that as fat around the abdomen, or as it’s commonly referred to, the old “spare tire.”Belly fat: a common sign of adrenal fatigue. Adrenal imbalance causes a number of issues, including an expanded waistline. The science behind it is quite interesting. Normally when we feel begin to feel hungry, our blood sugar drops and the brain sends a message to the adrenal glands to release cortisol. Cortisol activates glucose, fats, and amino acids to keep our body fueled with energy until we eat. Cortisol maintains blood sugar levels, and insulin helps our cells absorb glucose.
When we have longterm stress, both insulin and cortisol remain elevated in the blood, and the extra glucose is stored as fat–mostly in the abdomen. Here’s where it gets interesting. Scientists have discovered that fat cells actually have special receptors for the stress hormone cortisol, and there are more of these receptors in our abdominal fat cells than anywhere else in our bodies!
In addition, scientists have shown that belly fat is actually an active tissue, acting as an endocrine organ that responds to the stress response by actually welcoming more fat to be deposited! This is an ongoing cycle until we take steps to correct this adrenal imbalance. How do we do that?