Hello and welcome to
"Health for a Lifetime"
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We hope that as a result
of your time with us today
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you WILL have health
that lasts for a lifetime,
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and to help us today,
we have Dr. Glen Wiltse
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He is from North Dakota
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where you've practiced
medicine for many years,
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a wealth of
experience, still practicing,
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and still teaching there at the
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Black Hills Health
and Education Center.
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And with all of this... you know
I read a proverb the other day
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that said this...
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"Beware of old
barbers, and of young doctors"
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So you're safe!
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I'm safe, I'm neither
one... That's right, exactly!
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To introduce our topic today,
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which is brittle bones,
osteoporosis and protein;
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how those things all relate.
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You know, there's a text
in the Bible that says...
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"I wish above all things,
beloved, that you would prosper
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and be in health"
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And I think that's what God
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wants for our
bones too, don't you?
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I think so, in fact God
wants us to be healthy...
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He wants us to be prosperous...
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And we KNOW that He
wants our souls to prosper...
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so if He wants that,
just as your soul prospers
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so you should be in health,
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and so you should
prosper materially.
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There is no sin to be rich even,
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if you do it honestly
and with God's blessing.
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All right! Yes, we
need to be healthy,
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and we can be with God's help
if we'll follow the instruction
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of the Individual who authored
the instructor's manual.
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I bet you, there's a
lot of people getting rich
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over osteoporosis today...
How big a problem is it?
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It IS a major problem.
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There are millions of people
actually involved with it.
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Research has shown that
there are about 10 million women
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in America who are
afflicted with osteoporosis.
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It's been calculated by
observation and research
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that from 13 to 18% of the
women past the age of menopause
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are suffering from osteoporosis,
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so it really is a
very common problem.
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One in 2 white
women will have a fracture
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due to osteoporosis some
time during their lifetime...
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And the cost...
astronomical, estimated at about
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almost 14 billion dollars a year
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just to take care of the
complications from osteoporosis.
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I think I have an answer...
a 13.8 billon dollar answer!
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Do you want to hear
it? I might as well...
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MILK! Is that the answer?
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I'm afraid, even though you
may hear some advertisements
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that would make you
think that milk was the answer
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to everything, it
really is not true
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when you get to analyzing it.
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In fact, if you
look over the world,
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the nations where
the least milk is drunk,
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also have the lowest
incidence of osteoporosis,
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and the country like
America where the most milk
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is consumed, we have the highest
incidence of osteoporosis...
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so there is an
inverse relationship
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between milk consumption and
the presence of osteoporosis.
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You're not a
vegetarian too, are you?
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Well, could be that I am.
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Well, what do
you do for protein?
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Is protein a problem?
Can protein be a problem? Yes
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When people think
about a vegetarian lifestyle,
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that's one of the first
things they think about.
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How do you get enough protein?
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There is a lot of emphasis
today on the vegetarian diet,
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and there is a relationship
between the vegetarian diet
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and it's lower than the
Standard American Diet's
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amount of
protein and osteoporosis.
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And that's the reason
that we tie these 2 together;
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osteoporosis and protein...
we're going to be talking
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about those together
because there is a definite
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interrelationship
between those 2
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Well, what is that relationship?
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The relationship is
that the more protein
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a person eats, the more
calcium he loses from his body,
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and if he's losing more calcium,
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he's going to be
losing bone structure as well.
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So that "osteo" means what?
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That refers to bone.
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Osteo tissue
are our bone tissue.
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"Porosis" what does that mean?
"Porosis" means holes in it.
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So we have bones
with holes in them.
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And if we could
pull out someone's bones,
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we're not going
to do that today,
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but if we could
pull out someone's bones,
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they'd have a whole
bunch of holes in them?
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That's right.
Actually, if you look at the
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bone structure in our body,
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you might think
of it as a bridge...
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And you know, a bridge is
built with interconnecting
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girders that brace it so
it's braced in all directions
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And our internal
structure of our bones are built
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exactly the same way.
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There are
stress-supporting beams of bone
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and calcium is
the hard substance
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that makes them strong.
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With osteoporosis, calcium
is leached from the bones
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eliminated from the body,
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and the supporting structures,
those beams are weakened;
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a person is then more
vulnerable for fractures,
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and so fractures
occur much more frequently
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among these people
who are osteoporotic.
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Is osteoporosis to the
bones like termites are to wood?
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It would be a very good
analogy! Yes, that's right...
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It just weakens the structure.
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There's just a little
bit of connecting structure
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here and there, but
the strength is gone.
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Okay, who is at risk for this?
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I mean, is this just
something for someone that's
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...you know, beyond age
50, or who is at risk for this?
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There are a number of
factors that make it so that a
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person is more likely
to develop osteoporosis.
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We might take a look at those,
and find out just who is at risk
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First of all, it's usually women
who usually are fair-skinned,
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fair-complected, or red-haired.
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They usually
have a small stature.
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Now with a woman
who weighs 100 pounds,
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5 foot 1 or 2, she's a
lot more likely to develop,
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than the big woman
who is 175 and 5 feet 8.
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You would think the opposite...
Is that because there is
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no weight bearing on those
joints ... I think there's less
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weight on the
bones, and also there is
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less bone structure
there to start with as well.
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Family history is
another risk factor...
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A women whose mother and
grandmother had osteoporosis
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is also more
likely to develop it.
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Also, a woman who
begins menstruating early,
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and who has an early
menopause is more likely...
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And apparently the reason
for this is that the woman
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is exposed for a
shorter period of time
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to the female hormones
that do have a protective
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effect against calcium loss.
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Isn't it true that
vegetarians menstruate later?
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That's right... that's another
plus for being a vegetarian.
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Another thing that makes
it more likely to develop is
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a person or a woman
who has never had a baby,
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or a woman has a
first baby later in life.
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That term,
nulliparous, means no babies.
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Okay... "nulliparous"
That's my word for today.
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A sedentary lifestyle...
You alluded to exercise before.
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Exercise definitely
helps to prevent osteoporosis.
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The pounding effect, the impact,
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of a person's
feet hitting the ground
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is transmitted up to
the bones and stimulates
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the laying down of
calcium in the bones.
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Then the use of
tobacco, alcohol, caffeine
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also make it so that a person
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is more likely to
develop osteoporosis.
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Someone told me once that if you
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drink a cup of
coffee a day for a year,
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you're going to lose...
I don't know, they told me
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something... 1% of
your bone mass per year...
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Were they right?
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I'm not sure of the statistics,
but that sounds reasonable.
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Sounds about right, yes.
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So if you stop drinking coffee,
you'll stop that process.
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You'll slow down your
bone loss, that's right.
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And also, a person who
has a low calcium intake,
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or who takes a low
intake of vitamin D,
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is more vulnerable to
developing osteoporosis as well.
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Then another thing
that ties osteoporosis
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and the protein problem together
is that a high protein diet
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also fosters the
development of osteoporosis.
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We need to come back
to that high protein thing
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because I have some
questions for you on that...
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But before we do that, are
there any other risk factors?
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Yes, there are some others;
age, and understand too that
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the older a person
gets, the more likely he is
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to have lost enough out of bones
that his bones will be weak.
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Also, dementia, mental
illness, a person is less likely
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to take good care of himself.
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A person who is in poor
health, who is frail already
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is more likely to develop it.
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A person who is unsteady,
maybe has a neurologic disease,
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and has recurrent
falls is more likely
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because any fall is
more likely to break a bone.
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Then, of course, a person
who has the impaired eyesight
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is not going to be able to see
the step that he stumbles over,
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and falls and causes a break.
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So wait a minute...
Those things actually are
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related to
osteoporosis, or are they...
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In other words,
when a bone is broken,
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does that pull
more calcium stores
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out or something to repair it?
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Actually, the repair of a
bone does not deplete calcium
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from other parts of the body,
from other bones in the body,
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as far as we know.
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I haven't really
read any research on that,
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but as far as I know, it doesn't
interfere with the healing
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of the osteoporotic bone,
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although a person
who has osteoporosis,
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if they have a fracture,
it will heal more slowly
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than the person who
has normal bone structure.
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I told you I'd come
back to this protein thing...
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What exactly is protein?
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Actually, proteins
are a combination of
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what we call amino acids.
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Now amino acids are a
chemical structure consisting of
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combinations of
carbon, nitrogen hydrogen,
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and in some amino
acids actually sulfur.
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The body takes these
amino acids and combines them
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in different combinations
to form different proteins.
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The protein that's in
your skin is different from the
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protein in your liver
that's different than the
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protein in your
bones and so forth.
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We might think of an analogy
of the letters in the alphabet
00:10:10.58\00:10:15.02
We take and combine them
together in different ways
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to form words...
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So the body takes
different amino acids,
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combines them together
in different ways to form
00:10:20.63\00:10:22.65
different proteins;
that's the way they're formed.
00:10:22.68\00:10:26.40
Then these proteins are used
by the body as building blocks
00:10:26.43\00:10:30.72
for our bodies for
our body's structure.
00:10:30.75\00:10:33.13
So you might think
of proteins as bricks...
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And they are the bricks
that build up the body building.
00:10:36.40\00:10:39.33
So that if we have an
adequate amount of protein,
00:10:39.36\00:10:43.53
the body is built up well,
and also the speed with which
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a person or an
individual or an animal matures
00:10:49.54\00:10:53.67
determines the
amount of protein it needs.
00:10:53.68\00:10:55.83
For instance, a rat that
grows from babyhood to adulthood
00:10:55.86\00:10:59.63
in just a couple of months,
needs a milk source that's
00:10:59.66\00:11:03.85
much higher in protein
than the human baby does
00:11:03.88\00:11:06.50
that takes 18-20
years to mature...
00:11:06.53\00:11:08.92
And that's the reason you
can't substitute cow's milk
00:11:08.95\00:11:11.56
for human milk; it
just works differently.
00:11:11.59\00:11:14.27
People do that all the time,
and I want to come back to milk,
00:11:14.30\00:11:17.06
but you're saying
that's not the best.
00:11:17.09\00:11:18.65
So where do we get
these sources of protein?
00:11:18.68\00:11:20.33
Do we get them from animals?
00:11:20.36\00:11:22.44
You're suggesting we get
them maybe NOT from animals.
00:11:22.47\00:11:25.46
We CAN get them from animals,
00:11:25.49\00:11:27.48
but the animal diet, the
S.A.D. standard American diet,
00:11:27.51\00:11:32.44
has too much protein.
00:11:32.47\00:11:33.92
The average American eats
about 95 grams of protein a day
00:11:33.95\00:11:36.93
and we actually need only about
45 to 55 grams of protein a day,
00:11:36.96\00:11:41.00
and if it's an IDEAL protein,
probably even less than that
00:11:41.03\00:11:43.66
according to some researchers.
00:11:43.69\00:11:45.23
So that one of the
problems is that our bodies...
00:11:45.26\00:11:47.94
bodies of the average American,
has to eliminate an excess
00:11:47.97\00:11:52.91
amount of protein and the waste
products from protein metabolism
00:11:52.92\00:11:55.98
and this throws an extra
load upon his kidneys where this
00:11:56.01\00:11:59.32
elimination process takes place.
00:11:59.35\00:12:01.22
Is this the problem with milk?
00:12:01.25\00:12:03.23
That's one of the
problems with milk as well.
00:12:03.26\00:12:05.72
Milk, of course, is a protein,
00:12:05.73\00:12:07.99
has a large
amount of protein in it,
00:12:08.02\00:12:09.88
but the use of milk has
other problems as well...
00:12:09.91\00:12:16.08
We have the infection
that is carried by milk
00:12:16.11\00:12:19.47
that we hear
reports of frequently about
00:12:19.50\00:12:21.44
salmonella infection, or
a strep infection that is
00:12:21.45\00:12:24.33
traced back to milk
that people were using.
00:12:24.36\00:12:27.81
So that milk is
really not the answer for the
00:12:27.84\00:12:31.28
osteoporotic problem;
it really compounds it.
00:12:31.31\00:12:33.74
So when they talk about
strong bones and drinking milk,
00:12:33.77\00:12:37.08
and that milk
moustache and whatnot,
00:12:37.11\00:12:39.12
that's not really credible,
is that what you're saying?
00:12:39.15\00:12:41.91
The white upper lip
makes good advertizing copy,
00:12:41.94\00:12:44.92
but it doesn't
make good health advice.
00:12:44.95\00:12:47.30
A person is better off to get
his protein from other sources
00:12:47.33\00:12:50.22
that are lower in
protein, and don't carry the
00:12:50.25\00:12:53.63
risks that milk has.
00:12:53.64\00:12:55.81
How does calcium
relate to all this?
00:12:55.82\00:12:57.70
Okay, the calcium is eliminated
from the body along with
00:12:57.73\00:13:02.10
the elimination
of the waste products
00:13:02.13\00:13:04.42
from the protein metabolism.
00:13:04.45\00:13:06.20
In other words, our kidneys,
where the protein waste products
00:13:06.23\00:13:10.81
are eliminated, have to
be combined with calcium
00:13:10.84\00:13:15.26
as a calcium salt,
and so this eliminating
00:13:15.29\00:13:18.73
an excess protein...
the average American eats
00:13:18.76\00:13:21.03
twice as much as he should...
00:13:21.06\00:13:22.18
takes calcium from the
bones and the bones are a
00:13:22.21\00:13:25.08
major supply of
calcium in the body.
00:13:25.11\00:13:27.75
We've been talking
with Dr. Glen Wiltse
00:13:27.78\00:13:30.78
He's a
physician in North Dakota;
00:13:30.81\00:13:33.77
works with the Black Hills
Education Center in South Dakota
00:13:33.80\00:13:37.22
and he's been talking with us
00:13:37.25\00:13:38.38
about protein,
osteoporosis, calcium.
00:13:38.41\00:13:41.20
When we come back,
we're going to talk
00:13:41.23\00:13:43.06
a little more
about this subject.
00:13:43.09\00:13:44.45
I know a lot of
people struggle with it,
00:13:44.48\00:13:46.25
and have problems with it.
00:13:46.28\00:13:47.41
We hope that you'll join us.
00:13:47.44\00:13:49.04
When we come back,
we're going to talk about
00:13:49.07\00:13:50.65
calcium testing;
about osteoporosis testing.
00:13:50.68\00:13:53.61
Is it credible, should we do it?
We hope that you can join us.
00:13:53.65\00:13:58.27
Have you found yourself wishing
00:14:09.02\00:14:10.05
that you could
shed a few pounds?
00:14:10.34\00:14:12.02
Have you been on a
diet for most of your life,
00:14:12.05\00:14:14.26
but not found anything that
will really keep the weight off?
00:14:14.29\00:14:17.47
If you've answered "yes"
to any of these questions,
00:14:17.48\00:14:20.30
then we have a
solution for you that works!
00:14:20.33\00:14:23.07
Dr. Hans Diehl and
Dr. Aileen Ludington
00:14:23.10\00:14:25.89
have written a
marvelous booklet called...
00:14:25.92\00:14:27.90
"Reversing Obesity Naturally"
00:14:27.93\00:14:30.15
and we'd like to send
it to you FREE of charge.
00:14:30.18\00:14:33.06
Here's a medically sound
approach successfully used
00:14:33.07\00:14:35.75
by thousands who
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00:14:35.78\00:14:38.09
and lose weight permanently
00:14:38.12\00:14:39.71
without feeling guilty or hungry
through lifestyle medicine.
00:14:39.74\00:14:43.43
Dr. Diehl and Dr. Ludington
have been featured on 3ABN
00:14:43.46\00:14:46.97
and in this booklet, they
present a sensible approach
00:14:47.00\00:14:49.99
to eating, nutrition
and lifestyle changes
00:14:50.02\00:14:52.69
that can help you
prevent heart disease, diabetes,
00:14:52.72\00:14:54.93
and even cancer.
00:14:54.96\00:14:56.65
Call or write today
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00:14:56.68\00:14:58.56
"Reversing Obesity Naturally"
00:14:58.59\00:15:00.15
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00:15:00.19\00:15:05.46
It's ABSOLUTELY free of
charge, so call or write today.
00:15:05.49\00:15:10.73
Welcome back! If
you've just joined us,
00:15:20.02\00:15:21.95
we've been talking
with Dr. Glen Wiltse
00:15:21.98\00:15:23.87
He's a physician in South Dakota
00:15:23.90\00:15:26.09
and he has been involved in
health education for many years,
00:15:26.12\00:15:30.33
and also medical practice.
00:15:30.36\00:15:31.70
We're talking
about osteoporosis.
00:15:31.73\00:15:33.44
We found that it's a
large problem and it has
00:15:33.47\00:15:38.28
cost, not only
financially but physically,
00:15:38.31\00:15:40.66
and we found that the
normal solution that we
00:15:40.69\00:15:43.25
usually hear... these
solutions are not really helpful
00:15:43.28\00:15:46.52
...for example, milk and
some of these other things.
00:15:46.55\00:15:49.76
Doctor, what about
osteoporosis testing.
00:15:49.79\00:15:52.83
If someone is
watching today and says...
00:15:52.86\00:15:54.07
"Hey, maybe what I should
do is get that test finally,
00:15:54.10\00:15:57.00
and see how bad it is
for me. " Is that helpful?
00:15:57.03\00:16:00.05
It can be... IF the
person is planning on
00:16:00.08\00:16:03.37
starting on a treatment program.
00:16:03.40\00:16:04.89
If you're not
planning on treating it,
00:16:04.92\00:16:06.44
if you find a
problem, there's really
00:16:06.47\00:16:07.91
no use doing the testing.
00:16:07.94\00:16:09.46
But if a person is planning
on doing something about it,
00:16:09.49\00:16:12.67
then, yes, it's a good idea.
00:16:12.70\00:16:14.67
Who should be
tested if they are going to
00:16:14.70\00:16:17.89
follow through with
treatment if it's indicated?
00:16:17.92\00:16:19.46
Postmenopausal women
with one or more of the
00:16:19.49\00:16:22.61
risk factors which we discussed
earlier in our program.
00:16:22.64\00:16:25.73
All women past the age of 65
00:16:25.76\00:16:28.24
would be
candidates for being tested.
00:16:28.27\00:16:30.60
Postmenopausal women
who have had a fracture
00:16:30.63\00:16:34.11
definitely should be
evaluated. Broken a bone,
00:16:34.14\00:16:36.21
something like that. Right
00:16:36.24\00:16:38.17
Women who are considering
therapy of any kind...
00:16:38.20\00:16:40.83
And also women who have
been on estrogen hormones
00:16:40.86\00:16:45.12
for any prolonged
period of time should be
00:16:45.15\00:16:46.98
tested from
time to time as well.
00:16:46.99\00:16:49.42
I think we maybe should go
to this matter of calcium loss
00:16:49.45\00:16:55.23
from the body and show
a little bit of research
00:16:55.26\00:16:59.31
that's been done in that regard.
00:16:59.34\00:17:00.54
There was a graph that we
had that shows what happens
00:17:00.57\00:17:03.96
when a person uses different
amounts of protein in their diet
00:17:03.99\00:17:08.21
There's what we
call a calcium balance,
00:17:08.24\00:17:12.10
and if a person
eliminates from his kidneys,
00:17:12.13\00:17:15.53
more calcium than
he takes in that day,
00:17:15.56\00:17:17.73
he is said to be in
positive calcium balance.
00:17:17.76\00:17:20.67
If he eliminates
MORE than he has taken in,
00:17:20.70\00:17:24.61
then he is in
negative calcium balance...
00:17:24.64\00:17:27.14
And this graph here shows...
00:17:27.17\00:17:28.78
the first graph, the
one on the left of this,
00:17:28.81\00:17:31.81
the bar shows a
positive calcium balance.
00:17:31.84\00:17:34.44
The horizontal
line is the zero point.
00:17:34.47\00:17:38.11
And these people were fed
45 grams of protein a day,
00:17:38.14\00:17:42.49
and you notice that they
had a positive calcium balance.
00:17:42.52\00:17:46.22
They took
another group of people,
00:17:46.25\00:17:48.47
fed them what the
average American uses,
00:17:48.50\00:17:50.68
95 grams of protein a day...
00:17:50.71\00:17:52.76
And you notice that they
have a negative calcium balance.
00:17:52.77\00:17:55.52
In other words, they're
losing more than they take in.
00:17:55.55\00:17:58.68
Then just to prove this
point, or to demonstrate
00:17:58.71\00:18:01.22
that it really was
true, they fed them,
00:18:01.25\00:18:04.16
I believe it's 145
grams of protein a day...
00:18:04.19\00:18:06.95
And look at the negative calcium
balance that these people had.
00:18:06.98\00:18:10.06
It just was
flowing out of their body.
00:18:10.09\00:18:11.64
They were just
losing it by the gallon.
00:18:11.67\00:18:14.53
So from this, we can get
the conclusion that we better
00:18:14.54\00:18:19.36
cut down on the
amount of protein that we
00:18:19.39\00:18:21.13
take into our bodies.
00:18:21.16\00:18:22.95
It will help to make it so
that it will be much less likely
00:18:22.98\00:18:25.57
to develop osteoporosis.
00:18:25.58\00:18:27.08
You know, I heard someone once
talking about the astronauts,
00:18:27.11\00:18:29.84
and protein problems...
00:18:29.87\00:18:32.15
Have you heard
anything about that?
00:18:32.18\00:18:33.24
Yes I have, and
also osteoporosis,
00:18:33.27\00:18:35.91
and both of those
things are problems with them.
00:18:35.94\00:18:38.09
The condition of
weightlessness up there,
00:18:38.12\00:18:41.07
apparently is one of
the major factors in that.
00:18:41.10\00:18:43.43
You know, they're not striking
their foot to the pavement,
00:18:43.46\00:18:46.70
time after time,
or to the floor...
00:18:46.73\00:18:48.83
and this impact has a positive
effect on calcium metabolism.
00:18:48.86\00:18:53.38
It may well be that their diet
has something to do with it.
00:18:53.41\00:18:56.56
I haven't heard
any research on that.
00:18:56.59\00:18:58.48
I don't know how much
protein they're taking,
00:18:58.51\00:19:00.31
but if they are treating
them the way the average
00:19:00.34\00:19:01.96
American treats himself, which
is 95 grams of protein a day,
00:19:01.99\00:19:05.90
then this also could
be a factor with them too.
00:19:05.93\00:19:08.70
We've talked about some of
the bad news when it comes to
00:19:08.73\00:19:12.74
protein, osteoporosis,
and we've talked about
00:19:12.77\00:19:15.19
some of the supposed solutions
that really aren't solutions.
00:19:15.22\00:19:18.01
You've suggested
several things...
00:19:18.04\00:19:19.37
We should be vegetarians.
00:19:19.38\00:19:20.53
We should get our
protein from plant sources,
00:19:20.56\00:19:23.67
and that includes milk.
00:19:23.70\00:19:25.32
And, you've suggested
that the milk moustaches
00:19:25.35\00:19:27.92
are just
that... milk moustaches,
00:19:27.95\00:19:29.53
but they're not really
that conducive to bone health.
00:19:29.56\00:19:32.71
What should we do to
treat the problem if we have it?
00:19:32.74\00:19:36.01
Okay, well there are
things that we can do
00:19:36.04\00:19:37.94
that will keep us
from getting osteoporosis.
00:19:37.97\00:19:40.48
#1... We should get plenty
of exercise, and this should be
00:19:40.51\00:19:44.32
impact exercise;
walking, running, jogging.
00:19:44.35\00:19:48.19
The exercise that
you get when you're just
00:19:48.22\00:19:49.63
sitting in your
rocking chair rocking...
00:19:49.66\00:19:51.53
Swimming is no good?
00:19:51.57\00:19:53.39
Swimming is not
as good as impact.
00:19:53.42\00:19:55.83
Swimming is good exercise,
but for osteoporosis prevention,
00:19:55.86\00:19:58.51
you actually need something
where your feet hit the ground.
00:19:58.54\00:20:00.88
They hit the pavement...
That's more effective.
00:20:00.91\00:20:03.52
Also, another thing is very
important... is weight control.
00:20:03.55\00:20:06.43
People who are overweight
tend to have more osteoporosis,
00:20:06.46\00:20:08.92
and also, there is
more stress on their bones.
00:20:08.95\00:20:11.53
You'd think that maybe it
would help them because of the
00:20:11.56\00:20:14.96
more work for the bones to do,
00:20:14.99\00:20:16.46
but actually, it makes it so
a person is more likely to fall;
00:20:16.47\00:20:19.38
more likely to hurt himself,
00:20:19.41\00:20:20.60
and also, it does
have an adverse effect.
00:20:20.63\00:20:22.58
The next thing is an
adequate calcium intake.
00:20:22.61\00:20:27.61
We did talk about milk as
being a source of calcium,
00:20:27.64\00:20:30.62
but actually you get a
better supply of calcium from
00:20:30.65\00:20:32.99
the green vegetables that you
eat, from the nuts that you eat,
00:20:33.02\00:20:35.92
the legumes
that you are using...
00:20:35.95\00:20:37.35
So that a vegetarian diet with
the type of foods that are in it
00:20:37.38\00:20:40.81
are MUCH more conducive
to preventing osteoporosis
00:20:40.84\00:20:44.39
than the use of milk and dairy
products, and animal products.
00:20:44.42\00:20:48.03
So there's MORE calcium
in green leafy vegetables,
00:20:48.06\00:20:52.38
and in some of these other
grains and different things
00:20:52.41\00:20:55.65
than there is in
milk? That's right...
00:20:55.68\00:20:57.30
And it's more
available; it's used by the body
00:20:57.33\00:20:59.91
more effectively as well.
00:20:59.92\00:21:01.56
So, we need to go with
the vegetables, the grains,
00:21:01.59\00:21:03.95
and the legumes, and use those.
00:21:03.98\00:21:05.79
And another thing
that can be used is
00:21:05.82\00:21:08.03
hormone
replacement therapy for women.
00:21:08.06\00:21:10.63
Female hormones do
have a protective effect
00:21:10.66\00:21:13.20
as far as the
bones are concerned...
00:21:13.23\00:21:15.19
And it's been found and numerous
studies have corroborated this
00:21:15.20\00:21:19.07
...that women who are
on hormones are less likely
00:21:19.10\00:21:22.51
to develop osteoporosis
than the woman who is not on it.
00:21:22.54\00:21:25.14
Can they cause other
problems though... hormones?
00:21:25.17\00:21:27.05
This is one of the difficulties.
00:21:27.08\00:21:28.43
There are some complications
00:21:28.46\00:21:29.71
that can occur from
the use of hormone therapy.
00:21:29.74\00:21:31.96
Okay, such as? Breast cancer...
00:21:31.99\00:21:34.61
Women who are on hormones
00:21:34.64\00:21:35.68
are more likely to
develop breast cancer.
00:21:35.69\00:21:37.43
The risk is not increased a
great deal, but is still there.
00:21:37.44\00:21:41.15
Also, endometrial
cancer; cancer of the lining
00:21:41.18\00:21:43.53
of the uterus is more
common among women who are using
00:21:43.56\00:21:46.73
hormone replacement therapy.
00:21:46.76\00:21:48.20
But weighing those 2 things,
which is... what would you say?
00:21:48.23\00:21:52.15
For the most part,
most women actually,
00:21:52.18\00:21:54.79
if they will monitor
themselves for the possible
00:21:54.82\00:21:57.83
early detection of
any of these things,
00:21:57.86\00:21:59.76
they're really better
off to use the hormones,
00:21:59.79\00:22:01.56
except if they
follow a good lifestyle,
00:22:01.59\00:22:04.96
the use of the hormone
therapy is not as significant.
00:22:04.99\00:22:10.13
There's another problem too...
00:22:10.16\00:22:12.60
Women who are on hormones
tend to have breast tenderness.
00:22:12.63\00:22:15.59
They develop
deep vein thrombosis,
00:22:15.62\00:22:18.41
developing blood clots in the
veins, particularly in the legs,
00:22:18.42\00:22:21.71
and they can sometimes break
loose and go up to the lungs
00:22:21.74\00:22:24.49
and cause death.
00:22:24.52\00:22:26.37
These hormones
affect their mental status,
00:22:26.40\00:22:28.83
they have mood disturbances...
00:22:28.86\00:22:30.81
And also, women who are on
hormone therapy tend to develop
00:22:30.84\00:22:33.93
gallbladder disease
more frequently than
00:22:33.94\00:22:35.78
women who are not on it.
00:22:35.81\00:22:37.89
So are there any studies
on the effectiveness though
00:22:37.92\00:22:41.09
of hormone replacement therapy?
00:22:41.12\00:22:42.81
Yes there are, and it
is effective; it does help.
00:22:42.84\00:22:46.42
They take a
large group of women;
00:22:46.45\00:22:47.68
put them on hormone
replacement therapy...
00:22:47.71\00:22:50.04
And they find that they
are less likely to develop
00:22:50.07\00:22:53.20
the
complications of osteoporosis,
00:22:53.23\00:22:55.99
which is primarily fractures
than the ones who don't...
00:22:56.02\00:22:58.21
BUT, if a person will
follow a good lifestyle,
00:22:58.24\00:23:01.42
and stay away from
a high protein diet,
00:23:01.45\00:23:03.30
I think we need
to UNDERSCORE this...
00:23:03.33\00:23:05.11
THE HIGH PROTEIN
S.A.D. AMERICAN DIET
00:23:05.14\00:23:07.60
is really a major factor in
the development of osteoporosis.
00:23:07.63\00:23:11.06
And following a good
lifestyle as far as exercise
00:23:11.09\00:23:13.44
and diet is concerned, is REALLY
the best way for a woman to go.
00:23:13.47\00:23:17.76
What about vitamin D?
00:23:17.79\00:23:18.82
Does it have anything
to do with osteoporosis?
00:23:18.85\00:23:20.68
Yes it does. Vitamin
D is the vitamin that
00:23:20.71\00:23:22.47
helps the body to lay
down calcium in the bones,
00:23:22.50\00:23:26.24
but not very many of us
get a low vitamin D intake.
00:23:26.27\00:23:29.76
You know, you can be out
in the sun, expose your face
00:23:29.79\00:23:32.58
and hands to the
sunshine for 10 minutes a day,
00:23:32.61\00:23:34.89
and that will give you all
the vitamin D that you need...
00:23:34.92\00:23:37.22
just that it's manufactured by
00:23:37.25\00:23:39.01
the body from the
exposure to the sunlight.
00:23:39.04\00:23:43.03
So that we don't really
need to worry about taking
00:23:43.06\00:23:45.79
an adequate amount of vitamin D.
00:23:45.82\00:23:47.07
What are some of those
medications that you mentioned
00:23:47.10\00:23:49.77
that people could consider...
00:23:49.80\00:23:51.61
maybe they could mention to
their physician or something?
00:23:51.64\00:23:53.86
Yes, there are
medications that have been used
00:23:53.89\00:23:56.18
for the
treatment of osteoporosis.
00:23:56.19\00:23:58.94
They are effective;
they certainly can be used.
00:23:58.97\00:24:03.40
We could go over the
medical terms... "Fosamax" is a
00:24:03.43\00:24:06.58
trade name for one of them.
00:24:06.61\00:24:08.90
"Miacalcin" is another
one; this is a new form that's
00:24:08.93\00:24:12.49
come out in a spray that
can be sprayed into the nose,
00:24:12.52\00:24:15.45
and it's absorbed through
the nose and has its positive
00:24:15.48\00:24:18.42
effect on the bones.
00:24:18.45\00:24:19.82
And women who have used
this, in studies, have actually
00:24:19.85\00:24:22.94
had a 40% decrease in the number
of fractures that they've had.
00:24:22.97\00:24:26.57
Is it expensive? Do
they pay through the nose?
00:24:26.60\00:24:28.32
And they pay
through the nose for it too.
00:24:28.35\00:24:29.78
Yes, it's very expensive.
00:24:29.79\00:24:31.31
Yes, I don't know
exactly, but I would guess
00:24:31.34\00:24:33.52
in the neighborhood
of $75- $100 a month.
00:24:34.16\00:24:36.34
Is that right? Now let me
ask about these medications...
00:24:36.37\00:24:39.26
And, once you've lost
the calcium from your bones,
00:24:39.29\00:24:43.10
and you're past age 50, or
whatever that cutoff point is
00:24:43.14\00:24:48.15
or I guess you store it in your
00:24:48.18\00:24:50.30
bones until maybe up
to 30 or something...
00:24:50.33\00:24:52.50
Can you ever get it
back once you've lost it?
00:24:52.53\00:24:54.99
Or is this just making
sure you don't lose more?
00:24:55.02\00:24:57.31
It's primarily a
matter of prevention;
00:24:57.34\00:24:59.86
keeping yourself
from losing more calcium.
00:24:59.87\00:25:03.25
We can build back a little bit.
00:25:03.28\00:25:05.00
It does tend to
build back a little with
00:25:05.03\00:25:06.33
proper lifestyle
and proper therapy...
00:25:06.36\00:25:08.60
But for the most part, a woman,
once she has osteoporosis,
00:25:08.63\00:25:11.80
she has it for
the rest of her life.
00:25:11.83\00:25:14.07
There also is a hormone
that's related to estrogens
00:25:14.10\00:25:17.59
which has been
developed recently by one of the
00:25:17.62\00:25:20.24
drug companies which also
has been shown to decrease
00:25:20.27\00:25:23.64
the fracture rate, and it seems
00:25:23.67\00:25:25.68
to have very few side effects.
What's the name of that?
00:25:25.71\00:25:29.08
The name of that is "Evista. "
00:25:29.11\00:25:31.54
Evista is the name of it, or
the generic term is "Relafen"
00:25:31.57\00:25:35.73
Evista or Relafen, so if you're
watching and you want to know
00:25:35.76\00:25:41.22
the names to say
to your physician,
00:25:41.25\00:25:42.69
these are some
names to jot down.
00:25:42.72\00:25:44.60
The most important thing is
the change in the lifestyle.
00:25:44.63\00:25:48.09
Changing the
lifestyle... the exercise,
00:25:48.12\00:25:49.91
the weightbearing exercise
and all those different things,
00:25:49.94\00:25:53.07
avoiding
caffeine, avoiding nicotine,
00:25:53.10\00:25:55.37
all these other things...
00:25:55.40\00:25:56.43
And reducing the
amount of protein in the diet.
00:25:56.46\00:25:58.44
Especially protein!
About half of what the
00:25:58.47\00:26:00.37
average American uses.
00:26:00.41\00:26:01.40
You know, we were talking about
this subject and you told me
00:26:01.43\00:26:04.31
a cute story... maybe you want
00:26:04.34\00:26:05.43
to share with the viewers
in our last 2 minutes here.
00:26:05.46\00:26:08.14
I think it's important that
we make provisions ahead of time
00:26:08.17\00:26:11.55
rather than waiting until
we get the serious condition,
00:26:11.58\00:26:13.96
and then do something about it.
00:26:13.99\00:26:15.15
Prevention is a
whole lot better than cure!
00:26:15.16\00:26:18.05
And I like the story
about a monastery that was built
00:26:18.08\00:26:21.53
high on a cliff, and the
only access that visitors had to
00:26:21.56\00:26:25.03
there, was a basket that the
monks would lower over the wall
00:26:25.06\00:26:29.10
The visitor would get into
the basket and then they would
00:26:29.13\00:26:31.00
haul him up!
00:26:31.03\00:26:32.07
One visitor was there one
day and he noticed that the
00:26:32.10\00:26:34.86
rope was
getting rather frayed...
00:26:34.89\00:26:36.95
And he got to the top
safely, and he said to the monk
00:26:36.98\00:26:39.97
when he got up there,
how do you fellows know
00:26:40.00\00:26:42.51
when it's time
to change the rope?
00:26:42.54\00:26:44.48
And he says...
"Whenever it breaks"
00:26:44.51\00:26:48.17
If we wait until
our bones break...
00:26:48.20\00:26:51.20
If we wait until we
have a heart attack...
00:26:51.23\00:26:53.31
If we wait until
we have cancer...
00:26:53.34\00:26:55.16
Sure, something
can probably be done,
00:26:55.19\00:26:57.55
but the risk is REALLY there.
00:26:57.58\00:26:59.34
So the best thing is prevention.
00:26:59.37\00:27:01.27
Make provision ahead of
time for replacing that rope,
00:27:01.30\00:27:04.81
rather than waiting until
it gets frayed and breaks.
00:27:04.84\00:27:07.62
So don't WAIT until it
happens, act now! That's right.
00:27:07.65\00:27:11.18
I like another example also...
00:27:11.21\00:27:13.56
Moses, when he was
getting ready to deliver the
00:27:13.59\00:27:17.46
Children of Israel, he saw this
Egyptian beating an Israelite
00:27:17.49\00:27:21.56
As the Bible says... He
looked this way and that,
00:27:21.59\00:27:24.32
and seeing no man... he did it.
00:27:24.33\00:27:25.85
If you have to look this way
and that before you do something
00:27:25.88\00:27:28.86
you probably better not do it.
00:27:28.89\00:27:30.09
THAT'S good advice!
00:27:30.12\00:27:32.58
We've been talking
with Dr. Glen Wiltse
00:27:32.61\00:27:34.82
Don't WAIT until that
rope frays and breaks!
00:27:34.83\00:27:38.40
You've heard some
good information today.
00:27:38.41\00:27:40.34
We've talked
about osteoporosis...
00:27:40.37\00:27:42.08
It's a huge problem,
13.4 billion dollars a year
00:27:42.11\00:27:46.31
used in the treatment of this.
00:27:46.34\00:27:48.59
You've had some good
advice about what to do,
00:27:48.62\00:27:50.64
some very practical things.
00:27:50.67\00:27:52.02
We hope that you put
this advice to good use,
00:27:52.05\00:27:54.73
and that as a result, you have
00:27:54.76\00:27:56.83
health that
lasts for a lifetime!
00:27:56.86\00:27:57.83