Skeleton Pirate

Skeleton Pirate
Artist: LindaB

WELCOME TO STRONTIUM FOR BONES BLOG

Have you experienced, or read about, negative, and even dangerous, side effects from Fosamax (alendronate), Boniva (ibandronate), Actonel (risedronate), and other bisphosphonates prescribed for osteoporosis? If you have, then rest assured there is a safe, effective treatment for this condition. Strontium, primarily in the form of strontium citrate, is taken orally once a day.

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Saturday, November 15, 2014

Update on Stopping Strontium before Total Calcium Test



I just got my latest total calcium results. I stopped taking strontium citrate for 17 days prior to my blood collection date of 11/13/2014. My result was 9.8 mg/dL, with a reference range of 8.5 to 10.5 mg/dL.

I began stopping the strontium for several days prior to blood draws as of 07/24/2012. I also switched laboratories on that date. My calcium results have all been normal. The 10.3 result of 07/24/2012 was high normal, according to the reference range for the new laboratory.

Collection Date     Stopped Strontium?          Total Calcium           Ref. Range
11/13/2014            Yes, 17 days before test          9.8                     8.5-10.5
11/12/2013            Yes, 12 days before test           9.5                    8.5-10.5 
07/24/2012            Yes, 11 days before test         10.3                    8.5-10.5

Prior to 07/24/2012, I was either not stopping my strontium or stopping just a day before blood collection. I had one high calcium result on 12/28/2009 (10.3 with reference range of 8.6-10.2 mg/dL). You will note all these earlier calcium tests were done at a different laboratory, with a different reference range.

Collection Date     Stopped Strontium?          Total Calcium           Ref. Range
12/09/2010            Yes, night before test               9.8                     8.6-10.2
12/28/2009                       No                                10.3 H                8.6-10.2
03/19/2009                       No                                   9.7                   8.6-10.2
01/06/2009                       No                                10.1                    8.6-10.2

The reason for stopping strontium for at least 12 days prior to blood or urine collection for calcium:
I have read that strontium reaches peak blood levels in 12 days of strontium intake. Servier, the manufacturer of strontium ranelate, has stated that sr. ranelate interferes with colorimetric tests for calcium. Automated total serum calcium tests are colorimetric. Urine calcium tests are usually colorimetric. If you stop taking strontium for 12 days or more, your blood level should be significantly lower than peak level. Therefore, it may be a good idea to stop taking strontium 12-14 days prior to having blood drawn for a total serum calcium and prior to collecting urine for a urine calcium test. Urine calcium values may vary considerably and are only meaningful if the patient is kept on a low-calcium, neutral-ash diet for three days before collection.

I’m not sure if stopping strontium citrate prior to specimen collection for calcium tests has made a difference for me or not, but I want to avoid another high calcium result. I have had one, and it was most likely falsely elevated by strontium.

Sunday, November 2, 2014

Stopping Strontium Before Total Calcium Test

I started taking strontium citrate in 01/2008. In 2009, I had three tests for total serum calcium as part of three comprehensive metabolic panels (CMPs). On those occasions, I did NOT stop taking strontium prior to blood collection. The first two results were normal (10.1 & 9.7), but the third was slightly elevated (10.3, reference range 8.6 to 10.2 mg/dL). In 2010, I skipped my strontium dose the night before the test; my calcium was normal (9.8). In 2012, I switched labs and stopped taking strontium for 11 days prior to the test. My calcium was 10.3 but fell within the reference range (8.5 to 10.5 mg/dL) for the new lab. In 2013, I stopped strontium for 12 days before the test, and my calcium was 9.5.

Collection Date     Stopped Strontium?          Total Calcium           Ref. Range
01/06/2009                       No                               10.1                        8.6-10.2
03/19/2009                       No                                 9.7                        8.6-10.2
12/28/2009                       No                               10.3 H                    8.6-10.2
12/09/2010            Yes, night before test               9.8                       8.6-10.2
07/24/2012*          Yes, 11 days before test         10.3                     *8.5-10.5
11/12/2013            Yes, 12 days before test           9.5                      8.5-10.5 

*2012, switched labs-- Note different reference range.
All values are in mg/dL.

I have read that strontium reaches peak blood levels in 12 days of strontium intake. Servier, the manufacturer of strontium ranelate, has stated that sr. ranelate interferes with colorimetric tests for calcium. Automated total serum calcium tests are colorimetric. Urine calcium tests are usually colorimetric. If you stop taking strontium for 12 days or more, your blood level should be significantly lower than peak level. Therefore, it may be a good idea to stop taking strontium 12-14 days prior to having blood drawn for a total serum calcium and prior to collecting urine for a urine calcium test. Urine calcium values may vary considerably and are only meaningful if the patient is kept on a low-calcium, neutral-ash diet for three days before collection.


Using myself as a test subject, I do not have sufficient data to determine whether stopping strontium citrate for 12-14 days prior to a blood test significantly affects my total serum calcium levels. Stay posted. I am due for another blood test in a couple of weeks and am stopping strontium for more than 12 days before the test.

Tuesday, October 21, 2014

Accumulation of bone strontium measured by in vivo XRF in rats supplemented with strontium citrate and strontium ranelate

Wohl GR, Chettle DR, Pejović-Milić A, Druchok C, Webber CE, Adachi JD, Beattie KA

Bone 2013



Strontium ranelate is an approved pharmacotherapy for osteoporosis in Europe and Australia, but not in Canada or the United States. Strontium citrate, an alternative strontium salt, however, is available for purchase over-the-counter as a nutritional supplement. The effects of strontium citrate on bone are largely unknown.

The study's objectives were (1) to quantify bone strontium accumulation in female Sprague Dawley rats administered strontium citrate (N=7) and compare these levels to rats administered strontium ranelate (N=6) and vehicle (placebo) (N=6) over 8 weeks, and (2) to verify an in vivo X-ray fluorescence spectroscopy (XRF) system for measurement of bone strontium in the rat. Daily doses of strontium citrate and strontium ranelate were determined with the intention to achieve equivalent amounts of elemental strontium. However, post-hoc analyses of each strontium compound conducted using energy dispersive spectrometry microanalysis revealed a higher elemental strontium concentration in strontium citrate than strontium ranelate.

Bone strontium levels were measured at baseline and 8 weeks follow-up using a unique in vivo XRF technique previously used in humans. XRF measurements were validated against ex vivo measurements of bone strontium using inductively coupled plasma mass spectrometry. Weight gain in rats in all three groups was equivalent over the study duration. A two-way ANOVA was conducted to compare bone strontium levels amongst the three groups. Bone strontium levels in rats administered strontium citrate were significantly greater than in rats administered strontium ranelate and vehicle. ANCOVA analyses were performed with Sr dose as a covariate to account for differences in strontium dosing. The ANCOVA revealed differences in bone strontium levels between the strontium groups were not significant, but that bone strontium levels were still very significantly greater than vehicle.




Monday, October 20, 2014

Monitoring bone strontium intake in osteoporotic females self-supplementing with strontium citrate with a novel in-vivo X-ray fluorescence based diagnostic tool

Bone 2014
 
Moise H, Chettle DR, Pejović-Milić A

Ten female volunteers were recruited as part of the Ryerson and McMaster University Strontium (Sr) in Bone Research Study to have their bone Sr levels measured as they self-supplemented with Sr supplements of their choice. Of the ten volunteers, nine were suffering from osteopenia and/or osteoporosis. Non-invasive bone Sr measurements were performed using an in vivo x-ray fluorescence (IVXRF) I-125 based system. Thirty minute measurements were taken at the finger and ankle, representing primarily cortical and trabecular bone, respectively. For analysis, the 14.2keV Sr K-alpha peak normalized to the Coherent peak at 35.5keV was used.

Baseline readings, representing natural bone Sr levels were acquired since all volunteers had no previous intake of Sr based supplements or medications. Once Sr supplements were started, a 24h reading was taken, followed by frequent measurements ranging from weekly, biweekly to monthly. The longest volunteer participation was 1535days. The mean baseline Sr signal observed for the group was 0.42±0.13 and 0.39±0.07 for the finger and ankle, respectively. After 24h, the mean Sr signal rose to 1.43±1.12 and 1.17±0.51, for the finger and ankle, respectively, representing a statistically significant increase (p=0.0043 & p=0.000613).

Bone Sr levels continued to increase throughout the length of the study. However the Sr signal varied widely between the individuals such that after three years, the highest Sr signal observed was 28.15±0.86 for the finger and 26.47±1.22 for the ankle in one volunteer compared to 3.15±0.15 and 4.46±0.36, for the finger and ankle, respectively in another. Furthermore, while it was previously reported by our group, that finger bone Sr levels may plateau within two years, these results suggest otherwise, indicating that bone Sr levels will continue to rise at both bone sites even after 4years of Sr intake.

http://www.ncbi.nlm.nih.gov/pubmed/24434614

Monitoring bone strontium levels of an osteoporotic subject due to self-administration of strontium citrate with a novel diagnostic tool, in vivo XRF: a case study

Bone 2012


Moise H, Adachi JD, Chettle DR, Pejović-Milić A

A previously developed in vivo X-ray fluorescence (IVXRF) I-125 based system was used to measure bone strontium levels non-invasively in an osteoporotic female volunteer. The volunteer was recruited in December 2008, as part of the Ryerson and McMaster University Strontium in Bone Research Study and measured at twice weekly, weekly and monthly intervals. Thirty minute measurements were taken at the finger and ankle bone sites, representing primarily cortical and trabecular bone, respectively and the strontium K-alpha X-ray peak at 14.16 keV was used in the analysis.

Since the volunteer had no prior history of strontium based medications or supplementation, baseline natural strontium levels were obtained followed by a 24h measurement of first intake of strontium citrate supplements (680 mg Sr/day). While the baseline levels of 0.38 ± 0.05 and 0.39 ± 0.10 for the finger and ankle, respectively, were on par with those previously reported in Caucasians among twenty-two healthy non-supplementing strontium individuals by our group, an increase began to be seen after 24 hrs of 0.62 ± 0.14 and 0.45 ± 0.12 for the finger and ankle, respectively. By 120 h, the increase was statistically significant at 0.68 ± 0.07 and 0.93 ± 0.05, respectively. Further increases occurred within an interval of 90-180 days, with the most recent, after 800 days, at the finger and ankle being 7 and 15 times higher than the initial baseline reading.

The intriguing results show bone strontium incorporation and retention follow a pattern, suggesting strontium levels, at least in the ankle, do not plateau within two to three years and will continue to increase over time, as an individual takes strontium supplements. The ability of this IVXRF system to monitor and measure bone strontium levels over time provides a useful diagnostic tool to help gain insight into strontium bone kinetics.

http://www.ncbi.nlm.nih.gov/pubmed/22549020

Saturday, October 18, 2014

VITAMIN B12


http://www.webmd.com/vitamins-supplements/ingredientmono-926-vitamin%20b12.aspx?activeingredientid=926&activeingredientname=vitamin+b12

WebMD rates vitamin B12 as likely effective for high level of homocysteine in the blood (Hyperhomocysteinemia). “Taking vitamin B12 by mouth, along with folic acid and sometimes pyridoxine (vitamin B6), can lower blood levels of homocysteine.”

High levels of homocysteine in the blood are associated with increased risk of fractures, cardiovascular disease and dementia.

WebMD writes that there is insufficient evidence for using vitamin B12 for canker sores. Here is a quote: “Early research shows that taking vitamin B12 1000 mcg under the tongue (sublingually) might help reduce the number of canker sore outbreaks, the duration of outbreaks, and pain caused by the canker sores.”


Aphthous stomatitis, or recurrent aphthous ulcers (RAUs) or canker sores, are among the most common oral mucosal lesions physicians and dentists observe. See “Vitamin B12 for the treatment of recurrent aphthous stomatitis.” This study had success with sublingual vitamin B12 tablets at a dose of 1000 mcg.
http://www.ncbi.nlm.nih.gov/pubmed/20023621



I can tell you that vitamin B12 does work for canker sores and will not just reduce the number and duration of outbreaks, but stop the outbreaks altogether IF you take a sufficient amount of the right supplement. I recommend Solgar sublingual methylcobalamin (vitamin B12), 5000 mcg daily. Methylcobalamin is the active coenzyme form of B12. My husband used to be plagued with canker sores but hasn’t gotten them since using this product. When he used 5000 mcg vitamin B12, but not the methylcobalamin form, he still got an occasional sore.

Wandering Skeleton

Wandering Skeleton
Artist: Joel Hoekstra

Osteoporotic Bone

Osteoporotic Bone
Source: www.mayoclinic.com

How Strontium Builds Bones

Strontium is a mineral that tends to accumulate in bone. Studies have shown that oral doses of strontium are a safe and effective way to prevent and reverse osteoporosis. Doses of 680 mg per day appear to be optimal. See my "For More Information About Strontium" links section.

Osteoporosis is caused by changes in bone production. In healthy young bones there is a constant cycle of new bone growth and bone removal. With age, more bone is removed and less new bone is produced. The bones become less dense and thus more fragile.

Scientists believe that strontium works in two ways. It may stimulate the replication of pre-osteoblasts, leading to an increase in osteoblasts (cells that build bone). Strontium also directly inhibits the activity of osteoclasts (cells that break down bone). The result is stronger bones.

When taking strontium, be sure to take 1200 mg calcium, 1000 IU vitamin D3, and 500 mg magnesium daily. It is best to take strontium late at night on an empty stomach. Calcium and strontium may compete with each other for absorption if taken together.