The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Maintaining vitamin D levels in nursing home patients

     In older adults, 25-hydroxyvitamin D (aka vitamin D3) blood levels of 75 nmol/L reduce the risk of fracture.

    Eating a fortified bun once daily is all it takes to meet this goal, according to researchers Canada and Romania.

    First, the details.

    • 45 nursing home residents ate 1 bun daily that was fortified with 125 µg (5000 IU) vitamin D3 and 320 mg elemental calcium.

    And, the results.

    • At the start of the study, the average vitamin D blood level was 29 nmol/L.
    • 12 months later, the vitamin D blood level was 126 nmol/L, and exceeded 74 nmol/L in 92% of patients.
    • Z-scores for bone mineral density at the lumbar spine and the hip both increased significantly.
      • A Z-score measures a patient’s bone mineral density compared to the average for their age, sex, and ethnicity.

    The bottom line?
    The authors came to 2 conclusions for older adults living in a nursing home.

    • Fortifying bread with more vitamin D produced no bad effects and improved bone density.
    • This approach provides a way to ensure that vitamin D–deficient older adults attain desirable vitamin D levels.

    3/18/09 22:02 JR

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