Platelet rich plasma PRP

What is Osteoporosis?

Osteoporosis is a common condition that has no obvious symptoms but can cause bones to break. It results from decreased bone mass. With lower mass, your bones can become so weak and brittle that even the slightest fall may cause a fracture. Your bones are in a constant state of regeneration ( as shown by the picture). As old bone tissue breaks down, your body replaces it with healthy new bone. As you grow older, your body loses bone mass faster than it can replace it. 

Who gets osteoporosis?

Osteoporosis is much more common in women than in men. Osteoporosis is especially common among older women, as about one in four women age 65 or older have osteoporosis.


What causes osteoporosis?

It’s normal for bone production to decline over time, but osteoporosis isn’t an inevitable part of aging. Certain factors may increase your risk of developing osteoporosis, including:

·       Being a postmenopausal woman 

·       Having a small body frame

·       Not getting enough calcium and vitamin D

·       Having a sedentary lifestyle

·       Smoking cigarettes

·       Drinking too much alcohol

·       Diseases like inflammatory arthritis , can also increase the risk of developing osteoporosis.

Osteoporosis has no symptoms, it’s important to get a bone density scan/DEXA scan, which can be prescribed by Dr. Gul after doing a consultation and assessing risk factors for osteoporosis. 

 How is osteoporosis treated?

Dr. Gul develops an individualized treatment plan that fits best to treat your disease and personal needs. The plan focuses on preventing bone fractures , which may include but not limited to 

·       Oral medications to prevent bone loss

·       Injectable medications, such as Reclast, Prolia ,Forteo, Tymlos etc 

·       Dietary changes, including calcium and vitamin D

To learn more about preventing and treating osteoporosis, call Precision Rheumatology  or book an appointment online today. 



What is Lupus?

Lupus is an autoimmune disease, in which your immune system, which usually fights off invading infections, attacks your own body instead. This leads to widespread tissue damage and inflammation that can affect many organs, including:Joints




Kidneys (lupus nephritis)

Blood vessels

Lupus is a chronic condition that can be cured or its progression can be halted with appropriate medications and management by a well trained rheumatologist.  

Symptoms of lupus include but not limited to the following: 

Butterfly-shaped rash across your cheeks

Skin lesions that appear or worsen in the sun

Joint pain stiffness and swelling 

Headache, confusion, and memory loss

Fever with no known cause

Kidney damage is one of the most common complications of untreated lupus. As many as 50% of adults with lupus develop a kidney disease called lupus nephritis.


How is Lupus Treated?

Dr. Gul has an extensive training in treating patients with lupus and she was part of multiple lupus clinical trails at National Institutes of Health(NIH) making her an expert in treating lupus. Dr. Gul develops an individualized treatment plan tailored to patients specific lupus symptoms. She offers innovative lupus treatments using biologic drugs and infusion therapies. 

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