About Me

I’m a former dancer; former actress; lifelong exercise enthusiast and newbie gardening fanatic. I was briefly a personal trainer. Although I received my ACE Fitness certification and followed through with another two years of advanced courses at Marymount College (studying kinesiology, nutrition, anatomy, Senior fitness, Neonatal fitness, etc.), that was several years ago. I have not worked as a personal trainer since 2004. So I don’t consider myself to be an expert by any means. But I think I do know enough to know when something is bogus and when something really works.

In June 2009, I was diagnosed with fairly advanced osteoporosis, probably a result of an almost 15-year eating disorder combined with an avoidance of resistance training (despite the fact that I was a personal trainer). My own fitness routine was comprised primarily of long-distance running (which studies now suggest may be detrimental to bone health… although other studies suggest runners may naturally have thinner bones to begin with, and their low BMD may not necessarily be indicative of a high fracture risk. All fingers and toes crossed here.)

After my diagnosis, I had a pity party, then I decided to kick some osteoporotic a**. I enrolled in the second round of the Yoga vs. Osteoporosis study being conducted by Columbia University, and after only 10 months of daily yoga, as of June 7, 2010 I had significant gains in BMD in every single test site, even going from osteoporosis to osteopenia in my spine and right hip. My follow up DEXA in 2011 showed a big loss. Rats. I’ve just entered the first year of menopause and think that could be a big contributor. Well, that and my lousy diet in 2010-2011. I’m back to eating alkaline, have added strontium citrate into the mix, and am now doing a lot of walking with a weight vest, doing free weights, and still doing the yoga. I hope you’ll keep visiting while I’m making the journey back to “normal” BMD. Or at least osteopenia again.

I am not a health professional. Nothing on this website should be taken as “gospel.” Many of the exercises I talk about on this blog are not things I would necessarily recommend for an older, more frail person — someone who falls into the “category” we normally think of as having osteoporosis. For example, posts where I talk about jumping rope or some of the more advanced balance exercises — those things are not for someone who previously led a very sedentary lifestyle. Rather, those posts are aimed at people like myself: younger, more physically active women who were gobsmacked by finding out they have bone density issues. My approach tends to be more aggressive because (a) I have never fractured; and (b) I was already engaged in a fairly rigorous fitness regime, so even though it may be cavalier, I’ll be more cautious with myself if and when I ever do fracture. [Here's hoping that day never comes, but if it does, you can all point and say "I told you so."]

Don’t worry. If you are older or more frail (or know someone who is), you can still find information on this blog that would be of use.The BEST (Bone Estrogen Strength Training) Program was designed for women like you (and me). You’ll also find very helpful information on diet, supplementation, medical advances, simple balance exercises, modified yoga poses — a cornucopia of challenges for your bones.

Regardless of your age or physical fitness status, you should always consult with your doctor before attempting anything you read/see here. I welcome any and all comments on this blog, as long as people play nice.

63 Responses to About Me

  1. I am so thankful I have found your web site. I have pretty severe scoliosis along with Osteoporosis. The more I read I find myself really scared of taking the medication that doctors have to offer. I have even taken Reclast. I am taking D3 and calcium. Will check out your site to see what you recommend.

    • That’s quite the combination. You might consider contacting Dr. Fishman directly. He’s designed yoga for people with arthritis, people with MS, people with osteoporosis. Perhaps he would have suggestions for ways to modify things for scoliosis as well. Glad you’re enjoying the site!

      Best,
      Raye

      • Oh, he does, he does! Fishman has yoga recommendations for people with scoliosis. I’ve been looking at his book, Yoga for Arthritis, in which he has a whole section of poses for scoliosis and recommendations throughout about what to avoid if you have scoliosis. His other books (Back Talk, Relief is in the Stretch) are also very helpful with chapters or sections on scoliosis.

    • Hello. I’m new as well and am finding lots of good information. And just being with others that are dealing with the same issues is help. Makes me feel like dealing with it instead of hiding from it

      • Welcome, Val. I don’t post as frequently as I used to (mostly because I’m not discovering that much new information), but there is a TON of information on this site. Soak up as much as you can, and don’t be afraid to ask the community questions. We’re a fairly positive bunch.

    • I have mild scoliosis along with osteoporosis. My doctor told me that osteoporosis is often seen in people with scoliosis. The suspecte culprit is an abnormal collegen matrix. Interesting, huh?

      BTH I was on Fossamax for 6 years with some improvement – I’m now off of it and on a more holistic program – walking, yoga, supplements, diet etc. I just bought a hypperpro weighted vest per recommendations on this site. And the doctor I am going to now recommended silica for the collagen.
      Nancy G.

  2. I had a question about Vitamin K2. I noticed you mentioned that you take the brand Life Extension. I bought KAL brand which includes both K1 and K2. When I opened it, it had an awful smell like something you would use on your lawn. I’m wondering if that’s normal and if it’s safe to take. Does yours have a strong smell?

    • I have not noticed a strong smell with mine. It’s a gel cap. But my multivitamin — yeesh is it smelly! When you consider that k1 and k2 are found in leafy greens and that the vitamins may be some kind of concentration of that, it makes sense that it could be smelly. (When I make green juices, the pulp in the juicer is just outright rank.) Just in case, is there an expiration date on the bottle?

  3. Hi,

    What do you recommend to increase BMD in hip area? Am 61, have always enjoyed good health (other than -3 Tscore), 8 months into Forteo, improving diet and exercising more. Live in Boston area.

    Thank you for your great blog!

    • Hey, Carol! You’re welcome. Glad you like it. I find hips somewhat easier to deal with than the spine. Weight vests have been shown to improve hip density, and if you don’t have any spinal density issues, you might want to invest in one. Just wearing it while you’re doing your walking has been shown to improve BMD of the hip. Any exercise that works the hip flexors, extensors, abductors and adductors will be beneficial. There are cautions about using those abduction/adduction machines you see at the gym if you have osteo (and for using the cables as well). Squats are a good, all-around hip exercise. And hey — if you do get a weight vest, you can do your squats while wearing it (provided your form is good). I’ve had terrific success reversing my osteo of the hip with yoga. (I went from -2.9 to -2.6 in the right hip after only 10 months of daily yoga.)

      Beyond that, you can go to the Categories menu and select “exercise for osteoporosis of the hip” and browse all the posts that come up. Good luck!

  4. Oh I’m so pleased to see you on here! And thanks for the comments :)
    Love your blog and sorry to hear your going thru all this… sorry anyone has to. But love that you’re blogging about it and no better woman, if you ask me.
    So we must get everyone together sometime soon, eh?
    Miss you guys!
    Shivers

    • No, no, I’ve gone from osteoporosis to osteopenia. In just ten months. Things are going great! It’s gotten me off my duff and made me change the way I eat, and that ain’t a bad thing. When are you coming to visit again? The garden is insane this year! I think we’ve got a weekend open in September if you want to make a trip. New gas grill. We can make corn and sweet potatoes and vegetable kabobs. Love your website!

      • Oh we’d love to go but we’ll be off on our honeymoon soon and I just don’t think I could get a weekend off before :(
        But maybe we could meet you for dinner some evening… somewhere on the UWS… howzat?! :)
        We’d love to see you both!

    • Hey, Rebekah! Thanks for visiting! I adore Dr. Fishman and am eternally grateful for his terrific yoga vs. osteoporosis study. What would I have done without it? I would love to talk to you about what you’re doing with pilates. Sherri Betz has a pilates for osteoporosis program, but she’s way out in California. It’s nice to know there’s someone closer. You know what I wish? I wish the yoga instructors in senior centers and YMCA, YWCA, YWJA would all buy Dr. Fishman’s book, see how to alter the poses so their safe for the elderly population, and start teaching yoga classes specifically geared for improving bone health.

      BTW, went to the bestbonesforever.gov website — what a fantastic program! Are kids finding their way to it?

  5. Is there a doctor you recommend who is helping you monitor your vitamin and mineral levels from the supplements you are taking?

    I was recently diagnosed with osteopenia and have been heartened by stories like yours of people who are increasing their BMD w/o osteo drugs. I noticed that you are in NYC and that would work for me.

    RX Linda

    • Hey, Linda:

      Unfortunately, no. Like everyone else, I’ve had a hard time locating a doctor who supports my decision to forge a path without the drugs. As a matter of course, my OB/Gyn writes a prescription for the vitamin D blood test for anyone who has osteoporosis or osteopenia, so I get that checked yearly. But no steady monitoring. Even if I could find a doctor who would track that stuff, I wouldn’t be able to afford it because I am one of the millions of Americans without health insurance.

      I’m just going off of the before and after Vitamin D test. That before I began supplementing with D, my levels were at 25 ng/ml, and six months after I started taking 4000 IU of D3 per day I was at 67 ng/ml. Much better. I follow the Vitamin D Council’s guidelines of 2000 IU in summer, 4000 the rest of the year. Sorry I’m not more help.

  6. Thanks. I really appreciate your taking the time to write such a thoughtful reply. And the daily Vitamin D dose was helpful. I hadn’t thought about varying the doses btw winter and summer.

    What multivitamin do you take?

    Tx Linda

    • If you select “multivitamin” from the pull down category list on the right hand side of the screen, you’ll find a ton of posts of various multivitamins, comparing their plusses and minuses as far as phosphorus levels, folic acid content, whether they have synthetic vitamin A or beta carotene, all kinds of good stuff. This was my most recent post on the subject and is the particular vitamin combination to which I’ve currently switched. But I do also still like the Enzymatic Therapies Doctor’s Choice Women’s 45+

  7. I just turned 60 and found out I have osteoporosis and my spine is 3.3.. I have the risk factors, slim, mom has it, and I should have been thinking about this 5-10 years ago and now wonder what I was thinking.. My doctor thinks this is “normal” I guess…. I have embarked on walking, weights and trying yoga…but dont really know how bad or good this score is… Wondering if I can improve this score and if there is hope… I got on this site for support and just seeing what other people are saying and hoping I can find some hope about this.. your site has a lot of helpful info.

    • Hey, Jan and welcome. Improvement depends on two things (as far as I know): whether or not you have any secondary causes of osteoporosis like low vitamin D blood levels or celiac disease or parathyroid problems or any number of other illnesses (I think there are more than 100 different medical conditions that can cause osteoporosis), or if you’re taking medications that contribute to bone loss – things like GERD prescriptions or steroids, SSRIs for depression, injected contraceptives, certain diabetes medications – many, many things can contribute to bone loss. You have to get those things in check first before you can deal with the osteo. This link will tell you all the tests to request from your doctor (many doctors neglect to rule out secondary causes.) Once you’ve ruled out (or controlled) any secondary causes, the next thing has to do with dedication — really being good about exercising and modifying your eating habits. This link gives an overview of lifestyle habits which affect bone health. We also have a success stories “category” here. Click on it, and you can read about others who have improved their BMD.

  8. I can’t tell you how happy am since stumbling across your website. I am a yoga instructor and massage therapist, committed to teaching yoga classes for bone health. After doing an intensive “yoga for seniors” training at Duke University, the “epidemic” on bone loss really hit me. I’m helping my students understand their disease and how to adjust their fitness program/yoga program accordingly. I’m teaching them what they need to avoid and watch out for. I’m doing Sara Meeks “Safe Yoga for Skeletal Health” program at Kripalu in May. Keep on writing. I’ll share my findings at this end!!

    • Oh, Rhonda! That’s terrific news. And I’m glad Sara is designing a yoga program. She’s so terrific. Thank you so much for making such a concerted effort to learn more about this awful disease! I say the same thing over and over, but are you familiar with Dr. Fishman’s work as well? He’s amazing. Just amazing. And a super-nice gentleman.

  9. Greetings!
    I am so pleased to have found your site but am overwhelmed by all the info out there. I’ve printed the exercises from Loren Fishman’s online site but wondered a few things. Would the book have more direction or is it sufficient for me to use the free instructions that he offers? And, since I’ve never had any experience with yoga, am I doing myself a disservice by trying to teach these poses to myself? (I’m reluctant to try a yoga class because all the ones I’ve observed locally have been full-on yoga with no one seeming to have experience with osteoporosis. ) It almost seems to me that if I try them myself but don’t use proper form and technique I might be either wasting my time or exposing myself to potential injury. I’m a very fit person (aerobically) but again have never done any yoga. Can I have your thoughts on how a ‘newbie’ should approach this? Someone recommended a restorative yoga class but the ones I’ve seen have been focused on relaxation not improving bone density!! Thanks in advance for any advice.
    Emily

    • Hey, Emily! Welcome! You are so right about trying them solo or in a regular group yoga class. Neither option is ideal.

      Here’s what a lot of other readers have done that I highly recommend. They print out the poses from the study (or purchase the book… or rent the book from the library and xerox the poses) and then schedule a private session with a certified Iyengar teacher to have them work with them one-on-one on the 12 poses — making sure the Iyengar teacher understands the required modifications. You might want to email them a link to the study so they can prepare for your session. When looking for a yoga teacher, Dr. Fishman recommends finding an experienced instructor — I think he says someone who’s been teaching for 15 years? I’ve forgotten the number, although it’s on this blog… somewhere. When you go to your session, you might want to take a friend / hubby with you and have them photograph you when you’re in the correct position, and then have that friend / hubby work with you the first few days you do your poses, to make sure you’re doing them correctly.

      Even better idea: another reader, Gail, found four or five friends who also want to improve their density. Together, they hired a yoga teacher to work with the five of them in a private class over a period of weeks. They each paid $20 per class, but received much more individualized attention than they would in a typical yoga class.

      Last suggestion: you can still join the study. In return, Dr. Fishman will mail you a DVD with the 12 poses on it. Even then, I’d still hire an instructor to work with you on it at least once (Gail’s multi-week sessions with friends sharing the burden of the cost is absolutely ideal.) You can contact Dr. Fishman at Loren@sciatica.org

      And no, I don’t think you’d get much bone building benefits from a restorative yoga session. Although they probably do lower cortisol levels, and too much cortisol leads to lower bone density, so it would have some benefits.

  10. I am a newbie subscriber to your website, having been recently diagnosed with osteoporosis (genetic).
    Got on your mailing list when I thought I read that you had managed to reverse your own osteoporosis with the right exercises.
    I am still hunting for “the right exercises”.
    Granted, I have a habit of skimming over the printed word while looking for specific pieces of information but for the life of me I still haven’t found the area that hones in on THESE EXERCISES ARE FOR HIP AND BACK OSTEOPOROSIS.
    Can you help with this request?

    • Hey, N.:

      I reversed mine through the Yoga vs. Osteoporosis program, combined with diet and stress reduction. There are twelve specific poses. I did/do those everyday. They can be found on the Sciatica.org website. I do not demonstrate yoga poses on this website because I have no expertise in yoga. The study is ongoing. If you want to join, simply contact Dr. Loren Fishman at Loren@sciatica.org. He’ll mail you a list of the tests you need to have done, along with a DVD of how to do the poses.

      Another way to find exercises on this website specifically geared for the hips or for the spine is to use the topic search menu and select a category: exercises for osteoporosis of the hip or exercises for osteoporosis of the spine. Many of my posts will have exercises (or articles that cover)both. So you may see the same entries in each topic list. The Topic Search pull down menu is located on the right side of the screen. If you select “videos” from the topic menu, there are a few demonstrations of weight lifting exercises.

      Thirdly, you can look at the BEST study (Bone Estrogen Strength Training Study) for weight lifting exercises and correct form to reverse osteoporosis. It was a trial that was done a few years back. All the participants stopped losing BMD and even gained, as long as they continued lifting weights. If they stopped exercising, their gains stopped/disappeared as well. (That’s true with any exercise program.)

      Another resource would be the Sara Meeks Walk Tall program. It was a little simple for my tastes, but it is an effective program (although possibly geared for the more frail.)

      Lastly, if nothing here is specific enough for you, might I suggest you try MelioGuide? It’s a pay-for-it-subscription program, but it’s a pretty good price. I talk about it a bit here. Or Rebekah Rotstein’s Pilates for Osteoporosis videos online (another subscription/pay for it service).

      Sorry you’re having trouble navigating the site. It’s all there, but I suppose as with most things, there is a learning curve for navigating. You’ll get the hang of it eventually. Good luck in your search and I hope the site is less frustrating for you in the future.

  11. Okay…….thank you for taking the time to start this site. I just found you and am wondering how old you are and do you have any health issues as a result? I was diagnosed with osteo at the age of 30, ignored it, kept overtraining and under eating. I am now 40 and have some serious bone issues that scare the heck out of me. Endo’s have been wanting me to start Forteo but I can’t bring myself to start those medications at my young age. :) I look forward to sifting through your material and educating myself. Can’t thank you enough…….

    • Hey, Lisa! Welcome! Overtraining and undereating — that sounds familiar! Did that for, oh, about 15 years. I’m now 48; no health issues (other than osteoporosis). But my T-scores have improved from between 3.6 and 7% since my first DEXA (and that’s without meds.) I wasn’t diagnosed until 46, but I’m certain I’ve probably had bad bone density since at least 30. Do you mind sharing your T-scores? Have you had any fractures yet? If you’ve not yet, be sure and check out the yoga vs. osteoporosis study. I’ve had terrific luck with that. Dr. Fishman is still taking applicants. It’s free. He’ll send you a DVD. You just need to send him a bunch of test scores. Look at last week’s article on lactoferrin – that sounds promising. If your spinal density isn’t too bad, consider a weight vest – it helps with hip density. Look at Susan Brown’s website http://www.betterbones.com – a world of helpful information there. Let me know if you need help finding anything on here. If you go to the topic pulldown menu, I’ve got things categorized there. Happy surfing!

      • BA, I appreciate the quick reply and even more appreciate knowing you are not 30. I have read lots of research on reversing negative dexa scores in the 30 and under age bracket but little on the 40 and over youngster. :0) I will get my z-scores and post. They are quite scary.
        Up until 4 weeks ago I had no fractures. Unfortunately I have managed to invert my ankle (playing with the dogs) and I am now nursing an avulsion fracture of my cuboid. This really slowed me down and forced me to reevaluate my priorities.
        Thank you kindly again for the encouragement and time dedicated to this site.

        • Z-scores 2011
          AP Spine L1 -3.6
          AP Spine L2 -3.3
          AP Spine L3 -3.1
          AP Spine L4 -3.7

          DualFemur Neck left -2.3
          DualFemur Neck right -1.8
          DualFemur Total left -1.8
          DualFemur Total right -1.4

          I was first diagnosed in 2002:
          Lumbar t-score -2.8
          z-score -2.7
          Left hip t-score -2.3
          z-score -2.0
          With this diagnoses my Obgyn wanted to start me on Fosamax. (so thankful I didn’t) According to my Endo, Fosamax would not help but Forteo will. Still not ready for that route as explained earlier.

          Thanks

        • FWIW, I don’t hate Forteo. It actually does help build bone. It’s unfortunate that long term use is linked to bone cancer in rats (that’s why no one can be on it for more than two years.) But there’s no way I’d take any of the rest of them. Do you do the Sinaki exercise? I’d get on that one. It hasn’t been shown to increase BMD, but it does reduce spinal fractures by 300%. And you can even do it with a bum ankle because there’s no walking or standing involved.

        • Also, make sure you have all the tests to rule out secondary causes. My doctor took one look at me and said, “You’re small and you’re white. Of course you have osteoporosis.” And with me, that turned out to be exactly it — well, that and my 15 year eating disorder. But sometimes there are other things going on. It’s important to rule those out.

  12. Oh and one more thing. I think the reason I ignored the poor dexa readings for so long is because I was strong. In addition to running track I have been lifting since I was 16 and started olympic lifting 7 years ago.
    I big red flag I ignored is being amenorrheic for 9 years. I am almost embarrassed to write that. How ignorant is that!!?? Still can’t seem to get my period back. It’s as if my hypothalamus shut down in order to preserve my body.

    • Did you see this post on leptin? Unfortunately, it’s not something you can buy over the counter and it’s still in development. But maybe there’s an endo. you could talk to about it? Another article in here is about how women who are anorexic (and I know, you were overtraining & underweight, which is different than someone who starves themselves, but in some ways it has the same effect on the body) – anorexic women gained BMD after being injected with IGF-1, which is expensive. But prunes also contain stimulate IGF-1 production. 10-12 prunes a day has been shown to increase BMD in post-menopausal women. You could always try that out. Warning: don’t start with 10 prunes, you’ll never leave the bathroom. Sorry to hear about the ankle!

  13. I am not sure if this article is citing the same paper as your recent post, Raye, but it comes to many of the same conclusions;

    http://www.lef.org/newsletter/2011/0506_Review-Recommends-Bone-Building-Nutrients-Before-Drugs.htm?source=eNewsLetter2011Wk18-2&key=Article&l=0#article

    “A review published in a recent issue of the journal Nutrients concludes that calcium and vitamin D supplements should be tried before resorting to bone building drugs to help maintain normal bone density.”

    On the same page, there is an article about studies on phytoestrogens, with some interesting conclusions. I haven’t read all your back posts, so just in case you haven’t come across this, here’s one mention:

    # Dietary supplementation with 54 mg/day of genistein “may be as effective as hormone replacement therapy in attenuating menopause-related bone loss without causing the associated side effects.” (Cotter 2003)

  14. Hi, I just stumbled upon your site today and think it is great- lots of good info and your writing is quite entertaining! Who would have thought reading about osteoporosis could be fun (well, sort of…) I’m going the no-drug route for a year, and then get retested. Refused the nasty Fosamax prescription. I’m doing the Fishman yoga poses, an alkaline diet, a weight vest, rebounding, some free weights, some supplements. I run too (for ~40 years!), but that sadly didn’t protect me from osteoporosis. The running is for my sanity. Anyway, keep on posting, its good to know people are having success without the drugs and we are not alone fighting this stupid disease…you go, girl!

  15. Pity party over. It has been 3 weeks since my surprise diagnosis of osteoporosis in both hips and osteopenia in my spine. I am 52 years young, African-American, active woman never any health problems until this…Three years ago I started a vegan/ vegetarian diet with lots a raw veggies. I have always been active, did a little triathlon a few months ago, bike, swim, jog, weight train etc. I’m a nomal size woman, not thin but not fat ie size 6, butt and thighs generous. My doctor wanted me to take bonevia or reclast right away…I refused. 5 weeks ago before I even knew I had this condition I started practicing yoga. Fell in love with it and have been going 5 times a week. My practice includes all the poses the study recommends and more. I love it! I have started taking the calcium, vit d supplements. Trying to figure out other things I could do to increase my bones. I am going to order the weight vest today. Trying to stay positive…

    Gervel

    • Welcome, Gervel! Sounds like your head is in the right place and you’re on the right track. Medication is always an option. I just don’t understand why it has to be the FIRST option. (And for my doctor, the only option.) Magnesium is as important as calcium. If you’re a sporty person, you tend to lose magnesium in all the exercise. Also look at K2. LifeExtension brand makes a Super K that I love because it has both K1 and K2 and at higher doses than found in most K supplements. K2 is important because it seems to keep the arteries clear of plaque. Supplemental calcium seems to contribute to plaque, so I tend not to take one without the other. You might also do a search here on the site for Lactoferrin – another supplement that shows promise. Oh – and the Omegas. The NYTimes had an article about how people who took omega 3 & 6 and exercised gained more bone density. (You can do a search for Omega, too, and you should find a post about that article.) Again, welcome and enjoy!

  16. I noticed a Citracal Bone Density Builder (with Genistein) product on the pharmacy shelves while in the US, have you heard anything about it? We can’t get that here in Canada, nor can we get any Vit K products. Its quite frustrating.

    • Hadn’t heard of it, but looked it up. According to the ingredients list, it’s mostly a calcium supplement (600 mg) with a too-low ratio of magnesium (only 50 mg.) Most doctors recommend your magnesium intake be at least 50% of your calcium intake. It also contains 400 IU of D (also on the low side. 2000 would be more like it), Zinc at 7.5 mg, copper at 1 mg, Manganese at 2 mg, Molybdenum at 75 mcg, and boron at 250 mcg (most recommend 3 mg of Boron). Genistein is a soy product. There were some Italian studies a few years back that showed soy was beneficial to bone health. However, soy’s role in breast cancer is still up for debate.

      Long way of saying, I’m not sure you’re missing anything. If you’re interested in Genistein, seems like you could purchase a separate supplement or find a better multivitamin with Genistein in it.

      Thanks for bringing this one to my attention. Had never heard of it!

  17. I’d like to put in my two cents worth on this-
    I have been taking the Citrical with bone density builder for
    about 6 months or so, and have no clue if it is doing any good.
    I agree with the bone architect that it doesn’t have enough
    vit D or magnesium. So I take separate supplements for those.
    I keep tweaking my vitamin D and have not yet found the right
    amount to get my blood concentration to be what I want. I get it
    checked every 6 months and adjust. The reason I do not take a
    separate soy supplement is because I didn’t find one with exactly
    the right amount of genistein. Many of them say genistein complex,
    or something like that, which isn’t the same. The studies gave a specific amount of genistein, 54 mg/day, which is what the recommended amount of the Citrical gives. So if you want a separate supplement you want to look for a supplement with at least 54 mg of genistein if you want to replicate the studies (see links below)
    The articles below are all from one research group in Italy that
    looked at genistein, and this work led to a “medical food” called
    Fosteum (see http://www.fosteum.com). You need a prescription for it
    in the US, and the Citrical appeared to have the same genistein
    and you can buy it at the supermarket so I went that route.
    I’m taking calcium anyway, and thought I’d give the Citrical with genistein a try. The Italian research group also looked at the effect on breast tissue and didn’t find anything, but the Fosteum site says this
    “Since no studies have been done in these populations, as a precaution, FOSTEUM is contraindicated for patients with a history of cancer of the breast or reproductive organs and should
    be used with caution by women who have a history of breast or reproductive cancer in first degree female relatives.” So if you have breast cancer in your family, I’d steer clear
    of anything with genistein in it.

    http://www.ncbi.nlm.nih.gov/pubmed/19238303
    http://www.ncbi.nlm.nih.gov/pubmed/12369794
    http://www.ncbi.nlm.nih.gov/pubmed/18796517
    http://www.ncbi.nlm.nih.gov/pubmed/20629630

  18. Thanks for the info, Emmie. I don’t have any breast cancer in the family so that doesn’t worry me, and I would definitely take extra supplements. I’m not quite sure what kind of Genistein Citrical uses in their product, I noticed in the reports that there are various kinds of soy isoflavones and the one they recommend is aglycone. I recall the bottle just said soy isoflavones.

    • Claire- I have a bottle of Citrical with bone density builder in front of me, and it states it has 27mg of Genistein per 2 tablets. The word “aglycone” is a general term that is a class of chemicals http://www.chem.qmul.ac.uk/iupac/class/carbo.html#01
      of which genistein aglycone or just genistein is a member of. Anyway, this thread got me looking for sources of just genistein, and I found this stuff called i-cool that is marketed for hotflashes
      http://supplementfirst.com/i-cool.html?utm_campaign=PPC&utm_medium=icool&utm_source=icool1&gclid=CKfzo9OIv60CFWrktgodCW8kCA It appears to have 30 mg of genistein that is made synthetically in a lab, rather than made from soy. If the chemical is really the same, then it doesn’t really matter how it was produced except if you have an allergy or sensitivity to contaminants from the manufacturing process, either from the soy process of the lab route. I think I may give it a try since I’d like to reduce the calcium I’m getting from supplements (and get more from diet) and with Citrical you are stuck with the calcium and the genistein all together. I am my own lab rat, doing experiments on myself. Not really the best way to be…Has anybody tried this i-cool stuff?

  19. I just had a woman order some of my Exerstrider poles because she learned about them being one of your recommended products. (Thanks for that!) I told her about a new and very simple exercise one can do with (or without) poles that has been proven to effectively stimulate osteogenesis. The original (no poles) version of the exercise involves simply rising up on your toes and then releasing, and allowing your heels to drop to the floor with some impact. By combining this very simple exercise with poles you can simultaneously stress the bones of the arms, shoulders and create a compressive stressing of the spinal column as you rise on your toes by raising both arms into a handshake-like position while holding a pole in each hand. As you rise up on your toes, push down on the poles which will aid your calf muscles as you rise up, but more importantly create simultaneous core and spinal erector muscle contractions which will put the entire spine under a gentle contraction — as well as causing contractions of muscles attaching to the arms. In this way you create the kind of pulling/stressing forces on nearly all of the bones of the body which are needed to stimulate osteogenisis. 30 to 50 repetitions of this very simple and time-efficient exercise on a regular basis has been shown to very positively impact bone density.

  20. Hi Raye,
    I look at this blog often and am so grateful for all the helpful information here.

    I’m wondering if you’ve discovered which is the best urine test to take in order to know if one is creating bone? (I’ve found a doctor in NYC who is helping me go the no-drugs route but I know how important it is to do one’s own homework on things as well.) I’d like to know if I’m building up bone without waiting 9 months for my yearly DEXA. Medical web sites mention several different tests… but which should I ask the doctor to do? Also I found a company that offers a home test for about $185. (I don’t have insurance.)

    If you have time, it would be great to hear about your experiences with urine tests. Or if you can point me towards any useful information.

    Thanks!
    Jane

  21. Raye, Emmie — thank you so much. Like you, Emmie, I just want to get some peace of mind that I’m on the right track. That my single-minded adherence to exercise and pills and alkali diet are doing something besides turning me into a bone-obsessed maniac! But reading about how the tests vary so much makes me think perhaps I should save my money. However, many thanks for these links.

  22. Hi Raye
    I have been reading through your posts and when I was diagnosed with osteopenia of the hips and osteoporosis of the spine — at age 30 — in 2001 — no one knew what to do with me. The one thing I did know is I did not want to take bisphosphonates from such a young age.
    I have your coloring and your build, and had been undereating and running 7 miles every other day before I got a stress fracture in my hip.
    And they scared the life out of me, alleging undiscovered breast cancer spreading to my hip; celiac disease; thyroid malfunction; kidney disease, you name it! I was a wreck for months.
    My mom raised me to drink milk with every meal, too!
    All of your insights and research are so on-target. Bone minerality is only one measure of its strength; protein architecture, age, muscle strength, etc., are also important.
    I am now 41. Ten years later my DEXA T scores are nearly normal in the hips but the spine is still osteopenic. I have fallen on ice, tripped down stairs, etc., and never had another fracture.
    I did this with weight training, supplements, reduced meat diet and by gaining 15 lbs, bringing my BMI up to normal range.
    The bad news is I have been denied individual coverage insurance in part because of the discovery of my bone density issues. Let’s hope this changes with Obama’s plan in action in 2014.
    Like yours, women in my family live into their 90s. With the improvements I’ve made and must accelerate through the great hormonal change, this won’t be a new problem for another 40 years.
    Thank you for this site. In 2001 it would have been a true comfort. But we have learned so much in the interim!
    -Kirstin

  23. Hello Bone Architect ! I can identify with much of what you say. I was an avid tennis player and would exercise 3 hours a day in my prime. I wouldn’t have called myself anorexic but in my teen years and twenties I did follow a strict diet and was staying at a low weight, after having been called fatso for most of my childhood.

    I was diagnosed at age 40 with osteoporosis at the same time was going through early menopause. I had no hot flashes, and no symptoms just a sudden stop. I also went through a pity party, I know just what you mean. I tried everything from Evista to natural hormones to Forteo including supplements and weight training. My bone density didn’t change up to age 53. Not going down was considered a success, I guess. Two years ago my mom passed away and I became very sedentary and stopped taking supplements all together after hearing about how calcium can build up in arteries. Now at age 55 by DEXA readings have dropped down to the -3.5 to -4.1 range. I had another pity party and am scared all over again.

    I’m back to researching supplements, weights, and wondering about trying Evista again. Through my alarm I began taking Actonel again and after 2 months I think my joints feel worse, but maybe that’s from exercising again? In December I was bending to lift up one side of a heavy desk and I heard a loud pop and had sudden back pain. Xrays showed no fracture in my spine and it was supposed I popped a disc. I got over that and was back to normal in about 3 weeks. However since starting the Actonel that lower back area again feels fragile so it makes me wonder if the Actonel has interrupted a normal healing of some kind. Some say Actonel only makes one accumulate old brittle bone.

    I wonder if this site is still active. Does anyone have DEXA readings as bad as mine here?

    • Pamela, I’m not nearly as active on here as I used to be. I’ve been sort of knocked for a loop with a lot of things in my life and found myself too down in the dumps (and underwater) to really keep with the daily blogging. Rest assured, many of us have worse scores than you (and at a younger age.)

      First off, try not to panic. The pain you’re feeling in your joints and lower back may be due to many things – exercise, as you mention, may be one of them. It’s really important to avoid bending over unless you’re doing a hip hinge (I’m sure you know this.) The only way you could know if something was up would be if you went in for another set of x-rays. Which seems invasive and expensive (unless you live in Canada. Yay, Canada!)

      You might look at http://www.melioguide.com for some ideas on safe exercises for the spinal region (and, indeed, every region – I really enjoy that program). Another terrific resource is Sara Meeks’ Walk Tall books. You can also search this blog for things like “Exercises for osteoporosis of the spine” and see what comes up – there might be some freebies here. Sorry to be away so long. I’m still wading through the darkness here. Best – Bone Architect.

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