MY PERSONAL JOURNEY WITH OSTEOPOROSIS

At the age of 86, I have only stayed overnight in a hospital once, to give birth to my daughter.  So I guess it’s not surprising that I’ve always considered myself a very healthy person. Working as a model meant that being physically fit was part of my job. I exercised daily, kept my weight in a healthy range for me, and made sure to get regular medical checkups, but in my 40s I received a surprising diagnosis: I had osteoporosis.

MISCONCEPTIONS ABOUT OSTEOPOROSIS

While many people think that osteoporosis only affects older people, it can actually occur earlier. In fact, I was diagnosed 38 years ago. At the time I was going through menopause, but I hardly noticed any symptoms – I was young and healthy, or at least I thought so. Osteoporosis is often referred to as a “silent disease” because bone loss can occur without symptoms.1 In the U.S., one in two women over the age of 50 will experience an osteoporosis-related fracture in her lifetime.2

WHAT IS OSTEOPOROSIS?

Osteoporosis is a bone disease that occurs when the body loses too much bone, makes too little bone, or both.1 As a result, bones become weak and more likely to break from a minor fall or, in serious cases, even a strong sneeze.1 According to the National Osteoporosis Foundation, approximately 10 million Americans have been diagnosed with the disease placing them at increased risk for breaking a bone.3  

OSTEOPOROSIS RISK FACTORS

There are many factors that put someone at greater risk for osteoporosis, including being postmenopausal, being 65 years of age or older, having a parent who had a hip fracture, cigarette smoking, Vitamin D deficiency, excessive alcohol intake (defined as more than 3 drinks/day) and low calcium intake.4,5 In addition to being postmenopausal, my life as a model revolved around avoiding food, and like many young women, I was at times obsessed with keeping my weight down. Unfortunately, low body weight can lead to vitamin deficiencies that cause bone health issues.

GETTING THE RIGHT TREATMENT FOR ME

There is no cure for osteoporosis, but it can be treated with diet, exercise and medication, when appropriate.2 After talking with my doctor and getting a DXA (bone) scan, I made some major lifestyle changes. For the last nearly 40 years I have been committed to successfully managing my condition in order to prevent the disease from negatively impacting my life. At this point, it has become second nature. That has meant eating a well-balanced diet, taking vitamin D and calcium supplements recommended by my doctor and doing low weight-bearing exercise. Unfortunately, diet and exercise were not enough on their own to improve my bone density, and I required medication as well. Throughout the years I have been prescribed a few different medications, but the one that has been most effective has been Prolia® (denosumab).

APPROVED USE:

Prolia® is a prescription medicine used to treat osteoporosis in women after menopause who are at high risk for fracture or cannot use another osteoporosis medicine or other osteoporosis medicines did not work well.

IMPORTANT SAFETY INFORMATION:

Do not take Prolia® if you: have low blood calcium; or are pregnant or plan to become pregnant, as Prolia® may harm your unborn baby; or are allergic to denosumab or any ingredients in Prolia®.

For me Prolia® has been a real game-changer because it has not only managed to control my bone density loss, it has actually improved my bone density. People may react to medications differently and should discuss their options and medical history with their doctor in order to make the best decision for themselves. Looking back on my osteoporosis journey I’m really glad I discussed my concerns with my doctor as getting diagnosed and on a plan early may be why I have been so lucky and haven’t broken any bones.

October 20th is World Osteoporosis Day and the perfect moment to take the time to educate yourself and talk to your doctor about a bone health plan, including possible treatments that could be available to you. Here are some helpful resources:

–       Prolia

–       National Osteoporosis Foundation

–       American Bone Health

–       World Osteoporosis Day

You can also join me on Tuesday, Oct. 20 at 10:00 am PT / 12:00 pm CT / 1:00 pm ET for a panel discussion with Amgen, who is sponsoring this post and giving me the opportunity to talk more about my osteoporosis diagnosis and treatment experience. Click here for more information.

*This post is part of a paid collaboration between myself and Amgen. The content reflects my own personal opinions.

ABOUT PROLIA®

• The medication, Prolia®, also known as denosumab, was discovered and developed by Amgen. Prolia® was approved 10 years ago by the U.S. Food and Drug Administration (FDA) for the treatment of postmenopausal women with osteoporosis at high risk for fracture.6 

• Prolia® is given as one shot every six months by a healthcare professional, taken along with calcium and vitamin D.6 

• Prolia® is proven to reduce the risk of fractures and help strengthen bones in postmenopausal women with osteoporosis.6 

For more information go to prolia.com

PROLIA INDICATION AND IMPORTANT SAFETY INFORMATION

Indication

Prolia® is a prescription medicine used to treat osteoporosis in women after menopause who are at high risk for fracture or cannot use another osteoporosis medicine or other osteoporosis medicines did not work well.

Important Safety Information  

Do not take Prolia® if you: have low blood calcium; or are pregnant or plan to become pregnant, as Prolia® may harm your unborn baby; or are allergic to denosumab or any ingredients in Prolia®

What is the most important information I should know about Prolia®?  

If you receive Prolia®, you should not receive XGEVA®. Prolia® contains the same medicine as XGEVA® (denosumab). 

Prolia® can cause serious side effects:  

Serious allergic reactions have happened in people who take Prolia®.  Call your doctor or go to your nearest emergency room right away if you have any symptoms of a serious allergic reaction, including low blood pressure (hypotension); trouble breathing; throat tightness; swelling of your face, lips, or tongue; rash; itching; or hives.

Low blood calcium (hypocalcemia). Prolia®may lower the calcium levels in your blood. If you have low blood calcium, it may get worse during treatment. Your low blood calcium must be treated before you receive Prolia®.  

Take calcium and vitamin D as your doctor tells you to help prevent low blood calcium. 

Severe jaw bone problems (osteonecrosis) may occur. Your doctor should examine your mouth before you start Prolia®and may tell you to see your dentist. It is important for you to practice good mouth care during treatment with Prolia®

Unusual thigh bone fractures. Some people have developed unusual fractures in their thigh bone. Symptoms of a fracture include new or unusual pain in your hip, groin, or thigh.

Increased risk of broken bones, including broken bones in the spine, after stopping, skipping, or delaying Prolia®. Talk with your doctor before starting Prolia® treatment. After your treatment with Prolia® is stopped, or if you skip or delay taking a dose, your risk for breaking bones, including bones in your spine, is increased. Your risk for having more than 1 broken bone in your spine is increased if you have already had a broken bone in your spine. Do not stop, skip, or delay taking Prolia® without first talking with your doctor. If your Prolia® treatment is stopped, talk to your doctor about other medicine that you can take.

Serious infections in your skin, lower stomach area (abdomen), bladder, or ear may happen. Inflammation of the inner lining of the heart (endocarditis) due to an infection may also happen more often in people who take Prolia®. You may need to go to the hospital for treatment. 

Prolia®is a medicine that may affect the ability of your body to fight infections. People who have weakened immune systems or take medicines that affect the immune system may have an increased risk of developing serious infections. 

Skin problems such as inflammation of your skin (dermatitis), rash, and eczema have been reported. 

Bone, joint, or muscle pain. Some people who take Prolia® develop severe bone, joint, or muscle pain.

Before taking Prolia®, tell your doctor about all of your medical conditions, including if you:  

• Take the medicine XGEVA® (denosumab) 

• Have low blood calcium 

• Cannot take daily calcium and vitamin D 

• Had parathyroid or thyroid surgery (glands located in your neck) 

• Have been told you have trouble absorbing minerals in your stomach or intestines (malabsorption syndrome) 

• Have kidney problems or are on kidney dialysis

• Are taking medications that can lower your blood calcium levels  

• Plan to have dental surgery or teeth removed 

• Are pregnant or plan to become pregnant

Females who are able to become pregnant:

• Your healthcare provider should do a pregnancy test before you start treatment with Prolia®.

• You should use an effective method of birth control (contraception) during treatment with Prolia® and for at least 5 months after your last dose of Prolia®.

• Tell your doctor right away if you become pregnant while taking Prolia®.  

• Are breastfeeding or plan to breast-feed.

What are the possible side effects of Prolia®?  

It is not known if the use of Prolia®over a long period of time may cause slow healing of broken bones. The most common side effects of Prolia® are back pain, pain in your arms and legs, high cholesterol, muscle pain, and bladder infection. 

These are not all the possible side effects of Prolia®. Call your doctor for medical advice about side effects. 

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see accompanying Prolia® full Prescribing Information, including Medication Guide.

References:

• National Osteoporosis Foundation. What is Osteoporosis and What Causes It? https://nof.org/patients/what-is- osteoporosis. Accessed September 28, 2020.

• U.S. Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Office of the Surgeon General, 2004.

• National Osteoporosis Foundation. Fast Facts. https://cdn.nof.org/wp-content/uploads/2015/12/Osteoporosis-Fast-Facts.pdf. Accessed September 28, 2020.

• Camacho PM, Petak SM, Binkley N, et al. American Association Of Clinical Endocrinologists/American College Of Endocrinology Clinical Practice Guidelines For The Diagnosis And Treatment Of Postmenopausal Osteoporosis-2020 Update. Endocr Pract. 2020;26(Suppl 1):1-46.

• Cosman F, de Beur SJ, LeBoff MS, et al. Clinician’s Guide to Prevention and Treatment of Osteoporosis [published correction appears in Osteoporos Int. 2015 Jul;26(7):2045-7]. Osteoporos Int. 2014;25(10):2359-2381.

• Amgen. Prolia® (denosumab) prescribing information, Amgen.

AGELESS FASHION

The notion that women need to dress in an “age appropriate” way has always seemed utterly absurd to me. Did you ever wonder where this concept comes from? I’d love to know. Is there some sort of secret committee that gets together every few years to decide what women over 40 can, and cannot wear?

I don’t particularly like the idea that our membership cards to the “fashionista club” expire when we hit a certain age. Women don’t have a “sell by” date, and it really rubs me the wrong way when the media treats us as if we do. So….let’s talk fashion. Should older women be conscious of their age when deciding what styles to wear? In my opinion, no they shouldn’t. Age has very little to do with personal style. Who cares what the fashion police think? What really matters is what you think about what you wear. Does the piece of clothing flatter your figure and your coloring? Does it reflect your personality and make you feel pretty and powerful when you wear it? If the answer is yes, then it’s appropriate for you.

I borrowed this dress and motorcycle jacket from daughter’s closet. Even though there is 32 years between us, we often share clothes, and a lot of what she owns could be worn by her millennial friends. Fashion is about expressing your individuality, so don’t let your inner critic tell you that you are too old to wear a style if you truly love it. Clothing can be worn a million different ways, so there’s always a way to style a piece to make it work for you regardless of how old you are. The rules are changing, and the days when a twenty-something at Vogue had the power to dictate what we wear and how we wear it, are officially over. Long live ageless fashion!




Dress by H&M
Jacket by H&M
Shoes by Pedro Garcia
Bag by Aldo

SOUTHWEST MEDICAL AD CAMPAIGN

BEHIND THE SCENES

CHANNEL 13 KTNV TV INTERVIEW

An 83-year-old former Playboy bunny is getting a lot of attention for what she’s doing in Las Vegas. A photoshoot in downtown Las Vegas is a normal day for Dorrie Jacobson.

A little black dress, stilettos, and bright orange nails — this is what the grandmother wears for thousands of her Instagram followers and the faithful fanbase she’s gathered from her blog, and she’s using the attention to get at least one message across:

“This business of being age appropriate is ridiculous. Get out there and break the rules,” said Jacobson.

With the help of her daughter behind the camera, Jacobson never stepped out of the limelight. She was a Playboy bunny in her 20s, but she has continued modeling well into her 80s, and her fans got to see her put on the old bunny uniform just a few weeks ago.

“The bunnies were the main attraction at the Playboy club, which was a life-changing experience,” said Jacobson.

Many Thanks to Channel 13 KTNV for the Lovely feature

BBC LONDON INTERVIEW

Why am I suddenly prancing around in lingerie in my 80s? Because I want to encourage women to embrace their bodies at every age. Why do we have to be young and flawless to be considered beautiful? Society is obsessed with youth… and I want to broaden that definition of beauty to include women of all ages. It’s time to challenge the beauty standards set by society, and do away with this idea that a woman’s allure has an expiration date. I want women to be celebrated at every stage of our lives, not just the small window of time when we embody the physical ideal. Age is an attitude. It’s time we stop letting a number define who we are and we present ourselves to the world. If it makes you feel pretty, wear it.

~ Dorrie
Senior Style Bible

Many thanks to the BBC for the lovely feature
Video Production by Rachel Aston and Creative Collab.
Shoot Locations: Park on Fremont and Commonwealth in Las Vegas.

STEVE MADDEN STYLE CRUSH

Dorrie Jacobson is a firecracker at 80. Under the moniker Senior Style Bible, the fashion blogger is invested in changing the perception of “age appropriate.” Based in Las Vegas, her flashy past and style mirrors the Entertainment Capital of the World.

After intensely Insta-stalking, we flew out to Las Vegas and sat down to get to know Senior Style Bible. Watch below to learn how she’s turning heads at 80, what she learned from being a Playboy bunny and how she feels about dressing “age appropriate.”

We discovered Dorrie through her bold and colorful outfit posts on Instagram, and as we kept digging into her addicting feed, her story demanded our attention. Not only was she one of the original Playboy bunnies at the Chicago club, Dorrie was the first Miss Polaroid for the camera company.

Name: Dorrie Jacobson

Age: 80

Blog: Senior Style Bible

How would you describe your style? Whatever the opposite of “Granny Chic” is…

Favorite decade? The ’50s, because that was the era of Frank Sinatra and The Rat Pack. Now those guys really knew how to have a good time…and so did I!

Eternal style muse? Audrey Hepburn. She epitomizes timeless elegance and style.

Favorite item in your closet? My lucky red leather jacket that I bought way back in the ’90s.

Favorite people-watching spot? Anywhere on the Las Vegas strip. I see fashion statements that defy description.

Go-to outfit? Skinny jeans and a cashmere tank top, worn with a cropped leather jacket and boots.

What do you look for in footwear? I love statement shoes. I usually dress from the shoe up…so my footwear really needs to turn heads. At 80, I still wear high heels almost every day, because they’re my trademark. People probably wouldn’t recognize me without them.

Celebrity crush? Sean Connery. I don’t think the other 007s really compare.

Who’s on your playlist right now? Frank Sinatra

Best place to find inspiration? Ari Seth Cohen’s “Advanced Style” blog. He’s the reason that “Old is the New Black.”

Who do you stalk on Instagram? My favorite style blogger is Sara Jane Adams (@saramaijewels) and my guilty pleasure is Baddie Winkle. She is something else!

Number one style rule to live by? Forget about being “age appropriate.” Defy the rules….No one should dictate your style to you. It’s a means of self-expression. Make it your own.

hat’s your vice? I’m a shoe addict. I converted a large closet in my home into a storage area just for my shoes. Now that it’s full, I think I probably need to move somewhere with a bit more closet space.

Drink of choice? Wine, definitely wine.

Future plans for Senior Style Bible? We’re in the process of shooting videos for our new YouTube channel and we’re also writing a book on style tips for mature fashionistas.