March 25, 2024

The Bone Drug Facade

The Bone Drug Facade

By Dr. Linda J. Dobberstein, DC, Board Certified in Clinical Nutrition

Do you ever wonder what your bones look like when it comes to bone density, especially if you take a drug for osteoporosis? I recently had the opportunity to hear eye-opening comments on this at a continuing education seminar. The doctor giving the lecture shared his discussion with an orthopedic surgeon who had performed surgeries on patients taking osteoporosis medications like bisphosphonates (Fosamax, etc). On imaging scans bone density appeared good. However, it was a very different story for the overall health of the bones.  

During surgery, the orthopedist said he often found that bone quality was compromised in individuals chronically treated with bisphosphonates. He described it as if the outer bone matrix was wrapped in a thin layer of aluminum foil or was like the outer shell of M&M candies. The drugs made the outer shell of the bone appear superficially strong, but the overall true quality of the bones’ external and internal structures was compromised.

 

Bone loss is not something you notice until something goes terribly wrong. Bone growth, microstructure, mineralization, and compounds necessary for bone density depend upon nutrition and inflammation management, not a disfigured, compromised form of bone on the outside and inside. 

 

If you or a family member has a history of fractures or risk factors for impaired bone density, you likely have had the conversation of being prescribed a drug for osteoporosis. Bisphosphonate bone drugs/Bone Resorption Inhibitors (Reclast, Zometa, Fosamax, etc) come with numerous side effects like sudden thigh bone fractures, osteonecrosis of the jaw (death of the jawbone), cancer of the esophagus, and harm to unborn baby. 

 

Other common side effects include kidney damage, other bone, muscle, or joint pain, atrial fibrillation, anemia, asthma, progression of cancer, constipation, diarrhea, vomiting, urinary tract infection, anxiety, low magnesium and potassium levels, low blood pressure, and other symptoms. 

 

If you had your choice, do you choose the dedication of implementing a healthy diet and lifestyle or the “M&M” appearance of your bones during surgery to repair a fracture? My vote is for mindful, healthy choices – a nutrient-rich blend of plant and animal foods and beverages without added sugar. 

 

Feed your bones and engage in healthy physical activity so they can last you for a lifetime! Check out these valuable resources!