Bone Health Professional Complementary Health Formulas Highest Quality Natural Pharmaceuticals PO Box 2034 • Lake Oswego, OR 97035-0630 • National/Canada (800) 952-2219 • Portland (503) 479-3150 • Fax (503) 479-3149 Bone Health Bone tissue is some of the most dynamic in the body, constantly changing due to the pressures of the surrounding environment. In healthy bone, matrix remodeling is a continual process affecting 10 percent of bone mass at any given point. Balanced bone remodeling requires robust nutrient availability to build bones with mineral density – a protective factor as we age. Bone mineral density (BMD) acts as an important clinical tool for both assessing bone health and evaluating disease risk; it refers to the mineral content per square centimeter of bones. Evaluating for BMD is only indicated for those exhibiting risk factors for weak bones: women aged 65 or greater, men aged 70 or greater, or those over 50 years with either previous bone fracture, rheumatoid arthritis, low body weight, or a parent with a hip fracture. In addition, individuals who have received long-term steroid therapy (prednisone) or those with a history of vertebral abnormalities, primary hyperparathyroidism, disordered eating, or osteoporosis drug use should receive monitoring. Other considerations such as smoking and drinking habits or dietary deficiencies are addressed below. INSIDE THIS NEWSLETTER • Osteopenia & Osteoporosis • Osteodystrophia Deformans (Paget’s Disease) • Osteomalacia & Rickets • Osteomyelitis • Renal Osteodystrophy • Primary Hyperparathyroidism • Osteophytes (Bone Spurs) & Enthesophytes • Osteoarthritis Addressing Modifiable Risk Factors Vitamin D deficiency is associated with mild increases in parathyroid hormone leading to increased bone resorption and lost BMD. There is a positive association between 1,25-dihydroxycholecalciferol (the bio-active form of vitamin D) and BMD. When checking labs, be sure to include both 1,25-dihydroxycholecalciferol (active form) and 25-hydroxycholecalciferol (reserve pool) to understand hormone status. Liver congestion and chronic kidney disease are common causes for deficient conversion to the active form. The optimal choice for improving vitamin D deficiency, High Potency Omega Plus (SOP) provides vitamins D3 & K2 to stimulate osteocalcin to lay down coupled calcium and vitamin D in the bone matrix, building stronger bones in the process. Pure Vitamin D3 is also available in Vitamin D3 1000 (VD3) and Vitamin D3 5000 (VD5000) to accommodate a full spectrum of dosing preference. Alcohol consumption may improve bone mineral density when kept to a maximum of two drinks per day. The benefits include reduction of cardiovascular events as well. Tobacco smoking is a primary risk factor for osteoporosis. While the mechanisms remain somewhat unclear, smoking may inhibit osteoblast activity, which would decrease the amount of new bone produced. Additionally, smoking increases the breakdown of estrogen, lowers body weight, and heralds menopause, all of which contribute to bone loss. The cadmium in cigarettes may also encourage BMD loss. Accordingly, consider smoking cessation treatment. Anti-Smoking I (C7) supports treatment while patients attempt to quit smoking, and Anti-Smoking II (C8) may be used once smoking has completely stopped. Nutrition plays a key and complex role in bone mineral density. Ideal intake of dietary calcium, phosphorus, magnesium, zinc, boron, iron, fluoride, copper, and vitamins A, D, E, K & C help to maintain healthy bone. Excess sodium serves as an independent risk factor. Low protein intake is associated with lower peak bone mass in adolescence translating to lower bone mass in the elderly population; paradoxically, high protein diets by themselves tend to raise blood acidity antagonizing bone tissue.To support both nutrient and pH status, supplement with Alka Calm (MALKA) or Bio Terrain Alkaline Caps (SBTAC). The key to clinical benefit may lie in timing: a higher protein diet, with plentiful vegetables, in younger years combined with exercise peaks bone density, which has lasting effects throughout life. For ideal nutrient support with key bone health ingredients consider Naturalvite (VNC/VNCLG) and Osteo Complex (MOC). Heavy Metals such as cadmium and lead are strongly associated to bone disease. Low-level exposure is enough to prompt the body to waste bone mineral density in both genders and may be a significant contributing factor to secondary type osteoporosis, which affects women and men equally at any age. Cadmium exposure is also related to osteomalacia. Consider Metex (X13) for improved heavy metal excretion and protection of bone mineral density especially in smokers or former smokers. Bone Conditions & Product Recommendations Osteopenia & Osteoporosis Osteopenia is a condition of lowered BMD considered by many to be a precursor to the development of osteoporosis. It is defined as a T-score between -0.1 and -2.5. While osteopenia occurs most frequently in postmenopausal women, it should also be considered in young female athletes where it is associated with Young Female Athlete Triad Syndrome. The other two components of the triad include disordered eating and amenorrhea. When a menstruating woman develops amenorrhea and it persists for greater than six months, she loses bone mineral density just as a postmenopausal woman does. Many female athletes tend to have lower body weight as well as lower body-fat; depleted energy and a low-fat diet can suppress her estrogen levels prompting the BMD loss. Additionally, it is not uncommon for this estrogen deficient state to prompt menopausal type symptoms including hot flashes and night sweats. Consider a diet high in healthy fats to ensure proper cholesterol status for the production of steroid hormones including estrogen. Many women see improvement in their BMD status by maintaining a gluten-free diet. High Potency Omega Plus SOP Omega-3 fatty acids EPA and DHA improve inflammatory status and enhance the absorption of fat-soluble vitamins D3 & K2 for improving BMD and reducing calcium plaque build-up. Osteoporosis comes from Greek translating as porous bone; and it is defined by a T-score of less than -2.5. The condition itself has no symptoms; the main concern is increased risk of fracture from the bone mineral density loss and architectural changes to the bone matrix. Of the three types of osteoporosis, primary type 1, or postmenopausal osteoporosis, is the most common. Primary type 2 affects women and men over the age of 75 at a comparable incidence rate of 2:1 and is sometimes referred to as senile osteoporosis. Secondary osteoporosis can occur at any age and affects women and men equally. While this last type may be the result of underlying disease, it may also develop after the use of glucocorticoids or steroids such as prednisone. The best measures for prevention and reduction of disease include diet, exercise, and minimizing or preventing falls. Bone fractures are the hallmark of this disease and commonly affect the vertebral column, hip, rib, and wrist. Vitamin D3 5000 VD5000 Delivers a high 5,000 IU therapeutic dose of vitamin D3 per perle. Sourced from sheep wool making it a good fit for vegetarians. Fractures associated with osteoporosis can be asymptomatic or cause debilitating acute or chronic pain as well as a stooped posture (referred to as dowager’s hump), loss of height, and decreased mobility. Fractures of the long bones not only contribute to decreased mobility but may also require prompt surgery to avoid complications such as deep vein thrombosis and pulmonary embolism – both of which increase mortality. Fracture risk calculators are available online and take into consideration several criteria such as age, gender, height, BMD, alcohol consumption and smoking status. It should be noted that body weight of less than 120 lbs. for women is an independent risk factor for developing osteoporosis. And just like in osteopenia, many women see improvement in their BMD status by maintaining a gluten-free diet. Osteo Complex MOC Hydroxyapatite, magnesium, calcium, and vitamin D3 are combined with a robust blend of micronutrients for building bone tissue. Ideal for supporting mild to moderate cases of osteopenia and osteoporosis. Osseous Apatite Complex GOSAC/GOSACLG A potent formula of pure New Zealand hydroxyapatite combined with vitamin D3, naturally occurring calcium, and other synergistic cofactors to target bone building in more moderate to severe presentations. Magnesium-free formula. Vitamin D3 1000 VD3 Essential nutritional element for building bone mineral density and absorbing calcium; smaller doses throughout the day keep blood biochemistry values more stable. Bone Stim Liquescence T5 Useful for weak bones where clinical approach includes building bone density. Female Balance SFB A women’s mineral multi-vitamin with synergistic herbs to balance the female cycle and help prevent BMD loss associated with amenorrhea. Female Endocrine Axis Drops HFEA A homeopathic approach to regulating the female cycle with specific ovarian sarcode support to help maintain healthy hormone balance. Ovarian Complex GOC Provides lyophilized ovarian support useful in menopause, to support steroid hormone production, and to protect bone mineral density. Graceful Change PGRC For acute menopausal symptomatic relief. Menopause Drops C44 For acute menopausal symptomatic relief. Fatty Acid Blend SFA A liquid blend of omega 3-6-9 from avocado, hempseed, olive, rice bran and wheat germ oils. Supports high healthy fat status and aids the body’s absorption of fat-soluble nutrients. Boron Oligo Element OB Useful for conditions of hypocalcemia and low BMD. Alka Calm MALKA Great tasting, highly bio-available blend of magnesium and potassium. Magnesium is especially useful for maintaining and building vital bone mineral density. Cal/Mag Effervescent MCME An effervescent blend of calcium, magnesium, potassium and vitamin C. Provides all of the naturally occurring Krebs cycle chelates in a great tasting drink. Metex X13 Specifically detoxifies the body from cadmium and lead, which are detrimental to BMD. Calcium Oligo Element OCA Delivers micro-ionized calcium, restoring calcium balance for improving muscle contraction, nerve conduction and osteoarticular junctions as found in the joints. Calcium Lactate Plus MCL Calcium lactate is necessary for the proper formation of teeth, bones, and removal of other minerals from the body. Includes calcium lactate and magnesium citrate at 5:1. Trace Mineral Oligo OTM Sub-lingual micro-nutrition suited to those who do not absorb well. Horsetail Extract BHSTL A nutrient dense botanical providing silica for bone health. Cal/Mag Plus Caps MCMC Calcium and magnesium citrate at 1:1 with Vitamin D3 and boron. Cholest Plus PCHP An encapsulated herbal complex to help relieve liver congestion, facilitating hormone balance and conversion of vitamin D to its bioactive form. Silybum Complex B18SI A liquid herbal blend to support decreased liver congestion, facilitating hormone balance and conversion of vitamin D to its bioactive form. Bone 12x RBON Targeted single sarcode support to the whole bone tissue. Osteodystrophia Deformans Osteodystrophia Deformans is perhaps better known as Paget’s disease of the bone. Affected bones undergo excessive breakdown causing them to weaken and misshapen. A person may be asymptomatic, but the condition is frequently accompanied by pain and pathologic fractures with arthritis in the nearby joints. Oftentimes, Paget’s is only discovered after complications have developed. Paget’s disease is a localized pathology affecting one or just a few bones as opposed to osteopenia or osteoporosis which affect the global health of bone tissue. Rarely diagnosed before the age of 40, Paget’s disease of the bone occurs more frequently in men than women (3:2). It is considered very difficult to treat from a conventional standpoint and Sir James Paget first suggested the disease was due to an inflammatory process. Newer evidence suggests he may be right; additionally, there may be underlying infection with a paramyxovirus. No one pathogen has been identified yet, but the three most common pathogenic agents are measles, canine distemper virus and respiratory syncytial virus – each of which can be found within Professional Formulas’ homeopathic product line. Pain Formula Drops (C46) Homeopathic aid to relieve pain associated with misshapen bones and pathological fractures. For additional pain formula recommendations please see Osteoarthritis recommendations. Cal/Mag Effervescent MCME An effervescent blend of calcium, magnesium, potassium and vitamin C. Provides the 1000-1500 mg of highly bio-available calcium needed daily for Paget’s disease of the bone. High Potency Omega Plus SOP High potency marine-sourced EPA & DHA improves inflammatory status found in Paget’s disease while fat-soluble vitamins D3 & K2 work to improve BMD and reduce calcium plaque build-up. Vaccinosis Nosode Drops N4 Provides homeopathic support balancing immune response associated with adverse effects from vaccination. Specifically includes measles. Respiratory Syncytial Virus Nosode N33 Nosode specifically indicated for RSV. Domestic Animals Nosode Combination R407 Nosode indicated for organisms known to effect animals and transmit them to humans, specifically canine distemper virus. Osseous Apatite Complex GOSAC/GOSACLG Hydroxyapatite makes up 70 percent of bone tissue; combined here with Vitamin D3 and naturally occurring calcium to aid bone building. Magnesium-free formula. Cervical Drops HCD Sarcode support that includes synergistic ingredients to build strong bones especially useful when Paget’s is localized in the cervical spine. Thoracic Drops HT Sarcode support that includes synergistic ingredients to build strong bones especially useful when Paget’s is localized in the thoracic spine. Lumbar Drops HLD Sarcode support that includes synergistic ingredients to build strong bones especially useful when Paget’s is localized in the lumbar spine. Horsetail Extract BHSTL A nutrient dense botanical providing silica for bone health. Bone 12x RBON Sarcode support to the whole of the bone tissue. Osteomalacia & Rickets Osteomalacia and Rickets are similar disease processes but osteomalacia is specific to adults while rickets is specific to children. Characterized by softening of the bones due to defective mineralization, it may resemble osteoporosis on the surface; however, the two diseases are significantly different. The two main causes of osteomalacia are insufficient calcium absorption (due to deficient dietary intake or a deficiency or resistance to vitamin D activity) or a phosphate deficiency caused by increased renal loss. The major finding of this disease is low vitamin D status but other key findings are low serum and urinary calcium, low serum phosphate, high serum alkaline phosphatase and elevated parathyroid hormone. Elevated alkaline phosphatase is directly associated to the rate of bone turnover. In adults the disease progresses insidiously, starting as aches and pains in the lumbar region and thighs and later spreading to the arms and ribs. The pain is classically symmetrical, non-radiating and accompanied by a feeling of sensitivity in the involved bones; it is not spontaneous but revealed through applying pressure. The proximal muscles are weak with a difficulty to pull oneself up during activities like sitting up or climbing stairs. A waddlinglike gait develops perhaps accompanied by deformities such as triradiate pelvis or lordosis of the spine. It is important to note that once bones deform, they do not regain their original shape. Pathologic fractures may develop, but most of the time the predominant symptom is chronic fatigue. Nutritional osteomalacia is conventionally treated with 10,000 IU of vitamin D weekly for four to six weeks. Consider daily dosing in malabsorptive individuals or as an effort to keep the serum saturation as even as possible. Rickets is among the most common childhood diseases in many developing countries and, for different reasons (specifically sun avoidance behavior and sunscreen use), it is rising again in developed countries -. In either case vitamin D deficiency is the primary cause. Foods high in vitamin D include butter, eggs, fish liver oils, portabella and shitake mushrooms, and oily fishes such as tuna, herring, and salmon. UVB light exposure on unprotected skin is necessary for endogenous production of vitamin D, though precaution should be taken to avoid burns; darker skin will need longer exposure to UV rays for similar effect. Recommended supplementation for infants and children is 400 IU of vitamin D daily and must be combined with dietary calcium and phosphorus for best results. High Potency Omega Plus SOP Especially indicated for insuffcient calcium absorption and vitamin D deficiency. Omega-3s EPA & DHA improve the absorption of fatsoluble vitamins D3 & K2 which provide the vehicle necessary to bind calcium to the bone matrix, building stronger bones in the process. Vitamin D3 1000 VD3 Provides 1,000 IU per perle allowing for smaller doses throughout the day to keep blood biochemistry stable. Vitamin D3 5000 VD5000 5,000 IU of vitamin D3 per perle allowing easy administration of high therapeutic dosages. Sourced from sheep wool making it a good fit for vegetarians. Osteo Complex MOC A robust blend of micronutrients for building bone; delivered in mild dosages ideal for daily bone support. Provides 100 IU of vitamin D3 per capsule with calcium and phosphorus making it also ideal for infants and children with rickets. Osseous Apatite Complex GOSAC/GOSACLG A potent formula of pure New Zealand hydroxyapatite combined with vitamin D3, naturally occurring calcium, and other synergistic cofactors to target bone building in more moderate to severe presentations. Magnesium-free formula. Bone Stim Liquescence T5 Useful for weak bones where clinical approach includes building bone density. Combine with Osteo Complex (MOC) or Ossesous Apatite Complex (GOSAC) to improve nutrient assimulation in those who do not absorb well. Low Back Pain Drops C41 Provides pain relief from organic or structural abnormalities of the low back which may be a result of osteomalacia. Pain Formula II C90 For painful conditions made worse by applying pressure or touch. Cal/Mag Plus Caps MCMC Calcium and magnesium citrate 1:1 with Vitamin D3 and boron. Cal/Mag Effervescent MCME An effervescent blend of calcium, magnesium, potassium and vitamin C providing all of the naturally occurring Krebs cycle chelates in a great tasting drink. Calcium Lactate Plus MCL Calcium lactate is used to improve low blood calcium which maybe present in osteomalacia and rickets. Includes calcium lactate and magnesium citrate at 5:1. D-Ribose Powder SDRI Especially effective for use in chronic fatigue. Horsetail Extract BHSTL A nutrient dense botanical providing silica for bone health. Calcium Oligo Element OCA Restores calcium balance; useful for those who do not absorb well. Trace Mineral Oligo OTM Sub-lingual micro-nutrition suited to those who do not absorb well. Primary Hyperparathyroidism Primary Hyperparathyroidism causes hypercalcemia through the excessive secretion of parathyroid hormone and is usually caused by a sporadic, single adenoma of the parathyroid gland resulting from clonal mutation. The signs and symptoms are the same as hypercalcemia and a favorite mnemonic of medical students: stones, bones, abdominal groans and psychiatric moans. • Stones: renal stones, nephrocalcinosis and diabetes insipidus (polyuria and polydipsia). Renal failure is a complication. • Bones: bone related complications such as pain and pathological fractures, osteoporosis, osteomalacia and arthritis. • Abdominal groans: constipation, indigestion, nausea and vomiting, peptic ulcers and acute pancreatitis. • Psychiatric moans: effects on the central nervous system such as lethargy, fatigue, depression, memory loss, psychosis, ataxia, delirium or coma. • Others include: left ventricular hypertrophy and increased all-cause mortality Diagnosis is by blood test and will show elevated serum calcium. Parathyroid hormone will also be high, where the expected finding would be low in response to the elevated serum calcium. Primar y hyperparathyroidism is a feature of several familial endocrine disorders and in all cases is considered idiopathic. Complications include the bone disease osteitis fibrosa cystica which can result in pain and pathological fractures, osteoporosis, osteomalacia and arthritis. Surgical removal is very effective treatment. Pain Formula Drops C46 Homeopathic aid to relieve the pain associated with misshapen bones and pathological fractures. Urinary Tract Drops C122 Homeopathic support specifically for renal stones. Vitamin D3 1000 VD3 Useful to improve proper calcium absorption in the bone. Vitamin D3 5000 VD5000 Useful to improve proper calcium absorption in the bone. Sourced from sheep wool making it a good fit for vegetarians. Cal/Mag Effervescent MCME An effervescent blend of calcium, magnesium, potassium and vitamin C especially useful for hyperparathyroidism in hyperstensive patients, and to supplement calcium that is otherwise being depleted from the bones. Osseous Apatite Complex GOSAC/GOSACLG A potent formula of pure New Zealand hydroxyapatite combined with vitamin D3, naturally occurring calcium, and other synergistic cofactors to target bone building in more moderate to severe presentations. Magnesium-free formula. Osteo Complex MOC Hydroxyapatite, magnesium, and calcium, with a robust blend of micronutrients for building bone. Cal/Mag Plus Caps MCMC Calcium and magnesium citrate 1:1 with Vitamin D3 and boron. Especially useful for hyperparathyroidism in hyperstensive patients, and to supplement calcium that is otherwise being depleted from the bones. Nausea Morning Sickness C79 Homeopathic symptom relief for nausea and vomiting. Helicobacter Pylori Nosode N45 Homeopathic nosode of the causative agent related to ulcer disease. Anti-Constipation Drops C77 Homeopathic support for relieving constipation. Digestive Enzyme Drops C18 Homeopathic sarcode support to aid digestion. Digestive Enzyme Liquescence T7 Homeo-nutritional support to aid digestion. Goat’s Rue Extract BGOAT A single botanical indicated for indigestion and pancreatitis. Serotonin Dopamine Liquescence T19 Provides homeo-nutritional support for balancing neurotransmitters especially in depression. Memory Drops C43 Supports blood flow to the brain to enhance memory performance. Delirium Formula C116 A homeopathic preparation of a Chinese medicine aimed at treating delirium. Osteomyelitis Osteomyelitis is inflammation of the bone marrow specifically related to an infectious process, and occasionally subcategorized by causative organism (pyogenic bacteria or mycobacteria), route, duration and anatomic location of the infection. Microorganisms generally infect the bone through three main methods: the bloodstream, local infection such as cellulitis or penetrating trauma including joint replacement. After the bone is infected, leukocytes enter the affected area to phagocytose the microorganisms and in the process they release an enzyme that lyses the bone. The infectious pus spreads into the blood vessels impairing flow rate creating a chronic infection. The body attempts to wall off the infection by laying down new bone around the necrotic tissue. Chronic osteomyelitis may be due to intracellular organisms that can easily evade the immune system and are frequently resistant to antibiotics. Because of these factors, combining homeopathy with the immune system support offered by Beta 1,3 D Glucan may be an especially effective treatment approach. Additionally, fungal infections can be a cause of osteomyelitis and for these cases consider the combination of Beta 1,3 D Glucan with D-glucarate. Soil and Water Contaminants R416 Specifically for pseudomonas infections. Bacterial Nosode Drops N2 Consider for S.aureus, group A and B streptococcus, and salmonella spp., where one or all of these infectious agents may be present. Bowel Pathogen Nosode Drops N5 Specifically for infection with enterobactor spp. Virus Nosode N3 Consider for Haemophilus influenza infections for all ages. Staph Strep Respiratory Nosode R418 S. aureus is the most common pathogen isolated from all forms of osteomyelitis and is responsible for 90 percent of pediatric bloodborne infections. Pneumonia Nosode N16 Consider specifically for Haemophilus influenza infections affecting children and adults 4 years or older. MRSA Nosode N40 Consider for resistant cases of S. aureus. Beta 1,3 D Glucan SB13 Up-regulates immune function to support the body’s defenses against fungal infections and chronic wounds or infections. Bacterial Immune Stimulator X6 Immune system support for bacterial infections Viral Immune Stimulator X17 Immune system support for viral infections Injury Drops C34 Aids the healing process as it relates to bruising, bleeding, stiffness, puncture or pain. Bone Marrow 12,30,60X RMAR Useful to stimulate production of RBCs and WBCs which are especially useful during chronic infections. Renal Osteodystrophy Renal Osteodystrophy is also known as chronic kidney diseasemineral and bone disorder (CKD-MBD). As a bone pathology, it is characterized by bone mineral deficiency as a direct result of the electrolyte and endocrine abnormalities that accompany chronic kidney disease. Biochemically, it is thought to be the result of hyperparathyroidism secondary to hyperphosphatemia and hypocalcemia; both of these are due to decreased excretion of phosphate by the damaged kidney. This situation is further compromised by the damaged kidney’s inability to convert D3 to its active form, calcitriol, and results in further hypocalcemia. It can be further defined as either low or high bone turnover. The symptom profile is similar to other low BMD diseases that may include joint pain or bone pain, deformity or fracture. Diagnosis is usually after treatment for end-stage renal disease is underway. Labs show low calcium and calcitriol with elevated phosphate and parathyroid hormone; on x-ray alone it may be difficult to differentiate from other low BMD conditions. Beyond hemodialysis and transplant, treatment includes calcium and vitamin D supplementation, restricted dietary phosphate (especially dairy) and use of phosphate binders such as calcium carbonate. It should be noted that recovery is observed in renal transplant patients. Liquid Cal/Mag MLCM Includes calcium carbonate to specifically bind excess phosphate. Bio Terrain Alkaline Powder or Caps SBTA/SBTAC Useful to counteract the acidic terrain of those who have developed chronic kidney disease and to prevent bone loss. Vitamin D3 1000 VD3 Useful for improving vitamin D3 status in a depleted state. Vitamin D3 5000 VD5000 Useful for improving vitamin D3 status in a depleted state. Osteo Complex MOC Hydroxyapatite, magnesium, calcium, and vitamin D3 are combined with a robust blend of micronutrients for building bone tissue. Osseous Apatite Complex GOSAC/GOSACLG A potent formula of pure New Zealand hydroxyapatite combined with vitamin D3, naturally occurring calcium, and other synergistic cofactors to target bone building in more moderate to severe presentations. Magnesium-free formula. Kidney Stim Liquescence T13 Homeopathic support specific to the kidneys; aids with drainage and regeneration. Osteophytes & Enthesophytes Osteophytes, also called bone spurs or even parrot’s beak, develop along the margin of the bone as an ossified or bony projection. They are classically associated to changes in bone formation related to aging, degeneration, mechanical instability or disease. Inflammatory damage to a joint surface, most commonly from arthritis initiates osteophyte growth and typically leads to limited range of movement and pain. Osteophytes commonly form along the spine as we age, and in this location they are not likely to cause pain unless they grow to impinge a nerve. Such cases may present as pain in the upper or lower extremities or a sensation of numbness or tingling. When they develop along the distal interphalangeal (DIP) joints of fingers or toes, osteophytes are referred to as Heber den’s nodes and as Bouchard’s nodes if along the proximal interphalangeal (PIP) joints. Osteophytes may also be the product of deeper disease like osteomyelitis or diabetes mellitus or more simply the result of mechanical stress. Enthesophytes are commonly mistaken as osteophytes, and while they are another type of bony projection, they occur strictly at the attachment of a tendon or ligament as a response to the forces of mechanical stress. Collagen Complex GCC/GCCLG Pure New Zealand collagen concentrate combined with synergistic cofactors supporting tendons, ligagments, and cartilage. Useful for joint and associated bone tissue support. Calcarea Combination R214 Useful for painful bone conditions including osteophytes and inflammation of the periostium. Connective Tissue Liquescence T24 Useful as a homeopathic aid to synovial joints; useful for both osteophytes and enthesophytes. Small Joint Pain C38 Homeopathic relief for small joint discomfort (fingers and toes). Low Back Pain Drops C41 Provides relief from organic or structural abnormalities of the low back including sciatic nerve support. Flex Drops C24 Cartilage sarcode with robust symptom support to reduce joint stiffness and pain. Cervical Drops HCD Specifically useful when osteophytes have developed in the cervical spine. Thoracic Drops HT Specifically useful when osteophytes have developed in the thoracic spine. Lumbar Drops HLD Specifically useful when osteophytes have developed in the lumbar spine. High Potency Omega EPA/DHA SEPA High potency marine-sourced EPA & DHA improves inflammatory status. Muscle Ligament Cartilage Drops HMLC Homeopathic sarcode and nutritional support for optimal health of the musculoskeletal junction points; useful for enthesophytes. Osteoarthritis Osteoarthritis, while not a true bone disorder, is a degenerative arthritis that can degrade the joint integrity enough to involve the subchondral bone. It is the most common form of arthritis and the leading cause of chronic disability in the US. Symptoms may include joint pain, tenderness, stiffness, locking or effusion. The pain is frequently described as a sharp ache or burning sensation. A variety of factors such as mechanical stress (including misalignment of bones, injury, excess weight, loss of muscle strength suppor ting the joint or impairment of peripheral nerves), inheritance or metabolic disease may precipitate the inflammatory environment that induces damage and loss of the cartilage. If enough protective cartilage is lost, a “bone-on-bone” situation can arise where the articulating bones grind on one another causing erosion.The pain this elicits naturally decreases movement leading to regional muscle atrophy and lax ligaments. Joint replacement surgery can be used to improve quality of life if anti-inflammatory modification, gentle exercise or analgesics do not provide enough relief. Joint Plus PJP Consider in cases of moderate to severe joint pain. ImmunoTone PIT Cat’s Claw is shown in research to suppor t outcomes in OA and hypericum may help reduce pain for these patients. Herbalgesic PHG An herbal alternative to aspirin or ibuprofen. Glucosamine Plus SGP Anti-inflammatory support for both the joint and supporting tissue structures. Glucosamine Chondroitin Complex SGCC Consistent use has been shown to reduce in inflammatory status. SAMe Liquescence T36 Can be used as an alternative to NSAIDs for pain relief. Connective Tissue Liquescence T24 Useful as a homeopathic aid to synovial joints as in OA. Cetyl Myr Plus SCMO May reduce inflammation for those suffering from osteoarthritis. Calcarea Fluorica CELL1 Useful for weak bones and loose teeth and weakness of the muscles, tendons or ligaments as seen in osteoarthritis. Small Joint Pain C38 Homeopathic relief for small joint discomfort in the hands of those with OA. Mucolytic Drainage T17 Useful to reduce the joint effusion commonly associated with OA. Large Joint Pain C37 Homeopathic relief in OA; useful for larger joints such as knees, ankles, low back, shoulders, and elbows. Collagen Complex GCC/GCCLG Pure New Zealand collagen concentrate combined with synergistic cofactors supporting tendons, ligagments, and cartilage. Flex Drops C24 Cartilage sarcode with robust symptom support to reduce joint stiffness and pain. Muscle and Joint Drops C42 Symptomatic relief for the affected joints and surrounding tissues Guaiacum Complex B7GUA Reduces pain and inflammation related to various types of arthritic conditions Muscle Ligament Cartilage Drops HMLC Sarcode support specifically indicated in OA. Artho Ice SICE Topical analgesic spray that provides a cooling sensation. High Potency Omega EPA/DHA SEPA High potency marine-sourced EPA & DHA improves inflammatory status. Anti-Inflammation Drops C5 Supports acute conditions that come on quickly to provide quick relief. Weight Management Formula IWM Weight loss reduces joint load, pain, stiffness and fatigue while improving function and modulating inflammatory status. Pain Formula Drops C46 Provides pain relief without the side effects associated with pharmacologic agents. Featuring Liquid Extracts and Capsules • www.professionalformulas.com FOR PROFESSIONAL USE ONLY These statements have not been evaluated by the Food and Drug Administration. No statement in this bulletin shall be construed as offering these products for the diagnosis, cure, mitigation, treatment, or prevention of any disease.
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