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Showing posts with label osteonecrosis. Show all posts
Showing posts with label osteonecrosis. Show all posts

Friday, September 05, 2014

You'd have to be nuts to take this drug after watching this video!

Prolia is one of the bisphosphonate class of drugs that work by killing off one of the cells that remodel old bone (osteoblasts).  The result is the buildup of old bone.  While it gives the impression that bones are stronger, this is completely untrue with an increase in fractures a few years later.

Below is a promotional video intended to get mostly older women to enthusiastically get onto these drugs.  I want you to watch this and take careful note of the long list of horrific side effects:



Would you take this drug after seeing the long list of side effects?  Osteonecrosis of the jaw?
Osteonecrosis of the jaw

In the USA the drugs companies are being sued left, right and center by patients who have been harmed by these drugs; yet they still continue to actively sell these because their profits dwarf what all the lawsuits may end up costing.  The listing of the horrific side effects is the only concession that they have to make.  They can go on selling these drugs so long as they spell out the dangers.

Remember that less than 10% of all drugs adverse reactions are ever reported.  Some cynics believe the figure is closer to 1%, so a lot of people are being harmed.  When you are reading the side effects such as heart damage and loss of one's jaw (Just how horrific is that!), bear in mind that these are listed because an unspecified number of poor souls suffered these horrible things.  I'd rather be dead than to have no jaw.  A broken bone is a preferable health problem in my opinion.

Here in New Zealand, there is no need to properly inform you of these horrific side effects: your doctor has his/her arse well protected by ACC and the Health and Disability Commissioner, neither of whom are genuinely interested in your health and welfare.  If you try to complain, let alone sue your doctor in New Zealand, I say "Good luck to you!"

If you have been told you have low bone density then it surely makes better sense to identify and treat the root causes, rather than treat the symptoms with a highly toxic poison?

If your doctor tells you that you need to take one of the bisphosphonate drugs, my advice is turn your back and get out of that office as fast as your legs will take you.  Go find a health practitioner who is genuinely interested in your health and get your bone strong and supple once more by nurturing them and not poisoning them.

By the way, did you know that the average contact time between patient and doctor in the United States is a mere nine minutes?  For a Naturopath it is over an hour per consultation.  Who would you put your faith in?  Things are not much better in New Zealand.  Sadly, we have adopted the failing US health model.



About this website 
The advice in these articles is given freely without promise or obligation. Its all about giving you and your family the tools and information to take control of your health and fitness.
Candida and Fungal Infections? Gary Moller recommends you explore this programme: Click Here!

Monday, July 01, 2013

Lawsuits alleging harm by osteoporosis drugs are now being won!

I have been reporting for years about the horrible injuries that these anti-osteoporosis drugs (bisphosphonates) are causing - Bone death, disabling fractures, cancer, dementia and heart disease.  I was right all along:  These drugs cause enormous harm and are doping so on a scale that is scandalous to the extreme.  Just one brand alone, Fosamax, is now facing in excess of 4,000 lawsuits in the United States alone - mind-boggling!

Meanwhile, New Zealand is one of the few countries in the world that allows these drugs to be marketed directly to the consumer on prime time television using "personalities" like Judith Dobson, who's job is to lull the consumer into a state of dulled complacency.  Is anybody in New Zealand monitoring these drugs?  Or is it a case of the fox guarding the chicken coup?

Merck claims that it gave adequate warning of the risks associated with these drugs but still lost.  This claim of theirs is rubbish: If you can read the small print on that 30 second television ad as it flashes across the screen, then you are doing far better than me!  The family doctor is our reliable health professional who we trust is diligently working to protect our health; but this is no longer the case, since they are well and truly ensconced within the the drugs industry encampment nowadays and at their beck and call to promote their drugs.

You can no longer rely on your doctor to protect you from dangerous drugs such as bisphosphonates


Why do they keep selling these drugs despite losing hundreds of thousands per lost law suit?  Because they can make many millions more by still selling the poison to unsuspecting people, mostly elderly women who they know will never fight back.  In New Zealand it is harder to sue, by the way.

Here's the latest news.....

(Reuters) - A federal jury on Tuesday ordered Merck & Co Inc to pay $285,000 in a lawsuit over the risks of its osteoporosis drug Fosamax, the second loss for the company after several earlier trials. 






A federal jury on Tuesday ordered Merck & Co Inc to pay $285,000 in a lawsuit over the risks of its osteoporosis drug Fosamax, the second loss for the company after several earlier trials.
The eight-person jury in U.S. District Court in Manhattan found that Merck failed to warn plaintiff Rhoda Scheinberg's doctors of the risks associated with Fosamax. The jury rejected the plaintiff's argument that Fosamax was a defective product.
More than 4,000 lawsuits are pending in federal and state courts arising out of injuries allegedly caused by the one-time blockbuster medication. Seven cases have now gone to trial, and Merck has won five and lost two.
This latest trial was one of the so-called "bellwether" cases in the Fosamax litigation. Judges order bellwethers in mass litigation to assess trends and outcomes that could play out in similar lawsuits. A string of wins by plaintiffs could, for example, give them a stronger hand in settlement talks with defendants to end all of the cases.
Lawyers for Scheinberg, a 69-year-old New York resident, contended Fosamax caused her to suffer delayed healing and a bone disease of the jaw after a tooth extraction. The jury found that Merck's failure to warn of the drug's risks was a cause of her injury.
"With this victory, this litigation has a renewed purpose and a renewed focus," Tim O'Brien, a lawyer for Scheinberg who also represents other plaintiffs in Fosamax lawsuits, said in a statement.
Merck said in a statement that it disagreed with the verdict and noted that the jury returned a mixed verdict.
"Merck provided appropriate warnings, and the plaintiff was at increased risk for dental and jaw problems regardless of whether she was taking Fosamax," said Merck lawyer Chilton Varner of law firm King & Spalding.
The lawsuit, filed in 2008, was one of 975 pending before U.S. District Judge John Keenan in New York after a judicial panel consolidated Fosamax cases alleging jaw-related injuries.
Another 842 lawsuits alleging femur injuries are pending in the U.S. District Court in New Jersey. Other lawsuits are pending in state courts.
The only other Fosamax case that Merck has lost at trial resulted in a $8 million verdict by a federal jury in Manhattan in June 2010 for Shirley Boles, a Florida woman who alleged she developed osteonecrosis of the jaw after taking the drug.
In October 2010, Keenan reduced the verdict to $1.5 million. Merck is appealing the case.
Fosamax had annual sales of $3 billion until its U.S. patent lapsed in 2008 and generic versions flooded the market.
Merck shares were up 53 cents, or 1.3 percent, at $41.38 on the New York Stock Exchange in late afternoon trading.
The case is Scheinberg v. Merck & Co, Inc., U.S. District Court, Southern District of New York, 09-4119.
(Reporting By Nate Raymond in New York; Editing by Martha Graybow, Leslie Adler and Carol Bishopric)


About this website 
The advice in these articles is given freely without promise or obligation. Its all about giving you and your family the tools and information to take control of your health and fitness.
Candida and Fungal Infections? Gary Moller recommends you explore this programme: Click Here!

Thursday, September 20, 2012

Anti-osteoporosis drugs: The evidence mounts that they do enormous harm

Here in New Zealand, celebrity "experts", like Jude Dobson, actively promote bisphoshonate drugs on national television for the prevention of osteoporosis.  I think these are the most awful drugs yet to be foisted on the unsuspecting public, principally senior women.

The results can be catastrophic such as the loss on one's jaw bone or the spontaneous fracture of both legs.  The result of leg fractures is more often death than not.

I have reproduced lawyer, Tom Law's latest newsletter in full.  Please visit his website for more information, including how to take legal action if you or a loved one have been harmed by one of these drugs.


Subtrochanteric Femoral Fractures With Use Of Oral Bisphosphonates: Fosamax, Actonel, And Boniva

These Fractures Have Several Atypical Characteristics: Prodromal Symptoms, Occurence With Mimimal Trauma, Distinctive Radiographic Changes
(Posted by  at DrugInjuryWatch.com)
Three new medical journal articles about bisphosphonate-related femur fractures came to our attention in early September 2012.
The first, "Seek and ye shall find - subtrochanteric stress fractures in patients on oral bisphosphonate therapy; an emerging problem", points out in the Introduction section of its Abstract: "This fracture is often preceded by pain and distinctive radiographic changes, and associated with a characteristic fracture pattern."
In more detail, from the Results section of this article from the Journal of Bone & Joint Surgery, British Volume:
Results  11 fractures were found in 10 patients matching the inclusion criteria outlined. All were female, and taking bisphosphonates for a mean of 4.3 years. 5 of the 10 patients described prodromal symptoms, for an average of 7.8 months before fracture. Although all fractures were deemed low velocity, 5 of 11 were atraumatic. 3 patients have had bilateral subtrochanteric fractures. Presence of the distinctive radiological ‘bleb’ was common. Surveillance on 2 patients shows lateral cortical blebs on the contralateral femur which merit close follow up.
The second article is "Atypical subtrochanteric femoral shaft fractures: role for mechanics and bone quality.", from the August 29, 2012 edition of Arthritis Research & Therapy.  In part, the authors set forth some of the unique characteritics commonly found in atypical femoral fractures (AFF) in the subtrochanteric region or the diaphysis with patients using bisphosphonates such as Fosamax (alendronate), Actonel (risedronate), Boniva (ibandronate):
These fractures have several atypical characteristics, including occurrence with minimal trauma; younger age than typical osteoporotic fractures; occurrence at cortical, rather than cancellous sites; early radiographic appearance similar to that of a stress fracture; transverse fracture pattern rather than the familiar spiral or transverse-oblique morphologies; initiation on the lateral cortex; and high risk of fracture on the contralateral side, at the same location as the initial fracture.
The last article, "Spontaneous incomplete transverse subtrochanteric femoral fracture with cortical thickening possibly secondary to risedronate use: a case report.", from the Journal of Medical Case Reports, discusses an atypical femur fracture secondary to relatively short-term Actonel use:
We consider this case report not only interesting but also important and unusual because it is about a patient who developed a potentially rare and serious side effect of long-term bisphosphonate use, estimated to affect 2.3 in every 10,000 patients, and who presented with a pelvic X-ray that showed the characteristic features of atypical fractures secondary to [Actonel (risedronate)] use. In addition, most of the documented cases have been associated with many years of bisphosphonate use whereas our patient had been on risedronate for only four years.
We will continue to monitor the journals for developments in the medical literature concerning femur fractures associated with bisphosphonates such as Actonel, Boniva, and Fosamax.
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DrugInjuryLaw.com: Legal Information And News About Prescription Drug Side Effects
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About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.

Monday, May 28, 2012

Let's place Granny on the Suds - Bisphosphonates: Updated

I have written often about osteoporosis (weak bones) and I want to explain more about why we should be very concerned about the wholesale prescribing of bisphosphonate class drugs for preventing the progress of osteoporosis. It is increasingly likely that Granny will be prescribed these drugs if there is any hint of osteoporosis. Bisphosphonates are the same class of phosphate chemicals that are found in some laundry detergents. If this does not put you off these drugs right away, read on...

Bones are living organs that are being constantly rebuilt by the actions of two very special cells in your bones - osteoblasts and osteoclasts.

These cells perform a rather miraculous balancing act. The osteoblasts make the bone framework, while the osteoclasts break it down. Between the 2 of them, they make sure that the bones are healthy and maintain their proper shape. If a bone gets damaged, the osteoblasts make new bone to repair the damage. The osteoclasts break down any extra bone framework that the osteoblasts make. When the bone forms, the osteoblasts are trapped within it. They are then called osteocytes. Although they no longer make new bone, they are involved in maintaining the bone structure.

This is where it gets interesting: Exercise, including daily activities like walking to the shops, putting out the washing and making the beds, stimulates the osteoblasts into action, laying down new healthy bone, while the osteoclasts remove the old stuff. If there is no activity, the osteoclasts just keep on doing what they do with the result that there is an overall loss of bone. Especially if there is also a shortage of essential nutrients, like Calcium, magnesium, protein and vitamin D.

So, if Granny is inactive and if her diet is poor and if she is not getting any sunlight, she will start losing bone mass. The obvious remedy is daily activity, a nutrient rich diet and plenty of sunlight. The javelin thrower in the picture to the right is a wonderful example of somebody who is doing the right things to maintain healthy bones regardless of age.

The following has to be the most cynical action ever when it comes to dealing with a health problem: Some smart person discovered that the chemicals in soap powders kills off these hard-working bone cells - no bone loss. So, here's a way to make billions of dollars - make the stuff into a pill, give it a misleading name like "Fosamax" and sell it as a cure for osteoporosis.

The problem is dead bone becomes brittle bone. Worse still, dead bone does not heal when damaged. When damaged, the bone just ulcerates away. The condition is called "osteonecrosis". Google the word and be prepared to be disturbed, if not horrified. So, routine procedures like dental work can turn into an incurable nightmare of jaw rot.

If a relation of yours is on any of these "bone drugs", I urge you to question the need and to ask why natural therapies (sunshine, nutrition, exercise and diet) have not been prescribed.

Sunday, May 27, 2012

Test your doctor's knowledge about Bisphosphonates: Updated



In response to my recent articles about bisphosphonate drugs, some readers have questioned their doctors about side effects of taking these. The responses have been astonishing: "No knowledge of any adverse reports", or that any side effects are "extremely rare", or merely "bothersome".

I guess that having your jaw drop off is "bothersome".

When it comes to your health, there is no margin for error. Unlike your car, you can not replace your body if your doctor blunders.

So, here is a short test of your doctor's knowledge about Bisphosphonate Drugs:
  • What is the estimated half life in the body for these drugs if I stop taking them today?
    • Answer: As long as 10 years
  • What is the name of the cells in the bone that the drug inhibits
  • What is "Fossy Jaw"?
    • Answer: Jaw bone death related to this class of drug. In the 19th Century match factory workers were found to develop "Phossy Jaw" or "Fossy Jaw", the death of bone tissue in the jaw that led to hideous deformation, a draining of disgusting and smelly pus, and an inability to eat or talk, that led to death unless the jaw was surgically removed (a remedy that didn't always work). This disease was so terrible that many people killed themselves. Fossy Jaw was related to the phosphorus from the matches that found its way into the bony structure of the jaw, inhibiting bone turnover, and causing death of the bone cells (medical term: osteonecrosis of the jaw).
  • Have there been any reports recently of spontaneous fractures of the femur related to this class of drug (bisphosphonates)?
If your doctor can not answer all of these questions correctly I suggest that you change doctors.

I will be writing more about exercise and nutrition for bone health in future articles so keep a watch for them.

Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.

Sunday, March 11, 2012

The Fosamax lawsuits are now in progress!


There are now almost 1,000 separate lawsuits in the USA alleging that Fosamax caused harm.  This harm includes osteonecrosis of the jaw - a horrific condition where the bone of the jaw dies, causing disintegration of the jaw - Horrific!  This is stuff right out of a horror movie.

This harm is not isolated to Fosamax alone, Fosamax is a member of the class of drugs known as "bisphosphonates".  These drugs are widely prescribed in New Zealand.  For more about these drugs, please read the long list of articles I have written here about these horrible drugs - there is nothing positive one can say about them.  Sadly, despite all the dire warnings, doctors continue to prescribe these to trusting patients.

Read on.....
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Jury Is Told Numerous Times By Her Attorney That Fosamax Did Nothing For Sessner, It Only Did Something To Her
(Posted by  at DrugInjuryWatch.com)
During his March 5, 2012 opening statement the plaintiff's attorney, Tim O'Brien, told members of the jury numerous times that Fosamax did nothing for Jo Ann Sessner, it only did something to her.
It is alleged in this Fosamax lawsuit -- Jo Ann Sessner vs. Merck Sharp & Dohme Corp., ATL-L-3394-11 (MT), which is currently ongoing in a New Jersey state court, with Judge Carol Higbee presiding -- that the osteonecrosis of the jaw (ONJ) which Mrs. Sessner developed was caused by her six years of Fosamax use.   In medical terms, this condition is known generally as "bisphosphonate-related osteonecrosis of the jaw" (BRONJ).
To clarify what is meant by this contention that "Fosamax did nothing for Jo Ann Sessner, it only did something to her", the plaintiffs will introduce evidence during this Sessner Fosamax - ONJ trial that Merck's osteoporosis medication does nothing beneficial for a patient with osteoporosis after 36 months, or three years, of use in terms of preventing fractures.
Moreover, if that patient really only had osteopenia, and not osteoporosis, then there was never really any medical benefit gained from taking Fosamax, according to other evidence that the plaintiffs will put on during this Sessner trial.
Therefore, and this is presuming that Mrs. Sessner had osteoporosis (and not just osteopenia), after the first three years that she used Fosamax -- or, to put it otherwise, during the immediate three years before she was diagnosed with ONJ -- Fosamax was not helping Mrs. Sessner but only hurt her by causing the ONJ, which was vividly described by Mr. O'Brien in his opening statement as "a disfiguring, a disabling, and a life-changing disease".
Well, as it turns out (unfortunately), Mrs. Sessner has plenty of company in terms of the number of women who have been diagnosed with ONJ associated with Fosamax.  This evidence will be developed by the plaintiff's attorneys during the second week of this Fosamax - ONJ Sessner trial currently ongoing in a New Jersey state court.
Note: Courtroom View Network (CVN) has cameras that are webcasting the Sessner trial from Judge Higbee's courtroom in New Jersey to attorneys and other interested persons around the country.  I want to thank CVN for providing this remote access as it allows me to view and report on the Sessner trial without having to actually be there.
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DrugInjuryLaw.com: Legal Information And News About Prescription Drug Side Effects
Drug Injury Case Evaluation - Free & Confidential
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About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.

Friday, November 05, 2010

FDA Says Osteoporosis Drugs Cause Femur Fractures

by Jeffrey Dach M

"The FDA issued a news release Oct 13, 2010 warning of "possible" risk of femur fractures caused by the osteoporosis drugs of the bisphosphonate family (fosamax, alendronate, boniva, actonel, reclast, etc.). The FDA also ordered this warning to appear on the drug label. This new FDA warning was recommended by the ASBMR Task Force. They found that almost all women suffering from atypical mid-femur fracture were taking bisphosphonates (American Society of Bone and Mineral Research). This same ASBMR task force reported in 2007 the increased incidence of osteonecrosis of the jaw in women on bisphosphonates. I find all this ironic, since osteoporosis drugs are marketed and sold as fracture preventive, not fracture causative." Please go here for the entire article...
Above left image : Red Arrow shows Typical Cortical Thickening and Tranverse Mid Femur Fracture on Bisphosphonates. Image courtesy of Dr Jörg Schilcher and Per Aspenberg, Acta Orthop . 2009 August 7; 80(4): 413–415. Incidence of stress fractures of the femoral shaft in women treated with bisphosphonates.
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Gary:
I have written many articles over several years warning about the dangers of taking this class of drug (bisphosphenates).  Despite all of the warnings, these harmful drugs continue to be dished out to women, young and old, with the false claim that they will improve bone health which is rubbish.  These are not harmless lollies: They kill off healthy bone.

Please read what Dr Dach has written on the topic and follow the links from the "labels" listed below this article.  There are effective healthy alternatives, starting with a Hair Tissue Mineral Analysis. If you have a loved one who is on "bone sparing" drugs such as Actonel or Fosamax, forward this article onto them.

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About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.  Please give me your support by subscribing to my free email updates. Please shop at my Online Store. Please encourage your family and friends to do the same. While we may not always be able to compete with the big operators on price, we aim to more than compensate through personal service!


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Do you have a question?  Email Gary: gary@myotec.co.nz. Include any relevant background information to your question.  Please be patient and be aware that I may not be able to answer every inquiry in detail, depending on workloads (My paying clients take precedence!). I will either reply by email or, most likely, by way of an article (Personal identifying details will be removed before publication).

Saturday, August 16, 2008

I am a 29 year old female, very active, into lots of running and sport diagnosed with ostepaenia and now taking Fosamax

"I am a 29 year old female, very active, into lots of running and sport.

In March 2008 I was diagnosed with Osteopenia and some osteoporosis in parts of my spine, from a DEXA bone density scan. I was referred to the scan because in January 08 I suffered a compressed fracture in my L2 vertebrae, after falling over when playing touch. My orthopaedic doctor referred me to an endocrinologist because I also have endometriosis, polycystic ovaries and a history of 3 other fractures from mild falls, he thought it would be good to see if there are any links going on. After doing numerous blood tests my levels in all minerals, vitamins etc are normal including calcium and Vit D.

My endocrinologist could not offer a reason for my low bone density and said the only option from a medical perspective is to take Fosamax and to keep up with weight bearing exercise. I have not had children yet but hope to one day. She said because it has not been proven yet that fosamax doesn't harm a foetus I will need to make sure I have been off Fosamax for at least 3 months before getting pregnant. She has recommended that I take Fosamax for 5 years, having a break when I decide to have children.

I have been working with a fantastic physio at the gym on an activity based programme with weights which I will continue indefinitely. My query to you is that I have done some of my own research on the side-effects of Fosamax and since reading your articles I have become quite concerned. I believe I will end up stopping the drug.

All the information I have read refers to subjects who are 50+ I have yet to find any information specifically refering to women my age with low bone density - why I have it? and what I can do to prevent further fractures other than take Fosamax?

I know that weight bearing exercise is important but I have been doing this type of exercise since I was a teenager and have still ended up with low bone density and fractures.

Any advice that you could offer me would be very much appreciated. I have voiced my concern to my doctors but as you would expect they down-play the side effects of Fosamax and deliver the information as if I have no choice but to take it. "
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Gary Moller comments:
(I am publishing this because many other people in similar situations will benefit from reading about your situation)
So, what do I think about Fosamax and other bisphosphenates and whether you should be on these at such a young age? Here is my answer in an oblique way:

"655 Fosamax Lawsuits Have Been Filed Against Merck & Co. According To June 30, 2008 Update
Most Of These Product Liability Cases Allege Fosamax Caused Drug-Induced Osteonecrosis Of The Jaw (ONJ)" Go here for more information

(ONJ: Basically, your jaw bone dies and disintegrates. There is no cure.)


This jaw-dropping news says it all. What astonishes me is how doctors can continue to prescribe this class of drugs to an ever-younger population. Why they do this and why the drugs companies continue to manufacture these is simple: MONEY! Billions of dollars worth and many times over what will ever have to be paid in future lawsuits. This is sociopathic behaviour. Please read my other articles about this topic by following the tabs at the bottom of this article.

Known side effects
worsening heartburn, difficult or painful swallowing, chest pain, and severe bone, joint, and/or muscle pain, osteonecrosis. Young or old: Not pleasant.

Raisor was told her jaw bone was going to end up in a bucket.
"They took some out, took some out, kept taking more out,"
Raisor said.
They tried to save what they could. They used a metal plate for reinforcement.
Source

Complain to the Medical Association, the Health and Disability Commissioner and to your local Member of Parliament if you do not think you have been adequately informed of the known risk and side-effects of this class of drug. I would be outraged if the prescribing doctors have gone a step further by downplaying the known side effects like ONJ and spontaneous femur fracture.

With regards to your health conditions, I can assure you that the drugs you have been prescribed will do nothing to cure you of anything.

Fire your endocrinologist
An endocrinologist who can not explain your low bone density needs to stop practising and go back to medical school to learn some basic human physiology. Furthermore, it is irresponsible to prescribe a drug as hazardous as this one when there is no understanding of the cause of the underlying condition. Would you allow a mechanic to work on your car engine in this haphazard way?

Endometriosis
I have assisted several women suffering debilitating endometriosis. The lasting solution has always ended up being surgery to very carefully remove every trace of the menstrual tissue that has found its way into your abdomen. Get this done using the services of a specialist Endometriosis surgeon. DO NOT allow a general surgeon anywhere near you. Use a surgeon who specialises in endometriosis. In all the cases i know of, the specialist surgery has been 100% successful while the only non-specialist job that was done on the cheap was an abject failure.

Sort your endometriosis out and most of your other health issues should resolve of themselves - with a little nutritional help which I can assist with.

Vitamin D
You referred to your levels of Vitamin D being "Normal". So what was "Normal?" Please tell me your results and I will help you interpret them.

Nutrition
Please send me a diet recall of everything that you have eaten and drunk in the previous 24 hours and I will give some suggestions about how to commence a "Bone-Friendly" diet. Please also complete an Active Elements assessment and I will give some advice as to your mineral requirements, including iron, calcium and so on.

Please list all medications and supplements that you are currently taking.


Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.