3

votes

osteopenia thoughts?

Answered on August 19, 2014
Created May 17, 2011 at 2:54 PM

Hey kids, I'm new to paleo -- week 3. Hooray! I've struggled with bloating, constipation that started one morning 5 years ago. I went through a battery of tests back then and was treated for h.pylori (antibiotics--boo!). There was also an unconfirmed guess of minor median arcuate ligament syndrome (some restricted blood flow to the artery that delivers blood to the stomach).

I got weary of doctors visits and just tried to forget about the chronic pain, discomfort (bleh)-- I've never been big on processed food or sugar, but finally I started paleo and I'm starting to feel better! Plus, my mood, energy and even memory is noticeably improved. I just recently went through a new round of doctors who said I was WAY low in vitamin D (11ng/mL) and somewhat low in B12, slightly enlarged thyroid. I had a bone scan and showed ostepenia in my lumbar spine (why?!). Normal thryoid scan/labs.

I'm a 27 year old female, [5'4", 104 lbs, 15% body fat], and have always been active (lifting, yoga, running). I started on vitamin D 2000iu/day, a pro/prebiotic, plus a multivitamin with kelp and I think that has been okay for the most part. A few days ago, my doctor put me on caltrate+D for the bone mineral density, but I've heard mixed things about calcium supplements and was hoping to get some input from you kids. Also, the constipation has returned a bit-- can that be from the supplements?

Thanks!!

Update: So my less-than-perfect alternative was the Trader Joe's Cal/Mag/Vit D. I realize the evils of combination supplements (and possibly supplements in general, but...)-- there are a few things in it that I wouldn't have put in there. But, it's relatively affordable and I think there is some improvement in my digestive symptoms. There is 500mg Calcium in many forms, 250mg Magnesium (oxide ... still and aspartate), D3 cholecalciferol, along with Betaine HCL, Stinging nettles, horsetail, spirulina. It advertises as a made "in a green food base." While I can't scientifically tell you what that statement means, so far it's better than what I had before. Hoping to get off the Calcium by my next check-up as I think I'm better off on VitD and maybe some Mag. Also, I tried the Magnesium oil - it feels pretty good on sore legs and feet. In all, NICE WORK TEAM!

0104d134c517031678cb90bb2919b5d3

(117)

on August 19, 2013
at 12:28 PM

Not really made any progress. Think I have adrenal fatigue but these symptoms came after the bloating, etc began. I really need to run some tests but haven't got the money yet. Let me know about the breath test, is that for candida/sibo?

Cfc7dee889a66db9cd76c4f348109294

(1652)

on August 10, 2013
at 04:51 PM

Hi S, just got your comment today. No major discoveries to report. Thanks for checking in though. I'm going for a breath test later this month. I can't seem to get coverage for a general parasites test, which I thought could be revealing. I will let you know if the breath test turns up anything new re: chronic bloating, pain, constipation. I've tried low carb/low fodmaps/moderate carb /various combinations with no change. Since this post though, my osteopenia has actually improved and bone density up by 25%, which I attribute to diet. What about on your end ? Any progress? Beat regards

1da74185531d6d4c7182fb9ee417f97f

(10904)

on May 18, 2011
at 10:17 PM

I take magnesium malate which is also more easily absorbed like citrate.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on May 18, 2011
at 05:12 PM

Hm. Ok, I'm open to trying out both. Though, I'm hoping one will have a better effect on the digestive issue.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on May 18, 2011
at 05:10 PM

Ok then. I have a hunch that I'm fine with the calcium just need to get that vit D up.

77732bf6bf2b8a360f523ef87c3b7523

(6157)

on May 18, 2011
at 04:01 PM

This is also why I'm not a big fan of combo pills. Much easier to control quality and quantity with single supplements.

77732bf6bf2b8a360f523ef87c3b7523

(6157)

on May 18, 2011
at 04:00 PM

Oxide is probably the worst form of magnesium (least absorbable). You should try citrate or glycinate. Citrate is cheaper but give me diarrhea. You can also try magnesium "oil" which is a topical solution of Mg chloride. Apparently it is efficiently absorbed. http://paleohacks.com/questions/1377/have-you-tried-magnesium-oil

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 18, 2011
at 12:49 AM

There is http://www.bing.com/health/article/mayo-126649/Hypercalcemia?q=hypercalcemia Hypercalcemia which is too much cal circulating in the blood. Since Vit D3 assists the body in moving cal into the bones and does it very efficiently, I have read that some practictioners will limit supplements with Calcium. But since you are so low to begin with I don't think Hypercalcemia will be a problem in the next year. But bloodwork always tracks serum calcium so be aware in the future blood lipid panels.

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 18, 2011
at 12:41 AM

I never did test pre supplementing. I just went with what I was reading at Nephropal and Dr Harris' and Trackyourplaque, Dr Davis and the Vitamin D Council site. Then tested after a year and I was at mid 80s ng/ml and still there.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on May 17, 2011
at 11:59 PM

Ok, Dex. I get retested in a month, so hopefully I'll be all sunshine inside and out. How long did it take to bring your levels up?

06d21b99c58283ce575e36c4ecd4a458

(9948)

on May 17, 2011
at 05:41 PM

With your D3 at 11ng/ml, you bump up your daily intake of d3 to 10000IU for three months then back down to 5000IU. If you are out in full sun half clothed for a half hour you can make 10000 to 20000IU. Aches and pains...fibromyalgia... abate with levels of vit d3 between 70 and 100ng/ml. D3 assists in transporting cal to the bones and it assists your immune system in warding off viruses and bacteria. I haven't been sick for 3 years since supplementing with 5000IU/day. My level mid 80s.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on May 17, 2011
at 04:46 PM

Thanks for your response and suggestions, Ashley. I realized my supplement is 1000mg calcium plus 500mg magnesium oxide. Maybe a different form of magnesium is better? I'll go procur some kimchi and report back.

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2 Answers

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1
1da74185531d6d4c7182fb9ee417f97f

on May 17, 2011
at 03:29 PM

Are you taking Magnesium? If you're taking Calcium you have to take magnesium, first of all to help with absorption but also it helps prevent the constipation. I'm not a sciency person so I can't give you the medical reason why it's important but I know that a magnesium deficiency is a common reason for constipation and it's one of the only nutrients that's hard to get enough of in the diet... even Paleo. A good rule of thumb is 2:1 for cal/mag. so if you take 1000mg of calcium then take 500 of magnesium.

Also, I have to admit, if I'm having a bad day constipation-wise, which still happens sometimes, I'll use magnesium as a natural laxative and increase my dosage to a little higher.

Make sure you're getting plenty of probiotics in your diet too. Kimchi, NATURAL sauerkraut (like Bubbies,) and yogurt/kefir if you're dairy tolerant are good sources.

77732bf6bf2b8a360f523ef87c3b7523

(6157)

on May 18, 2011
at 04:01 PM

This is also why I'm not a big fan of combo pills. Much easier to control quality and quantity with single supplements.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on May 17, 2011
at 04:46 PM

Thanks for your response and suggestions, Ashley. I realized my supplement is 1000mg calcium plus 500mg magnesium oxide. Maybe a different form of magnesium is better? I'll go procur some kimchi and report back.

77732bf6bf2b8a360f523ef87c3b7523

(6157)

on May 18, 2011
at 04:00 PM

Oxide is probably the worst form of magnesium (least absorbable). You should try citrate or glycinate. Citrate is cheaper but give me diarrhea. You can also try magnesium "oil" which is a topical solution of Mg chloride. Apparently it is efficiently absorbed. http://paleohacks.com/questions/1377/have-you-tried-magnesium-oil

1da74185531d6d4c7182fb9ee417f97f

(10904)

on May 18, 2011
at 10:17 PM

I take magnesium malate which is also more easily absorbed like citrate.

Cfc7dee889a66db9cd76c4f348109294

(1652)

on May 18, 2011
at 05:12 PM

Hm. Ok, I'm open to trying out both. Though, I'm hoping one will have a better effect on the digestive issue.

1
0104d134c517031678cb90bb2919b5d3

on July 11, 2013
at 09:06 PM

You made in progress with your bloating issue? If you remember me , I was on this board around christmas time, I have very similar issues as you, bloating upon consuming anything (including just water). I tried fasting for 30 days. Didn't help, I still bloated from drinking water on the fast however overall bloating was reduced in this time.

So yea, you made any discoveries?

Cfc7dee889a66db9cd76c4f348109294

(1652)

on August 10, 2013
at 04:51 PM

Hi S, just got your comment today. No major discoveries to report. Thanks for checking in though. I'm going for a breath test later this month. I can't seem to get coverage for a general parasites test, which I thought could be revealing. I will let you know if the breath test turns up anything new re: chronic bloating, pain, constipation. I've tried low carb/low fodmaps/moderate carb /various combinations with no change. Since this post though, my osteopenia has actually improved and bone density up by 25%, which I attribute to diet. What about on your end ? Any progress? Beat regards

0104d134c517031678cb90bb2919b5d3

(117)

on August 19, 2013
at 12:28 PM

Not really made any progress. Think I have adrenal fatigue but these symptoms came after the bloating, etc began. I really need to run some tests but haven't got the money yet. Let me know about the breath test, is that for candida/sibo?

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