Saturday, November 29, 2025

Calcium loss does not begin with weak bones: Harvard-trained gut doctor reveals early red flags you should never ignore

A growing number of young adults are walking into clinics with symptoms they cannot explain, and according to a Harvard trained gastroenterologist, many of these early clues point toward calcium deficiency long before bones begin to weaken. In a recent Instagram video, Dr Saurabh Sethi, an AIIMS graduate who later trained at Harvard and Stanford, explained that calcium loss often announces itself through subtle neurological signs rather than fractures. His remarks were highlighted in a report based on the transcript of his video.

The First Warning Sign Shows Up in Your Fingers

Dr Sethi says the earliest red flag is tingling or numbness in the fingertips, a sensation people often overlook. As he explains in the video, when calcium levels drop, nerves become unusually excitable, which leads to small muscle twitches and persistent tingling. He calls this the body’s “alarm bell” that most people ignore until symptoms escalate.

To correct low calcium levels, Dr Sethi suggests turning to fortified plant based milk, tofu, sesame seeds and leafy greens, especially for those who avoid dairy. He emphasises that none of it will work unless the body has enough vitamin D, because “without it, calcium just passes through.”

Why Vitamin D Could Be the Missing Piece

His advice aligns with a recent post by Apollo Hospital surgeon Dr Anshuman Kaushal, who clarified in a separate report that Vitamin D functions like a steroid hormone and is central to the body’s calcium economy. Describing it as an “internal solar panel,” Dr Kaushal explained that nearly half the population unknowingly blocks its production by staying indoors, covering up excessively or relying heavily on high SPF sunscreens.

Low vitamin D, he warned, can derail bone health, immunity and nerve function. The Endocrine Society’s 2024 guidelines recommend 1,000 to 2,000 IU daily for adults, with higher short term doses for those severely deficient. Dr Kaushal, however, cautions against self prescribed supplements and urges people to get tested before starting treatment.

Sunshine, Smart Diet and Sensible Testing

While supplements may seem like the easiest fix, both experts agree that lifestyle remains the cornerstone of preventing deficiencies. Dr Kaushal recommends 10 to 15 minutes of morning sunlight with arms and legs exposed, along with foods such as eggs, fish and fortified milk.

Dr Sethi, meanwhile, reminds viewers that early symptoms matter. Tingling, muscle twitching and unexplained fatigue are signs that deserve attention, especially when paired with poor sunlight exposure or limited calcium intake.

A Modern Epidemic Driven by Everyday Habits

From indoor routines to heavily marketed supplements, doctors say lifestyle has quietly shifted in ways that compromise calcium and vitamin D status. Both specialists urge people to catch issues early rather than wait for bone related complications to appear.

Calcium deficiency does not start with fractures. It begins in the fingertips, travels through the nerves and eventually shows up in the bones if ignored for too long. And as Dr Sethi’s message makes clear, those small tingles may be telling you more than you realise.

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

 

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Monday, November 25, 2019

Smoking, obesity can negatively impact your health

A recent study has examined if obesity and smoking, which are known to impact negative effects on bone health, can also affect healing in patients, who had surgery for fractures of the wrist or the distal radius.

For the study,  the investigators analysed data on patients surgically treated for a distal radius fracture between 2006 and 2017 at two trauma centres.

The 200 patients were divided into obese and non-obese groups (39 and 161 patients, respectively) and were also characterised as current, former, and never smokers (20, 32, and 148 patients, respectively) based on self-reported cigarette use.

The recent study is led by a team at Beth Israel Deaconess Medical Centre (BIDMC).

At three-month and one-year follow-ups after surgery, both the obese and non-obese groups achieved acceptable scores that pertained to patient-reported function in the upper extremity -- close to those of the general population.

The two groups were also similar in regards to the range of motion and bone alignment.

At three months, smokers demonstrated worse scores related to arm, shoulder, and hand function and a lower percentage of healed fractures, but these effects improved over the course of a year. Complications were similar between groups.

"Overall we found that we can achieve excellent clinical and radiographic outcomes with surgery for displaced wrist fractures in patients who are obese and in those who smoke," said senior author of the study.

"Our results show that treatment for distal radius fractures in obese and smoking patients is safe, and these patients may be treated as the general population with similar long-term results. Their short-term outcomes, however, demonstrate higher disability and, in the case of smokers, slower fracture healing," added the researcher.

The researcher stressed that obesity and smoking are currently considered among the two most important preventable causes of poor health in developed nations, and both are modifiable risk factors.

"As such, we believe that lifestyle interventions focusing on weight loss and smoking cessation should be emphasised whenever possible," she said.

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     
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Friday, October 18, 2019

Steroid injections for hip and knee may be harmful

Commonly given hip and knee steroid intra-articular injections may be harmful to some patients with at-risk conditions, according to a new study.

Corticosteroid injections are often given to reduce pain and inflammation  from osteoarthritis.

Researchers  have found accelerated arthritis and joint destruction  can be the unintended result of intra-articular corticosteroid injections.

“We are now seeing that these injections can be very harmful to the joints with serious complications such as osteonecrosis, subchondral insufficiency fracture and rapid progressive osteoarthritis,” said study author .

“Intra-articular corticosteroid injection should be seriously discussed for pros and cons. Critical considerations about the complications should be part of the patient consent which is currently not the case right now,” he added.

Osteoarthritis of the hip and knee is among the most common joint disorders.

A frequently performed treatment for osteoarthritis and other joint related pain syndromes are intra-articular corticosteroid injections, yet there is conflicting evidence on their potential benefit.

For the study, the researchers conducted a search on patients they had injected in the hips and knees during 2018.

They found that eight per cent had complications, with 10 per cent in the hips and four per cent in the knees.

The researchers also suggest that the radiologic community should actively engage in high-quality research on this topic to better understand potential at-risk conditions prior to intervention, and to better understand potential adverse joint events following these procedures to avoid possible complications.

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   
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Sunday, September 22, 2019

Protein that can slows down fracture-healing

Researchers have found that a few proteins which are more prevalent in older people prevent the fractured bones from healing.

Duke Scientists hope this discovery will lead to new treatments to help people heal after injuries or surgeries.

“When we decreased the protein level, aging was reversed,” said senior author. “Not only was there more bone and healing happened faster, but it was also structurally more sound.”

The team confirmed that older people have more Apolipoprotein E, ApoE for short, than younger people, reported the study.

They wanted to figure out if and how ApoE affects the multi-step process of bone healing.

When you break a bone, your body sends signals through the bloodstream to recruit cells to fix it.
At last a different kind of cell eats up the cartilage scaffolds and osteoblasts fill those holes with bone.

“Over time, this cartilage will continue to be resorbed and osteoblasts will continue to deposit new bone,” Baht explained. “After a few months of your arm or leg healing, there will be almost no cartilage anymore. And if you were to look at it five years out, there’d be no sign of an injury anymore.”

That’s if the bone healing process works perfectly. But the researchers found that if they added ApoE to a petri dish with skeletal stem cells, fewer cells developed into osteoblasts and the osteoblasts were worse at building bones.

“We wanted to see if the cell population was more or less capable of becoming osteoblasts,” Baht said. “[Normally,] you put these cells down in a petri dish for about a month and the dish becomes so hard that you can’t even scratch the surface because they’ve made two-dimensional bone there. ApoE-treated cells are still able to do this, they just don’t do it as much or as well.”

Next, the researchers created an intervention by injecting a virus which keeps mice from making Apolipoprotein E. Circulating ApoE levels dropped by 75 per cent and the healed bones contained one and a half-times more strong, hard bone tissue than bones of untreated mice.


this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   
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https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
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Friday, August 30, 2019

Women over 50 prone to osteoporosis

Osteoporosis, which leads to weak and brittle bones, is on the rise among women in India.

The ailment sets in when the bone density decreases, where the body reabsorbs more bone tissue and produces less to replace it. The bones become weaker and increase the risk of fractures mainly in hips, wrists and spinal cord.

Worldwide, osteoporosis causes more than 8.9 a million fractures annually, resulting in an osteoporosis fracture every 3 seconds.

Among adults in India, Vitamin D deficiency is associated with low bone mass and muscle weakness, which results in an increased risk of fractures and bone disorders such as osteoporosis.

A recent study revealed that 70%-90% of Indians are Vitamin D deficient. By the age of 80, nearly half of all women show on an X-ray that they have had a fracture of their spine. It also showed that pregnant women in India have up to 84% Vitamin D deficiency.

Osteoporosis falls into two categories
Senile Osteoporosis (age related both in men and women) and postmenopausal osteoporosis (mainly in women). In order to stay healthy and to avoid bone-related issues a minimum intake of 300 mg calcium is mandatory. As the elderly patients are increasing in the country, the number of cases is also on the rise.


Even younger generation is vulnerable to osteoporosis due to their life styles, dietary habits, lack of sunlight exposure and calcium, exercise and obesity.

Women more vulnerable Estrogen is important in the body to maintain good bone health. Women’s ovary stops functioning once they stop menstruating and the estrogen level in the body is gradually reduced.

When estrogen level is reduced menopause (A natural decline in reproductive hormones when a woman reaches her late 40s or early 50s) comes in. In post menopause the quality of the bone goes on decreasing.

This can be prevented if the women is physically active, doing exercises maintaining body weight and other physical activity.

As for women being more prone to the ailment, a senior orthopedic surgeon  said, “In Bengaluru approximately 30% to 40% are suffering from osteoporosis, where 80% of the population with osteoporosis is women over the age of 50 years. After menopause, women lose about 1% to 2% of their bone density. The bone quality  decreases gradually and unless women are physically active, maintain ideal body weight, take regular calcium and vitamin D supplements, the will be vulnerable osteoporosis.”

THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.                                                                                                                                                                            PS- THOSE INTERESTED IN RECIPES ARE FREE TO  VIEW MY BLOG-                                                                                           https://gseasyrecipes.blogspot.com/                                                                                                                                                FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG-                                                                                  https:// kneereplacement-stickclub.blogspot.com/                                                                                                                      FOR CROCHET DESIGNS                                                                                                   
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Tuesday, June 11, 2019

Causes Of Tingling Sensations In the Back

We often underestimate a sensation of tingling or numbness in the back and dismiss it as our back simply “falling asleep” much like our hands or legs often do, but these symptoms may indicate a bigger problem. An unexplained, new or persistent occurrence of pins and needles sensations, also called paresthesia, in the back can be caused by nerve damage.
Many equally serious conditions ranging from spinal injuries to tumors can cause paresthesia in the back, and all of these conditions require medical attention, so if you experience persistent tingling and numbness in your back along with some of the other symptoms we will list, it definitely warrants a doctors visit. You can read about the 7 most common conditions that cause tingling in the back below.

1. Spinal infections

tingling in the back causes Spinal infections
Several strands of bacteria or fungi can sometimes penetrate the spinal column, causing inflammation and damaging your nerves, which can cause tingling in the back. These infections can occur as a complication of surgery and injury, or they develop spontaneously.
People who are at risk of developing spinal infections are those who suffer from chronic conditions like diabetes, HIV, cancer, obesity and those who are taking immunosuppressants. The symptoms can vary from hardly noticeable to debilitating depending on the severity of the condition, but they do tend to worsen with time.
The most common symptoms of spinal infections include:
  • A stiff and painful back
  • Numbness or tingling in the back, but can also occur in the limbs
  • Fever, chills, and headaches
  • The skin in the affected area can be hot, tender to the touch and red
  • Spasms and muscle weakness.

2. Fibromyalgia

tingling in the back causes  Fibromyalgia
Fibromyalgia is a chronic condition the causes of which are still unknown, but scientists today have begun to understand that there is both a biological and psychological aspect to it. The condition is more common in women than it is in men, and it can manifest itself very differently.
Most patients suffering from fibromyalgia have specific tender points around the different joints in the body that are tender to the touch and often become very painful. Some patients also experience tingling and numbness in different parts of the body.
Other biological and psychological symptoms of fibromyalgia include:
  • Headaches
  • Fatigue and trouble falling asleep
  • Depression and anxiety
  • Brain fog and difficulty concentrating.

3. Arteriovenous malformations

tingling in the back causes Arteriovenous malformations
An arteriovenous malformation (AVM) is an abnormally shaped or tangled blood vessel. These tangled blood vessels develop while a baby is still in their mother’s womb, but scientists aren’t sure why they occur.
AVMs can develop in any part of the body, but they are typically found when they occur in the brain or spinal cord because, in these cases, they can cause severe symptoms. The main problem with these malformations is that it can block or otherwise affect blood flow to certain body parts and nerves in particular.
Depending on the location, AVMs can cause the following symptoms:
  • Tingling, numbness and back pain
  • Headaches and dizziness
  • Seizures
  • Vision problems
  • Memory loss or confusion
  • Speech problems
  • Loss of coordination.
 4. Spondylolisthesis 
tingling in the back causes Spondylolisthesis

Our spines are complicated and fragile systems, and one weak or misplaced link can disrupt the entire system. In spondylolisthesis, one of the vertebrae in the spine, typically in the lower back slips out of its place, and sometimes, this misplacement can press on a nerve, causing tingling and pain in the affected area.
This pain and tingling can even radiate to the thighs and worsen with physical activity. Sitting and leaning forward can usually relieve the pain. The compressed nerve can manifest itself through other symptoms as well, such as:
  • A stiff back
  • Weakness in the legs
  • Difficulty walking and standing for extended periods of time.

5. Spinal fractures

tingling in the back causes  Spinal fracture
Fractured vertebrae, too, can cause numbness and tingling in the back. Like any other fractures, spinal fractures are usually the result of trauma and injury, but people with weakened bones and the elderly can get these fractures more easily.
The majority of spinal fractures happen in the lower or middle parts of the back, and they can be very painful and make it difficult to stay active, as movement usually worsens the pain. When the fracture causes severe nerve damage, these fractures can make it difficult for the patient to move their legs or even control their bladder and bowel movements.

6. Spinal cord tumor

tingling in the back causes Spinal cord tumor
Both malignant and benign tumors in or near the spine can cause a pins and needles sensation in the back. Benign tumors can press on the spinal cord, whereas malignant tumors can also invade the surrounding tissue, both of which can affect the nerves. The symptoms and their severity depend on the location of the tumor, as well as its size, but the most common symptoms include:
  • Back pain
  • Numbness and paresthesia in the back, neck or limbs
  • Weakness and poor coordination in the limbs
  • Insensitivity to temperature or pain
  • Incontinence.

7. Shingles

tingling in the back causes Shingles
Shingles is an itchy and painful rash that can develop on any area of the skin, typically on the back or neck. The rash develops into painful blisters filled with liquid that eventually turn into scabs and clear up in a month. Both shingles and chickenpox are caused by the same virus, and a person can get shingles only if they had chickenpox because the varicella zoster virus stays dormant in the body all your lifetime.
Unlike chickenpox, however, it is possible to get shingles more than once and the severity of the symptoms can vary each time. Before a rash appears, some patients experience itching, tingling and burning sensations in the area. Like any other viral infection, shingles can come with headaches, fever, chills and an upset stomach.
THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.                                    PS- THOSE INTERESTED IN RECIPES ARE FREE TO  VIEW MY BLOG-                                                                                           https://gseasyrecipes.blogspot.com/                                                                                                                                                FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG-                                                  https:// kneereplacement-stickclub.blogspot.com/  
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