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Twerski: The world is a mirror Caroline B. Glick: Time to confront Obama Clifford D. May: Defense in the Age of Jihadist Terrorism Kimberly Lankford: New strategies ease pain of paying for long-term care insurance Howard LeWine, M.D.: Ask the Harvard Experts: Too much ibuprofen? Sharon Palmer, R.D.: How to feel your best -- with plenty of energy, a healthy weight and optimal mental and physical function -- without driving yourself batty Jewz in the Newz by Nate Bloom: Jewish Major Leaguers, 2013; New Movies and Comedy Show; Shalom, 'Lumpy' (Leave it to Beaver) The Kosher Gourmet by Emily Ho : A bright and cheerful salad to herald the warmer months ahead April 24, 2013 Steven Emerson: Boston Bomber Exposes Islamist Secret Top Muslim cleric boycotts inter-faith dialogue conference attended by 'Jews' Morgan Housel Admit it: No one has any idea what's going on Harvard Health Letters: Can you get headaches from headache medication? 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Seek a second opinion The Kosher Gourmet by Diane Rossen Worthington: Corn and Curry Add Zing to Chilled Soup April 15, 2013 Rabbi Yonason Goldson: The Death of Education? Kristen Chick: Egyptian Christians respond with harsh words to attack -- rocks, Molotov cocktails, and gunfire -- against main cathedral Marcy Darnovsky and Karuna Jaggar: High Court to decide if you should own your DNA Howard LaFranchi: US bracing for more Russian blowback after taking action against 18 more human rights violators Kristin Ohlson : The loneliest fight The Kosher Gourmet by Dana Velden: A tasty, rich dish that hints at spring's arrival while still anchored in a favorite winter staple

Jewish World Review May 13, 2013/ 4 Sivan, 5773 Take steps now to prevent future bone loss By Dr. Anthony L. Komaroff http://www.JewishWorldReview.com | DEAR DOCTOR K: I'm a woman in my 40s. Both my mother and grandmother had osteoporosis. What can I do now and in the coming decades to reduce my risk? DEAR READER: All people lose bone as they age. For women, that process starts to accelerate when they enter menopause. One important reason for that is the lower level of estrogen in a woman's body after menopause begins, as estrogen helps to build bone. Osteoporosis is not inevitable, and there's much you can do to shield your bones from this disease. The basics of protecting your bones, such as getting enough vitamin D and engaging in weight-bearing exercises, remain the same throughout your life. But there are additional factors you should consider as you get older. If you haven't yet started menopause, focus on attaining and maintaining as much bone mass as possible. The more bone mass you have as you enter menopause, the less likely it is that you will develop osteoporosis. That's both scientifically proven and common sense. Monitor your diet. Get the recommended amounts of calcium and vitamin D. Dairy products are a rich source of calcium. Particularly if your cholesterol levels are on the high side, use low-fat dairy products. And a growing number of foods, such as orange juice, are calcium-fortified. Avoid cigarettes and too much alcohol. Both decrease bone mass. Perform weight-bearing exercises regularly, as they protect your bones. Inside your bones are two types of cells: One type builds up bone and the other breaks it down. Exercise stimulates the first type and inhibits the second type. Women experience their greatest period of bone loss during the early years of menopause. You can slow that process with the steps given above for what to do before menopause. In addition, do the following as well: Assess your risk. Talk to your doctor about whether you should have a bone density test. The preferred test is dual energy X-ray absorptiometry (DXA). This test is recommended for all women aged 60-65. You're in your 40s, so you and your doctor should consider if you are at particular risk for developing osteoporosis. If so, this test could provide valuable information. Re-evaluate your exercise regimen. As you age, you may need more exercise to keep from losing ground. Incorporate weights into your routine if you haven't already. Once you reach age 65, bone loss tapers off, but you are still losing bone. All of the previous suggestions still apply. In addition, consider these: Enhance your exercise routine. Learn tai chi or another exercise that improves balance and coordination to help prevent falls. Consider medication. If your bone density is below normal, talk to your doctor about whether you should take a preventive medication. Every weekday JewishWorldReview.com publishes what many in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here. To comment or ask a question, please click here. Dr. Komaroff is a physician and professor at Harvard Medical School. © 2011, The president and fellows of Harvard College DIstributed by Universal Uclick for UFS

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