If medication is required, the bisphosphonates that you are taking, such as alendronate (Fosamax), are considered the first-line treatment for men. Men work the same as women, slowing bone resorption. As with women, treatment should be reassessed after 5 years. In many cases it is appropriate to suspend or discontinue the medication.
The last column I think you are referring to was raloxifene, an estrogenic drug that is not suitable for men. Denosumab or teriparatide is a bisphosphonate alternative for men with osteoporosis.
Dear Dr. Roach • The tap water at home is high in sodium. A letter from the city says that it contains sodium at a concentration of 85.8 mg / l. I don’t drink much water, but I use ice made from this water. My cardiologist asked me to lower the sodium as much as I could. There is a stenosis of the mitral and aortic valves. I received chemotherapy and radiation for Hodgkin’s disease in 1985-86.
My research does not show how to treat water to reduce sodium. Also, buying water is expensive and cumbersome to store. — TF
Answer • Sodium reduction is an appropriate goal for most North Americans. However, drinking water is usually not a significant source of sodium. It rarely accounts for more than 5% of sodium intake. In some parts of the country, the water is naturally high in sodium and may be introduced into the water supply by salting roads. Or you can add it via a water softener. Maybe they are cooking together even if they don’t drink much. The amount of sodium in drinking water makes little difference to a person’s medical condition. This could be one of those cases.
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