Fresh articles from Holistic Health Articleshttp://www.holistichealtharticles.com/Tue, 07 Sep 2010 01:12:25 EDTHolisticHealthArticles.com http://www.holistichealtharticles.com/Art/10385/271/Bone-Drugs-Proven-to-Cause-Poor-Bone-Quality-in-Humans.html
Two studies from the Special Surgery (HHS) and Columbia University Medical Center have confirmed the recent media attention on the extreme dangers to bone from the long-term use of bone drugs (bisphosphonates) The researchers found that after four years of use bisphosphonates had a negative effect on bones causing declining structural integrity of bone This finding is very important because doctors expect patients to take these drugs for life ABC news recently highlighted a number of faithful Fosamax users who experienced abnormal fractures in their large femur bone from doing very little

In the new study researchers at Columbia evaluated the bone structure of 111 postmenopausal women with primary osteoporosis, 61 of whom had been taking bisphosphonates for a minimum of four years and 50 controls taking calcium and vitamin D supplements This type of analysis of bone samples from humans has not been done before It confirms earlier animal experiments with these drugs that show the higher the dose the more deleterious the adverse effect on bone integrity

"Recent research suggests that suppressed bone remodeling from long-term bisphosphonate use might result in brittle bone that is prone to atypical fractures," said lead author Brian Gladnick While there is recent research these basic facts have been known for a long time Bone drugs interfere with normal bone regeneration, leaving older bone in place I have pointed out for many years that this cannot possibly help bone quality as someone grows older Yet, doctors continue to use these drugs on their unsuspecting patients even though the science has been perfectly clear for over a decade

In a second unrelated prospective pilot study, conducted at HSS and funded in part by the NIH, researchers evaluated the bone composition of 21 post-menopausal women who were treated for femoral fractures Of these, 12 patients had a history of bisphosphonate treatment for an average of 8 5 years, while nine had not had bisphosphonate treatment

Samples of bone were removed from each patient's femur during surgical placement of a femoral nail Both micro-architecture and material properties of the bone were analyzed

The study found that, although there were no differences in bone micro-architecture between groups, the material properties of bone in bisphosphonate-treated patients displayed reduced bone tissue heterogeneity, which may be associated with reduced strength and potentially may contribute to the presentation of atypical fractures

"Patients who had been treated with bisphosphonates showed a reduction in tissue heterogeneity, specifically with mineral content and crystal size compared with the control group," Gladnick said

"This tells us that there may be some measurable differences in bone quality parameters in patients on long-term bisphosphonate therapy, which might contribute to the development of atypical fractures "

Bone drugs are poisons to bone Only the most inept system of medicine could dream of giving them to relatively healthy people for long-term use in the name of prevention This is a major betrayal of the public trust




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Back pain is horrible and people that suffer from it will do just about anything to rid of the pain People s activities are temporarily put to an end because the pain is sudden and excruciating when it strikes Productivity dies and the sufferer can be immobilized, and will lose the ability to do many day to day activities

Back pains arise from muscle and spinal strains Sometimes, they arise from stress and poor posture as well There are several ways to get rid off back pains Among the well known ones are massage, yoga, and various stretches and exercises However, a practice that started a long time ago is still practiced in today s world This is known as inversion therapy

What Is Inversion therapy?

Inversion therapy is the taking of gravitational force away from the human spine, which gives wider sets of spaces between the vertebrae Simply put, inversion therapy occurs when a body is hung upside down to eliminate back pain Although there are conflicting opinions as to the effectiveness of inversion therapy on people, the majority of people believe that this ancient practice efficiently relieves back pains More specialists deem that inversion therapy has been proven useful and valuable for people whose back pains cannot usually be cured by yoga, stretching or exercise

Is Inversion Therapy Safe?

Many doctors question the use and importance of inversion therapy as they say it is unsafe for people with heart diseases like hypertension or glaucoma The upside down hanging could be very risky for others because it slows down the beating of the heart while increasing blood pressure Some doctors, on the other hand, accept the therapy as a safe method for relieving back pains, as long as a patient does not suffer from any cardiovascular disease If you are unsure if inversion therapy is right for you, the best thing to do is consult your doctor

How Does Inversion Therapy Work?

Inversion therapy is a method in which the spine is stretched to release the strains and tensions housed within the back s muscles and cartilage The stretching of the spine is what experts call traction

There are three ways to conduct inversion therapy One is when a patient s feet are tied from a horizontal pole where in the body is suspended in the air The second method involves the same pole except that for this method, the pole has extra supports for the knees and the stomach, which give them a bent and flexed stance The last one, as you may have seen in movies, involves a table where a patient will lay down The person will then be fastened onto the table with supportive metal links and the table will be slowly tipped and tilted up until such time that the patient s head is already adjacent to the floor

No matter how people view inversion therapy, what matters is that they get to choose the best option for their convenience and betterment Then again, as the saying goes, prevention is better than a cure Back pain can be prevented by eating food rich in calcium, observing proper posture, and doing light stretches and exercises regularly



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Developing a hernia can be unsightly at best and painful at worst Surgery is usually the favored remedy for any type of hernia that is discovered on your body by you or your doctor In fact, not treating a hernia surgically can lead to serious medical complications

What is a Hernia?

An hernia results from a weakness or tear in the muscle of the abdominal wall that contains the gut, or intestines Over time, as the weakness in the wall becomes more pronounced, a small portion of the intestine can actually protrude through the abdominal wall This is the hernia itself

Some people with a hernia may see it come and go over time For example, it may go away on certain days, or maybe when they are laying down At other times, it returns and prominently shows itself as a noticeable bulge in the skin Once this game of cat and mouse has happened a number of times, most folks will get the idea of going to the doctor to have the situation diagnosed

Hernias take no account of your sex, and they occur frequently in both men and women

Types of Hernias

All hernias happen in the same way: through a weakening of the body s abdominal wall structure Exactly where in the hernia occurs determines the type of hernia you have Working generally from the middle of the torso down toward the groin, here are the types of hernia:

1 An incisional hernia occurs at the site of a previous abdominal surgery

2 An umbilical hernia occurs around the site of the navel It can occur in infants, for example, whose muscles did not close completely around the umbilicus

3 A direct inguinal hernia involves a protrusion of the intestine through the lower abdominal wall

4 A femoral hernia is a type of groin hernia that can appear as a bulge in the thigh

5 An indirect inguinal hernia involves a protrusion of the intestine through the inguinal wall

How Hernia Surgery Repairs Your Hernia

Hernia surgery always involves pushing the contents of the gut back into the body cavity and then closing the opening in the abdominal wall In most cases, the opening is covered using a mesh patch that is secured to the site permanently, with no long term risk or damage to the body

Should You Exercise After Hernia Surgery?

After hernia surgery, you should be careful to stay in bed for the first day or so But after that, it is important to frequently get out of bed and walk around at least once every hour You need to gently but firmly exercise your body through careful, slow movements at first Reason: this type of movement will actually strengthen the abdominal wall around the site of the hernia In fact, NOT exercising after hernia surgery is actually risky behavior since it can lead to a recurrence of the hernia

Hernia Surgery and Pain after Exercising

What happens if you still experience hernia pain, even after exercising? Follow these steps:

1 Determine which types of exercise are causing the pain Is it just heavy, fast and frenetic exercise like jogging or lifting heavy weights or is it any type of exercise? If it s just the heavy stuff causing the pain, you should obviously lay off these heavier exercises for a while But, don t stop your other types of exercise like walking and light stretching

2 If even light exercise is causing pain after hernia surgery, give it a day or two without any movement, then try the light exercise again and see what happens If you are still experiencing problems, you should see your doctor right away

In many cases, some pain after exercising is probably nothing to worry about However, if the pain continues or if you see your hernia re emerge or if a new hernia emerges at a difference spot on your body ask your doctor to examine the site of the surgery to make sure things are fine



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Whether you lifted something too heavy or became too excited at the sports game last night, back pain plagues the best of us If you have simply thrown your back out there is not much that a doctor can do for you Therefore, you are left to your own devices, searching for a way to cure your back pain naturally There are several ways which you can overcome back pain naturally Unfortunately, though, healing back pain naturally does not mean lying in bed having someone tend to your beckoning call for the next few days

On of the most common misconceptions among back injuries is, curing back pain naturally will be accomplished through lying in bed for a week without moving Recent studies have shown, however, that the exact opposite occurs when the injured back is not mobilized It is important that you try to go through your day as normal as possible (unless you are an avid mountain climber, in which case, you may need to tone it down quite a bit) Slow and gentle movements are advised when moving It is always important not too push the pain too much, as that will have an adverse effect

Within the first 24 hours after your injury it is imperative that you apply ice to the area When using ice, the blood cells contract making the inflammation reduce and the pain ease It is important to never apply ice directly to your skin Instead, wrap it in a washcloth This technique prevents the damage that may occur to the skin if it becomes too cold

After the first 24 hours, ice is no longer an effective way to relieve back pain naturally Instead, substitute the ice for a hot bath A nice, hot bath will relax the muscles and ligaments Also, the heat will begin to open up blood vessels As the blood vessel open, oxygen and nutrients begin to flow through that area This allows the back pain naturally to begin to healing itself If you do not have time for a hot bath, place a heating pad on the aching area The heating pad is a great replacement for those who lead a busy life, because it provides the same results as a hot bath

If the pain is too much to be tolerated, over the counter medicines may be useful as well Medications such as Aleve, Tylenol, and Advil have been proven to reduce both inflammation and pain Be sure to take medication only as directed Women who are pregnant should consult their doctor before taking any medication

Unfortunately, back pain is not something which you are able to overcome quickly However, with the above tips, you will be able to begin healing your back pain naturally If the pain lasts for more than two weeks, healing back pain naturally may not be the solution If this occurs, see a doctor immediately, because the pain may be caused by a more serious medical issue Always take care of your body, because only you know your limits Do what is best for you, and take precautions, such as better posture and regular exercise, in order to prevent back injuries in the future



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If you are one of many who are dealing with upper back pain daily, you have come to the right article Upper back pain is an agonizing ailment which makes it difficult to go through the daily movements of life Typically, upper back pain is the result of a strained muscle Therefore, doctors cannot do much for it If you are suffering with this, there are things which you can do to make your day to day life easier

Both ice and over the counter, anti inflammatory medication aid to fight swelling and pain When using ice, it is important that you do not apply the ice directly to your skin Instead, wrap the ice in a washcloth This prevents skin damage which can occur if the skin becomes too cold If deciding to take medication, only take as directed If you have any other health issues, be sure to read the labels carefully Also, women who are pregnant need to first consult with their doctor before taking any type of medication

Research has shown that those who continue daily activities have a quicker recovery rate than those who become more sedentary than usual When dealing with upper back pain, there are several different types of exercises that you can perform to relieve your back pain Before you do any strengthening exercises, it is important to stretch your upper back muscles Which stretch is best for you depends on where your injury is located A variety of exercises can be found through an online search engine Once you have stretched, strengthening the muscle will prevent pain from returning This can be done through weightlifting However, a simple and popular method is a push up Push ups will provide the strength training you need, and can be done to meet your strength

A massage is another remedy which will make living with upper back pain easier Whether your masseuse is your spouse, significant other, friend, or a professional, having a massage is a useful way to relieve upper back pain Generally, a massage relaxes the muscles Because upper back pain is typically a muscle strain, loosening and relaxing the muscles are key to healing your upper back pain

Ultimately, you must find a way to relax A strain tightens the muscle which has been pull Therefore, it is not a good idea to add any additional, unnecessary stress to your life when dealing with this type of injury In order to relax, there are several types of relaxation techniques that you can try Some methods include, deep breathing techniques, counting backwards, and meditation These are just some idea In order to truly relax, you must find what works for you

While upper back pain is not common among most people, it still happens When it does, it is as serious as pain in you mid or lower back Because of this, if the pain lasts more than a couple of weeks you should consult a doctor Once you are no longer experiencing this agony, it is wise to begin prevention of future attacks Simple lifestyle changes such as regular exercise and proper posture will go a long way in preventing future health issues



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Acupuncture SF

In the brains of most that don t know anything about acupuncture they conjure up this hard picture of inducing needles inserted in multiple spots over the body Although there is, a smaller trueness to this it is not near as terrible as what is supposed Galore people are starting to enjoy acupuncture sf in not solely the Mission district but as well other expanses of San Francisco itself

Very refined needles prepared of steel are entered into the skin but there is very tiny soreness related with this It in truth didn t grow something that was of any involvement in the countries until around the 1970s Then there was a hustle of interestingness and action in respects to acupuncture when there was an article that appeared about an individual that had his appendix withdrawn while visiting in China Although during the procedure the patient was treated with the same anaesthetic agent that would ordinarily be utilized in any character of surgical process, acupuncture was utilized to alleviate the annoyance and irritation after the operation As this individual was so struck with the respite that he went through that, he uttered about this when returning home and an article was issued about this in the New York Times Acupuncture sf is turning more standard because it is an substitute to painfulness medicament

As time passed on there was the first national Association made in the United States referring acupuncture This brought more popularity and knowledge to the states itself through their seminars and their demonstrations on explore

Finally, the beginning acupuncture trouble clinic came to be in 1972 and this was renowned as the first validated clinic and as such was perfected in a medical school arranging At this time, though it was not classified as a medical expense but in 1973 that modified From there the interestingness in acupuncture continued to grow Immediately one can obtain acupuncture in SF across the state

Similar anything there have been swindles touching acupuncture, which imparts a hard discernment to Many people that peradventure were beginning to fond to the construct For exercise in 2006, there was a extended bustle of news program about a heart patient that has undergone open heart surgery simply with the apply of acupuncture as an anesthetic After an investigation into this claim, it was determined that the patient had been imparted some light varieties of anesthetics when mixed in concert had a much more severe event This unluckily invested a hard stain on acupuncture for a period of time

One of the interesting things to notice about acupuncture now is that there is really handling adding up out for cosmetic acupuncture this is being utilized in order to aid subdue lines and age lines and may be a very standard replacement for Botox injections for instance

There is no doubt that as one realizes the employ of acupuncture growing for esthetical purposes that there will be more and more emplacements unfolding up such acupuncture in SF that extend this character of handling The aesthetic industry is one of a whopping magnitude and how they will incur the hypothesis of ornamental acupuncture should be quite an occupying



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A trip to see the family changes a life

Ciaran is a bright, active 19 year old with a passion for football, and starting out on the first stages of a happy life with his girlfriend They had recently moved into their first home, and both of them enjoyed regular trips to Devon to see their families at weekends

A few weeks before Christmas, Ciaran was travelling down to the West Country to visit his family He was a passenger in the rear of his father's transit van when they were struck head on at considerable speed by an oncoming vehicle The speed and force of the impact made avoiding the collision impossible, and Ciaran was thrown against the inside of the vehicle with such force that he sustained a serious spinal injury as a result Immediately evacuated to hospital, it was discovered that Ciaran had suffered a complete spinal cord injury at T5 - half way down the spine

The long road to recovery

Weeks of treatment followed, and the family, concerned for Ciaran's future, contacted a specialist firm of solicitors who were experienced in dealing with severe spinal injuries They found the specialist firm through the Internet and asked them to represent Ciaran and the family Realising that Ciaran's future was at stake, they asked the solicitors to travel to meet them and discuss Ciaran's case and how they could help After several days of consultation and a detailed question and answer process, the company took on the case and the family instructed them to work on their behalf

Within several days, the solicitors received an admittance of liability from the insurers representing the driver of the oncoming vehicle A one to one case manager was appointed to assess the exact needs of Ciaran, both immediately and in the long term Thanks to an interim payment, the solicitors were able to secure specialist housing on behalf of Ciaran and his girlfriend while Ciaran continued to undergo specialist rehabilitation at a spinal injury centre They were also able to purchase a plot of land to enable Ciaran's property to be extended and adapted to meet his needs once he left the rehabilitation centre

All additional equipment was put in place to make Ciaran's life easier including occupational therapy and rehabilitation machines and a specialist wheelchair This was specifically designed to suit Ciaran's abilities and needs, using a detailed assessment of his usage and to maximise his mobility and independence

A brighter future

Ciaran has now moved into his new home with his girlfriend and is looking forward to a brighter future Still keen on outdoor sports, his solicitors introduced him to the Back Up Trust, a small, dynamic charity that works to transform people s lives after spinal cord injury Through their programme, Ciaran is able to lead a full and active life, despite his injuries His inspirational story proves that, although a serious spinal injury can and does transform your life, with the right support from organisations who understand the difficulties faced and the challenges ahead, life can carry on and be as fulfilling and as exciting as before Ciaran's case is proof that the key to success in spinal injuries cases is the team you have behind you, supporting and encouraging you throughout



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Shoulder surgery is one of the marvels of modern medicine, correcting serious injuries and diseases that have plagued humankind since pre historic times, including shoulder separation, dislocation, fracture, arthritis, and tendonitis

The introduction by the medical community of arthroscopic surgery presented another huge leap forward, allowing the surgeon to avoid making the large incisions required by older, open surgery techniques With arthroscopic surgery, the time required to heal the tissues surrounding the shoulder joint is reduced considerably versus with open surgery Tiny incisions allow the surgeon to conduct the entire procedure using special tools that reach into the affected area and carry out the procedure

Still, even when arthroscopic surgery is used, many shoulder surgery patients experience a burning pain after shoulder surgery This can last for days or weeks and can trouble the patient, who is just trying to get on with his or her life

Here are some tips for how to handle burning pain after shoulder surgery Note that the best course of action for you to reduce and eliminate your own shoulder pain will vary by the shoulder problem being corrected and the choice of procedure Consult with your doctor before undergoing any healing regimen

Medications:

Immediately after surgery, you will likely be given strong pain medications at the hospital, such as morphine or Demerol

During surgery, your doctor may have chosen to insert a small plastic catheter into the actual site of the surgery inside the body The catheter is connected to a small pump filled with anesthetic and is situated outside of the body The pump slowly feeds the shoulder with reducing medicine and can help considerably with pain reduction The catheter and pump are removed by the patient 2 3 days after surgery

Meanwhile, the doctor will usually prescribe pain medications such as hydrocodone or Tylenol with codeine, as well as an anti inflammatory medication, since much of the burning pain felt after shoulder surgery is caused by inflammation and fluid buildup in the shoulder

Incision Care:

Your incisions after arthroscopic surgery will usually be so small that they will not be closed with sutures The incisions may weep or drain a bit over the first 24 hours If they do, be sure to change the dressings and wounds regularly to keep them dry Notify your doctor if the wounds weep for a period beyond the first 24 hours

Ice Application:

Be sure to apply ice to the affected area for at least 20 minutes per day for the first few days after surgery Do not place the ice directly onto the skin Rather, place a damp towel on the skin, then apply an ice pack (or a pack of frozen vegetables, such as peas) onto the towel This will help reduce inflammation, which be not only painful, but which can also lead to tissue scarring if not controlled properly

Stretching & Exercise:

It is important to keep the muscles in the shoulder loose Light, slow stretching is a very good way to accomplish this Your doctor can provide you with a list of stretches appropriate to your type of surgery

Immobility and Physical Therapy:

You will likely need to keep your shoulder largely immobile for a period of weeks, using a sling It is important to not move your shoulder during the indicated period, even if the pain goes away

Your doctor may also prescribe physical therapy that you can perform at home Examples include: the pendulum (allowing your arm to swing in small circles), isometric exercises (tightening the muscles), passive range of motion exercises (whereby someone else moves your arm), and resistance exercises (whereby the shoulder is moved against resistance) Following these faithfully should ensure smooth healing and reduce pain

Following these tips should help reduce your burning pain Meanwhile, be sure to contact your doctor if you develop a fever, your pain cannot be controlled by medication, or a foul odor develops around the wounds



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People often complain about rounded shoulders There are many fitness exercises for correcting this problem but the Alexander Technique perspective is a little different Exercise is important, but no matter how many corrective strengthening exercises you do, posture is mostly the result of postural habits and how you perceive your body The following tips can help you make better choices about your shoulders whether or not you exercise

1 Rounded shoulders?
While everyone can benefit from these tips, your shoulders may not be as rounded as you think People often want straight lines in their bodies but there are no straight lines in the body The body is made of curves, every bone is curved, and a gentle curve across the upper back is normal I like to think of the body as an arch made of arches or a spring made of springs By thinking about these tips you might find greater openness and strength within the arch across your upper back

2 Your shoulders are behind you
Your shoulders support your arms and their structure comes mostly from the back of your torso, not the front You may think that your shoulders are in front of you, but it helps to think of them as behind you Take a moment to feel both of your shoulder blades with your hands and also feel where your arms attach to your shoulders After that, feel your shoulder blades again and try to be a little more aware of the back of your upper torso

3 Where are your shoulders going?
Whether or not your shoulders are overly rounded, most people do tend to narrow the upper back at least to some extent This same habit of drawing parts of the body inward is probably not limited to your shoulders, but is repeated throughout the body

4 Don't pull your shoulders back
Pulling your shoulders backward narrows the back of your torso and continues the habit of drawing the body inward (backward and inward instead of forward and inward) Pulling your shoulders back is also tiring, makes moving your arms almost impossible (you can't move your arms freely while pulling your shoulders back) and it impedes breathing because the bones of the shoulders have to move in response to your breath

5 Allow your shoulders to drift away from each other
People ask me what they should do with their shoulders and where they should put them The answer requires some imagination If the upper back is a springy kind of arch, then the ends of the shoulders would tend to go away from each other like the ends of an archer's bow Instead of actively drawing the shoulders forward or back, or doing anything with them, imagine that they are drifting away from each other You can also think of that in several other ways:

Gently point your shoulders away from each other as if you are pointing your fingers

Place each thumb on the end of its corresponding shoulder and imagine a very great distance from one thumb to the other

Imagine your shoulders filling up the space on either side of you

Conclusion
One of the goals of the Alexander Technique is to help you improve your idea about how your body works and how the parts of your body relate to each other Sometimes just a new conception of your body can foster improvement in how it looks and functions For more information on the Alexander Technique, visit www freeyourneck com



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Fibromyalgia is a musculoskeletal pain and fatigue disorder for which the cause is widely debated It's estimated 2 - 4 percent of the U S population has fibromyalgia, with 9 out of 10 sufferers being women Fibromyalgia is mainly characterized by symptoms including pain, fatigue, sleep disorders, depression, allergies and irritable bowel syndrome

Even though fibromyalgia affects several millions of people each year, the cause is unclear causing much controversy over the disorder Many sufferers have done the rounds of doctors, specialists and tests with nothing to show for it To add insult to injury they have been dismissed with "it's all in your head"

But a new study should put to rest this controversy Fibromyalgia is a real and debilitating illness People who suffer from it often report pain all over their bodies and the exhaustion is like dragging yourself through treacle I know, because I suffered with it for 10 years

In this study researchers evaluated 20 women diagnosed with fibromyalgia and 10 healthy women without the condition

Researchers performed brain imaging called single photon emission computed tomography, or SPECT They found women with the syndrome showed blood flow abnormalities in their brains The abnormalities were directly correlated with the severity of disease symptoms and an increase in blood flow was found in the brain region known to discriminate pain intensity

A similar study conducted several years ago had nearly identical results In this study fibromyalgia patients underwent a brain scan known as functional magnetic resonance imaging (fMRI) while an instrument intermittently applied different levels of pressure to their thumbnail

All study participants received the same level of pressure but blood flow increased much more in the brains of patients with fibromyalgia than those in the control group Again, the increased blood flow occurred in areas of the brain known to be associated with pain and fibromyalgia patients reported pain at half the level of pressure that caused the same feelings of pain amongst the healthy control group

These studies reveal there must be something wrong with the way the central nervous system processes painful stimuli in people with fibromyalgia

Many fibromyalgia sufferers also have other diseases like chronic fatigue syndrome or rheumatoid arthritis where several systems of the body are affected like immune, nervous and muscular Because of these complexities medical management and treatment of fibromyalgia consist mainly of relief of discomfort, and improvement of quality of sleep, exercise and emotional balance However, the role of nutrition is often overlooked

Research in the area of glycobiology which studies the importance of a group of saccharides, called glyconutrients, which are essential to the health of bodily systems is creating curiosity Cells communicate utilizing 8 glyconutrients in various combinations If a person is missing any of these important glyconutrients then cells cannot communicate effectively which leads to malfunctions in our bodily systems

Today, scientific research has shown that optimized nutrition has a beneficial effect on many disease conditions like fibromyalgia In 2001 a study revealed fibromyalgia and chronic fatigue syndrome patients who had consumed glyconutritional products for nearly 3 years had the same functional level as healthy persons for a variety of day to day activities

I am proof of this study Until 2005 I suffered with fibromyalgia for 10 years I was unable to function even with normal day to day activities spending the majority of my day in bed racked with pain I started taking glyconutrients and within 8 weeks I was symptom free and have led a normal healthy life ever since

If you would like to know more about glyconutrients and how they can help to overcome symptoms of fibromyalgia, rheumatoid arthritis, and other autoimmune diseases click on the link below



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