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C-Reactive Protein: A Measure Of Oxidative Stress

Your body constantly reacts with oxygen as you breathe and your cells produce energy. As a consequence of this activity, highly reactive molecules are produced within our cells known as free radicals. If your body is unable to stop the spiraling free radical chain reaction (a molecule stealing an electron from another molecule, causing that molecule to steal an electron from another molecule, causing that molecule to steal an electron, etc...) this can cause oxidative damage to proteins, membranes and genes.

Bombardment of cells by free radicals.
When oxidation is excessive and the body is unable to neutralize high levels of free radicals with enough antioxidants, we refer to this as oxidative stress. The deeper the body goes into oxidative stress the more extensive will be the cellular damage that will then trigger an inflammatory response. Free radical damage, oxidative stress and systemic inflammation are all implicated in a number of chronic degenerative disease states and premature aging.

If oxidative stress continues for days, weeks or months, the body can go into a condition called chronic systemic low-grade inflammation. This type of inflammation can stimulate aggressive osteoclastic bone resorption and lead to osteoporosis.

Unfortunately, there is no one test that will tell us if a person has this type of inflammation. But there are tests for general inflammation and others for oxidative stress which, when reviewed in conjunction with the person's signs and symptoms, can give us a good indication of whether that individual has chronic systemic inflammation.

A recent paper by Park et al. in Clinical Endocrinolgy shows that C-reactive protein (CRP), a protein in the blood that rises in response to inflammation, is also a measurement of oxidative stress. The study involved 1821 nondiabetic postmenopausal women with elevated CRP (≤ 10 mg/l) levels. The researchers used an oxidized low-density lipoprotein, a known marker of oxidative stress, to compare with CRP. The authors concluded that CRP is strongly associated with oxidative stress.

Oxidative stress and its impacts can be alleviated with early detection. Having lab markers such as C-reactive protein to provide important clues to the causes of bone loss is of great benefit to a clinician designing a diet/nutrition therapeutic protocol for chronic disease conditions such as osteoporosis. 

Park, S. et al. 2013. Oxidative stress is associated with C-reactive protein in nondiabetic postmenopausal women, independent of obesity and insulin resistance. Clinical Endocrinology 79, 65-70.
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Mass Appeal Segment on Osteoporosis With Ashley Kohl

I had a great time today as a guest on Channel 22's (WWLP) Mass Appeal TV show in Springfield, MA. Ashley Kohl was the host and we talked about the importance of recognizing patient biochemical individuality when assessing the causes of osteoporosis and determining treatment protocol. Ashley was a phenomenal host...so kind and gracious and professional. Actually, the whole staff at Mass Appeal was great. I was a bit nervous but everyone was so supportive that it made it a lot easier being in front of the cameras. Here's the link if you want to watch.  
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Strontium: Does It Actually Build Bone Mass Or Just Look Like It?

There has been considerable debate over the benefits of strontium for treating osteoporosis. Prior research indicates strontium ranelate both increases bone mineral density and reduces fractures of the spine (but not the hip) by up to 40%. Although the benefits of strontium look promising, it has been difficult to determine how much of strontium's effect on bone density is from a real increase in bone mass and how much of it is simply artifact. The strontium atom is almost twice as heavy as calcium (38 vs 20 on the atomic chart) and when strontium enters bone tissue it creates more impedance to x-rays. On subsequent bone density (DXA) examinations, this creates the illusion of a higher than actual improvement in bone density.

In a recently accepted article for publication in the Journal of Bone and Mineral Research,
Chavassieux et al. compared the effects of strontium ranelate and alendronate (a bisphosphonate) on bone. Strontium is often considered to have both an antiresorptive effect by reducing osteoclast cell activity plus an anabolic effect by stimulating osteoblasts to form bone. Alendronate, on the other hand, is only antiresorptive in its therapeutic effect.

The study included 387 postmenopausal women with osteoporosis. Bone biopsies (transiliac) were performed at baseline and then again after 6 or 12 months to determine the effects of these two medications. The results indicated that although bone formation remained higher and there was overall less of a decrease in bone remodeling with strontium compared with alendronate, the strontium did not show significant anabolic (bone building) action.

Chavassieux, P., et al. 2013. Bone histomorphometry of transiliac paired bone biopsies after 6 or 12 months of treatment with oral strontium ranelate in 387 osteoporotic women. Randomized comparison to alendronate. Journal of Bone and Mineral Research doi: 10.1002/jbmr.2074.
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Jumping Power: A Better Test For Sarcopenia Than Muscle Strength

In a study from the Department of Health and Exercise Science at the University of Oklahoma, Singh et al. examined the relationship between jumping power, muscle strength and sarcopenia (the loss of muscle mass seen with aging and illness). Sarcopenia is often seen with osteoporosis and leads to weakness with an increased risk for falls and fractures.

This study is fascinating because it showed that individuals with
sarcopenia had significantly lower jumping power but not necessarily lower muscle strength when compared to individuals without sarcopenia. "Based on our findings, JPow [jumping power] may be useful for sarcopenia screening in the middle-aged and older adults; however, more research is needed to determine the utility of this method in clinical populations." [No...their method did not include having men and women 55 to 75 years of age jump over cows.]

Singh, H, et al. 2013. Jump test performance and sarcopenia status in men and women, 55 to 75 years of age. J Geriatr Phys Ther August 16. [Epub ahead of print]
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Application for Fall Anime Icons™ α Testing

There have been like one hundred icons since the last time I gave a full list of updates, so it's very likely I missed a few. I also tweaked a bunch. We're sitting at 2, 476 icons currently.

IMPORTANT: The sites/logos/etc. for Fall anime slowly get updated. What is in this current pack is subject to (and likely will) change before the Fall anime actually start airing. If you notice that a Fall anime doesn't have a icon yet, it's either because there is no logo for it from the official sources, or because the resources available (images) for making one are below standards. Or because I forgot it. Let's hope it's not that one.

Icons as of August 19th September 3rd:
DDL [Full] [Fall (v0.1) (v0.2)]
  A torrent will be made for either a v0.5 or simply for the final version. 

>FOR THE TOARU MAJOOGLE MOVIE<
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Alpha-Lipoic Acid Increases Bone Mineral Density--Protects Against Bone Loss

Alpha-lipoic acid (thioctic acid) is a powerful antioxidant and free-radical scavenger. It is also an essential cofactor for mitochondrial enzymes that stimulate energy production. Unlike other antioxidants that act only in water (such as vitamin C) or fat (vitamin E), alpha-lipoic acid can access all areas of the body...even the fatty contents of your bone marrow. This is important because it is within your marrow that cellular "coupled" activity determines the health and density of your bones. Alpha-lipoic acid can help maintain balance between the osteoclasts that tear down bone and the osteoblasts that form bone.

The following are some of the powerful benefits related to bone health that we have seen with alpha-lipoic acid:     

-  Protects against oxidative stress which is part of the inflammatory process that
    drives bone loss.
-  Reduces the proinflammatory cytokines (Il-1, Il-6, TNF-alpha) that stimulate
    osteoclast activity.
-  Lowers NF-kB, the protein that commands a cell's nucleus to turn on
    inflammatory-inducing genes.
-  Reduces RANKL, the signaling molecule that activates osteoclasts.
-  Activates the enzyme AMPK (a negative regulator of RANKL) in osteoclasts.
-  Inhibits the production of advanced glycation end-products (AGEs) seen with
    elevated glucose levels. AGEs make bone stiff and vulnerable to breaking.
-  Chelator of heavy metals that can cause bone loss.
-  Suppresses osteoclast formation.
-  Inhibits excess bone resorption.


recent study conducted by Beyzagul, et al. out of Turkey used rats to assess the effect of alpha-
lipoic acid on bone metabolism. The researchers concluded that alpha-lipoic acid "had a protective effect on both senile [inflammation induced] and postmenopausal osteoporosis" and that it "may be a candidate for radical osteoporosis treatment." This is one more study that we can add to the volumes of research before it showing the benefits of alpha-lipoic acid for bone health.

Dietary sources of alpha-lipoic acid are minimal and endogenous (within the body) production, especially during times of stress or disease, is insufficient for controlling oxidative stress and promoting optimal energy production. This is why supplemental alpha-lipoic acid can be so beneficial and it is why we at OsteoNaturals include alpha-lipoic acid as a primary ingredient (300 mg) in our OsteoStim. Yes, as the authors of this study write, alpha-lipoic acid can be a "radical osteoporosis treatment"...but then, we've always known that OsteoNaturals formulas are way ahead of the curve.

Beyzagul P. et al. 2013. The effect of alpha-lipoc acid in ovariectomy and inflammation-mediated osteoporosis on the skeletal status of rat bone. Eur J Pharmacol doi: 10.1016/j.ejphar.2013.07.033. [Epub ahead of print]
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Wakefield Marathon

As many of you may know by now, my race to qualify for the Boston Marathon went fairly well...considering I wasn't in the best of shape. The marathon was in Wakefield, MA--the Around the Lake Marathon. I finished in 3:37, just under the 3:40 Boston qualifying time for my age (59). It was a fun race...(if you consider running 26.2 miles fun)...but I sure was stiff and sore for a few days afterwards.

I just thought I would show everyone the absolutely GORGEOUS rainbow that came out to add brilliance to the course. This may be the brightest rainbow I've ever seen...and a double one at that!
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