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Osteoporosis & Hearing Loss

A reader asks about a possible correlation between their osteoporosis condition and advancing hearing impairment.  It’s Your Hearing Health
by
Max S. Chartrand, M.A.,
DigiCare Hearing Research & Rehabiliation

Q: Someone suggested that it is entirely possible that my osteoporosis condition can be contributing to my advancing hearing loss. Please, explain. --- Mrs. J.W.

Dear Mrs. J.W.: Many patients are not aware that the body is a whole organism, not a collection of unrelated mechanisms. Health factors that cause deterioration of one part of the body can and will do the same elsewhere.
In my experience I’ve found that the ear is reflection of the body’s overall health. There are very few underlying conditions in the body that we cannot observe or identify through assessment of the ear.
For example, if you suffer from osteoarthritis (1-2% bone loss per annum) or osteoporosis (3-5% bone loss) you will also develop tympanosclerosis (thickening and calcification of the eardrum) and/or otosclerosis (spongy deterioration of the middle ear bones and cochlear labyrinth).
Most sufferers of these conditions appear to have either a calcium absorption problem or a calcium deficiency. The first is usually affected by a pH (acid-alkaline) imbalance in the body, as found in gout, diabetes, chronic hypoglycemia, etc. The second condition is generally a simple matter of your body not receiving enough (of an absorbable form) of calcium.
Drinking all the milk in the world will not overcome an absorption problem, but will result in calcium deposits where you don’t want them (on eardrums, at joints of long bones, spine, the lining of the inner ear, and kidney stones). There are some forms of calcium, however, that overcome most absorption problems, such as chelated calcium citrate (with vitamin D).
A simple deficiency can usually be helped by adding more calcium (with proportionate vitamin D) to the diet. Our bodies can only absorb only so much calcium, so that the higher the quality of the source the less one actually needs to take. One of my chief concerns today is that so many are being advised to take much larger amounts than their body can use, leaving the body rife with free calcium. It is my opinion that 600 mg. of actual asorption is about all that can be utilized when added on top of a proper diet.
But beware, popular antacids can be your worst form of calcium. Besides containing no vitamin D, which is necessary for proper absorption, most are processed with aluminum chlorohydroxide, making systemic absorption very poor. Often deposits and stones develop over time.
Also, there may be a connection between too much thyroid production, as can happen from taking too much medication for hypothyroidism and your production of calcitonin, which takes excess calcium out of the blood system and deposits it elsewhere. If the bones already have plenty of calcium to meet its normal depletion cycle, then excess calcitonin will only worsen the problems described above.
For that reason, we need to be aware that there are important balances in the body when taking medications, vitamins, and minerals, etc. As a result it always best to consult with a health professional trained in the interaction between medications and nutritional supplements.
The foregoing should not be construed as medical advice, but is for public education purposes only.

Questions may be sent to: Aural Rehab Concepts, P.O. Box 706, Rye, CO 81069, or by faxing to (719) 489-2054. Due to space limitations, questions may be edited. For educational purposes only. Not to be considered medical opinion or advice.




Column #17

It’s Your Hearing
Health
by
Max S. Chartrand, M.A.,
DigiCare Hearing Research & Rehabiliation

Q: I read somewhere about the relationship between depression and hearing loss. I am a male, 69 years old and until recently have never had a problem with depression. But I am now on two kinds of antidepressants that I’d really like to get off of. Could it be that I have a hearing loss and don’t know it? --- Mr. G. B.

Dear Mr. G.B.: Without seeing your hearing test data I can only speak in generalities. But I think your question is important to a lot of our writers.
The fact that you are a 69 year-old male tells me that there is more than a 75% chance that you have a high frequency sensorineural hearing loss. In most such cases, the loss creeps up so slowly over many years that very few sufferers are even aware that they have a hearing loss.
And yes, there is a strong correlation between uncorrected hearing loss and depression. In fact, the cause-effect is so strong that it has been reported that psychotropic medication is used almost 400% more among those with (uncorrected) hearing loss than in the normal hearing population. In fact, medication and medical overuse tends to be extremely high in this group according to one recent VA study.
The challenge in self-assessing one’s own high frequency loss where the low frequencies are normal or near normal is that it is almost impossible to determine without a professional evaluation. Even those around them would tend to think the problem is an attentional or cognitive disorder.
That is why it is so imperative for all older adults to have their hearing checked at least once per year.
In our own practice we’ve seen dramatic changes in a person’s cognitive and physical health, as well improvements in personal and occupational relationships.
So, the short answer to your question is this: Come on in and let us find out if your problem really isn’t really an uncorrected hearing loss needing attention. You have nothing to lose, and possibly much to gain.

Questions may be sent to: Aural Rehab Concepts, P.O. Box 706, Rye, CO 81069, or by faxing to (719) 489-2054. Due to space limitations, questions may be edited.

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