Voor de liefhebber:
Optimal use of vitamin D when treating osteoporosis.
van den Bergh JP, Bours SP, van Geel TA, Geusens PP.
Source
Department of Internal Medicine, VieCuri Medical Centre Noord-Limburg, PO Box 1926, 5900 BX, Venlo, The Netherlands. jvdbergh@hetnet.nl
Abstract
Inadequate serum 25-hydroxyvitamin D (25[OH]D) concentrations are associated with muscle weakness, decreased physical performance, and increased propensity in falls and fractures. This paper discusses several aspects with regard to vitamin D status and supplementation when treating patients with osteoporosis in relation to risks and prevention of falls and fractures. Based on evidence from literature, adequate supplementation with at least 700 IU of vitamin D, preferably cholecalciferol, is required for improving physical function and prevention of falls and fractures. Additional calcium supplementation may be considered when dietary calcium intake is below 700 mg/day. For optimal bone mineral density response in patients treated with antiresorptive or anabolic therapy, adequate vitamin D and calcium supplementation is also necessary. Monitoring of 25(OH)D levels during follow-up and adjustment of vitamin D supplementation should be considered to reach and maintain adequate serum 25(OH)D levels of at least 50 nmol/L, preferably greater than 75 nmol/L in all patients.
Optimal use of vitamin D when treating osteoporosis.
van den Bergh JP, Bours SP, van Geel TA, Geusens PP.
Source
Department of Internal Medicine, VieCuri Medical Centre Noord-Limburg, PO Box 1926, 5900 BX, Venlo, The Netherlands. jvdbergh@hetnet.nl
Abstract
Inadequate serum 25-hydroxyvitamin D (25[OH]D) concentrations are associated with muscle weakness, decreased physical performance, and increased propensity in falls and fractures. This paper discusses several aspects with regard to vitamin D status and supplementation when treating patients with osteoporosis in relation to risks and prevention of falls and fractures. Based on evidence from literature, adequate supplementation with at least 700 IU of vitamin D, preferably cholecalciferol, is required for improving physical function and prevention of falls and fractures. Additional calcium supplementation may be considered when dietary calcium intake is below 700 mg/day. For optimal bone mineral density response in patients treated with antiresorptive or anabolic therapy, adequate vitamin D and calcium supplementation is also necessary. Monitoring of 25(OH)D levels during follow-up and adjustment of vitamin D supplementation should be considered to reach and maintain adequate serum 25(OH)D levels of at least 50 nmol/L, preferably greater than 75 nmol/L in all patients.

echt geen idee zal het is na zien, kreeg het van men vader die zei pak gwn 10druppels per dag. Ik had een paar maand geleden barst in men elleboog van daar. Heb ook al jaren last van men duim gewricht, had een open bot breuk en ze hebben dat gewricht gereconstrueert maar is nooit echt volledig hersteld
dus probeer zoveel mogelijk van die dingen wel uit maar echt helpen doet het niet, ik denk er aan het terug te laten breken & operreren want volgens de kine hebben ze toen maar een snel snel rommel oplossing van gemaakt.