What’s the link between osteoporosis and the gut biome? 

May is Osteoporosis Awareness Month. This condition, marked by severely weakened bones, is one that our board-certified endocrinologists treat daily here at Texas Diabetes & Endocrinology (TD&E).

While it is commonly known that calcium helps to strengthen bones and protect against osteoporosis, new research shows that good gut health (or the gut biome) can also play a large role in osteoporosis prevention and boosting bone density (the amount of minerals stored in bones to make them strong). 

The gut biome is the complex mix of microorganisms that live in the body’s intestines and helps with immunity and food processing. 

What is the connection between osteoporosis and the gut biome? 

new study recently published strongly supports previous findings that a healthy gut biome can in fact improve bone density and help protect against osteoporosis.  This important connection between the gut biome and the body’s bones is known as the gut-bone axis. 

Data shows that eating fruits and vegetables high in Vitamin C can increase production of the bone-making cells that protect them from weakening, or possibly fracturing and breaking, which is typically associated with osteoporosis. This conversion of Vitamin C into powerful bone-boosting cells takes place in the gut. 

Research also continues to show that foods rich in calcium (like dairy products) and high in protein (lean meats and legumes) help to fortify bones and keep them strong. 

Additionally, tracking certain types of bacteria that exist in the gut biome, and then supplementing with lacking bacteria known to boost bone-making cells, may become an increasingly more common option for osteoporosis prevention.  This can be facilitated by a physician recommending a mix of synbiotics (probiotics combined with prebiotics) to promote healthy bacteria in your gut biome.

According to TD&E endocrinologist Dr. Mauli Shah, along with keeping your gut check in health, other ways you can help prevent osteoporosis are with “regular exercise (weight bearing or resistance exercises are best), and taking Vitamin D and calcium supplements.” 

When should you see a doctor for osteoporosis?

Dr. Shah offers the following recommendations for when you should visit a doctor, or endocrinology expert, regarding your risk for osteoporosis:

  • All women 65 years of age and older 
  • Post-menopausal women with certain risk factors, such as those who’ve had a previous fracture or been treated with steroids
  • People who have a family history of osteoporosis or hip fractures 
  • People with rheumatoid arthritis
  • Women who have entered premature menopause or men with low testosterone

Osteoporosis Treatment at Texas Diabetes

Our endocrinology and osteoporosis experts will help develop the right treatment plan for you to address your unique bone health needs. We typically recommend lifestyle modifications to start, like getting more exercise and eating well. Then we’ll determine what combination of dietary supplements, medications, and/or injections and IV infusions are best suited to protect and strengthen your bones. 

Contact Us to Help Manage your Osteoporosis, Diabetes and Thyroid Conditions 

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services  and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online.  

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

Welcome Dr. Mauli Shah

Texas Diabetes & Endocrinology is pleased to welcome Dr. Mauli Shah to our team of endocrinology experts. 

Dr. Shah is board-certified in Internal Medicine and will be treating the full scope of endocrine disorders including diabetesthyroid issuesosteoporosis, and promoting heart disease prevention out of our Round Rock clinic.

She joins us most recently from working as a hospitalist and completing her fellowship in Endocrinology at Baylor Scott and White in Temple, TX. 

Dr. Shah loves practicing endocrinology as she says “it allows me to meet all different kinds of people and help them understand complex hormonal issues.”

“It’s a very satisfying field because we can see immediate results after starting treatment,” she adds. 

Dr. Shah was born and raised in southern California and earned her undergraduate degree from Rensselaer Polytechnic Institute in New York. She remained in New York to attend medical school at Albany Medical College and then returned to California for her Internal Medicine residency training at Kaiser Permanente Los Angeles Medical Center. 

When asked why she was excited to join our practice, Dr. Shah shares that “everyone I have met from the staff to the other providers are very personable and great to work with.”

She describes her patient care philosophy as follows:

Every patient should have control over their own medical care with the advice of their physician. Care should be tailored to every individual and their own unique needs and lifestyle. Doctors should be seen as advocates for their patients. 

Dr. Shah likes to emphasize to her patients that they should always be comfortable, open, and honest with her and other physicians, as they are only here to help heal and never to judge. 

Outside of work, Dr. Shah enjoys spending time with her children and husband and also enjoys yoga, watching movies, and traveling. She loves that Austin shares the same warm and sunny climate as her home state of California, where all of her sisters and parents are practicing physicians as well.  

Contact Us to Help Manage your Diabetes and Thyroid Conditions 

If you’d like to schedule an appointment with Dr. Shah or one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services  and other endocrinology services can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online.  

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

hyperparathyroidism
What is Hyperparathyroidism?

At Texas Diabetes & Endocrinology, our board-certified endocrinology experts treat a number of endocrinological conditions including diabetes and thyroid disease. We also treat some less common hormone-related conditions such as hyperparathyroidism causing hypercalcemia.

What is hypercalcemia?

Hypercalcemia is caused by above normal calcium levels in your blood. Excess calcium in the blood can lead to weakened bones or osteoporosis, kidney stones or kidney failure, and even heart issues such as arrhythmia.  

What are some common symptoms of hypercalcemia?

Hypercalcemia is typically caught early as part of a routine blood test. However, long-term hypercalcemia can cause issues in the body near the region where the blood is most concentrated with calcium. Examples of some common hypercalcemia symptoms and associated areas include: 

  • Frequent urination or excessive thirst (kidneys)
  • Upset stomach, nausea, vomiting or constipation (digestive system)
  • Sore bones and muscles (skeletal and muscular systems)
  • Confusion, depression or fatigue (the brain)
  • Palpitations or arrhythmia/irregular heartbeat (the heart and circulatory system)

What causes hypercalcemia? 

Hypercalcemia can be caused by overactive parathyroid glands (hyperparathyroidism) or a parathyroid tumor. Other contributing factors that may potentially lead to hypercalcemia are:

  • Certain cancers like lung or breast cancer, or any cancer that has spread to the bones
  • Genetics and a family history of hypercalcemia 
  • Diseases such as tuberculosis that can elevate vitamin D levels in the blood and lead to more calcium absorption in the body
  • Dehydration
  • Certain medications or overuse of  calcium or vitamin D supplements 
  • A sedentary lifestyle causing bones to weaken, break down, and secrete calcium into the bloodstream

After a confirmed hypercalcemia diagnosis, your provider may recommend additional imaging tests to examine your parathyroid glands to determine if hyperparathyroidism is causing hypercalcemia. 

How is hyperparathyroidism treated? 

For mild cases of hyperparathyroidism,  our endocrinologists may recommend close monitoring and limiting supplemental calcium. 

For more advanced cases, surgical removal of the parathyroid glands may be necessary. Typically, only one of the four parathyroid glands are affected but all four could be involved.

Contact Us to Help Manage your Hyperparathyroidism 

If you’d like to schedule an appointment with Texas Diabetes & Endocrinology and discover how our diabetes services  and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online.  

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

Endocrinology Top Doctors
Congratulations to our 2024 Top Doctors

We welcomed the new year celebrating board certified endocrinologists Valerie Espinosa, MD and Lindsay Harrison, MD for being recognized on the 2024 Top Doctors list in Austin Monthly magazine. 

Dr. Espinosa joined Texas Diabetes and Endocrinology in 2005. She is board certified in endocrinology and metabolism and active in clinical research concerning diabetes, obesity and thyroid disease. 

Dr. Harrison joined Texas Diabetes and Endocrinology in 2013. She is board certified in internal medicine, endocrinology, diabetes and metabolism. 

Austin Monthly Top Doctors is an annual peer-nominated recognition of the best physicians in Travis, Williamson and Hays counties. Using an online survey, physicians are asked to nominate colleagues who they would trust with the medical care of themselves or their family. We are could not be prouder to have our physicians included on this list.  

Congratulations Dr. Espinosa and Dr. Harrison!

For more information on our comprehensive endocrinology services, schedule a consultation with one of our board certified endocrinologists by requesting an appointment online or call (512) 458-8400. 

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you with helpful health and wellness information.

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