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DESCRIPTION
When osteoporosis (the progressive disease where bone breakdown increases faster than bone formation) is diagnosed, a combination of treatment methods are available to stop or slow down the loss and help rebuild bones. Maintaining bone health is an important step in preventing bone fractures (especially of the hip and spine) and subsequent disability that often occurs in women over age 50.
Osteoporosis is a major public health threat for an estimated 44 million Americans, or 55 percent of the people 50 years of age and older. In the U.S., 10 million individuals are estimated to already have the disease and almost 34 million more are estimated to have low bone mass, placing them at increased risk for osteoporosis. Of the 10 million Americans estimated to have osteoporosis, eight million are women and two million are men. Significant risk has been reported in people of all ethnic backgrounds. While osteoporosis is often thought of as an older person's disease, it can strike at any age.
PREVALENCE IN WOMEN
Eighty percent of those affected by osteoporosis are women.
Twenty percent of non-Hispanic white and Asian women aged 50 and older are estimated to have osteoporosis, and 52 percent are estimated to have low bone mass.
Five percent of non-Hispanic black women over age 50 are estimated to have osteoporosis; an estimated additional 35 percent have low bone mass that puts them at risk of developing osteoporosis.
Ten percent of Hispanic women aged 50 and older are estimated to have osteoporosis, and 49 percent are estimated to have low bone mass.
Osteoporosis is under-recognized and under-treated not only in Caucasian women, but in African-American women as well.
PREVALENCE IN MEN
Twenty percent of those affected by osteoporosis are men.
Seven percent of non-Hispanic white and Asian men aged 50 and older are estimated to have osteoporosis, and 35 percent are estimated to have low bone mass.
Four percent of non-Hispanic black men aged 50 and older are estimated to have osteoporosis, and 19 percent are estimated to have low bone mass.
Three percent of Hispanic men aged 50 and older are estimated to have osteoporosis, and 23 percent are estimated to have low bone mass.
FRACTURES
One in two women and one in four men over age 50 will have an osteoporosis-related fracture in her/his remaining lifetime.
Osteoporosis is responsible for more than 1.5 million fractures annually, including: over 300,000 hip fractures; and approximately 700,000 vertebral fractures; 250,000 wrist fractures; and 300,000 fractures at other sites.
Hip fracture risk is increasing most rapidly among Hispanic women.
Women with a hip fracture are at a four-fold greater risk of a second one, and the risk factors are similar to those for the first hip fracture.
Osteoporotic fractures lower a patient's quality of life.
The most typical sites of fractures related to osteoporosis are the hip, spine, wrist and ribs, although the disease can affect any bone in the body. The rate of hip fractures is two to three times higher in women than men; however, the one year mortality following a hip fracture is nearly twice as high for men as for women. A woman's risk of hip fracture is equal to her combined risk of breast, uterine and ovarian cancer. In 2001, about 315,000 Americans age 45 and over were admitted to hospitals with hip fractures. Osteoporosis was the underlying cause of most of these injuries. An average of 24 percent of hip fracture patients aged 50 and over die in the year following their fracture. One in five of those who were ambulatory before their hip fracture requires long-term care afterward. At six months after a hip fracture, only 15 percent of hip fracture patients can walk across a room unaided. Not just hip fractures, but vertebral fractures are also linked with an increased risk of death. One in five hip fracture patients ends up in a nursing home, a situation that participants in one study described as less desirable than death. White women aged 65 or older have twice the incidence of fractures as African-American women.
COSTS
The estimated national direct care expenditures (including hospitals, nursing homes, and outpatient services) for osteoporotic fractures is $18 billion per year in 2002 dollars, and costs are rising.
FRISK FORMULA FOR PREDICTING BONE FRACTURES
Sept. 26, 2006 -- Australian researchers have come up with a mathematical formula to help predict bone fractures in women 60 and older. The formula, described in Radiology's October edition, factors in bone mineral density at the hip and spine, history of fractures and falls, and weight. Researchers included Margaret Joy Henry, BSc(Hons), PhD, at Australia's University of Melbourne. Henry's team calls the formula the FRISK (fracture risk) score. They created it by looking at 679 women age 60 and older. Participants included 231 women (average age: 74) who had minor bone fractures in the two years prior to the study. The other 448 women (average age: 72) hadn't had any bone fractures during that time. Both groups included women with normal bone mineral density, osteopenia, and osteoporosis. Osteopenia is bone mineral density that's lower than normal but not in the osteoporosis range. Osteoporosis is bone mineral density that's dangerously low, making fractures more likely. Henry's team plugged the women's weight, bone mineral density at the hip and spine, history of falls, and previous fractures into their formula to get a FRISK score. Then the researchers tracked the women's fractures for the next five to six years. During the first two years, the FRISK formula accurately predicted 75% of the women's fractures. The odds of having a new fracture were higher for women with low bone-mineral density, past fractures, and a history of falls. The findings about weight were a little more complex. Lighter women tend to have lower bone mineral density; heavier women often have higher density. And lighter women have been considered at greater risk for osteoporosis. But after taking bone-mineral density into account, lighter women weren't at greater risk of fractures. That is, lighter women with strong bones weren't especially likely to have fractures. In fact, adjusting for bone-mineral density showed that heavier women are at greater risk of fractures. Heavier weights apply more force to the skeleton during falls, the researchers note. The formula's accuracy faded as the years passed, possibly due to factors not included in the formula, write Henry and colleagues. The researchers are currently gauging fracture risk factors in men age 60 and older, according to a news release from the Radiological Society of North America, which publishes Radiology.
RISK FACTORS
Certain people are more likely to develop osteoporosis than others. Factors that increase the likelihood of developing osteoporosis and fractures are called "risk factors." These risk factors include:
- Personal history of fracture after age 50
- Current low bone mass
- History of fracture in a 1° relative
- Being female
- Being thin and/or having a small frame
- Advanced age
- A family history of osteoporosis
- Estrogen deficiency as a result of menopause, especially early or surgically induced
- Abnormal absence of menstrual periods (amenorrhea)
- Anorexia nervosa
- Low lifetime calcium intake
- Vitamin D deficiency
- Use of certain medications (corticosteroids, chemotherapy, anticonvulsants and others)
- Presence of certain chronic medical conditions
- Low testosterone levels in men
- An inactive lifestyle
- Current cigarette smoking
- Excessive use of alcohol
- Being Caucasian or Asian, although African Americans and Hispanic Americans are at significant risk as well
Women can lose up to 20 percent of their bone mass in the five to seven years following menopause, making them more susceptible to osteoporosis.
DETECTION
Bone-density tests using machines called densitometers determine the presence or risk of osteoporosis (bone loss). These tests can show a bone loss of as little as one percent and indicate whether a woman's bones are healthy or that moderate to extensive bone loss exists. These specialized tests called bone mineral density (BMD) tests can measure bone density in various sites of the body. A BMD test can:
- Detect osteoporosis before a fracture occurs
- Predict chances of fracturing in the future
- Determine rate of bone loss and/or monitor the effects of treatment if a DXA BMD test is conducted at intervals of one year or more
Medicare reimburses for BMD testing every two years.
An increase in BMD testing and osteoporosis treatment was associated with a decrease in hip fracture incidence. Bone density is an important determinant of fracture risk even in nursing home patients. There has been a five-fold increase in office visits for osteoporosis (from 1.3 to 6.3 million) in the past 10 years.
MEDICATION
Although there is no cure for osteoporosis, the following medications are approved by the FDA for post-menopausal women to prevent and/or treat osteoporosis:
Hormone replacement therapy (HRT) consisting of estrogen plus a progestin or estrogen alone is currently recommended (to prevent and treat osteoporosis) for all post-menopausal women unless contraindications exist or the medication is not tolerated. HRT also offers other health factors, as well (such as protection against heart problems and some cancers). For most women the benefits of hormonal replacement may outweigh the possibility of any risks. For best results, the therapy should be started right after menopause and continue indefinitely. However, HRT has some serious risk factors involved with it. A woman should do extensive research about HRT before using this therapy.
Estrogen/Hormone Therapy:
- Estrogens (brand names, such as Climara, Estrace, Estraderm, Estratab, Ogen, Ortho-Est, Premarin, Vivelle and others)
- Estrogens and Progestins (brand names, such as Activella, FemHrt, Premphase, Prempro and others)
- Parathyroid Hormone - Teriparatide (PTH (1-34) (brand name Fortéo)
Selective Estrogen Receptor Modulators (SERMs):
- Raloxifene (brand name Evista)
MoonDragon's Menopause Information: Hormone Replacement Therapy (HRT)
Bisphosphonates:
Ibandronate (brand name Boniva). December 2004, Roche and GlaxoSmithKline (GSK) announced the submission of a new drug application (NDA) with the U.S. Food and Drug Administration (FDA) for a novel intravenous (IV) injection formulation of its bisphosphonate Boniva (ibandronate sodium) for the treatment of post-menopausal osteoporosis. The proposed IV injection regimen is 3 mg administered once every three months. Bisphosphonates, the most frequently prescribed medicines for treating osteoporosis, currently are available only in once-daily or once-weekly oral dosing formulations. Boniva Injection is expected to be the first IV bisphosphonate treatment for osteoporosis, and may be a helpful alternative for physicians who want greater control in administering bisphosphonate therapy. Boniva Injection may offer a new option for patients who experience gastrointestinal side effects with oral bisphosphonates, or are unable to comply with oral bisphosphonate dosing guidelines. FDA approved a once-daily oral formulation of Boniva in May 2003, but Roche and GSK have been exploring less frequent oral dosing regimens, as well as the IV formulation, before marketing Boniva. In May 2004, a supplemental NDA was filed with FDA for a once-monthly oral dosing formulation of Boniva, which may offer added convenience for patients compared to the daily and weekly oral bisphosphonates currently available.
The Boniva Injection should not be administered to patients with hypocalcemia. The most common side effects observed in clinical trials were bone, muscle or joint pain; flu-like illness; and headache.
Boniva Once-Daily Oral Tablets (2.5 mg once-daily) is indicated for the treatment and prevention of osteoporosis in post-menopausal women. In post-menopausal women with osteoporosis, Boniva increases bone mineral density and reduces the incidence of vertebral fractures. Boniva also may be considered for post-menopausal women who are at risk for developing osteoporosis and for whom the desired clinical outcome is to maintain bone mass and reduce the risk of vertebral fracture. Boniva Tablets are contraindicated in patients unable to stand or sit upright for at least 60 minutes, patients with hypersensitivity to any component of this product, and patients with uncorrected hypocalcemia. Boniva, like other bisphosphonates administered orally, may cause upper gastrointestinal disorders such as dysphagia, esophagitis and esophageal or gastric ulcer.
Alendronate and alendronate plus vitamin D (brand name Fosamax and Fosamax plus D) - Alendronate (brand name, Fosamax), a non-hormonal drug, that slows down the loss of bone tissue and increases bone mass in women with osteoporosis. Alendronate is approved as a treatment for osteoporosis in men and is approved for treatment of glucocorticoid (steroid)-induced osteoporosis in men and women. Take it in the morning at least 30 to 60 minutes before eating. The tablet is swallowed with a full glass of water (6 to 8 ounces). To help the medicine reach the stomach faster and to prevent throat irritation, don't lie down for 30 minutes after taking it. Any other medications should be taken at least 30 minutes after taking alendronate. Side effects may include stomach pain, muscle or joint pain, and other gastrointestinal symptoms. Long-term safety has not been established and medical studies are continuing. For information about injuries and side effects associated with Fosamax, see the following link:
Risedronate and risedronate with calcium (brand name Actonel and Actonel with Calcium). Risedronate is approved for prevention and treatment of glucocorticoid-induced osteoporosis in men and women.
Parathyroid hormone is approved for the treatment of osteoporosis in men who are at high risk of fracture.
Calcitonin (brand name Miacalcin), a treatment for post-menopausal osteoporosis. The exact mechanism of how it works is not fully understood. It slows down the loss of bone tissue and increases bone mass in women with osteoporosis. It comes in the form of a nasal spray. Use one spray per day in a nostril, alternating nostrils daily. Follow directions on the label about activating and using the pump supplied with the medication. A skin test may be performed before beginning treatment with calcitonin. Side effects can include nasal symptoms (irritation, dryness, stuffiness or runny nose, and others).
Other drugs undergoing testing with approved pending:
- Slow release sodium fluoride, a mineral encapsulated in a wax tablet. In medical studies, this drug therapy appears to slow down bone loss and to help build bone. In the past, high doses of sodium fluoride have caused some unwanted side effects, but this slow release formula appears to avoid them. Once approved, women taking this drug will need to have an annual blood test to check levels of fluoride to be sure it remains under toxic levels.
- Calcitriol, a hormone drug, helps with the absorption of calcium and slows bone loss. It is used in many other countries for osteoporosis, but has not been approved for this disorder in the United States. It can cause kidney stones when taken in high doses. It is approved and used for the treatment of a bone disorder caused by kidney dialysis.
- Other agents are under active investigation for the treatment of osteoporosis. Some of these are new drugs and others are existing drugs approved for other purposes, but which also may help bone loss.
DIETARY SUPPLEMENTS
Calcium is essential for development of normal bone. The recommended dietary allowance (RDA) for calcium is 1000 mg each day. Many health experts believe women over age 40 need 1000 to 1500 mg daily. This amount is achieved with diet or supplements or both. Sufficient calcium intake is necessary in addition to any type of prescription medication that may be taken for bone loss.
Vitamin D is also necessary for maintaining bone density. It is often difficult to get sufficient vitamin D in unfortified foods or sunlight exposure. Daily supplementation of 400 to 800 international units (IU) is usually recommended for post-menopausal women.
Magnesium helps calcium to be absorbed. It should be taken with calcium at a 2;1 ratio. For 1,000 mg of calcium, 500 mg of magnesium should also be taken, for 1,500 mg calcium, 750 mg of magnesium is required. Look for quality supplements that provide this 2 to 1 ratio.
DIET
Eat a healthful diet (osteoporosis diet) that follows the adult diet guidelines established by the U.S. Government. Your health care provider may recommend dietary restrictions for salt, fat, animal protein, alcohol, caffeine or other substances depending upon individual circumstances.
It is important to balance what you eat with physical activity. If your weight is not in the healthiest range, try to reduce health risks through better eating and exercise habits. Walking at least a mile a day is a good form of low stress exercise.
EXERCISE
Physical exercise is important in developing and maintaining bone strength. Exercise also aids in strengthening back muscles, improves flexibility and mobility (which can reduce the risk of falls and bone fractures), and helps one's sense of well-being.
A basic exercise routine should consist of 30 minutes of aerobic activity and weight bearing activity at least 3 times a week and more often if possible. Brisk walking is a good aerobic activity. Lifting weights is a weight bearing activity. There is no one exercise program that suits everyone. Choose one that you will follow regularly and faithfully.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You or a family member wants more information about bone building treatment.
New unexplained symptoms develop. Drugs used in treatment may cause side effects.
OTHER LINKS
Links from Yahoo.com for websites having information about osteoporosis. MoonDragon does necessarily promote or support any of these resource websites or treatment methods they may use, but they are supplied to our visitors only as a research tool.
Nutrients Supplement Suggested Dosage Comments Essential Boron 3 mg daily. Do not exceed this amount. Improves calcium absorption. Note: If you are taking a complex containing boron, omit this supplement. Boron Chelate, Nature's Way, 3 mg - 100 caps Take one capsule daily with a meal or water. Calcium 1,500-2,000 mg daily. Necessary for maintaining strong bones. Use chelate form. Injections (under a health care provider's supervision) may be needed. Liquid Calcium-Magnesium, Almond Flavor - 16 fl. oz. Take 1-2 Tablespoons Daily. 1 tablespoon = 1200 mg calcium/600 mg magnesium plus other trace minerals. Calcium Complex Bone Formula, Nature's Way - 100 Caps, Bone Calcium, Now Foods, 120 Tabs, Calcium Gluconate Powder, Now Foods, 100% Pure - 7 oz., Calcium Carbonate Powder, Now Foods 12 oz. Magnesium 1,000 mg daily. Important in Calcium uptake. Calcium and magnesium should be in a 2:1 ratio, 2,000 mg calcium to 1,000 mg magnesium, as an example. Liquid Calcium-Magnesium, Almond Flavor - 16 fl. oz. Take 1-2 Tablespoons Daily. 1 tablespoon = 1200 mg calcium/600 mg magnesium plus other trace minerals. Calcium Complex Bone Formula, Nature's Way - 100 Caps, Liquid Calcium-Magnesium, Almond Flavor - 16 fl. oz. Take 1-2 Tablespoons Daily. 1 tablespoon = 1200 mg calcium/600 mg magnesium plus other trace minerals. Magnesium Citrate Powder, 100% Pure, Now Foods Vegetarian - 8 oz, Dosage 1 teaspoon with meals or in juices, 1 teaspoon = 450 mg magnesium. Silica As directed on the label. Supplies silicon, for calcium utilization and bone strength. Original Silica Gel Capsule, 90 Vcaps - Nature's Way. Copper 3 mg daily. Aids in the formation of bone. Copper Ionic Mineral Supplement, Fully absorbable, 50 +/- ppm - 16 fl. oz. Glucosamine Plus Nutrients As directed on label
3 times daily.A supplement that contains glucosamine and other nutrients necessary for development of bone and connective tissue. Glucosamine Hydrochloride, Sodium Free, Nature's Way 375 mg each Tablet - 80 Tabs, Glucosamine Chondroitin Liquid w/ Lignisol MSM, Now Foods - 16 fl. oz., Glucosamine Chondroitin Herbal Pad - 30/24 hour Maximum Strength self-adhering pads (no pill to swallow! Iron (Organic) As directed on label. Provides iron and other nutrients needed for optimum health. Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm - 16 fl. oz., Alive! Whole Food Energizer Multi-Vitamin & Mineral with Iron added, Nature's Way - 90 Vcaps, Iron Gluconate, Nature's Way, 18 mg - 100 Caps. Keep all iron supplement out of the reach of children. In case of accidental poisoning, call health care provider. Do not take iron supplements without the advice of your health care provider. Very Important L-lysine
and
L-arginineAs directed on label, on empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg of vitamin B6 and 100 mg vitamin C for better absorption. Aid calcium absorption and connective tissue strength. L-Lysine, Vegetarian, 500 mg - 100 Tabs, L-Arginine, Pharmaceutical Grade, Free Form, Now Foods, 500 mg - 100 Caps Multi-enzyme complex with betaine hydrochloride (HCl)
plus
proteolytic enzymesAs directed on label. Take with meals.
Take between meals.Needed for proper absorption of calcium and all nutrients. Digestion Essentials Ultimate Digestion Formula, Peter Gillham's Natural Vitality, 120 Caps, Betaine HCI (Hydrochloric acid) w/ Pepsin, Now Foods - 120 Caps Sulfur (Sulphur) As directed on label. Necessary for calcium uptake. Increases bone and connective tissue strength. Sulfur Ionic Mineral Supplement, Fully Absorbable, 500 +/- ppm - 16 fl. oz., MSM (Methylsulfonylmethane), Pure Lignisol, 1000 mg - 240 Caps Dehydroepiandrosterone (DHEA) As directed on label. Inhibits an enzyme that is involved in fat production. 7 Keto DHEA, Metabolite of DHEA, Now Foods 25 mg - 90 Caps, DHEA Pharmaceutical Grade Anti-aging Support, Hypo allergenic, 50 mg - 180 Caps Vitamin A 50,000 IU daily for 1 month, then reduce to 25,000 IU daily. Important in retarding the aging process. Use emulsion forms for easier assimilation. Vitamin A, 10,000 IU, 100% Natural, Nature's Way - 100 Softgels, Dry Vitamin A & D Nature's Way, 15,000/400 IU - 100 Caps Vitamin E 400 IU daily. Important in retarding the aging process. Use emulsion forms for easier assimilation. Vitamin E, Natural d-alpha tocopherol, 400 IU - 100 Softgels Vitamin D 400 IU daily. Plays a role in calcium uptake. Dry Vitamin A & D Nature's Way, 15,000/400 IU - 100 Caps, Dry Vitamin D Nature's Way, 100% Natural, 400 IU - 100 Caps Zinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Important for calcium uptake and immune function. Use zinc gluconate lozenges for best absorption. Zinc Lozenges w/Echinacea & Vitamin C, Nature's Way, 23 mg - 60 Lozenges, Elderberry & Zinc, Vegetarian Formula, Now Foods - 90 Lozenges Helpful Chromium picolinate 400-600 mcg daily. Improves insulin efficiency, which improves bone density. Chromium Picolinate, 100% Natural, Nature's Way, 200 mcg - 100 Caps, Chromium Picolinate, Now Foods, 200 mcg -100 Caps Cod liver oil 3 teaspoons daily. A natural source for vitamin A and vitamin D. Barleans Fishery's Oil, Fresh Catch Icelandic Cod Liver Oil - 8 fl. oz., Cod Liver Oil w/Vitamins A & D, Nature's Way, 400 mg/1250 IU/135 IU Each Softgel - 250 softgels DL-Phenylalanine As directed on label, on an empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg vitamin B6 and 3,000 mg vitamin C for better absorption. Good for bone pain. Do not take this supplement if you suffer from diabetes, panic attacks, high blood pressure, or PKU. DLPA by Twin Labs, 60 Caps Kelp 2,000 to 3,000 mg daily. A rich source of important minerals. Kelp Seaweed Norwegian, Now Foods, 100% Natural acophyllum nodosum, 550 mg - 250 Caps, Kelp Seaweed Norwegian, Tincture, 100% Organic - 2 fl. oz. Manganese As directed on label. Take separately from calcium. A rich source of important minerals. Manganese Ionic Mineral Supplement, Fully Absorbable, 30 +/- ppm - 16 fl. oz. Multivitamin and mineral complex As directed on label. To supply essential minerals. Use a high-potency formula. Multi Vitamin & Mineral without Iron, Complete Vitamin Supplement, Nature's Way - 100 Caps, Multi Vitamin & Mineral with Iron, Nature's Way 100 Caps Vitamin B12 1,000 mcg daily Promotes normal growth. Use a lozenge or sublingual form. Consider injections (under a health care provider's supervision). Vitamin B-12, California Natural, 1000 mcg - 60 Tabs, Vitamin B-12 Lipospray, Now Foods - 2 oz. 1000 mcg/spray under tongue., Vitamin B-12/Cyanocobalamin, 2000 mcg - 100 Sublingual Lozenges Vitamin C 3,000 mg and up daily. Important for collagen and connective tissue formation. Vitamin C 1000 w/Rosehips, 100% Natural, 1000 mg - 250 Caps
OSTEOPOROSIS SUPPLEMENTAL PRODUCTS
Information, products and supplements for osteoporosis, a progressive disease in which the bones gradually weaken, resulting in poor posture and brittle bones that are prone to fracture (breaks).
Arth-X Platinum - Natural Arthritis Supplement for Bone and Joint Pain and Stiffness, 90 tabs, Trace Minerals
Arth-X Platinum is the most complete and effective dietary supplement and may be a good Natural Arthritis Treatment for you to support and aid in the relief of bone and joint pain and stiffness.Healthy Mom, High Potent Omega-3's for Nutrition During Pregnancy and Lactation, 90 Softgels
Fresh Catch® Healthy Mom is a pure and pristine source of molecularly distilled, pharmaceutical grade fish oil formulated with the ideal dose and ratio of DHA and EPA to address the health and nutrition priorities of pregnant and lactating women.Healthy Adult from Barleans Organic Oils, Omega-3 Concentrate, 60 softgels
Fresh Catch® Healthy Adult formula is one of Barleans Organic Oils, a pure and pristine source of molecularly distilled fish oil formulated with the ideal dose and ratio of highly concentrated EPA and DHA omega-3 for the vibrant health and energy of healthy adults.Barleans Organic Oils, Premium Potency DHA Omega-3, 90 Softgels
Barleans Organic Oils provides Fresh Catch® Super Potency DHA, a pure and pristine source of molecularly distilled, fish oil providing highly concentrated DHA omega-3 to support memory, cognition and emotional well-being for your vibrant health and energy.Barleans Organic Oil Fresh Catch Fish Oil EPA - DHA Concentrate, 60 Softgels
Fresh Catch Barleans Organic Oil Super High Potency EPA - DHA is a pure and pristine source of fish oil providing highly concentrated EPA Omega-3 to support cardiovascular, joint, immune and colon health for your vibrant health and energy.Barleans Organic Oil, Super High Potency Omega-3 EPA, 60 Softgels
Fresh Catch Barleans Organic Oil Super High Potency EPA is a pure and pristine source of fish oil providing highly concentrated EPA Omega-3 to support cardiovascular, joint, immune and colon health for your vibrant health and energy.Barleans Fishery's Oil, Fresh Catch Cod Liver Oil, 8 fl. oz.
Barleans Fishery brings you Fresh Catch Cod Liver Oil, a pure and pristine source of molecularly distilled cod liver oil ideal for those who seek a naturally occurring, well-balanced ratio of EPA, DHA and vitamins A & D.Fresh Catch Fish Oil, Barleans Oil - EPA - DHA - World's Freshest Fish Oil, 8 Fl Oz.
Fresh Catch Fish Oil is a pristine source of ultra-purified fish oil capsule providing naturally occurring levels of EPA and DHA for your vibrant health and energy.Barleans Fish Oil Capsule - Omega - 3 EPA / DHA, 250 Softgels
Barleans Fish Oil Capsule's signature formula is ideal for people who are seeking the absolute highest quality fish oil at the best value.Nature's Way Silica Supplement Gel, 17 fl. oz., 500 ml.
Original Silica Supplement gel is a colloidal preparation of natural silica, a good source of elemental silicon, in which microscopic particles of silica are so finely dispersed in water that a gel is formed.Pelvic Block, Adult, 1 Pair
A common positioning tool for a variety of treatment techniques. Features Scoot-Gard to prevent slipping.Menopause Support Formula, Estro Genesis, Includes 2 Free CD's, 60 Tabs
Estro Genesis is the first complete menopause support formula that also supports total women's health.Nature's Way Barley Bran - STD 60% Beta Glucan Nature's Way, 60 Vcaps.
Nature's Way's Barley Bran, has one of the highest Barley Beta Glucan contents commercially available which makes it the supplement of choice for anyone looking to pump up their cardiovascular health.Foam Roll, 13 5/8" x 3 3/4"
Use this roll for a wide variety of comfort and support applications.Overhead Traction System
This water-filled weight bag provides variable tension to alleviate pressure on the spinal column.Cervical Traction System, 5 lb. Weight
An effective, affordable and convenient way to help restore proper cervical curve.Cervical Traction System, 3 lb. Weight
An effective, affordable and convenient way to help restore proper cervical curve.OsteoBoron Bone and Joint Health, with 200mg Green Food Concentrates each NOW Foods, 90 Vcaps
Boron is an important trace mineral for bone and joint health throughout life, as well as for the development and maintenance of healthy bone density. NOW OsteoBoron is a superior form of Boron that has been the subject of clinical studies demonstrating its efficacy in the support of healthy joints.Solid Bone for Bone and Muscle Strength, TCM Formula, Luma Zhuanggu, 500 mg each Capsule, 60 Caps
This time-honored formula is used in Chinese medicine for its bone and muscle strengthening to maintain healthy, strong bones and muscles.Irwin Naturals, EstroPause, Menopause Support, 80 Gelcaps
Irwin Naturals EstroPause has been carefully formulated to support hot flash control, memory & mood, estrogen production, bone density, eye, heart, colon and vaginal moisture.Coral Calcium (Okinawa) Plus w/ Magnesium & Vitamin D, 100% Natural, NOW Foods, 500 mg, 100 Vcaps
Okinawa Coral Calcium Plus with Magnesium, Vitamin D and 70 other trace minerals provides essential minerals, restores body alkalinity, supports the immune system, and is bio available for better absorption.Calcium Gluconate Powder, NOW Foods, 100% Pure, 7 oz.
Calcium - naturally occurring in some foods - is a mineral that is necessary for bone maintenance and formation and many other normal functions of the body and calcium can also aid in the removal of other minerals from the body.Calcium Complex Bone Formula Nature's Way, 100 Caps
Calcium, Magnesium, and other minerals help maintain normal structure and development of bones. Studies have shown that calcium supplementation may help to maintain normal bone density among women as they age.Boron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.
WaterOz Ionic Boron is a pure liquid Boron supplement. WaterOz Ionic Boron is pure liquid Boron. Boron is essential to bone metabolism and calcification of bones, and helps prevent osteoporosis, arthritis, and tooth decay. Boron is necessary for cartilage formation and repair; it affects calcium, magnesium, and phosphorus levels. Memory and brain function can be improved with boronJust An Ounce Calcium and Magnesium Liquid, Almond Flavor, 16 fl. oz.
Just An Ounce, Calcium and Magnesium Liquid can help with the development of strong bones and teeth, also prevents muscle cramping, risk of colon cancer, maintain regular heart beat, protects against osteoporosis and helps relax the central nervous system.MSM Supplement (Methylsulfonylmethane), 1,000 mg, 120 Caps, Pure Lignisul with Free 4 oz. Lotion
Buy MSM Supplement caps and get a 4 oz. Lotion free. MSM supplement plays a beneficial role in connective tissue and joint flexibility, immune health, arthritis, osteoporosis, rheumatoid arthritis, inflammation, pain, hair, skin, nails, athletic injuries, acne, wrinkles and allergies.Soy Isoflavones with Digestive Enzymes, NON-GMO, SoyLife, 500 mg, 100 Caps
We guarantee at least 12.5mg of soy isoflavones per capsule.Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.
WaterOz Ionic Calcium is a pure liquid Calcium supplement. Calcium is one of the most essential of the major biochemical elements needed in human nutrition. It is needed in every organ of the body, including the brain. Calcium is called the "knitter" because it promotes healing or knitting everywhere in the body. It is valuable for tone, power, strength, longevity, vitality, and endurance, healing of wounds, counter-acting acids, and helping regulate metabolism.EstroSoy Plus Black Cohosh, Nature's Way, 355 mg, 60 Caps
EstroSoy Plus relieves hot flashes and night sweats, supports breast health, and promotes healthy bones by helping the body retain calcium. Soy, which contains natural phytoestrogens called isoflavones, has been clinically proven to ease hormonal transition. Women with a soy-rich diet report lower incidence of hot flashes and other menopause symptoms.Prenatal Vitamin with Folic Acid, 100% Natural & Complete, Nature's Way, 180 Caps
Nature's Way Prenatal Vitamin with Folic Acid is a complete vitamin formulated to support the health of the mother and child.Female Estrogen with Progesterone Tincture, 100% Organic, 2 fl. oz.
Female Estrogen With Progesterone formula is used mainly to promote hormonal balance. It does not contain hormones, however.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You or your family member has symptoms of osteoporosis.
Pain develops, especially after injury.
New, unexplained symptoms develop, such as vaginal bleeding. Drugs used in treatment may produce side effects.
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