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	<title>Save Our Bones &#187; Ask Vivian</title>
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	<link>http://saveourbones.com</link>
	<description>Increase your bone density naturally without cost, pills, or pain.  The internet&#039;s #1 resource for natural osteoporosis treatment.</description>
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		<title>Not All Doctors Are Created Equal</title>
		<link>http://saveourbones.com/not-all-doctors-are-created-equal/</link>
		<comments>http://saveourbones.com/not-all-doctors-are-created-equal/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 10:43:53 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[Doctors]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=167</guid>
		<description><![CDATA[<p>Q:  I appreciate your desire to help others with osteoporosis and the spectrum of bone loss. It is such an important issue! My question is, why do you have to blast doctors so much? I did not spend 12 years of my life to become a doctor to, as you ...]]></description>
			<content:encoded><![CDATA[<p>Q:  I appreciate your desire to help others with osteoporosis and the spectrum of bone loss. It is such an important issue! My question is, why do you have to blast doctors so much? I did not spend 12 years of my life to become a doctor to, as you said in your e-mail: &#8220;scare you by painting a grim picture of your future&#8221;. I, like the majority of practitioners I know, actually want to help our patients.</p>
<p>It&#8217;s also very sad that you glop all doctors together and make statements like &#8221; there is a lot more to predicting future  fracture risk than a simple T-score, which is the only guideline  doctors use&#8221;. I don&#8217;t know many physicians that do only use them</p>
<p>Can&#8217;t you still get the word out without damning all physicians? I have had no problem recommending your book to my patients, because, like you, the more knowledge a person has the better. Maybe I should reconsider&#8230;..</p>
<p>Sincerely,</p>
<p>Dr. A.</p>
<p>A:  Hi Dr. A.,</p>
<p>Thanks for taking the time to share your thoughts with me. I&#8217;d like to clarify why I write about current medical protocol the way I do. I am highly respectful of doctors, as they not only devote many years of study and sacrifice, but also dedicate their entire lives to improve the health of their patients. There is no doubt in my mind that all doctors, like you, have the best of intentions.</p>
<p>But when I mention &#8220;doctors&#8221; I refer to current medical protocol, not the individuals. I am sure that many years ago, when doctors were recommending cigarettes to their patients to reduce anxiety and as a digestive aid, they had their patient&#8217;s best interest in mind.</p>
<p>My emails don&#8217;t warn against doctors, quite the contrary, they point out to the importance of using information properly, to have an open dialog with the health practitioner, and to not rush to treat non life-threatening disorders as part of a cookie cutter protocol. Your point is well taken, though, and I will make sure that in future emails there will be no room for error to make my readers think that I&#8217;m blasting doctors.</p>
<p>Several of my readers have sent me emails thrilled about having shared the Save Our Bones Program with their doctors, discussing the information, and agreeing to pursue the alternative plan in lieu of taking prescriptions.</p>
<p>As you write, knowledge is power.</p>
<p>Warmest regards,</p>
<p>Vivian</p>
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		<slash:comments>2</slash:comments>
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		<item>
		<title>Milk And Osteoporosis</title>
		<link>http://saveourbones.com/milk-and-osteoporosis/</link>
		<comments>http://saveourbones.com/milk-and-osteoporosis/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 10:40:36 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=164</guid>
		<description><![CDATA[<p>Q:  I really disagree that milk is acidic. Perhaps other dairy products are but not milk unless it is going bad.  Usually it is very close to neutral and my chemistry classes test it every year.</p>
<p>A:  Thanks so much for taking the time to share your thoughts with me. Milk ...]]></description>
			<content:encoded><![CDATA[<p>Q:  I really disagree that milk is acidic. Perhaps other dairy products are but not milk unless it is going bad.  Usually it is very close to neutral and my chemistry classes test it every year.</p>
<p>A:  Thanks so much for taking the time to share your thoughts with me. Milk is least acidic when it&#8217;s unpasteurized and raw. However, all animal-derived proteins have been scientifically proven to be acidic.</p>
<p>Many published studies show that when animal protein is consumed (regardless of the source), so much calcium leaks from our bones that there is calcium in the urine (it&#8217;s called hypercalcinuria). The only dairy products that are not acidic are soured milk products such as unsweetened yogurts, kefir and sour cream.</p>
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		<slash:comments>14</slash:comments>
		</item>
		<item>
		<title>How Much Sunshine Is Needed For Your Bones?</title>
		<link>http://saveourbones.com/how-much-sunshine-is-needed-for-your-bones/</link>
		<comments>http://saveourbones.com/how-much-sunshine-is-needed-for-your-bones/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 10:38:38 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=162</guid>
		<description><![CDATA[<p>Q: Regarding sunshine and vitamin D&#8230; just how much skin needs to be exposed in the 20 minutes a week for the sun’s rays to give you the amount of vitamin D needed?</p>
<p>A: Your question is a very good one indeed. While uncovered skin will absorb the maximum amount of ultraviolet rays, ...]]></description>
			<content:encoded><![CDATA[<p>Q: Regarding sunshine and vitamin D&#8230; just how much skin needs to be exposed in the 20 minutes a week for the sun’s rays to give you the amount of vitamin D needed?</p>
<p>A: Your question is a very good one indeed. While uncovered skin will absorb the maximum amount of ultraviolet rays, research shows that they pass through some fabrics such as open-weave fabrics, lightweight knits, and nylon stockings. Also, t-shirts worn while swimming allow ultraviolet rays to pass through, and ultraviolet rays even penetrate water, but lose half their intensity.</p>
<p>Fortunately, these rays are very stubborn: they are present on hazy days and bounce off bright surfaces, such as snow, pavement or sand.</p>
<p>So the main thing is to spend a little time outdoors and have fun in the sun.</p>
]]></content:encoded>
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		<slash:comments>5</slash:comments>
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		<item>
		<title>The Difference Between Osteoporosis and Osteoarthritis</title>
		<link>http://saveourbones.com/the-difference-between-osteoporosis-and-osteoarthritis/</link>
		<comments>http://saveourbones.com/the-difference-between-osteoporosis-and-osteoarthritis/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 10:33:03 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=160</guid>
		<description><![CDATA[<p>Q:  It is actually osteoarthritis that I have been diagnosed in the lumbar spine area.  What&#8217;s the difference between osteoporosis and osteoarthritis?</p>
<p>A:  Osteoarthritis is an inflammatory and painful condition that may be found in people with osteoporosis (thinning of the bones), which is not painful unless fractures occur. In ...]]></description>
			<content:encoded><![CDATA[<p>Q:  It is actually osteoarthritis that I have been diagnosed in the lumbar spine area.  What&#8217;s the difference between osteoporosis and osteoarthritis?</p>
<p>A:  Osteoarthritis is an inflammatory and painful condition that may be found in people with osteoporosis (thinning of the bones), which is not painful unless fractures occur. In the Save Our Bones Program I explain that osteoporosis is caused by a biochemical imbalance that the body is trying to correct (it has to do with the pH balance).</p>
<p>In some cases, typically when the acid pH is excessive, acid residue accumulates in the connective tissues resulting in osteoarthritis.</p>
]]></content:encoded>
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		<slash:comments>9</slash:comments>
		</item>
		<item>
		<title>What&#8217;s The Proper Calcium Balance?</title>
		<link>http://saveourbones.com/whats-the-proper-calcium-balance/</link>
		<comments>http://saveourbones.com/whats-the-proper-calcium-balance/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 10:30:15 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=158</guid>
		<description><![CDATA[<p>Q:  I came across a web site where they suggest 1 part calcium to 1.2 parts magnesium (250 mg calcuim &#8211; 300 mg magnesium) do you agree with this?</p>
<p>A:  The ideal balance between calcium and magnesium is 2 to 1, but here&#8217;s the trick: what counts is not the ...]]></description>
			<content:encoded><![CDATA[<p>Q:  I came across a web site where they suggest 1 part calcium to 1.2 parts magnesium (250 mg calcuim &#8211; 300 mg magnesium) do you agree with this?</p>
<p>A:  The ideal balance between calcium and magnesium is 2 to 1, but here&#8217;s the trick: what counts is not the total mg. but the elemental quantity which may or may not be disclosed on the label. Check it out and let me know when you have a chance.</p>
]]></content:encoded>
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		<slash:comments>9</slash:comments>
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		<item>
		<title>Is organic really better?</title>
		<link>http://saveourbones.com/is-organic-really-better/</link>
		<comments>http://saveourbones.com/is-organic-really-better/#comments</comments>
		<pubDate>Tue, 28 Oct 2008 20:23:03 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=135</guid>
		<description><![CDATA[<p>Q:  Speaking of organic, is it really, truly better than ordinary? If so, then why? I&#8217;m so cynical these days, I don&#8217;t know what to think.</p>
<p>A: Organic foods are &#8220;better&#8221; because they&#8217;re the way food is supposed to be (they should be the &#8220;ordinary&#8221; foods): pesticide and GMO free. These additives ...]]></description>
			<content:encoded><![CDATA[<p>Q:  Speaking of organic, is it really, truly better than ordinary? If so, then why? I&#8217;m so cynical these days, I don&#8217;t know what to think.</p>
<p>A: Organic foods are &#8220;better&#8221; because they&#8217;re the way food is supposed to be (they should be the &#8220;ordinary&#8221; foods): pesticide and GMO free. These additives make food more acidic also. Unfortunately, now we have to pay a premium to eat unadulterated foods&#8230; What a paradox! So I&#8217;m aware that the extra cost may pose a financial burden.</p>
]]></content:encoded>
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		<slash:comments>3</slash:comments>
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		<item>
		<title>Osteopenia and Hormone Replacement Therapy</title>
		<link>http://saveourbones.com/osteopenia-and-hormone-replacement-therapy/</link>
		<comments>http://saveourbones.com/osteopenia-and-hormone-replacement-therapy/#comments</comments>
		<pubDate>Tue, 28 Oct 2008 20:19:43 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=133</guid>
		<description><![CDATA[<p>Q:  I am 60 and past menopause and did not do the HRT.   You have never mentioned Hormone balancing.  I have an alternative medicine MD that I can visit regarding this.  Do you think it is necessary to reverse the osteopenia?  Or can this be done with diet alone.  My ...]]></description>
			<content:encoded><![CDATA[<p>Q:  I am 60 and past menopause and did not do the HRT.   You have never mentioned Hormone balancing.  I have an alternative medicine MD that I can visit regarding this.  Do you think it is necessary to reverse the osteopenia?  Or can this be done with diet alone.  My lower vertebrae are 2.4.</p>
<p>A: Thanks for taking the time to share your story with me. In The Bone Health Revolution I do mention hormone balancing, something that I&#8217;m against because it&#8217;s unnatural to supplement hormones that normally dwindle as we age.</p>
<p>I believe that as mammals, we were created so that we can maintain our health without interfering with our normal biological cycles.</p>
<p>In Chapter 8 of The Bone Health Revolution I provide an easy step by step guide to manage our bone health called the <a href="http://saveourbones.com/program/" target="_blank">Save Our Bones Program</a>. Not to mention that in earlier chapters of the book I explain in great detail the truth about osteoporosis and osteopenia.</p>
]]></content:encoded>
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		<slash:comments>26</slash:comments>
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		<item>
		<title>Is Didrocal the same as Fosamax?</title>
		<link>http://saveourbones.com/is-didrocal-the-same-as-fosamax/</link>
		<comments>http://saveourbones.com/is-didrocal-the-same-as-fosamax/#comments</comments>
		<pubDate>Tue, 28 Oct 2008 20:16:35 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=128</guid>
		<description><![CDATA[<p>Q:  I was a user of Fosamax for about three years but I hated taking it and now I&#8217;m sure I will not continue using this product. Do you know if Didrocal fits in the same category as Fosamax etc?  Is there a recommended site I can research for more ...]]></description>
			<content:encoded><![CDATA[<p>Q:  I was a user of Fosamax for about three years but I hated taking it and now I&#8217;m sure I will not continue using this product. Do you know if Didrocal fits in the same category as Fosamax etc?  Is there a recommended site I can research for more info?</p>
<p>A:  Didrocal is a bisphosphonate administered for 14 days followed by calcium therapy for 76 days. I do not recommend it for the same reasons I don’t recommend the other bisphosphonate drugs, such as Fosamax, etc.</p>
<p>Here&#8217;s a little more detailed information:<br />
DIDROCAL®<br />
Procter &amp; Gamble Pharmaceuticals<br />
Etidronate Disodium<br />
Calcium Carbonate<br />
Bone Metabolism Regulator</p>
<p>Action And Clinical Pharmacology: The Didrocal therapy is a nonhormonal treatment consisting of etidronate disodium administered for 14 days followed by calcium carbonate administered for the next 76 days.</p>
<p>Etidronate Disodium: Etidronate disodium is a bisphosphonate (diphosphonate) that inhibits bone resorption, primarily through the drug&#8217;s effect on osteoclasts. Etidronate disodium owes its highly selective bone effects to its ability to adsorb to hydroxyapatite on the bone surface.</p>
<p>Granted, 14 days is not such lengthy therapy, but the dose is quite hefty: 400 mg per day. There are also warnings to patients with kidney issues that sound quite alarming.</p>
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		<slash:comments>3</slash:comments>
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		<title>What about Ipriflavone as part of an Osteoporosis diet?</title>
		<link>http://saveourbones.com/what-about-ipriflavone-as-part-of-an-osteoporosis-diet/</link>
		<comments>http://saveourbones.com/what-about-ipriflavone-as-part-of-an-osteoporosis-diet/#comments</comments>
		<pubDate>Tue, 28 Oct 2008 20:13:21 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=125</guid>
		<description><![CDATA[<p>Q:  I have bought and read your book and found it to be most helpful. Do you think just by changing diet and taking no supplements I can halt or reverse my osteoporosis?</p>
<p>You do not mention Ipriflavone as an alternative treatment for osteoporosis and I would be interested to know ...]]></description>
			<content:encoded><![CDATA[<p>Q:  I have bought and read your book and found it to be most helpful. Do you think just by changing diet and taking no supplements I can halt or reverse my osteoporosis?</p>
<p>You do not mention Ipriflavone as an alternative treatment for osteoporosis and I would be interested to know if you have any views on this product. Having been prescribed Alendronic Acid by my GP here in the UK I found the side effects intolerable and read about ipriflavone on the internet. It is unavailable in the UK but is prescribed in several countries worldwide.</p>
<p>A:  Thanks for taking the time to share your story with me. I do believe that by changing your diet to prevent extreme acidification of body tissues and by taking supplements you can slow down and even reverse bone loss. And please remember that the goal is to prevent fractures&#8230;so if we remain fit and drug-free, we are less likely to fall down and break a bone.</p>
<p>Ipriflavone is not approved in the US either, and here&#8217;s the information about it:</p>
<p>Ipriflavone (tradename &#8220;Ostivone&#8221;), is a synthetic isoflavone derivative, which has been suggested to be an inhibitor of bone resorption and a stimulator of osteoblast activity in vitro in cell cultures and in vivo in experimental models of osteoporosis. Preliminary studies, mainly performed in Italy and Japan, suggested that ipriflavone (typical dosage 600 mg/day) is able to prevent bone loss, and some data even suggested that ipriflavone may increase bone mass in postmenopausal women. However, reports of lymphocytopenia in women taking ipriflavone generated concerns regarding the safety of this particular compound.</p>
<p>There are several reasons why I would never recommend Ipriflavone:</p>
<p>1) I don&#8217;t like anything that affects normal bone resorption<br />
2) the lymphocytopenia side-effect can have serious long-term consequences</p>
<p>I think that the best way to prevent excessive amounts of calcium to leak from our bones is to eat a balanced diet, to maintain proper pH and remain healthy overall.</p>
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		<slash:comments>4</slash:comments>
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		<item>
		<title>Osteoporosis, Fosamax, and your jaw</title>
		<link>http://saveourbones.com/osteoporosis-fosamax-and-your-jaw/</link>
		<comments>http://saveourbones.com/osteoporosis-fosamax-and-your-jaw/#comments</comments>
		<pubDate>Tue, 28 Oct 2008 20:09:40 +0000</pubDate>
		<dc:creator>Vivian Goldschmidt, MA</dc:creator>
				<category><![CDATA[Ask Vivian]]></category>
		<category><![CDATA[question]]></category>

		<guid isPermaLink="false">http://saveourbones.com/blog/?p=123</guid>
		<description><![CDATA[<p>Q: I have to visit the dentist tomorrow; I have a tooth that is tender. After reading what you and others say about Fosamax and problems with the jaw, I am nervous. How extensive does dental work need to be to cause these problems? I am talking cavity or root ...]]></description>
			<content:encoded><![CDATA[<p>Q: I have to visit the dentist tomorrow; I have a tooth that is tender. After reading what you and others say about Fosamax and problems with the jaw, I am nervous. How extensive does dental work need to be to cause these problems? I am talking cavity or root canal (hopefully not), do I have to be concerned about that? Also are most dentists aware of this problem or will he perhaps tell me not to worry.</p>
<p>A:  To answer your question, you should notify your dentist that you&#8217;re taking Fosamax, because if you do need a root canal, he will be extra careful. Most dentists, and especially maxillofacial surgeons who have conducted their own studies about ONJ, are aware of bisphosphonates and potential jaw problems.</p>
<p>If you only need a cavity filled, it should be no issues. A root canal would be a little more delicate, and I would urge you to discuss it with your dentist. In some cases, he may recommend stopping the Fosamax so the free-flowing chemical may be excreted via the urine. It takes about 3 months for that to happen (give or take.)</p>
<p>But please don&#8217;t get alarmed: just about all the cases of osteonecrosis have been reported with very high doses of intravenous bisphophonates, mostly the drug Zometa that&#8217;s prescribed for bone cancer.</p>
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		<slash:comments>4</slash:comments>
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