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Biomedical subjects

L Nilas

Publications and source records attributed to L Nilas.

57 records · Page 4Linked to original sources

Treatment with vitamin D or its analogues does not change body weight or blood glucose level in postmenopausal women.

It has recently been stated that vitamin D analogues can reduce body weight in animal models. We evaluated the effect of treatment with vitamin D metabolites on the nutritional status of 238 postmenopausal women, who were participating in three double-blind placebo-controlled trials, the aim of which was to prevent or treat postmenopausal bone loss. After two years of treatment with vitamin D3, 2000 IU daily (n = 25), or l alpha OHD3, 0.25 micrograms daily (n = 23), or 1 year of treatment with 1,25 (OH)2D3, 0.25-0.50 micrograms daily (n = 40), no change in body weight or blood glucose level could be detected when compared to corresponding placebo treated groups (n = 150). It is concluded that the effect of vitamin D analogues on body weight is a phenomenon which is specific for an animal model and does not occur in man.

Aged↗

Does carbamazepine cause disturbances in calcium metabolism in epileptic patients?

Calcium metabolism was examined in 30 adult epileptic outpatients on carbamazepine monotherapy. The patients had a normal bone mass, evaluated both on the forearm (100 +/- 13 of normal) and on the total skeleton (102 +/- 15), and normal serum concentrations of 25OHD. The serum calcium was decreased (P less than 0.001) and the serum alkaline phosphatase increased (P less than 0.001). The clinical significance of our study is that monotherapy with carbamazepine does not have the side effects on bone metabolism known as "anticonvulsant osteomalacia". Our results further question the connection between liver enzyme induction and anticonvulsant osteomalacia, since carbamazepine possesses the same potency of liver enzyme induction as phenytoin. Further studies on epileptic outpatients will be necessary in order to elucidate the connection between treatment with anticonvulsant drugs and anticonvulsant osteomalacia.

Adolescent↗