More research is necessary to investigate whether iron impacts bone health in this population. Q: Intermittent fasting seems to be the new hot topic. What is your take on athletes taking part in intermittent fasting? Some studies have begun to look at within-day fluctuations in energy availability. It is possible that diet patterning which produces severe energy deficits throughout the day, even if hour diet goals are met, may result in negative health outcomes.
Q: Does the recommendation also apply to those who have hypothyroidism? Q: Can any of this be correlated to menopause?
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Have there been any studies following this information? It would be interesting to see how the bone health of previously amenorrhoeic athletes is when they get to be menopausal- but no, we do not have any data to date on this issue. Q: Even in college athletes you would consider waiting a year before starting hormone replacement knowing they may lose a year of participation?
Because the root of Triad is inadequate energy, the recommended first course of action is to start nutritional therapy for one year to increase energy levels. This should start to recover menstrual status after a few months. If the athlete fails to complete nutritional therapy for a year i. Q: Is it possible to have amenorrhea or oligomenorrhea without possibility of bone damage? Not likely.
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Estrogen production is extremely important for inhibiting the osteoclasts responsible for bone resorption, and therefore the longer you are without normal estrogen levels i. If energy status is improved relatively early on, this could help prevent the progression of bone loss. Q: What about postmenopausal athletes and bone recovery with nutrition support - is it possible without pharmacy?
Because estrogen levels are drastically reduced with menopause, bone health is at risk during this time. Along with proper nutrition and adequate food consumption, the Food and Nutrition Board FNB recommends that post-menopausal women supplement with calcium and vitamin D to the recommended daily value of mg of Calcium and IU Vitamin D. But be advised that pharmacological therapy may be necessary for postmenopausal bone loss. Q: What impact does age have? Comparing a year-old to a year-old, with other factors being similar?
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Women who are of greater gynecological age farther from having their first period seem to be more robust against menstrual disturbances. Younger women may also still be accruing bone density so it is especially important for them to maximize their peak bone mineral density, whereas older women may only need to maintain their bone mass.