
I thank you all for posting your questions during ‘Ask Vivian Week'. I am really excited that the Save Our Bones community is so active and intelligently inquisitive.
There were no less than 925 questions submitted and I wish I could answer them all…
But I promise you that there will be other Ask Vivian weeks in the future. And remember this quote from Bernard Baruch: “Millions saw the apple fall, but Newton asked why” – so continue to ask ‘why'.
Till next time,
Question & Answer #1
I have the Osteoporosis Reversal Program and am keen to stop taking medication and calcium/vitamin D, prescribed a couple of years ago, after a bad fall led to a spinal fragility fracture. I have discussed this with my GP and also acupuncurist/nutritionalist.
I am 63 years of age and active and also practice yoga etc.
Is there any specific additional advice you are able to give, please, for someone in my position? My father had osteoporosis and his spine ‘crumbled’ badly towards the end of his life – (he died aged 92). I obviously wish to avoid following that possible ‘inherited pattern’. Thank you.
-Jill
Dear Jill,
It sounds as though you really are on the right path! To answer your question, I’d like to clarify that, contrary to what mainstream medicine would like us to believe, there isn’t a known genetic pattern for osteoporosis.
You surely know from the Osteoporosis Reversal Program that osteoporosis is not a disease, so this is actually not surprising. It makes sense that there isn’t a demonstrable inheritance pattern for quantitative bone loss. However, an inheritance pattern may exist for peak bone mass. Here’s a quote from an article published in Endocrine Reviews by M. Peacock. M.D. et al. (2002):
“There is evidence that there are several regions that harbor genes affecting both peak bone mass and femoral structure. As these studies expand and progress, they will confirm or refute the initial results.”
First of all, I find it fascinating that mainstream scientists actually acknowledge genes that may determine peak bone mass. Here’s why. The relatively new osteoporosis parameters compare the bone density of a middle-aged person to the average standardized bone density of a randomly selected group of women in their 20’s of which we know nothing about. Remember that we reach peak bone mass precisely within that age span. If peak bone mass is determined by genes, then the “standard” bone mass used to measure bone loss is flawed from the get-go. What if peak bone mass genes vary within geographical areas or inheritance patterns that may be recessive rather than dominant gene expressions? The answer is obvious.
So my additional advice to you is that you shouldn’t fall for scare tactics based on a mythical osteoporosis inheritance pattern. Continue to follow the Osteoporosis Reversal Program, knowing that you are not tampering with your bone metabolism.
I wish you and yours a long and healthy life.
-Vivian
Question & Answer #2
Dear Vivian,
As I am on Warfarin, I am not allowed to take any other medication for osteoporosis, so how can I improve my bone density? Please help.
Thank you,
-Nelson
Dear Nelson,
Consider it a blessing in disguise. Osteoporosis drugs are a short-sighted solution and may cause a slew of undesirable side-effects. So the Osteoporosis Reversal Program is a great way for you to have strong and healthy bones and to improve your bone density without ever risking dangerous and debilitating side effects.
Since you are currently taking the blood thinner Warfarin (Coumadin), I recommend you stick to the program as much as possible. Anticoagulant drugs have been linked to an increased risk of fractures. Here’s why: warfarin inhibits Vitamin K, best known as essential for the production of blood clotting factors. But Vitamin K is also related to osteocalcin, or bone Gla protein, which binds calcium and works with Vitamin D. Vitamin K is important to proper bone formation, and for that reason it is one of the Foundation Supplements in the Osteoporosis Reversal Program. So you should consult with your doctor before taking Vitamin K. He or she can adjust the warfarin dosage as needed.
In good health,
-Vivian
Question & Answer #3
Where I live the soil is very acidic, and my tap water has a pH of 4.0. You mentioned somewhere that you recommend distilled water for drinking and cooking. I would like to understand better the effect of water and its pH on my body, as it is such a basic part of what I ingest. Thank you!
-Judith
Dear Judith,
Indeed, water is crucial to bone health and general health as well. There are several problems with tap water, besides its acidic pH: it contains many toxic and acidifying chemicals that we should not ingest. As I explain in great detail in the Osteoporosis Hydration Protocol, a book that is part of the Osteoporosis Reversal Program, besides chlorine, chloramines, and other undesirable chemicals used to disinfect tap water, fluoride is of great concern to your bone health.
Fluoride, a poison used mainly for pest control, is added for the purpose of preventing tooth decay. It not only has failed to show any clear benefits to dental health, many scientific studies confirm that fluoride increases the risk of fractures.
On the other hand, distilled water is obtained by collecting what has been turned into vapor, so that in effect all the impurities are left behind. Because distilled water is made of only two hydrogen atoms and one oxygen atom, it produces a negative ion reaction in the body, and is therefore alkaline forming.
There is misinformation about this as well: distilled water does test acidic for its pH. However – and this is what makes it so beneficial – because it is negatively charged, it attracts the positively charged acidic waste products and flushes them out of your body. Perhaps that is why another common myth about distilled water is that it causes essential minerals to leach out of the body.
To your bone health!
-Vivian
Question & Answer #4
I’m trying to eat 80% “alkaline-producing food and 20% acid-producing food but don’t seem to be able to eat that way yet. I eat about 70% alkaline-producing food. My urine pH is usually 6.5 to 7.0 first thing in the morning. Is this good enough to save my bones?
-Bonnie
Dear Bonnie,
Congratulations! Your pH is within the desirable range for optimal bone health. Here’s proof that even if you don’t follow everything in the Osteoporosis Reversal Program, you can (and will) “save your bones”.
Keep up with the program and relax knowing that you are building your bones naturally.
-Vivian
Question & Answer #5
1. Are your recommendations equally valid for men?
2. Is Protelos as different from the other bone building products as they say?
3. Does Glucosamine help or is still unproven?
-Richard
Dear Richard,
Even though women are more likely to be diagnosed with osteoporosis than men are, the recommendations in the Osteoporosis Reversal Program apply equally to both. Actually, there is a section titled Men and Osteoporosis in Chapter 1 of the manual.
Protelos is one of the brand names for Strontium Ranelate. It is different in that strontium is a naturally occurring element. However, Protelos is combined with ranelic acid, a purely synthetic molecule. Protelos has its own list of side effects, such as nausea, diarrhea, headaches, fainting, and blood clots. Studies have shown that strontium mainly thickens the outer cortical portion of bones.
Regarding your last question, glucosamine is typically recommended for joint aches as in the case of osteoarthritis. It is produced in the body by the combination of glucose with the amino acid glutamine. Studies have shown that glucosamine helps slow degeneration of cartilage and relieves pain. In addition, glucosamine has anti-inflammatory and antioxidant factors.
Stay healthy and curious,
-Vivian
Question & Answer #6
I am excited to try your program, however, I do take 50 mcg of synthyroid med. I read that it depletes calcium in the body. Do I take more calcium than what is recommended?? And, will this med affect any chance of overcoming osteoporosis?
-Allison I.
Dear Allison,
Synthroid is one of the most prescribed drugs in North America. Studies have shown that taking Synthroid with calcium supplements can decrease the drug’s absorption. All you have to do is take your calcium supplement four hours after you take Synthroid. You don’t need to increase the calcium supplementation.
Warm regards,
-Vivian
Question & Answer #7
My T -scores are bad. Why can I expect up to only a 20% improvement with a diet change…why not a 50% or 75% improvement?
-Donna W.
Dear Donna,
First of all, keep in mind that T-scores don’t provide the whole bone health picture. They only give an indication of density, and there’s a lot more to your bone health than just density. But of course, you want to increase your bone density as much as possible without tampering with your bone metabolism. That’s where the Osteoporosis Reversal Program can really help.
You can most certainly expect more than a 20% bone density score improvement. My own bone density scores increased by that much in one year, but many in the Save Our Bones community have experienced greater increases.
Here is one example, posted at Save Our Bones on June 16th, 2010:
“My mother was confronted by her doctor with evidence of decreasing bone density, and one of these drugs was recommended. I told her NO and we began the Osteoporosis Reversal Program. I have the density scans that verify we increased her bone density by 50% in TWO YEARS! Keep telling EVERYONE about this vital information.”
– Claus
So believe in your bones, and believe in yourself!
-Vivian
Question & Answer #8
I’m 62, took a hard fall in June and broke my wrist. Bone Density test results are T-scores of 2.8 & 3.0 for hips and 4.6 for my spine. Dr. gave me instructions to take 2000 mg Calcium, 800 iu Vitamin D, limited exercise and Boniva. I have read your information, reviewed the Boniva warnings and now need to make the decision whether to take drugs or not. I asked the Dr if I can improve my T-score without Boniva. He said, “No, your 4.6 is too serious. Boniva is necessary to stop the bone loss and limit the risk of fracture, vitamins and exercise alone will not do it”. Are there any statistical results to indicate this statement is based on fact. Do you have any results from your clients with numbers as bad as mine, to share improvement results? Thank you for your work and focus on our challenge with osteoporsis.
-Nancy
Dear Nancy,
Your doctor is wrong in saying that 4.6 is too serious a T-score to improve it without taking drugs. Because no matter how much bone loss you may have, your bones can regenerate themselves (if you know what to do) and you can increase your bone density naturally. Dr. Karl Insogna, Director of the Bone Center at Yale School of Medicine says that
“We tend to think of the skeleton as an inert erector set that holds us up and doesn’t do much else. That’s not true. Every bit as dynamic as other tissues, bone responds to the pull of muscles and gravity, repairs itself, and constantly renews itself.”
Your doctor is also recommending too much calcium. If you haven’t yet, read my article on calcium and heart attacks to understand why 2000 mg of calcium is excessive.
Your doctor is right in that vitamins and exercise alone will not do it: you also need to apply the simple yet revolutionary nutritional guidelines of the Osteoporosis Reversal Program. Thousands are improving their T-scores with the program. Below is one example of many posted on April 30th, 2010. Notice the huge improvement in the spinal T-scores:
“I am 61. About 2 1/2 years ago I stopped Fosamax due to heart palpitations. Thankfully, I came across Vivian and ordered the program. I decided to a calcium supplement called Cal Apatite Forte. In one year my bone density results went from -3.1 in the spine to -1.9 and -1.9 in the hip to -1.4. I am in awe of this. Thanks, Vivian…”
In good health,
-Vivian
Question & Answer #9
Recently I paid a visit to my health care provider when I was questioned about what I am taking in the way of pharmaceuticals for my “osteoporosis”, I promptly told her I was following your recommendation of modifying my diet to cut out processed foods, and to eat a variety of fruits and vegetables which you recommended in your program.
Well, she just about came unglued – saying things such as “what credentials did this person you) have, what studies have been done, have I examined both sides of the argument, and finally giving me the standard warning that if I didn’t take bisphosphonates (such as Actonel or Reclast), that I was at very high risk for fractures which could result in my demise. My question to you now is, what studies can I point her to, so that she can see what else there is besides pharmaceutical companies claiming that they have the ultimate “cure” for osteoporosis? Thanks Vivian.
Sincerely,
- Carole K.
Dear Carole,
There are many studies that confirm alternative bone health solutions other than prescription drugs. In fact, the Osteoporosis Reversal Program has a bibliography of over 100 scientific studies published in mainstream journals. Here are some examples: Journal of Bone Mineral Research, Endocrinology, American Journal of Clinical Nutrition, New England Journal of Medicine… Indeed, the list is long. I think that your doctor should not only look at the studies; he or she should read the Osteoporosis Reversal Program.
Best regards,
-Vivian
Question & Answer #10
How long on your program diet will it take to get back to an acceptable level. I am currently -3.7 & have followed your program strictly since buying your book 18 months ago.
-Ken N.
Dear Ken,
There are many variables that can affect bone remodeling, so it is very difficult (if not impossible) to predict the time frame for a bone density improvement. The good news is that I’ve received emails from community members that have gotten rid of osteoporosis in as little as six months!
But what you need to keep in mind is that bone density is not the only bone health indicator. Mainstream medicine needs clear-cut numbers for the purpose of prescribing drugs, so the T-score is used as a guideline for this purpose. It is important to remember that the main goal is to prevent crippling fractures, and that thicker and “older” bone is more prone to fracture than renewed and younger bone.
So continue with the Osteoporosis Reversal Program and know that you are doing what’s right for your bones and your general health. I’m sure you’ll get outstanding results!


Dear Vivian,
Recently I paid a visit to my health care provider when I was questioned about what I am taking in the way of pharmaceuticals for my “osteoporosis”, I promptly told her I was following your recommendation of modifying my diet to cut out processed foods, and to eat a variety of fruits and vegetables which you recommended in your program.
Well, she just about came unglued – saying things such as “what credentials did this person you) have, what studies have been done, have I examined both sides of the argument, and finally giving me the standard warning that if I didn’t take biphosphonates (such as Actonel or Reclast), that I was at very high risk for fractures which could result in my demise.
My question to you now is, what studies can I point her to, so that she can see what else there is besides pharmaceutical companies claiming that they have the ultimate “cure” for osteoporosis?
Thanks Vivian,
Sincerely,
Carole K.
My Dr. put me on Calcium and Vitamin D supplements. I started having a lot of stomach pains so took myself off all pills. I am feeling much better now but fear I will lose bone density. What is your advice?
Do ph strips either urine or saliva give a good marker for the body’s acidity level?
Also, does the lemon juice you add to water have to be fresh lemon or can it be reconstituted? Howo much should you add to be efective? I have read about alkaline water, does the lemon water work just as well?
Has anyone out there found an answer to these questions? I’m sure the two of us aren’t the only ones wanting to know.
I like your heel drop exercise but when I do it I really feel a jarring in my back. My back is a -3.0. Down from -2.5 18 monoths ago. Should I still do the exercise? I also heard that trampoline rebounding is good for building bone. How long would you suggest doing it?
I have 5 fractures in my back. Will they ever heal and if so how long does it usually take?
Thank you
Pat
I am now very unsure about whether to take calcium. I was told by an orthopedic specialist to take Fosamax but discontinued that medication months ago. I was told I have osteopenia(?) which I believe is mild osteo? Should I just make sure my diet is high in calcium or continue to take the supplement along with Vitamin D? Thanks Penny
I am trying to take the required vitimans and minerals you have suggested. I am wondering though, everything that I look at in a multi vitamin has either not enough of what you suggest or too much of it. Such as the Vitamin B’s. I am taking a Whole Foods product, Women’s Food Based Multi and it has close to everything you suggest but the B6 is 25mg,folic acid is 400mcg,B12 is 50mcg. What is your opinion about this or your suggestion?
Thank you
I’m 55 and my DEXA Scan was -2.2. I have pain in my upper back and neck…neck pain may be due to bifocals at the computer!! I take Synthroyd, 100 a day, and did not take calcium, eat correctly or exercise like I should. If I be sure to get at least 1200 of calcium/day through supplements and milk products and exercise, will my bones get stronger or will I need meds? I hate the thought of the meds but will do what I have to do to get some strength in my bones again.
Thanks!
My osteoporosis is in an advanced stage, with almost constant pain. I am doing exercises, taking supplements, etc. But I’m not sure what supplements post osteoporosis requires. Most articles, etc. that I read deal with prevention of Osteoporosis. Can you help me?
Dear Vivian, I’m 58 years old and was diagnosed with osteoporosis at age 50 and took Actonel until 1 year ago when I decided to stop it. I’ve been following your Plan and have a question regarding Vitamin D. Should I take a Vitamin D supplement (800 units) since I live in Canada and the winters are rough and long. Could there be a relationship between lactose intolerance, biting nails and lack of vitamin D? The reason for this question is that I have stopped biting my nails 4 times for short periods ALWAYS DURING SUMMER PERIODS WHEN I WAS EXPOSED TO THE SUN. I would appreciate a reply.
Rita
Dear Vivian
Currently I am going to CURVES abd it has not made much of a difference in my bone nuimbers. So, I read in your book about …… light free wieghts at least tiuwce a week. By that do you mean wieghts that I hold in my hands like disks or etc. I am confused.
VIVIAN, MY WIFE HAS A COMPLETE TEAR OF THE ROTAR CUFF OF HER RIGHT ARM, PLUS A PARTIAL TEAR IN THE TENDON DOWN THAT ARM. OTHER THAN A MEDICAL PROCEDURE THAT WOULD INCAPACITATE HER FOR APPROX. 6 WEEKS, IS THERE ANYTHING LESS INVASIVE THAT CAN BE DONE. ADDITIONALLY, WHAT IS YOUR OPINION ABOUT PLATELET ENRICHED PLASMA BEING HELPFUL. THANK YOU. HAROLD
have 3 comp fractures in back was on boniva for
7months went to Clevland Clinic they put me on
forteo been on forteo 5 months .have pain in left arm between shoulder and elbow and started getting pain left leg down to knee I hate taking the stuff but they say I don’t have
much choice!! your opinion.
I am 54 years old and was just diagnosed in March with osteo and the doctor told me over the phone and prescribed Actonel. After being on for 3 months and feeling terrible I took myself off if after much reading. What I haven’t been able to find is anything about synthroid and osteopororsis. I was diagnosed with over active thyroid when I was 29 and took radioactive iodine to kill the thyroid and have been on synthroid ever since. I don’t know if this is a contributing factor or not. Thank you for your response.
Hi Vivian -My mother has been told that her level of osteoporosis is very high. She’s in her 70’s and decided she will not take any of the medication that her doctor has recommended for the osteoporosis. She does take calcium, although her doctor has said it’s too late for that and pointless. Is it ever too late to take calcium? How can your Save Our Bones program with someone with a high & advanced level of osteoporosis? Thanks much!
Can I overdose on Magnesium supplements?
Thanks for clarifying. B
I have avoided
Fosamax, et al like the plaque, but am interested in strontium which you do not go into in depth. Should I continue to take it? I have ostoporousis with accompaninging kyphosis (and no pain) and am 82 and except for macular degeneration in good health..
Since you recommend NOT drinking tap water which contains fluoride, will only brushing my teeth with a toothpaste containing fluoride prevent
cavities?
I switched to the raw whole foods calcium product. The suggested amount is 750 mg daily. Is that enough? I was taking 1200 in the regular calcium supplements.
Anne
What is the best Vitamin to take when you can’t eat enough of each food you are suppose to eat to have healthy bones.
I just talked with my doctor who is trying to get me to start taking Prolia, even though I have tried other drugs in the past such as Fosamax and Forteo, all of which caused some unpleasant side effects. In our conversation, I shared with her that I was scared to try anything else, and that this drug has listed some awful side-effects. She told me I was at high risk for a hip fracture in the next 10 years, (and her discussion included the usual scare tactics of the risk of going into nursing home, dying of pneumonia, etc). She told me that my risk was ‘high’ and then said there was a 6% chance I would have this hip fracture in 10 years, and that anything over 3% was high. My question: is this really a HIGH risk, 6%? Is that the same as saying I have a 94% chance of NOT having a fracture? This does not seem like a high risk to me! I asked if there were any chance that my bone density could be reversed and improve, to which she said ‘no.’ Is that true? I seem to remember that your site had testimonies that refute her answer. What is going on with my doctor!!??
Could you please comment on the use of strontium and Evista. Thank you, and thanks for all the good info on your blog!
I have your Save Our Bones book, but I didn,t get all the other things with it. How can I now get the other items in your program?
Hi Vivian,
I have been on Fosamax for just 10 months. I think I am having side effects from this drug. I have not felt like myself that past two months, burning in stomach, aches and pains occasionally,pain in joints in hand and appetite changes. I will stop taking it immediately. How long will it take to get out of my system. I called the doctor and she said stop taking it for 3 weeks, I think it will take longer to see if it is actually the Fosamax. I do not plan on going back on it. I will go the natural route.
I hope my question is not too late. I know I missed the deadline.
Janice
I would be interested in your thoughts on the use of the following to improve pH balance:
1. “green” powders containing chlorophyll
2. drops that increase the pH of water
3. baking soda
Thank you!
Will you please discuss the link between SSRIs and osteoporosis? Doctors seem to know very little about this connection. Is the effect on bone density dose dependent?
Is jumping rope a good bone building exercise? If so, how long should one jump rope to get the most benefit? Thank you. Evelyn
Hi Vivian, having obsorbed your advise that is most benificial to me I now take sesame seed because it is most helpful to my nails. If my nails are soft does this reflect on my bones.
Have taken Silicia which is also good for bones found the side effects too too mutch.
Just take my multivitiam with vit 12 and sesame seed and I feel fine but I don’t take anything for granted.
Jean
5’3″, 125 lbs. – athlete all my life. Age 71. Health club pressure machines 4 years… bone density tests showed osteoporsis… Fosamax 2004-2007. Persistent cough 4 years; extremely sensitive teeth/gums; heart palatations, etc. Advised my physician I’m through with Fosamax.
Have your book save our bones Program. Simple, easy-to-read material, sensible advice, diet suggestions…wonderful!
Started spine exercises per your demonstration this week. Tx.
Walk at least 1-2 miles/day…Midwest area weather permitting. Winter will return to health club.
Question: Jumping rope was one of my favorite childhood past times. Would this be a recommended exercise at age 71 with osteoporosis? Other exercises please.
Will await your input.
Marge
I’ve bought the Save our Bones book and have now also read Dr Marilyn Glenville’s book. Aside from many questions which I asked my doctor this week (who basically said there’s no clear argument as to why I should give up Alendronic Acid, since a) that’s what the N.I.C.E. still recommend in the UK b) I’ve had no adverse reactions to it in the first year), I now fall back on a LITTLE question, Vivienne: Glenville puts green tea on the approved list (as long as you don’t drink gallons of it), whereas SaveOurBones has it on the NO list. Why the difference, please?? Are you using different standards and should I therefore read your respective recommendations with different perspectives in mind?
Question: Calcium vitamin pills – Do they help or hinder bone growth?
Vivian, please continue your emails, as they are so helpful and encouraging. I would like to read your new book, but received the large former one when I joined. Sylvia
What is the best time of day to take bone building vitamins, AM or PM?
My husband is a chemical engineer and believes it is not wise to drink distilled water. Do you have any concerns about distilled water?
Hi, Vivian :
Thanks for your support.
I have your book and I try to do the best.
I have osteoporosis and a friend told me about “Red Maca”.She said this product help her to increase her density bones.
Do you know something about this?
Thanks
Tatiana
Dear Vivian,
What is the role of vitamin K in calcium absorption?
I know that it is a blood thinner and one should consult with a physician before taking it, but I also hear that it helps direct calcium to the bones and teeth.
If it is so, what type of K should one take and how much?
Thanks, Margot
I would greatly appreciate a recommendation on multi-vitamins and calcium. Thank you!
This is a new comment. Have you heard of OSTEOPHASE FROM TANGO ADVANCED NUTRITION?
Have you heard of Osteophase from Tango Advanced Nutrition. Would like to know what your take is on this product.
I am what they call “High Risk” for a fracture. Am concerned that I am taking too much calcium. Have you heard of Osteophase from Tango Advanced Nutrition. Would like to know what your take is on this product.
Potatoes are a favorite food. Why does cooking with the peel on make them alkaline vs. acidic. Does this mean that in order to get this benefit, you have to eat the peels?
Thanks.
How much stevia is save to use?
Are gluten free baked goods alklizing or acidifying? ie: gluten free pizza, bread, cookies, etc.
How much calcium can the body absorb at any one time? In one day? I take 1250 mgs of calcium citrate (with magnesium, zinc and Vit D) per day plus an add’l 7000 units of D3. Thank you!
Is there a way to drink coffee and make it more ph balanced? I only drink 2 cups per day and really don’t want to give it up.
My 65-yr. old husband was diagnosed with osteopenia. He checks his AM urine & saliva PH using hydrolized test strips. Consistently his urine is 8.0 and saliva is 6.2. Can anything be concluded from this wide discrepancy?
Thank you.
Dear Vivian:
There’s so much confusion regarding Strontium (ranelate, citrate, etc.) PLEASE ADDRESS THE QUESTION OF WHETHER OR NOT STRONTIUM IS HELPFUL FOR BONE HEALTH AND WHICH KIND IS BEST.
What are your thoughts on natural hormone replacement to match ones needs as an additional support for a post-menopausal women with osteoporosis (no fractures only low BMD). I am currently following your progam and have been and athlete and vegan for 38 years. Thanks so much for taking the time, Vivian.
Best wishes for good health.
Explain how one can tell by putting your heel into an instrument that you have osteoporosis!
There is a new sugar substitute on the market call Ideal Sugar. Have you heard of it? and is it a viable option to use without affecting pH levels?
Is taking 1 teaspoon of apple cider vinegar before every meal a good thing to do to change the acid to alkaline in the body?
I’ve heard that Strontium Ranelate (not available in the US but available in Canada) really strengthens bones. What do you think?