Wednesday, May 23, 2018
SUNSHINE OFFICE - dr. ingrid b. riedel, md  - Zurich

SUNSHINE OFFICE - dr. ingrid b. riedel, md - Zurich

Your reliable partner for holistic and naturopathic medicine in Zurich.

WELL-BEING included

WELL-BEING included

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NATUROPATHY internalized

NATUROPATHY internalized

In harmony with nature - natural treatment methods gentle to your body.

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FIRST-AID in Emergencies

Daily, we have free time reserved for emergencies and patients under acute pain.

OUR THERAPIES

OUR THERAPIES

A wide range of holistic therapies and modes of treatment are awaiting you.

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NATURALLY BEAUTIFUL with Anti-Aging

Anti-Aging for Him and Her - Live longer - Age later

PAIN MANAGEMENT  - Acute and Chronic

PAIN MANAGEMENT - Acute and Chronic

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therapies osteoporosis

Osteoporosis – brittle bone disease – reduction of bone mass



Osteoporosis results from an unbalance between formation and  deterioration of bone mass. The causing factors are multi-facetted. They reach from deficient alimentation to lack in exercise, from genetic disposition to disorders in the hormonal balance. For osteoporosis a low or atrophying bone mass is as typical as a deterioration in the structure of the bone tissue (bone minerals and bone matrix). This reduction of the bone substance is not always immediately obvious. If  unrecognized and not treated in an advanced state, then not only fractures may arise, but also other detrimental alterations and mal-positions of the vertebra, which in themselves may lead to neurological disorders. A timely prevention and/or a therapy at the earliest possible moment is of essential importance for the prospects.  

Osteoporosis: Risk and Incidence Rates

When advanced in years the risk for loss in bone substance increases significantly. It is assumed that in Germany right now there live about 6 to 7,5 million patients with this diagnosis. The subsequent costs of this disorder amount to roughly a billion Euros per year. Caused by bone atrophy every year about 65 000 fractures of the femoral  neck are anticipated. In the group of women over 50 years, the chances to incur a fracture of the femoral neck are roughly 15 %. Of women over 60 years, at least 18 % suffer from such an incident, at least once, with  an upward trend. When over 65, each fourth woman has to face a vertebral fracture caused by osteoporosis. Men, too, are increasingly affected with growing age.
 

Prevention of Osteoporosis stands on Four Pillars:

*    risk elimination
*    adequate supply of calcium
*    muscle and/or body training
*    administration of drugs in case of a low skeletal bone mass ratio
      or a bone density deterioration of over 3,5 % per year

Right from infancy the premature loss of bone mass can be avoided. This is done by administering calcium, always optimally adapted to age, but maintained life-long. It also does make sense to practice a regular muscle and body training, which supports the formation, the strengthening and preservation of muscle and bone tissues. A drug therapy aims at slowing down the deterioration of bone mass. An increase of only 4 to 5% of the bone substance, lowers the risk for fracture by about 40 to 50%. Over the last years mainly fluorides and estrogen products have become the established ones. Both types are not undisputed in their effects and may have unwanted side effects. We are not going to discuss the pros and contras in this context. It is true, however, that those remedies have to be closely observed as to dosage, duration of therapy, and side effects. Until now there is no single agreed-on therapeutic scheme for osteoporosis. There are diverse therapies practiced in different countries, some countries do completely without the administration of fluorides. Seen from the standpoint of specialists there is a general shortage of alternative therapies.

Often two basic aspects of osteoporosis are neglected: supporting the metabolism of the bone structure by providing complex nutrients, and secondly influencing the hormonal balance with splenetic peptides.

 

Supply with calcium: often insufficient

Calcium fulfills important functions in the bones and plays a significant  role in the preservation of bone mass and also in its restoration. A sufficient supply from early youth on is of prime importance, but is not reached in many age groups. According to the newest recommendations given on a conference in the USA, grown-ups over 25 years should be taking 1,000 mg calcium per day.  In the process of utilizing the calcium in the body, some substance might get lost, so it is advisable to schedule an in-take of 1200 mg per day. It is not necessary to fulfill the quota daily, but a weekly balance should be achieved. Very often the actual calcium feeding is much less. Women of all age groups fall short in the daily intake. In every other woman the calcium feeding lies critically under the established norm.  15 - 35 year old women only take 70% of the daily recommended amount of calcium,  10% of women only  400 mg/per day. Also children and adolescents mostly do not consume the desirable quantity. Senior men and women often absorb less calcium than younger ones and therefore fall significantly short of the recommendations.  Women over 60 only absorb approximately 400 mg calcium per day. A sufficient intake is usually only reached by men between 35 and 65 years.
 

Supply with calcium: milk and dairy products, vegetables and calcium  enriched drinks

The reason for insufficient supply is, in most cases, an inappropriate selection of food. Calcium is primarily absorbed from milk and dairy products. But for many children and adolescents it is not really attractive to drink milk, and the older ones often reject milk due to its relatively high content of cholesterol and blood lipids.  Butter contains only little calcium. In the case of cheese, one has to watch for the  lab-fermented varieties, as only they contain calcium, although most types that are commercially traded are lab-fermented. Those who do not like to eat dairy products, may shift to other nutrients rich in calcium. Among these are sardines, broccoli or garden cress. It is also recommended to get accustomed to drink fruit juices enriched with calcium or mineral water, spa or tap water rich in calcium.

Guide line for the proper supply is the Five-Points-Rule.

 

Five-Points-Ruele
1 point equals:

 

*    1 glass of milk
*    1 cheese sandwich
*    1 yoghurt pot
*    1 portion of quark

5 points should be reached per week! With regard to other food there is no such simple rule. One should just watch out for the contents of calcium and eventually take in additional calcium.

 

Solution to undersupply: calcium supplements

The conclusion of above facts is that a sufficient in-take of calcium through the daily diet is almost impossible for many people. Therefore it does make sense for certain groups or during certain periods (for example pregnancy) to complement the diet with calcium supplements combined with other substances that stabilize the bone formation. There are obvious connections between the daily amount of calcium taken and the quality of bone mass. Hereby not only the quantity but also the type of calcium substance is decisive for the result. Calcium citrate owns a higher bioavailability, is better biocompatible and hydro-soluble than the salts of comparable acids.  
 

Calcium metabolism and homeostasis:

Interaction with other substances

In order that calcium can fulfill its functions in the organism, a number of other substances are involved. The calcium metabolism and the homeostasis are subject to a complex feedback control system. Involved in this are specially parathormone, calcitonine and vitamin D. Calcium is absorbed through the gut wall, and its availability depends on the type of nourishment. The absorption is, for example, inhibited by lack of vitamin D and food poor in proteins. On the other hand it improves with vitamin D and an optimal supply of proteins, especially with lysine as well as lactose and citric acid. With regard to osteoporosis only this interaction often gets public or medical attention, at best also the sufficient supply with the vitamins C and B6 is focused on.

Characteristic for the bone metabolism, just as for the whole functioning of the body, is a lively interaction of many nutrients. Among these are, for example boron, zinc, copper, manganese, folic acid and pantothenic acid. This is not sufficiently taken into account in the prevention and treatment of osteoporosis.
 

Prevention and Therapy of Osteoporosis:

Combinations of vitamins and minerals

Thoughtful combinations of important nutrients for the bone structure allow for a better utilization of the available calcium and at the same time the reduction of the required amount of vitamin D. Other effects are the improved bone matrix and mineralization, and that important ratios of the bone metabolism are positively influenced. The same applies to healing processes of wounds and fractures after medical operations or other injuries. Here different properties of vitamins prove their positive effects, such as the effects on the cell-mediated immunity. It is understood that osteoporosis cannot exclusively be treated with supplements, but they create a valuable basis for a successful treatment, insofar that other measures can be reduced for the benefit of the body.

 

How to Document the Mineral Supply
 

For categorizing the level of supply in minerals the method of hair analysis has well stood the test under laboratory conditions. Thus the most important minerals and micro-elements, as well as heavy metals in the tissue can be identified. Disorders in the mineral balance of the body can be recognized, before clinical conditions are reached. It is a fact that the blood count of calcium, magnesium and zinc may have only a limited significance due to homeostatic mechanisms, daytime peaks and lows, food influences and stress factors D. For example even with patients suffering badly from osteoporosis, you can get normal blood counts for calcium, although tests of the tissue indicate for long the imbalance. Furthermore the strain due to heavy metals (lead, cadmium, mercury. etc.) is often recognized by means of blood analyses only very lately. Those toxic substances get deposited after a few days in the fat tissue, in bones and hairs and therefore can only be verified there.

 Bone Atrophy - normal or pathologic?

Having passed 35 years man looses bone mass. The normal deterioration amounts to roughly 2 to 3 %  per year, in extreme cases up to 10 %. As a rule the bone mass of women is less, the atrophy starts earlier and the decrease is more rapid.  In the female population the deterioration of bone substance starts with the menopause and in synchronicity with slowed down ovarian functioning. In the first five years after the menopause women loose about 15 % of their bone mass, then deterioration slows down and stays more or less at a constant rate thereafter.
 

Bone Substance in Relation to Sexual Hormones

The bone structure is influenced - besides nourishment and age – by hormones. Until puberty is reached the bone is an “un-sexual” organ, after that it is influenced by hormones. If insufficiently produced, the bone mass becomes low-graded.  If a lack in sexual hormones is diagnosed early enough, then by supplements the formation of bone substance can be improved. In general the critical time for this is before the age of 20. If the deficiency is recognized later and only then supplemented, the normal values are hardly achieved any more. In women the levels of estrogen and progesterone are decisive. So when after the removal of the ovaries or after the menopause, estrogen is no longer sufficiently available, the bone mass is increasingly degraded. In men the lack of testosterone accounts for the bone deterioration. In older age the level of androgen drops, and then also men show more and more the signs of osteoporosis.
 

Critical moment for the loss of bone mass in women: the Menopause

In the menopause the serum estradiol level lowers and leads over to a rise in gonadotropines (hormones FSH and LH). These then increasingly occupy the ovarian target cell and reduce the estradiol synthesis. When - amongst others - estrogen therapy is recommended, then primarily to stabilize the stimuli for bone formation. This is only expedient, if there exists an actual risk for osteoporosis (such as after the removal of the ovaries or an premature occurrence of the menopause). The supplementary (estrogen) therapy has to be carried out until the biological slowing down of bone atrophy – at about 65 years – occurs. Many women do not keep this up. Mainly in women suffering from breast, abdominal or ovarian cancer this therapy is contraindicated. Some genetic predispositions, such as existing liver or gall bladder cancer and heart diseases, also disfavor the use of estrogen. Possibly isoflavonoids – the herbal estrogens from soy – are a valid alternative.
 

Supplementation or Alternative to the hormonal therapy: spleen peptides

Spleenc peptides stimulate the ovary and are capable to dilate or downsize the development of osteoporosis in the period before or after menopause. They initiate the production of estrogen in the follicle, but only as long as there are follicle structures in the ovary. Splenetic peptides are closely related to gonadotropines and have the ability to push them out of the bonds with the receptors. As soon as the receptor is recognized as “free” cellular enzymes get activated, the production of estrogen is increased, and the level of gonadotropines falls. Splenetic peptides can alleviate considerably the menopausal discomfort. The higher amount of estragon mitigates hot flashes, heart palpitations and depressive moods. Up to the endocrine menopause (approx. 3 - 4 years after the last menstruation) there are usually still follicle structures in the ovary which can be stimulated by splenetic peptides. The increase in estrogen in itself prevents osteoporosis. Whenever the estrogen level is kept up for further 3-5 years after the entry of the clinical menopause, the patients can be protected from massive bone atrophy in this period and thus the sound state of bones is prolonged for years. Just like estrogen splenetic peptides have to be administered over a long period of time. When done regularly, then the estrogen therapy may be avoided, postponed or at least lessened in its dosage.


Do not hesitate to contact us, as we are pleased to answer all your questions especially regarding therapies.

 

Copyright: Study group Immuntherapie e.V., Dr. med. Günter Neumeyer

 

More time for the patient

Mehr Zeit für Sie - Dr. Riedel
A thorough diagnosis and also a diligent holistic therapy take their time. Therefore we allotted special therapeutic hours for specific examinations and for naturopathic therapies, which we offer as “body tailored” health services to you.

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House calls

Hausbesuche beim Patienten
If required by the circumstances, there is no doubt that we make house calls. But, please, notice that all examinations can be performed a lot simpler and faster at my office.
We are happy to make house calls on demand in the areas around Zurich as listed below: Oerlikon - Wiedikon - Flughafen - Hauptbahnhof - Kreis 5 - Seebach - Affoltern - Höngg - Stauffacher ...                         -->

Prompt Aid in Emergency Cases

Schnelle Hilfe im Notfall - Dr. Riedel
To save you long waiting hours when in acute medical condition, we keep daily hours on hold for patients in pain and for emergencies.


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Some points can be solved over the telephone

Telefonische Beratung - Dr. Riedel
For delivering diagnostic findings and short counselings, we have established a special telephone hour. Please, give us a call and get a date over the phone. 


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Useful Information about our Therapy Concept

Behandlungskonzept - Dr Riedel
We, as your health coach, do not only want to assist you in getting healthier, but also in maintaining your health, as well as retaining your youth. Therefore prevention and health counseling are important key aspects of our efforts.

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Your health advantage - Our optional services

Gesundheitsvorteile und Wahlleistungen
Most of the diagnostics methods and therapies - offered in our office - are paid for by your individual health insurance. Our naturopathic therapeutic offers and the individual health services offered serve to improve your personal health level.

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