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Will weight reduction affect bone density?
DEAR DR. ROACH: Over the previous yr of pandemic lockdown, I’ve labored laborious at decreasing energy to shed extra pounds and growing my train on an elliptical coach. I’m 5 ft, 7 inches tall and age 70. I went from 202 kilos to 149.3. My weight purpose is 145. My waistline is 25.5 inches. I’ve achieved a dimension 14 in clothes, which is what I wore in 2002. In line with my digital scale, my BMI is now 23.4, and in keeping with the BMI chart, I’m now within the good “wholesome weight” vary.
Additionally, in Could 2019 I had complete knee substitute surgical procedure and imagine that decreasing my weight can be helpful to my hips, knees, ankles and ft. Due to my continued bodily remedy train, in addition to shedding the additional kilos, I really feel steadier on my ft than I’ve felt in years.
I not too long ago learn that “older adults have a [BMI] of between 25 and 27, not underneath 25,” or they run the danger of osteoporosis. My final bone density scan confirmed that I had vital enchancment of my bone density, and I’d assume that with all this strolling on the elliptical coach (30-60 minutes every day), it would show to be no less than nearly as good. As well as, I do some workouts with small hand weights. I’ve no purpose to assume I’m amongst the 24% of “older” girls who’ve osteoporosis of the backbone, and so forth.
Ought to I be content material with a weight of 149? Ought to I acquire again some fats? — P.R.
ANSWER: I believe nutritious diet and common train are way more necessary than the load or BMI, no less than for people who find themselves not very overweight. It’s true that carrying some additional weight protects to some extent in opposition to osteoporosis, and really skinny girls are at increased danger. Nonetheless, I’m so impressed along with your exercise and accomplishments over the previous yr that I’d suggest you proceed your train and let your weight keep the place it’s. You must proceed to get bone density scans as beneficial, however you’re fairly proper that common weight-bearing train is especially good at sustaining bone well being, together with a weight loss program together with enough calcium and making certain good vitamin D if you’re in danger for low vitamin D.
DEAR DR. ROACH: I’m a 58-year-old male. I had COVID and was given monoclonal antibody remedy as an outpatient two months in the past. I recovered from COVID with delicate to average signs. How do I decide if I’m shielded from getting COVID once more? I might wish to know if I ought to get a vaccine and in that case after I ought to get it. — J.D.
ANSWER: Even individuals who have had COVID-19 could get the illness once more, so that they do profit from the vaccine. Nonetheless, due to the monoclonal antibody you bought, it is suggested you wait 90 days from the monoclonal antibody remedy to vaccine administration. You must have the ability to take the vaccine in about one other month.
There’s some partial immunity that comes from getting the illness, and you’re at low danger for 90 days after an infection. It seems that the vaccine provides profit, and I’d suggest the vaccine.