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Osteoporosis: Treatment starts with prevention

April 4, 2016 by drjaffer

Most of us are familiar with the symptoms of osteoporosis. It is a fairly common condition: approximately 44 million Americans have thin bones from calcium loss! It’s very likely you have relatives with osteoporosis, and there is a reasonable chance you or someone you are close to will develop it some day.

Osteoporosis is a condition in which your bones lose the calcium from their matrix or structure and become fragile. This loss of calcium results in a decrease in bone mass and bone density, and the outer mineral layer of your bone begins to thin. The inner mesh skeleton of the bone also begins to thin. This results in very brittle and fragile bones. People who have osteoporosis are at risk for fractures that can occur with very minimal trauma. A step down the stairs, a minor fall in the house, a slight slip on ice, or in some rare cases, even a hard cough can result in bone fracture.

You might be aware that osteoporosis affects both men and women, though women are about 4 times as likely to develop it as men. And it is fairly well known that the risk of developing the condition increases with age. But did you know there are several other major risk factors, many of which are controllable?

osteoinpho

 

Treatment for osteoporosis can help mitigate the effects of the disease, but the best defense is to prepare your body in advance to fight off the approach of the disease. Taking care of yourself now can lead to a long and healthy future!

 

 

Filed Under: Featured, Men's Health, Women's Health Tagged With: men's health, osteo, osteoporosis, osteoporosis prevention, women's health

When Screening Might be a Mistake: Prostate Cancer

March 27, 2016 by drjaffer

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Prostate Cancer is the most common internal organ malignancy in men in the United States. Every year, over 30,000 men die from complications of prostate cancer,  making it the second leading cause of cancer death after lung cancer in men. All signs point to it being one of the most important cancers for doctors to discuss with their patients and to catch early.

And yet the American Cancer Society (ACS) and the United States Preventive Services Task Force (USPSTF) do not recommend routine blood testing for prostate cancer screening – even though it is effective at detecting cancer early. Why would these groups not recommend screening, in that case? It would seem to be a “common-sense” issue to most patients that an early catch equals an early cure. However, with prostate cancer, the situation is much more complicated.

An early American study published recently found that annual use of blood testing and digital exams (where a doctor physically searches for abnormalities with a finger) detected prostate cancer early, but did not lower the death rate from this malignancy. And while a recent large, well-structured study from Europe found a small benefit of blood testing, on the other hand a preliminary result of a large prostate cancer screening trial published in the New England Journal of Medicine in March 2009 showed no survival benefit from screening.

What this means is that while we don’t have much evidence that catching early prostate cancer allows us to do much about it. Furthermore, there is controversy over whether screening in older men, who might die other natural causes before the cancer took its toll, is actually improving quality of lives or simply encouraging them to undergo difficult treatment that is unlikely to extend their lifespan.

Most doctors still believe that catching early prostate cancer can save lives, and most will tell patients this if asked. Nearly every health organization recommends discussing screening options with your doctor, and knowing the warning signs of prostate cancer in order to make better decisions. But this controversy serves as a reminder that screening, even when it is effective at detecting a disease, is not always the answer for finding a cure.

Filed Under: Cancer Prevention, Featured, Men's Health, Prevention 101 Tagged With: ACS, men's health, prostate cancer, screening

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About Dr. Jaffer

Salim A. Jaffer, MD, MS, practices clinical gastroenterology in Lansing, Michigan. He received his Doctor of Medicine degree from the University of Toledo in Ohio.

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