Patellar Fracture — Biomarkers & Genes Summary Biomarker / Gene Bad Score Free Actions Paid Actions BIOMARKERS 25-OH Vitamin D <30 ng/mL Sun 15-30 min/day, fatty fish, eggs, UV-exposed mushrooms D3 4000-6000 IU daily + K2 MK-7 100-200 mcg P1NP Low/flat at wk 6 & 12 Protein 1.2-1.6 g/kg/day, quality sleep, weight-bearing exercise Collagen peptides 10-15 g + Vit C 500-1000 mg + ch-OSA 10 mg β-CTX Markedly elevated (+ low P1NP = red flag) Sleep 7-9 h, calcium-rich diet, quit smoking, reduce stress K2 MK-7 180-200 mcg/day + omega-3 EPA+DHA 2-4 g hs-CRP >3.0 mg/L Mediterranean diet, 7+ h sleep, moderate exercise Omega-3 2-4 g + curcumin 500-1000 mg + quercetin 500 mg PTH >65 pg/mL Calcium-rich foods, sun exposure, limit caffeine >4 cups/day Vit D3 (primary correction) + calcium citrate 500 mg x2/day RBC Magnesium <4.5 mg/dL Pumpkin seeds, leafy greens, legumes, reduce alcohol Mg glycinate/malate 300-400 mg elemental; take in evening GENES VDR Unfavorable variant (BsmI, FokI, TaqI) Midday sun 30-45 min; resistance exercise (upregulates VDR) D3 5000-8000 IU + K2 MK-7 200 mcg; retest quarterly COL1A1 "ss" genotype (Sp1 rs1800012) Resistance training, protein 1.4-1.6 g/kg/day, no smoking Collagen peptides 15 g + Vit C 500-1000 mg + ch-OSA 10 mg RANKL pathway (TNFSF11 / TNFRSF11B) Unfavorable variant Weight-bearing exercise, stress management, anti-inflam diet K2 MK-7 180-200 mcg/day + omega-3 EPA+DHA 2-4 g IL-6 (rs1800795) GG genotype Mediterranean diet, quality sleep, healthy weight, moderate exercise Omega-3 3-4 g + curcumin 500-1000 mg + quercetin 500 mg MTHFR (C677T) TT genotype Leafy greens, legumes, B12 foods, avoid alcohol L-methylfolate 400-1000 mcg + methylcobalamin + riboflavin B2