Talk:Osteoporosis

message: The article currently does not even dare to mention the words "milk" and "dairy". This is too wimpy! Whatever the competing claims pro and con, they ought to be acknowledged, in the article; if the upshot is "nothing conclusively proven" say so... People will come to this article to try to understand if they should perhaps be drinking more milk; what is known?-71.174.175.150 (talk) 20:57, 12 November 2014 (UTC)
replies: text: as of nov 2020 it says dairy consumption is a risk factor, footnoting a source that says the opposite!  — Preceding unsigned comment added by 2003:CF:5F29:1C23:B03C:1B37:7FFF:87E0 (talk) 08:40, 24 November 2020 (UTC)
replies: text:  and citing that source as of 2014. SandyGeorgia (Talk)  08:11, 18 December 2020 (UTC)
thread_title:  Milk & Dairy 

message: Crandall, Annals of Internal Medicine, p. 716, said "most ... but not all ... original studies and meta-analyses have concluded that there is no increased risk, and concern about atrial fibrillation has faded." --Nbauman (talk) 20:35, 24 November 2014 (UTC)
thread_title:  Cardiac risks 

message: From Br Med Bull doi:10.1093/bmb/ldu042 JFW | T@lk 16:37, 5 March 2015 (UTC)
thread_title:  Genetics 

message: says: "These recommendations apply to noninstitutionalized or community-dwelling asymptomatic adults without a history of fractures. This recommendation does not apply to the treatment of persons with osteoporosis or vitamin D deficiency."  Can someone who has access to the full text explain why it is used in the "Nutrition" section here?  SandyGeorgia (Talk) 01:44, 9 April 2015 (UTC)
replies: text: Hum yes more about preventing fractures. Not about treating osteoporosis. Moved to section on prevention were it is still not ideal. Doc James (talk · contribs · email) 13:12, 18 May 2015 (UTC)
thread_title:  US Preventative Task Force 

message: ... here: doi:10.1056/NEJMcp1513724 JFW | T@lk 11:52, 21 January 2016 (UTC)
thread_title:  NEJM does postmenopausal osteoporosis 

message: 1:Vertebroplasty:-percutaneous injection of cement methyl methacrylate in vertebral bodies. 
2: kyphoplasty
3:-prptective hip pads
Khalidmehraj1993 (talk) 20:24, 29 April 2016 (UTC)
thread_title:  Non pharmacological treatment 

message: doi:10.2215/​CJN.11031017 - the specific entity of CKD-osteoporosis. JFW | T@lk 15:29, 10 June 2018 (UTC)
thread_title:  CKD 

message: The refs given make no mention of 'white people'. If the article points to trends within trial subjects of a  Caucasian background, then it should state that. The phrase "white people" means nothing at all. Anna (talk) 22:38, 2 June 2019 (UTC)
replies: text:  More than a year old, OP is correct, not addressed. SandyGeorgia (Talk)  08:35, 18 December 2020 (UTC)
thread_title: "White people?"

message: I am currently a Student Pharmacist at the University of California, San Francisco, and will be making the following edits for my Foundations II course:
* Updating information regarding Physical Exercise (last citation was from an article written in 2011)
* Updating new medication(s) available for osteoporosis
* Adding information about Milk & Dairy and addressing the talk question posted on November 12th, 2014
* Updating epidemiology information
Please let me know whether or not any of the aforementioned topics/edits are appropriate for this article. Thank you kindly!
Knguyen525 (talk) 21:53, 30 July 2019 (UTC)
replies: text: All of this needs checking, SandyGeorgia (Talk)  08:41, 18 December 2020 (UTC)
thread_title:  UCSF Foundations 2 2019, Group 6a goals 

message: --- Rachel's Peer Review (Group 6C)
* Group 6A made improvements to the article by adding a "Diet" section and elaborating more on the epidemiology of osteoporosis.
* Group 6A achieved 2 out of the 4 goals for improvement ( did not see edits for updating new medications for osteoporosis and information about physical activity.
* Group 6A's draft submission reflects a neutral point of view.
AMONGxicillin (talk) 16:20, 6 August 2019 (UTC)
replies: text: All of this needs checking, SandyGeorgia (Talk)  08:41, 18 December 2020 (UTC)
thread_title:  UCSF Foundations 2 2019, Group 6C Peer Reviews  

message: Hi,
My brother is a patient of Ostioporosis and he took Zeledronic acid in Injection format. He was advised by doctor to take that again after one year. If he took the first dose on 01.01.2019 then what is the perfect time for him to take again. I mean if he make a little bit delay like 10 days then will that ok? the previous dose will ok or shall take again? Abedinz1975 (talk) 16:18, 12 October 2019 (UTC)
replies: text: WP:NOTADVICE, need to look into why Wikipedia has no such article. SandyGeorgia (Talk)  08:39, 18 December 2020 (UTC)
replies: text:  Zoledronic acid, SandyGeorgia (Talk)  08:40, 18 December 2020 (UTC)
thread_title:  About zeledronic acid 

message: Usually some underlying cause. doi:10.1210/clinem/dgaa306  JFW | T@lk 19:27, 1 June 2020 (UTC)
thread_title:  Premenopausal osteoporosis in women 

message: Evenity/Romosozumab is a relatively new treatment for osteoporosis approved in 2019. A little bit more detailed information also on the page on Sclerostin. I think the osteoporosis section on medication should include mention of this new treatment, but it is already very well-structured and I don't really know where it would fit. Anyway, there's something to do there for some volunteer. JunasLB (talk) 19:36, 3 December 2020 (UTC)
thread_title:  New treatment option with Evenity/Romosozumab 

message: Sorry but I do not have the time to learn how to and edit the page properly. The references you need are the links in my previous comment. If you'd like more links to studies I can provide them. I am an MD and I have a Ph.D. in Nutrition.
I am just pointing out a huge mistake that promotes fear of dairy. And this fear leads to more people avoiding dairy and becoming calcium deficient. Supplementation is not a good option due to the risk of side effects. The time it is taking you to fix the error is proof that unfortunately, Wikipedia pages are not always to be trusted with correct information.  — Preceding unsigned comment added by 87.126.34.134 (talk) 06:10, 4 December 2020 (UTC)
replies: text: Thanks for posting here. I flagged your comment over at WP:MED to see if another editor in the field has time to review the two secondary sources that you have suggested. It is great to see experts on here who are willing to make these suggestions and include sources! JenOttawa (talk) 02:32, 18 December 2020 (UTC)

text: I believe these were edits from a summer 2019 course, so the course is long over. Helaine (Wiki Ed) (talk) 18:17, 18 December 2020 (UTC)
replies: text:  User:Helaine (Wiki Ed), correct, but I believe the UCSF program continues? Not sure, but I wanted to alert you to their lack of medical oversight on their student edits.  SandyGeorgia (Talk)  18:21, 18 December 2020 (UTC)
replies: text:  Thanks SandyGeorgia. they're done for this year, and won't try it again until next fall. We've been working with them to iron out the problems they've had in the past, so your feedback is helpful. Helaine (Wiki Ed) (talk) 18:25, 18 December 2020 (UTC)
thread_title:  The part about dairy is WRONG 

message: I have a COI (was in research dept of National Dairy Council when NDC was funding a lot of the calcium and osteoporosis research), so not making changes directly to the article. 
*Nutrition subsection, first paragraph, there are two sentences that while referenced, are not relevant to osteoporosis: "Furthermore, the same review found moderate-quality evidence that the combination of vitamin D and calcium supplementation increases the risk for developing kidney stones in this population.[96] The evidence was insufficient to determine if supplementation with vitamin D, calcium, for the combination of both had an effect on the risk of cancer, cardiovascular disease, or death from any cause.[96]"
:doneJenOttawa (talk) 12:58, 20 December 2020 (UTC)
replies: text: Note: I left in the potential side effects of calcium supplementation for now... although not directly related to osteoporosis, if moved right after the sentences talking about calcium supplementation, it may be helpful? Please let me know what you think.JenOttawa (talk) 12:31, 20 December 2020 (UTC)
replies: text: I started to look at this, will take more time for sure and some work.JenOttawa (talk) 12:58, 20 December 2020 (UTC)

text: this has been removed by another editor. JenOttawa (talk) 12:58, 20 December 2020 (UTC)

text:  do you mind reviewing my attempts at the prevention- potentially modifiable- section?JenOttawa (talk) 12:31, 20 December 2020 (UTC)

text:  Thanks for the help, David notMD.  I struggle to understand how the Vitamin D and calcium supplementation text does not relate to osteoporosis. I am surely not in a minority as a woman who was prescribed precisely that as soon as I turned 50, allegedly to avoid osteoporosis, and sure enough, I developed kidney stones within a few years.  Women routinely wonder if they need calcium supplementation to avoid osteoporosis post-menopause, it was routinely prescribed in the not-too-distant past, and women will expect to find the updated facts in this article.  (When I quizzed the urologist about whether the calcium might have caused my out-of-nowhere kidney stones in 2009, he insisted there was no connection ... lo and behold, five years later, the facts were known.  He was wrong, I was right.)  I believe this is still relevant to women's health, and it seems the source does, too. Please help me understand why you find it not relevant?  Since calcium can be purchased over-the-counter, women may still believe they should be taking it.  Best, SandyGeorgia (Talk)  01:56, 19 December 2020 (UTC)
replies: text: David notMD, would it be fair to summarize those studies as "taking Calcium pills to prevent osteoporosis won't help and might hurt"? WhatamIdoing (talk) 02:24, 19 December 2020 (UTC)

text: Perhaps an over-simplification, as the refs are conflicted on calcium supplements. As to SG's question, how about in first paragraph, delete just the sentence starting with "The evidence was insufficient..." while leaving the kidney stones mention. Third paragraph needs to be clear on which adverse effects are from calcium and which from vitamin D. Kidney stones mentioned in it, so why mention stones in first and third paragraph? David notMD (talk) 03:27, 19 December 2020 (UTC)
replies: text: And, time to delete the maps. The calcium world map is in Calcium and Calcium in biology, but in my opinion does not belong here. In passing, both of those articles need improvement vis-a-vis bone health. The world map of serum vitamin D adds nothing, because there is no connection made between serum concentration and osteoporosis in those countries. David notMD (talk) 10:45, 19 December 2020 (UTC)
replies: text: Thanks for all these great suggestions. I can see that the  map has been removed. I would be happy to help with some of the content improvements. I will work on them live. Please do jump in adjust my edits if you disagree! I added bullets to David's suggestion and noted what has been done. JenOttawa (talk) 12:31, 20 December 2020 (UTC)
thread_title:  Suggested changes 

message: I am doing direct editing here, because unlike for the Nutrition subsection, I have no COI. David notMD (talk) 16:24, 19 December 2020 (UTC)
replies: text: I really appreciate your help, and I admire your willingness to follow the highest standards around COI. WhatamIdoing (talk) 01:45, 27 December 2020 (UTC)
thread_title:  Physical exercise subsection