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ALERT for patients on Hormone Replacement Therapy:

Please be aware that as of August 1, 2010, all female patients that elect to have their Hormone Replacement Therapy prescribed through our office will be required to maintain their annual exams (pelvic/pap, breast exam, etc.) and mammograms directly through our office.

Vitamin D and Chronic Back Pain
Vitamin D - A Neglected 'Analgesic' for Chronic Musculoskeletal Pain
EIGHT OUT OF 10 PEOPLE WILL HAVE BACK PAIN IN THEIR LIFETIMES.

In many cases, such pains are chronic - lasting more than 3 months - and there is no evidence of any injury, disease, or bone problem like a slipped disk. An extensive review of clinical research in a new report from Pain Treatment Topics_ found that VITAMIN D MAY PROVIDE RELIEF TO 95%OF PATIENTS.

According to Stewart B. Leavitt, MA, PhD, editor of _Pain Treatment Topics_, "our examination of the research, which included 22 clinical investigations of patients with pain, found that those with chronic back pain almost always had inadequate levels of vitamin D. When sufficient vitamin D supplementation was provided, their pain either vanished or was at least helped to a significant extent."

HIGHLIGHTS:

The report, "Vitamin D - A Neglected 'Analgesic' for Chronic Musculoskeletal Pain," which was peer-reviewed by a panel of 8 experts, includes the following highlights:

* Vitamin D is essential for calcium absorption and bone health. Inadequate vitamin D intake can result in a softening of bone
surfaces, or osteomalacia, that causes pain. The lower back seems to be particularly vulnerable to this effect.
* In one study of 360 patients with back pain, all of them were found to have inadequate levels of vitamin D. After taking vitamin D supplements for 3 months, symptoms were improved in 95% of the patients. All patients with the most severe vitamin D deficiencies experienced back-pain relief.
* Expect that Vitamin D therapy may take 3 - 9 months to effectively raise 25(OH)D plasma concentration, saturate vitamin D receptors,
lower PTH levels, and effect skeletal composition enough to reduce
> pain. Just like eating next week, next month, and next year, continued maintenance dose of vital vitamin D micronutrients is necessary to maintain good health.
* The currently recommended daily allowance of vitamin D - 200 to 600 IU per day - is outdated and too low. According to the research, most children and adults need at least 1000 IU per day, and persons with chronic back pain would benefit from 5000 IU or more per day of
supplemental vitamin D3 (also called cholecalciferol.
* Vitamin D3 supplements have a highly favorable safety profile. They interact with very few drugs or other agents, and are usually not
harmful unless extremely high doses - such as 50,000 IU or more - are taken daily for an extended period of time.
* Vitamin D3 supplements are easy for patients to self-administer,are well tolerated, and cost as little as 7 cents per day for 1000 IU
and 20 cents per day for 5,000 IU.
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Treat everyone and everything with loving Compassion. When you see no differences between the Sacred and the profane, the saint and the sinner. That is the ultimate wisdom.