Bone Health and Osteoporosis

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Publisher :
ISBN 13 : 9781410219275
Total Pages : 0 pages
Book Rating : 4.2/5 (192 download)

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Book Synopsis Bone Health and Osteoporosis by : United States Public Health Service

Download or read book Bone Health and Osteoporosis written by United States Public Health Service and published by . This book was released on 2004-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This first-ever Surgeon General's Report on bone health and osteoporosis illustrates the large burden that bone disease places on our Nation and its citizens. Like other chronic diseases that disproportionately affect the elderly, the prevalence of bone disease and fractures is projected to increase markedly as the population ages. If these predictions come true, bone disease and fractures will have a tremendous negative impact on the future well-being of Americans. But as this report makes clear, they need not come true: by working together we can change the picture of aging in America. Osteoporosis, fractures, and other chronic diseases no longer should be thought of as an inevitable part of growing old. By focusing on prevention and lifestyle changes, including physical activity and nutrition, as well as early diagnosis and appropriate treatment, Americans can avoid much of the damaging impact of bone disease and other chronic diseases. This Surgeon General's Report brings together for the first time the scientific evidence related to the prevention, assessment, diagnosis, and treatment of bone disease. More importantly, it provides a framework for moving forward. The report will be another effective tool in educating Americans about how they can promote bone health throughout their lives. This first-ever Surgeon General's Report on bone health and osteoporosis provides much needed information on bone health, an often overlooked aspect of physical health. This report follows in the tradition of previous Surgeon Generals' reports by identifying the relevant scientific data, rigorously evaluating and summarizing the evidence, and determining conclusions.

Osteoporosis in Men

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Publisher : Academic Press
ISBN 13 : 0080923461
Total Pages : 764 pages
Book Rating : 4.0/5 (89 download)

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Book Synopsis Osteoporosis in Men by : Eric S. Orwoll

Download or read book Osteoporosis in Men written by Eric S. Orwoll and published by Academic Press. This book was released on 2009-11-30 with total page 764 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the publication of the first edition, the U.S. Surgeon General released the first-ever report on bone health and osteoporosis in October 2004. This report focuses even more attention on the devastating impact osteoporosis has on millions of lives. According to the National Osteoporosis Foundation, 2 million American men have osteoporosis, and another 12 million are at risk for this disease. Yet despite the large number of men affected, the lack of awareness by doctors and their patients puts men at a higher risk that the condition may go undiagnosed and untreated. It is estimated that one-fifth to one-third of all hip fractures occur in men. This second edition brings on board John Bilezikian and Dirk Vanderschueren as editors with Eric Orwoll. The table of contents is more than doubling with 58 planned chapters. The format is larger – 8.5 x 11. This edition of Osteoporosis in Men brings together even more eminent investigators and clinicians to interpret developments in this growing field, and describe state-of-the-art research as well as practical approaches to diagnosis, prevention and therapy. - Brings together more eminent investigators and clinicians to interpret developments in this growing field - Describes state-of-the-art research as well as practical approaches to diagnosis, prevention and therapy - There is no book on the market that covers osteoporosis in men as comprehensively as this book

Osteoporosis Prevention

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Publisher :
ISBN 13 : 9780929975375
Total Pages : 196 pages
Book Rating : 4.9/5 (753 download)

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Book Synopsis Osteoporosis Prevention by : Renée Newman

Download or read book Osteoporosis Prevention written by Renée Newman and published by . This book was released on 2006 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for laypeople and professionals, this is an easy-to-read guide to maintaining healthy bones and taking charge of health care. It addresses the challenge of finding a competent centre that will discuss bone density results and offer preventative advice.

Dr. Lani's No-Nonsense Bone Health Guide

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Publisher : Turner Publishing Company
ISBN 13 : 0897936620
Total Pages : 199 pages
Book Rating : 4.8/5 (979 download)

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Book Synopsis Dr. Lani's No-Nonsense Bone Health Guide by : Lani Simpson

Download or read book Dr. Lani's No-Nonsense Bone Health Guide written by Lani Simpson and published by Turner Publishing Company. This book was released on 2014-06-01 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part whistle-blower book, part bone health bible, Dr. Lani's No-Nonsense Bone Health Guide exposes the shocking difficulty involved in getting an accurate bone density reading and the serious risks of long term use of the most recent osteoporosis medications. Author Dr. Lani Simpson, both a Doctor of Chiropractic and a Certified Clinical Densitometrist cuts through the confusion and inaccuracies surrounding osteoporosis to explain her whole-body approach to bone health, which includes discussions of digestive health, diet, supplements, and exercise. You may be surprised to learn which foods and medicines hurt bone health and which ones help in building strong bones. The book also sheds light on basic bone biology, how aging affects the bones, the risks and benefits of drugs and alternative treatments, a comprehensive breakdown of calcium supplementation – and some delicious recipes for bone-building meals. We all share concerns about bone health and osteoporosis. Whether you are one of the nearly 10,000 baby boomers turning 65 every day, or a younger person building a healthy body, Dr. Lani’s No-Nonsense Bone Health Guide will answer your questions and help you live long, healthy, and fracture-free into your golden years.

Strong Women, Strong Bones

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Publisher : Penguin
ISBN 13 : 9780399532498
Total Pages : 342 pages
Book Rating : 4.5/5 (324 download)

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Book Synopsis Strong Women, Strong Bones by : Miriam E. Nelson Ph.D

Download or read book Strong Women, Strong Bones written by Miriam E. Nelson Ph.D and published by Penguin. This book was released on 2006-04-04 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on the latest scientific information, and including practical advice on the best nutrition, exercise, and medication, Strong Women, Strong Bones is an essential guide for any woman who wants to know more about the prevention and treatment of osteoporosis. Includes: A one-hour-per-year plan for healthy bones A self-test to assess risk factors Facts on the most accurate bone-density tests Tips on supplements beyond calcium, plus new findings on soy The best workouts for strong bones, fully illustrated, with an effective new two-minute exercise Facts on the latest medical breakthroughs A special chapter for men

Mayo Clinic on Osteoporosis

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Publisher : Simon and Schuster
ISBN 13 : 1945564385
Total Pages : 334 pages
Book Rating : 4.9/5 (455 download)

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Book Synopsis Mayo Clinic on Osteoporosis by : Ann Kearns

Download or read book Mayo Clinic on Osteoporosis written by Ann Kearns and published by Simon and Schuster. This book was released on 2022-02-01 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Around 54 million Americans live with osteoporosis or low bone mass, but many don’t recognize the symptoms until it is too late. Before a bad fall or fracture renders you immobile, learn how to reduce your risk of developing osteoporosis, manage your day-to-day symptoms, and even treat the disease with the tools provided in Mayo Clinic Guide to Preventing & Treating Osteoporosis. Throughout your life, your bones are constantly rebuilding. But as you age, you run a greater risk of your new bone growth not being able to keep up with the old bone you’re losing. Osteopenia and osteoporosis develop when this imbalance makes bones weak and likely to break. A stooped posture, low-trauma fractures, and collapsed vertebrae are a few of the tell-tale signs associated with weakened and brittle bones. But fortunately, an osteoporosis diagnosis doesn’t have to be permanent. By taking the right steps, you can reduce your risk of future fractures, stop bone loss, and even rebuild your low bone density. In this book, Dr. Ann E. Kearns, a leading endocrinologist at Mayo Clinic, provides clear, practical information on the common causes of osteoporosis and osteopenia, simple ways to prevent bone loss with nutritious foods and supplements, and how to test for low bone mass before a fracture occurs. You will also learn tips for healthy eating and beneficial exercises, using modern medications to stop bone loss and encourage new bone growth, and how to quickly and safely recover from injuries sustained from low bone density. Together with your health care provider, you can take action to maintain strong bones and a full, healthy life.

Your Bones

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Publisher : Hunter Lewis Foundation
ISBN 13 : 9781607660132
Total Pages : 0 pages
Book Rating : 4.6/5 (61 download)

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Book Synopsis Your Bones by : Lara Pizzorno

Download or read book Your Bones written by Lara Pizzorno and published by Hunter Lewis Foundation. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: You are at risk for osteoporosis. If you are a woman, you're at high risk for osteoporosis -- Why conventional medicine is not the answer for strong bones. The patent medicines prescribed to prevent osteoporosis should be your last choice for healthy bones -- What increases your risk for osteoporosis? What you don't know can give you osteoporosis ; What else increases my risk for osteoporosis ; What men don't know can increase their risk for osteoporosis ; Chances are, you are already losing bone -- How to have strong bones for life. Strong bones for life, naturally -- If I follow these recommendations, what can I expect? How soon will I see results?

Yoga for Osteoporosis: The Complete Guide

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Publisher : W. W. Norton & Company
ISBN 13 : 0393342964
Total Pages : 335 pages
Book Rating : 4.3/5 (933 download)

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Book Synopsis Yoga for Osteoporosis: The Complete Guide by : Loren Fishman

Download or read book Yoga for Osteoporosis: The Complete Guide written by Loren Fishman and published by W. W. Norton & Company. This book was released on 2010-03-29 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive, user-friendly medical yoga program designed for the management and prevention of osteoporosis, with more than four hundred illustrations. Osteoporosis leads to painful fractures due to loss of bone mass; yoga strengthens bones without endangering joints: it stands to reason that yoga is the perfect therapy for osteoporosis. Forty-four million Americans suffer from low bone mass, and osteoporosis is responsible for more than 1.5 million fractures annually. Drugs and surgeries can alleviate pain, but study after study has shown that exercise is the best treatment, specifically low-impact, bone-strengthening exercises—hence, yoga. In this comprehensive and thoroughly illustrated guide, Loren Fishman and Ellen Saltonstall, who between them have seven decades of clinical experience, help readers understand osteoporosis and give a spectrum of exercises for beginners and experts. Classical yoga poses, as well as physiologically sound adapted poses, are presented with easy-to-follow instructions and photographs. The authors welcome readers of all ages and levels of experience into the healing and strengthening practice of yoga.

The Healthy Bones Nutrition Plan and Cookbook

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Publisher : Chelsea Green Publishing
ISBN 13 : 1603586245
Total Pages : 321 pages
Book Rating : 4.6/5 (35 download)

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Book Synopsis The Healthy Bones Nutrition Plan and Cookbook by : Laura Kelly

Download or read book The Healthy Bones Nutrition Plan and Cookbook written by Laura Kelly and published by Chelsea Green Publishing. This book was released on 2016 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Calcium helps build strong bones, buts it's a myth that taking a daily calcium supplement will enable you to avoid potentially debilitating bone loss. Building bone requires a full complement of minerals and vitamins that too often are lacking in a woman's--or man's--diet in the quantity and combination required to prevent and treat osteoporosis. In this book, Dr. Laura Kelly and Helen Bryman Kelly provide scientifically sound guidance on how to monitor your nutrient intake and cook right for bone health to avoid deficiencies of the key players in bone metabolism--including calcium, magnesium, Vitamin D, and Vitamin K2--and, in many cases, to avoid the use of osteoporosis drugs. Follow their instructions for creating your own personal nutrition plan and enjoy delicious bone-healthy meals from a selection of more than 100 recipes ranging from sauces and small plates to soups, salads, main dishes, and more,"--page [4] of cover.

Glucocorticoid-induced Osteoporosis

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Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805572964
Total Pages : 213 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Glucocorticoid-induced Osteoporosis by : Andrea Giustina

Download or read book Glucocorticoid-induced Osteoporosis written by Andrea Giustina and published by Karger Medical and Scientific Publishers. This book was released on 2002 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Osteoporosis is one of the most clinically relevant disabling chronic disease encountered in clinical practice. A common cause of osteoporosis is glucocorticoid excess, as glucocorticoids may increase bone resorption, inhibit bone formation, have indirect actions on bone by decreasing intestinal calcium absorption and induce hypercalciuria. This book presents a comprehensive overview of the effects of glucocorticoids on bone metabolism and structure and on the diagnosis and treatment of glucocorticoid-induced osteoporosis. It aims at providing updated information on the pathogenesis, diagnosis and treatment of this often dramatic complication of glucocorticoid excess. Being one of the few publications completely devoted to glucocorticoid-induced osteoporosis it will heighten the awareness of specialists who prescribe glucocorticoids of the clinical relevance of this treatment complication. 'Glucocorticoid-Induced Osteoporosis' is addressed to clinical experts as well as to general practitioners who will both benefit from the comprehensive and integrative view of the management of patients exposed to glucocorticoids.

Exercise for Better Bones

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Publisher :
ISBN 13 : 9780991912544
Total Pages : 220 pages
Book Rating : 4.9/5 (125 download)

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Book Synopsis Exercise for Better Bones by : Margaret Martin

Download or read book Exercise for Better Bones written by Margaret Martin and published by . This book was released on 2015-07-27 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exercise for Better Bones is the most comprehensive and current exercise program for people with osteoporosis, osteopenia and low bone density. Written by Physical Therapist Margaret Martin, Exercise for Better Bones has been used by thousands of individuals around the world to improve their bone health and reduce their risk of a fall and fracture. Exercise for Better Bones is designed for any individual with osteoporosis and in need of a safe and effective osteoporosis exercise program. The book offers four program levels: Beginner, Active, Athletic and Elite.

Nutrition and Osteoporosis

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Publisher : Springer Science & Business Media
ISBN 13 : 1475790929
Total Pages : 325 pages
Book Rating : 4.4/5 (757 download)

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Book Synopsis Nutrition and Osteoporosis by : Harold H. Draper

Download or read book Nutrition and Osteoporosis written by Harold H. Draper and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nutrition and Osteoporosis: Seeing Through a Glass, Darkly (1 Cor. 13:12) This volume of Advances in Nutritional Research deals with the present state of knowledge relative to the role of nutrition in the etiology of osteoporosis, one of the most serious degenerative diseases in the aging population. As a back drop for subsequent chapters on specific nutrients, Chapter 1 provides a com prehensive account of the gain and loss of bone throughout the life cycle, with emphasis on the architectural changes in later life that predispose to osteoporotic bone fractures. Chapter 2 documents the occurrence of aging bone loss through out human archeological history and Chapter 3 extends this documentation to all non-human vertebrate species so far examined, including primates living in the wild. It is apparent that a progressive loss of bone tissue is a normal accompaniment of aging among higher vertebrates. Whether it is a cause of bone fractures in animals, as it is in humans, is still unknown. It has also been established that there are significant differences in the frequency of osteoporotic fractures among human families, ethnic groups, national populations and diet cultures. Numerous studies have been carried out in an effort to explain these differences, and many of these deal with the possible effect of nutrition. Protracted controversies over the role of nutrition in the etiology of osteoporosis are reflected in the contents of several of the ensuing chapters.

Osteo Pilates

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Publisher : Red Wheel/Weiser
ISBN 13 : 1601634005
Total Pages : 335 pages
Book Rating : 4.6/5 (16 download)

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Book Synopsis Osteo Pilates by : Karena Thek Lineback

Download or read book Osteo Pilates written by Karena Thek Lineback and published by Red Wheel/Weiser. This book was released on 2003-04-01 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: An exercise program designed to be safe and beneficial for those with osteoporosis—and those trying to prevent it. Often, people think they’ve simply strained their backs or overdone it during exercise—but in reality, small fractures have occurred. In some cases, many tiny fractures can develop before a person sees a doctor about increasing back pain. The more tiny fractures that accumulate, the greater the deformity of the spine. Karena Thek Lineback’s goal is to make sure this does not happen to you. Her four-part plan consists of: Safe movement for exercise and everyday living Postural awareness Diet Medication In this book, you’ll find safe movement guidelines and an entire exercise program of Osteo Pilates designed to be safe for those with osteoporosis, to help you greatly reduce your risk of injury or debilitating fracture. You’ll also find the nuts and bolts of osteoporosis information necessary to combat this crippling condition. You’ll learn what causes osteoporosis (perhaps you have a habit that is decreasing your bone density right now!); the effect menopause has on bone density; what dietary habits will help improve bone density; and which medications are available for increasing bone density. There is much you can do to prevent osteoporosis and to decrease the negative effects low bone density can have on your life and well-being. Osteo Pilates tells you what to do, and how.

Strong Bones Forever

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Publisher :
ISBN 13 : 9781703715569
Total Pages : 180 pages
Book Rating : 4.7/5 (155 download)

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Book Synopsis Strong Bones Forever by : Raymond Hinish

Download or read book Strong Bones Forever written by Raymond Hinish and published by . This book was released on 2019-10 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you looking for a natural approach to osteoporosis treatment?Strong Bones Forever was written for those who are looking for a non-drug approach to prevent and treat osteoporosis or osteopenia. If you're looking for a way to enjoy osteoporosis protection for life, without the need to resort to potentially toxic drugs such as: Fosamax, Boniva, Reclast, and other newer and equally toxic drugs, then Strong Bones Forever is the solution. In the book you'll learn:1. The form of calcium you will NEVER want to take. Hint: Odds are you take it right now and your doctor probably recommended it! Choose the right calcium, get strong bones. Choose the wrong calcium, lose your skeleton.2. What it takes to make major increases in your bone density! How to increase your bone density by 11% or more in just 2 years!3. Never be confused about the different forms of calcium ever again. You will learn the types of calcium that will give you the BEST bang for your buck.4. How to avoid Doctor Induced Bone Loss. Why most doctors miss the mark on treating osteoporosis and how they may actually be responsible for MORE fractures in the coming future. Ignore this advice at your own peril.5. Why most people should dump their osteoporosis medications down the toilet. Stop wasting your money on medications that just don't work and may do more harm than good.6. Why milk should be AVOIDED if you want to keep your bones healthy! Is milk really just food for cows, not for humans? I'll give you a hint...NO!7. Choose the right calcium to actually grow new bones! Find out which form of calcium is the only form proven to increase bone density by itself.8. Which mineral maybe even more important than calcium. That's right, calcium is a player in the bone-building process but this mineral may prove to be the headliner! Without it, all of your efforts could be for nothing!9. Avoid this BONE CHILLING side effect! Learn about a disgusting side effect of Fosamax and other osteoporosis medications that is now being called Fossy-Bone.10. Why your bone density test may not be an accurate predictor of fracture risk. Also, learn one simple step to make these tests more accurate! You simply MUST follow this one tip if you want accurate bone density results.11. The new, IMPROVED formula for diagnosing true osteoporosis and your ACTUAL fracture risk. The simplicity of this formula will blow your mind!12. Learn how accurate the grocery store osteoporosis screenings are and what to do with the results.13. If you do choose to take Fosamax or one of its relatives, follow these instructions to get the most benefit and the least side effect!and much, much more! In addition to the osteoporosis diet, we also cover osteoporosis supplements and osteoporosis and exercise! Strong Bones Forever offers osteoporosis protection for life!

Healing the Thyroid with Ayurveda

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Publisher : Simon and Schuster
ISBN 13 : 1620557835
Total Pages : 406 pages
Book Rating : 4.6/5 (25 download)

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Book Synopsis Healing the Thyroid with Ayurveda by : Marianne Teitelbaum

Download or read book Healing the Thyroid with Ayurveda written by Marianne Teitelbaum and published by Simon and Schuster. This book was released on 2019-03-26 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to addressing the growing epidemic of thyroid disease from the perspective of the Ayurvedic tradition • Details the author’s successful treatment protocols for Hashimoto’s thyroiditis, hypothyroidism, and hyperthyroidism developed over more than 30 years of Ayurvedic practice • Explores the underlying causes of thyroid malfunction, the thyroid’s connections to the liver and gall bladder, and the importance of early detection • Also includes treatments for common symptoms of thyroid disease, such as insomnia, depression, fatigue, and osteoporosis, as well as for weight loss and hair growth In this comprehensive guide for practitioners and those concerned with thyroid health, Marianne Teitelbaum, D.C., integrates the ancient medicine of Ayurveda with modern scientific findings to address the growing epidemic of thyroid disease. Revealing how the thyroid is the victim of many factors that conspire to create ill health--and how many cases of thyroid disease go undiagnosed--Teitelbaum focuses not only on treating thyroid problems and symptoms but also on diagnosing them at their earliest, most reversible stages. She outlines the basic principles of Ayurveda, including pulse diagnosis, a key tool for early detection, and explains the successful treatment protocols she has developed over more than 30 years of Ayurvedic practice. She details the underlying reasons for thyroid malfunction, such as inflammation, malnutrition, and toxins, and how the thyroid is connected with the health of the rest of body, including the liver and gall bladder. She explores the Ayurvedic treatment of thyroid-related conditions, such as Hashimoto’s thyroiditis, hypothyroidism, and hyperthyroidism, offering guidance on the targeted use of herbs, specific dietary recommendations, proper detoxification, and Ayurvedic recipes. She also includes treatments and remedies for common symptoms of thyroid disease, including insomnia, depression, fatigue, and osteoporosis, as well as for luxurious hair growth and weight loss. Based on the treatment of thousands of patients, this book also shares success stories of thyroid healing and the scientific studies that support the author’s Ayurvedic thyroid protocols. Offering an easy-to-follow yet comprehensive guide, Teitelbaum shows that optimum thyroid health as well as overall health are within everyone’s reach.

The Mayo Clinic Book of Home Remedies

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Publisher : Oxmoor House
ISBN 13 : 9781603201599
Total Pages : 0 pages
Book Rating : 4.2/5 (15 download)

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Book Synopsis The Mayo Clinic Book of Home Remedies by : Mayo Clinic

Download or read book The Mayo Clinic Book of Home Remedies written by Mayo Clinic and published by Oxmoor House. This book was released on 2010-10-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many common health problems can be treated with simple remedies you can do at home. Even if the steps you take don't cure the problem, they can relieve symptoms and allow you to go about your daily life, or at least help you until you're able to see a doctor. Some remedies, such as changing your diet to deal with heartburn or adapting your home environment to cope with chronic pain, may seem like common sense. You may have questions about when to apply heat or cold to injuries, what helps relieve the itch of an insect bite, or whether certain herbs, vitamins or minerals are really effective against the common cold or insomnia. You'll find these answers and more in Mayo Clinic Book of Home Remedies. In situations involving your health or the health of your family, the same questions typically arise: What actions can I take that are immediate, safe and effective? When should I contact my doctor? What symptoms signal an emergency? Mayo Clinic Book of Home Remedies clearly defines these questions with regard to your health concerns and guides you to choose the appropriate and most effective response.

Nutrition and Bone Health

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Author :
Publisher : Springer
ISBN 13 : 1493920014
Total Pages : 737 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Nutrition and Bone Health by : Michael F. Holick

Download or read book Nutrition and Bone Health written by Michael F. Holick and published by Springer. This book was released on 2014-12-13 with total page 737 pages. Available in PDF, EPUB and Kindle. Book excerpt: This newly revised edition contains updated versions of all of the topics that were in the first edition and has been substantially expanded with an additional 5 chapters. Each chapter includes information from the most up-to-date research on how nutritional factors can affect bone health, written with an evidence-based focus and complete with comprehensive references for each subject. Nutrition and Bone Health, second edition covers all aspects of nutrition and the skeleton, from the history and fundamentals, to the effects of macronutrients, minerals, vitamins, and supplements, and even covers the effects of lifestyle, the different life stages, and nutrition-related disorders and secondary osteoporosis. New chapters include HIV & AIDs and the skeleton, celiac disease and bone health, and nutrition and bone health in space. Nutrition and Bone Health, second edition is a necessary resource for health care professionals, medical students, graduate students, dietitians, and nutritionists who are interested in how nutrition affects bone health during all stages of life.