The PATH Foundation sponsored a press conference in May to promote the importance of stocking potassium iodide (KI) supplements in homes, schools, offices, and vehicles to counteract the effects of radioactive iodine resulting from a nuclear accident or terrorist incident. Highlights of comments made by Dr. Braverman, other doctors, and government officials at the conference:
Former Governor George Pataki
“Dr. Braverman’s work with Bernard Loeffke, PhD, Major General US Army on analyzing different approaches to managing possible radiation incidences will have significant influence on our national security and that of other countries.”
Former Governor David Paterson
“Dr. Braverman and the PATH Foundation’s ideas have consistently been ahead of our time. It is no wonder that their focus is now centered on potassium iodide distribution as a means to safeguard the surrounding population of Indian Point from the harmful effects of a nuclear accident. I stand by PATH Foundation in the proposal to designate 9/11 our ‘State or National Day of Preparedness’ to raise awareness of this issue.”
James Hurley, MD, Clinical Associate Professor Emeritus of Medicine, Weill Cornell College of Medicine
“The historical example of Poland’s utilization of KI tablets in response to the Chernobyl accident is a strong practical demonstration of the effectiveness of KI usage post a radiological event. Iodine-131 poses a great threat to the health of all New Yorkers who are just miles away from Indian Point Nuclear Power Plant. KI prophylaxis, which has substantial benefits in adults as well as in infants, children, and adolescents, should be incorporated into New York’s emergency preparedness protocols.”
Dr. Irwin Redlener, Director, National Center for Disaster Preparedness, Earth Institute at Columbia University
“Planning for the possibility of a catastrophic meltdown of nuclear power plants in the U.S. has been grossly inadequate. This is particularly true with respect to the Indian Point plant located some 25 miles north of New York City in one of the nation’s most populated regions. Children are particularly vulnerable to the long-term consequences of exposure to radiation exposure, a risk that is considerably reduced by giving them potassium iodide in pill or liquid form as soon as possible after exposure. It is unconscionable that KI is not available for rapid dissemination to every child in the region in the event of a nuclear disaster.”
Jordan Ryan, UN Assistant Secretary General, UNDP, Bureau of Crisis Prevention and Recovery
“These efforts, backed up by PATH Foundation’s scientific research and forthcoming paper, may help nations better prepare for and manage the human effects of nuclear accidents such as Fukushima, Hanover, and Chernobyl. This will be a significant contribution to a critical international relations issue of our time. The designation of a ‘National Day of Preparedness’ would promote the importance of being prepared for a nuclear disaster, or for any emergency. The plume of a nuclear event can travel 300-plus miles, spanning millions in populated areas just like New York. The metropolitan area is at risk; we are obligated to be prepared and spread awareness.”
Eric Braverman, MD, Founder and President of PATH Foundation NY
“The health effects from excessive nuclear radiation are often fatal, but can also cause catastrophic developmental problems and disabilities. By regularly treating people living close to nuclear power with low doses of Potassium Iodide, the effects of radiation exposure could be greatly mitigated if a disaster struck. Potassium Iodide as a prophylaxis treatment would save many lives, ultimately reducing the impact of a nuclear disaster.”

Traumatic Brain Injury Linked to Premature Death
An important study has identified that a proportion of TBI patients will have a premature death, primarily associated with injuries, assaults, and suicide.JAMA Psychiatry, January 2014

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Head Trauma Extends to the Soccer Field and Contact Sports
Chronic traumatic encephalopathy, the degenerative brain disease linked to repeated blows to the head, is more commonly found in young former soccer players, the strongest indication yet that the condition is not limited to athletes who played sports known for violent collisions, like football and boxing. New York Times, Boston University School of Medicine, February 2014
Physical Therapy is Beneficial in Knee Osteoarthritis
Several randomized studies have suggested that thrice-weekly exercise focused on quadriceps strengthening is a useful adjunct for osteoarthritis patients. NEJM Journal Watch, April 2014
Calcium Supplementation
Randomized controlled studies have shown that calcium supplementation significantly reduced the risk of hip fracture and breast cancer, with no significant associations observed in the risk of cardiovascular events. Family Practice News, April 2014
Coffee Can Reduce Weight
Studies have shown that caffeine, with the release of excitatory neurotransmitters and the increase of energy expenditure, has been associated with reduced body mass index. Family Practice News, Mayo Clinic, April 2014
Diet Drinks Linked to Cardiovascular Events in Women
Drinking two or more diet drinks a day was associated with a 29% increased risk of an incidental cardiovascular event and a 26% increased risk of all causes of death in an observational study of over 60,000 postmenopausal American women. Medscape, March 2014
Linked to Low Testosterone: Heart Disease, Diabetes Type II, & Metabolic Syndrome
Recent studies suggest that low testosterone levels have been associated with increased risk of heart disease, hypertension, congestive heart failure, diabetes type 2, metabolic syndrome, and increased mortality.The American Society of Anti-Aging Medicine 
More on the Danger of a Low Testosterone Level
Low testosterone in men is associated with excess abdominal fat, loss of insulin sensitivity, atherosclerosis and increased incidence of cardiovascular disease; this study found that men treated with testosterone showed across the broad improvements as indicated by reduced blood pressure, LDL, triglycerides, glucose, hemoglobin A1c, and C-reactive protein, reduced measures of liver damage, and increased HDL. Life Extension, May 2014 
Non-Pharmacologic Therapies Can Improve Functioning for Chronic Pain Patients
The non-pharmacological therapies used for chronic pain include psychotherapies as cognitive-behavioral therapy; hypnosis; biofeedback; relaxation techniques; family and group psychotherapy; physical therapy, such as exercise therapy and transcutaneous electrical nerve stimulation; occupational therapy; and acupuncture. Consultant 360, April
Lower Vitamin D Levels Linked with Depression
Besides its classical function of bone metabolism regulation, randomized control trials have shown hypovitaminosis D is associated with depression. Journal of Clinical Psychiatry, November 20013 
Spironolactone for Heart Failure Does Not Improve Clinical Outcome
In patients with heart failure and a preserved ejection fraction, treatment with spironolactone did not significantly reduce the incidence of the primary composite outcome of death from cardiovascular causes, aborted cardiac arrest, or hospitalization.The New England Journal of Medicine, April 2014
Beneficial Actions of Pregnenolone in Cognitive Functions, Depression and Anxiety
Pregnenolone, considered neuro-protective, enhances cognitive functions; low levels have been correlated to depression and anxiety, as well as fatigue and decreased energy. The Original Internist, March 2014 
Higher Vitamin C Levels Linked to Lower Risk of Hemorrhagic Stroke
Vitamin C depletion (<38micromoles/l) is associated with cardiovascular diseases and could increase intra-cerebral hemorrhage risk, according to American Academy of Neurology’s 66th Annual Meeting. Life Extension, May 2014
Ultrasound Point-of-Care in Medical Education
Clinical studies have shown that ultrasound can be superior to physical exam as a diagnostic tool.The New England Journal of Medicine, March 2014
Cinnamon Helps Liver Disease
Cinnamon improves liver enzymes and other factors in non-alcoholic fatty liver disease. It also reduces glucose, total cholesterol, insulin resistance, triglycerides, and C-reactive protein, according to Nutrition Research journal. Life Extension, May 2014 
Phospholipids Associated with Memory Decline
Study analyses have shown that plasma phospholipids identify antecedent memory impairment, or preclinical Alzheimer disease in older adults.Nature Medicine, 2014

(No cheating allowed…see answers below)
The PATH Foundation, under the direction of Eric R. Braverman, M.D., is making a concerted effort to inform the public about the dangers of radioactivity, particularly to children. The Foundation will be publishing a paper in April (stay tuned for further information) about the necessity of having potassium iodide (KI) on hand—at home, in the office, and in vehicles—which can counteract the serious effects radiation can have on the thyroid gland. At about $5 a bottle, no one should be without a first line of defense in the event of a nuclear accident or terrorist incident.
The Foundation has posted an informative guide for Disaster Preparation here!
The ultimate goal for Dr. Braverman and the Foundation is to make 9/11 National Preparedness Day. The questions below are the second of two parts that inform you about radioactivity and the thyroid gland:
1. On average, how fast do nuclear plumes travel?
a. 1 mph
b. 10 mph
c. 20 mph
d. 50 mph
2. As a percentage from 0-100, how effective for blocking thyroidal uptake of radioactive iodine at the time of exposure is prophylaxis (protective treatment) with potassium iodide (KI)?
3. How many billions of people worldwide are at risk of an iodine deficiency disorder?
4. Which nation was the only one to successfully use KI for the general public in response to a radiological emergency?
5. Upon exposure, where in the human body does radioactive iodine aggregate?
6. Choose the three groups who are most vulnerable to radioactive iodine exposure:
a. Adults
b. Children
c. Pregnant or lactating women
d. Iodine-sufficient individuals
e. Iodine-deficient individuals
7. Which of the following are potential adverse reactions to Iodine-131 exposure? (Select all that apply)
a. Leukemia
b. Stomach, bladder, colon, and breast cancer
c. Anemia
d. Temporary and prolonged infertility
e. Sore throat, cough, and/or alterations in taste
8. What can iodine deficiency lead to? (Select all that apply)
a. Cretinism
b. Preventable brain damage
c. Learning disabilities
d. Psychomotor impairment
9. Which storage conditions help maintain iodine content of iodized salt, Kelp, and KI tablets? (Select all that apply)
a. Bright light
b. High humidity
c. Low temperature
d. Air-tightness


Quiz Answers
1. b
2. 98-99.99% (However, if KI is taken 3 hours after radioactive iodine exposure, effectiveness drops to 50%; at 24 hours, it is only 7% effective.)
3. 2 billion
4. Poland
5. Thyroid gland
6. Children, Pregnant or lactating women, and iodine-deficient individuals
7. All apply
8. All apply
9. Low humidity and air-tightness

An expert on bio-identical hormone replacement therapy and natural approaches for the treatment of cancer, Ms. Somers shared her self-taught lessons with conference attendees and guest lecturers. Her remarks garnered a prominent Page Six mention. Dr. Braverman, who contributed a chapter to her bestseller, Breakthrough: Eight Steps to Wellness, was honored to have her participation in the groundbreaking conference, and is proud to have her ongoing support.
Other highlights from the all-day conference included:

• Introductory remarks by Governor David Paterson
• Lecture by Joseph Maroon, MD, team doctor for the Pittsburgh Steelers
• Inspirational talk from Rocky Bleier, former NFL star and Vietnam War hero
• Lectures by Nora Volkow, MD, head of the National Institute on Drug Abuse; Yasmin Hurd, Ph.D., Professor at Mount Sinai School of Medicine; and Mark Gold, MD, Chair of Psychiatry at the University of Florida College of Medicine, in addition to those by Kenneth Blum, Ph.D. and Eric R. Braverman, MD, Science Director and Founder, respectively, of the PATH Foundation.
• Rousing, crowd-pleasing dinner recital by Miri Ben-Ari, Grammy Award-winning violinist.

For information about purchasing recordings of conference lectures and VIP interviews, and/or for information about upcoming PATH Foundation papers and events, call Mona Li at the Foundation: 646.367.7411 or inquire at info@pathfoundationny.org

9/11: A national day of disaster preparation, including nuclear terror. Below is a checklist in the event of an emergency. For additional information, please visit pathfoundationny.org

Most females have started to experience the “change-of-life” at age 48, but hormonal decline starts years earlier for many women. Symptoms can be quite subtle at the onset of menopause, and they are often ascribed to “having a bad day,” stress, fatigue, or just “normal aging.” However mild they might be at first, they should never be ignored because they are red flags for the slippery slope that leads to serious deterioration of both brain and body—and a precipitous decline in the overall quality of life.

Women and men should heed the early warning signs of menopause: fatigue, loss of sex drive, and weight gain; intermediate symptoms: irregular menstruation, hot flashes, cold hands/feet, night sweats, and bloating/swelling; and later-stage conditions: muscle loss, arthritis, panic attacks, memory loss, cognitive decline, depression, and autoimmune disease.

Early recognition of symptoms at any stage leads to the simplest and most effective interventions, improving the prospects for total health.
​
For the most comprehensive assessment of menopause, and to avoid the madness and relationship damage it causes, make the appointment that will change your life.

Call Susan today at 888.304.7284.

There is no better time than the holiday season to start work on a better you, and there is no better way to start that than the way most of us came into the world: head first.
When you start losing your edge…when fatigue or addiction sets in…when memory starts to slip…when anxiety takes over…when sleep becomes elusive, brain chemistry is the issue. When you cannot get started on a program of healthy eating, or you cannot stick to a weight-loss diet, or you cannot start or maintain an exercise program, the explanation usually is your brain wasn’t enlisted to help. If you want to live longer and live better, use your head.
Over four decades of research and clinical practice, Eric R. Braverman, M.D. has associated deficiencies in four primary neurotransmitters (brain chemicals)—Dopamine, Acetylcholine, GABA, Serotonin—to specific diseases and the general slowing down related to aging. The good news from Dr. Braverman is you can avoid, slow, reverse, or even cure medical conditions with natural approaches—diet, exercise, and nutritional supplements—as shown in the table below*:

The difference between a healthy, full-functioning brain and one afflicted by cognitive loss and dementia is only one-tenth of one second.
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You read that right—if your brain loses the processing speed equivalent to an eye blink, it will no longer be able to access its memory banks. Furthermore, brain science tells us the average person loses a tenth of that tenth—or one-hundredth of a second—every decade starting at around thirty years of age. This is why we are seeubg more and more Alzheimer’s victims, and why we will have an epidemic on our hands when the entire longer-living Baby Boomer generation hits old age.

The good news is you can do something about it no matter how old you are. There are interventions ranging from lifestyle and supplements, to CES (Cranial Electrical Stimulation), and to hormone therapies and prescription medications, which depend upon age and the degree of brain speed loss.
The even better news is there is a simple twenty-minute test—P300 brainwave assessment—that can tell you what your brain speed is and what you have to do right now to halt or reverse its decline.
The best news of all is that PATH Medical is offering a P300 test special for the entire month of November. The clock is ticking; use your head and schedule the test that can ensure you have all your faculties when you get to a ripe old age.

Appointment dates and times for this timely special are restricted, so call Susan for available slots and information about fees and insurance reimbursements: 888.304.PATH (7284)

Insomnia isn’t just a matter of being tired and catching up on sleep somewhere down the road. It’s a critical health issue that impacts health globally because without proper sleep, the brain and body do not have adequate opportunity for restoration/rejuvenation. And reversing insomnia and getting 7-8 hours of proper sleep every night isn’t just a matter of a warm glass of milk before bedtime or swallowing an over-the-counter sleep aid.
Every case of sleeplessness has to be carefully evaluated, and treatments must be tailored using multiple modalities:
Sleep Environment
Total dark room; 68° temperature; soft sheets; pillow that supports both neck and head;
Lifestyle changes
Regular exercise (preferably in the morning); regular stretching (both sitting and standing); meditation; chamomile tea; hot baths prior to bedtime; brainwave modulation using the Cranial Electrical Stimulation (CES) device;
Supplements
Melatonin; Inositol; Valerian Root; Tryptophan;
Prescription Medication
Trazodone
Prescription Hormones
Adenosine; Aldosterone; Leptin; Pregnenelone.
The comprehensive four-to-five-hour initial visit at PATH Medical will get to the bottom of any sleep problem and identify the most effective combination of treatments.

​Call 888.304.7284 to schedule the checkup that will get you on the path to total health.
It’s your life. Extend it.
888.304.7284

Natalia Rose interviewed our very own, Dr. Eric Braverman, an MD in integrative and internal medicine. He is the director of the Place for Achieving Total Health (PATH), in New York City and the former chief clinical researcher at the Princeton Brain Bio Center. Dr. Braverman is the bestselling author of several books on anti-aging, diet, and brain health, including Younger You, The Younger (Thinner) You Diet, and Younger (Sexier) You, and Younger Brain, Sharper Mind.
“You’re only as young as your oldest part.”- Dr. Braverman
NR: Tell me about the philosophy of your practice.
EB: People are aging very fast. Thirty- to forty-year-olds are waiting for sections of their body to break down, then the medical companies can make money on it. Generally, for women, the first part to break down are the ovaries and the bones and muscles . An inadequate frame leads to brain instability, which leads to a host of neuro-psychological problems: anxiety, depression, memory problems , etc. People have an overly emotional view of aging. Women take all of this into their relationships, to their spouses or boyfriends and other relationships. Men have their own imbalances, but this is what happens with women. The reason men are attracted to women in their 20s is because of their physical and emotional optimism. They can’t have real intimacy with these 20 somethings but this is what drives older men to younger women. It’s not because the younger women are more attractive. By repairing a woman’s system so she can have all the value of her maturity and also radiate that physical and emotional optimism, she can have it all.
NR: Do you recommend HRT (bioidentical hormones)?
EB: Around 30 years of age a woman’ s estrogen production begins to decline, and by 40 most women need mild hormonal repair. I only use bioidentical hormone replacement therapy. By 40 we will already see changes in a woman’s memory, sleep, ability to process mentally; we see a dramatic decline in her muscle tone (the average body fat among my patients is 32 percent; ideal body fat for women is about 22 percent) and skeletal frame. Of course we also see a big change in sexuality and addictions. In my practice, a patient begins with a full medical checkup: physical and cognitive. Based on this, I will give her an ideal protocol of growth hormone DHEA, testosterone, estrogen, thyroid, sleep, and blood sugar support, and memory enhancement aids.
NR: Do you find that all women need all of this?
EB: Need is an interesting word. It all depends on their goals. If someone wants to live to 100 and look and feel 50 (if we can pretend there’s a net zero aging), that per son will need to undertake the full protocol. A woman at 30 or 40 who repairs herself will get another 10 to 15 years of vigor. By age 55 a huge number of people have already lost a significant amount of muscle and bone, are sleeping poorly, have some degree of depression or moodiness, and are pre-cancerous. I can give them twenty-five things for their internal repair. They will do twenty-five things in an evening to get ready to go out (get dressed, put on makeup, adorn themselves with jewelry, dress their partner to match, etc.). They will just as easily do these things I give them to do for their internal repair.
NR: Do you find that someone who has taken care to eat a healthy diet, sleep, exercise, and lead a low-stress natural life age differently than your average patient?
EB: A good diet can add 7 more years to your life. Taking care of your mind, your cognitive well-being, can add another 7 years. Sleeping well can add another 7 to 10 years. And keeping thin and fit can add another 10 to 15 years. You can add 40 years to your life in terms of your medical capacity by prioritizing these things.

Recently, Eric R. Braverman, M.D. stood at Triple Point, the vantage spot in Rockefeller Park at the north end of Battery Park City in lower Manhattan, and his view of the Empire State Building, the Statue of Liberty, and the Freedom Tower that is nearing completion reminded him that there is much yet to do to be prepared for a nuclear accident or terror incident.
The PATH Foundation has published Dr. Braverman’s recommendation for the proper dosing of potassium iodide (KI) to counteract the effects of I-131 (radioactive iodide). In its effort to spread this critical information, the Foundation has spoken with:

• former Governor David Paterson
• Jerome Hauer, NY State Commissioner of the Division of Homeland Security & Emergency Services
• Major General Bernard Loeffke (Ret.), former Chief of staff of the 18th Airborne Corps and Commanding General of U.S. Army South in Panama
• Richard Downie, deputy director and fellow with the Center for Strategic and International Studies (CSIS) Africa Program, based in Washington, DC.
• Jordan Ryan, Assistant Administrator for the United Nations Development Programme at the level of Assistant Secretary-General
• Samura Tioulong, economist, former member of the Cambodian Parliament, and activist for human rights and sustainable development
• Lewis Braverman, M.D. (no relation), noted endocrinologist and Professor of Medicine at Boston University School of Medicine
• Robert Baker, M.D., internist and gastroenterologist; Gustavo Ferrer, M.D., critical care specialist at the Cleveland Clinic in Florida
• Robert Pera, wireless engineer, founder of Ubiquiti Networks, Inc., and owner of the Memphis Grizzlies.

Under Dr. Eric Braverman’s direction, the Foundation is amassing the best recommendations to prepare the public for radiation poisoning, which include the importance of iodized salt.
To find out more about the latest developments on radiation preparedness, or about the Foundation’s recent research papers on bio-identical hormone replacement therapy that repairs the ovaries, thyroid, and other organs, please call Mona Li at 646.367.7411 or email her at: info@pathfoundationny.org

There is much fanfare surrounding the recently-proposed $100 million investment in research to “map” the brain in an effort to discover cures for major diseases, such as autism and Parkinson’s. While there might be some benefit to this endeavor, Dr. Braverman said on Geraldo’s WABC radio show on 4-3-13 that “It’s just a drop in the bucket.” He didn’t have time to mention that billions have been wasted on fruitless cancer research and there is every likelihood that the proposed investment using public funds will disappear down the sinkhole of inefficiency, waste, and connected lobbies.

Dr. Braverman also didn’t have time to mention that he and a handful of other brain experts are already mapping the brain to diagnose and treat myriad conditions from headaches to anxiety to depression to insomnia. And, while he did manage to announce the publication in the Public Library of Science (PLOS) the PATH Foundation’s new proposal for a universal brain health checkup, he did not have the time to elaborate on how impactful that paradigm would be in terms of improving health in the short term and dramatically reducing healthcare costs in both the short and long run.
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“For most people,” Dr. Braverman always says with a wry smile, “the brain is attached to the body.” If you want total health, you must find out just how well your brain is functioning now, and you must intervene at the earliest possible stage to halt its progression toward dementia and other conditions that reduce the quality of life and cut it short.

Hippocampus, Cortical Atrophy, Demyelination – micro stroke, small vessel ischemia, delayed P300 circuits, and hypometabolism. 
The aging brain has increased frequency of amnestic and nonamnestic domains of lost memory. We evaluated the following domains in 230 subjects: amnestic single domain (1%); amnestic multi domain (20.8%); nonamnestic single domain (24.8%); nonamnestic multi domain (44.3%); and no signs of MCI (9.1%).

Subjects at greater risk for MCI progression to dementia are categorized as multi domain amnestic and nonamnestic. The regions of the brain most affected in memory loss begin with the parietal lobe, followed by the temporal, frontal, and occipital lobes respectively. Most patients are also at risk for increased atrophy of the hippocampus and/or cortex with increased demyelination, micro stroke or other micro ischemic events, and electrophysiological slowing, particularly the separation from thought to action (TOVA/P300).
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P300 latencies greater than 330 are associated with diseases such as hypothyroidism, male and female menopause, growth hormone deficiency, obesity, dementia, Parkinson’s, and Alzheimer’s. These changes are antecedents to PET hypometabolism and can be detected by cost effective procedures such as MCI domain checklists, EPs, CNSM, WMS, MMSE, P300, and TOVA. MCI progression to dementia from one to thirty years is dependent on levels of atrophy, ischemic changes, circuit delays, and other related medical and endocrine problems.

Seasonal allergies are triggered by inhaled allergens (usually pollens), causing sneezing and inflammation of the nose and mucous membranes of the eyes. Symptoms include tearing and sneezing, and some people will also experience headaches and irritability. Besides these symptoms, the added stress affects the adrenal glands by reducing dopamine levels. (Dopamine is an excitatory neurotransmitter that increases the brain’s voltage.)


For some reason, some peoples’ immune systems overreact to exposure to pollens. To counteract this excessive allergenic response, Eric Braverman, M.D., recommends several nutritional supplements.
Brain Energy
Dr. Braverman’s Brain Energy formula contains two amino acids (phenylalanine and tyrosine) that will increase dopamine levels. They also can lift the mood and reduce the appetite. Brain Energy also contains Rhodiola, an adaptogenic herb that helps the body to deal with stress. It can reduce fatigue and depression, and improve memory function. Take one or two capsules before breakfast and before lunch.
Vitamin C Complex
Our Vitamin C formula contains vitamin C, bioflavonoids, and quercetin. Vitamin C reduces inflammation, and supports the adrenal glands and the immune system. Bioflavonoids work with vitamin C in reducing inflammation, and also strengthen the capillaries, reducing bruising. Finally, quercetin, which is related to bioflavonoids, has excellent anti-inflammatory properties. Take one capsule every two hours.
Butterbur for Seasonal Allergic Rhinitis
In a randomized study comparing the efficacy and tolerability of butterbur, a carbon dioxide extract, with a non-sedating antihistamine, cetirizine, researchers found that they should be used together when treating seasonal allergic rhinitis when sedative effects need to be avoided. Source: BMJ USA volume 2 March 2002
Food Allergies
A food allergy is an immune system response to a food that the body mistakenly believes is harmful. Although an individual could be allergic to any food, such as fruits, vegetables, and meats, there are eight foods that account for 90% of all food-allergic reactions. These are: milk, egg, peanut, tree nut (walnut, cashew, etc.), fish, shellfish, soy, and wheat.

Tips for Managing a Milk Allergy: When diagnosed with a milk intolerance or allergy only yogurt should be consumed. Please avoid all other dairy products like butter, cheese, butter milk and milk. As a substitute for milk the following can be used- Almond Milk, Rice Milk or Hemp Milk.

Tips for managing a wheat allergy: Avoid any products that contain wheat or gluten. Look for labels that say GLUTEN FREE. Some wheat free breads are: Ezeikel, see attached print out for different breads available that are gluten free.
Nuts allowed are: Almonds, walnuts. Pecans etc. Peanuts should be avoided completely.

Many Caucasians-particularly light-haired, light-skinned women- have osteoporosis or osteopenia at eighteen. In many cases, it turns out they do not get enough vitamin D. There are many other causes of childhood osteoporosis.
Some well known conditions lead to childhood osteopenia or osteoporosis, including: anorexia nervosa/female athlete triad, asthma, chronic liver and kidney disease, cystic fibrosis, deprivational rickets, diabetes, endocrine disorders, GI disorders, neoplastic diseases, neuromuscular disease, organ transplantation, rheumatic diseases, seizure disorders, sickle cell disease.
Some more uncommon and rare pediatric disorders that can lead to low bone density include: chondrodysplasias, Cushing syndrome, Ehlers-Danlos syndrome, Gaucher disease, hypophosphatasia, idiopathicjuvenile osteoporosis, muscular dystrophies, osteogenesis imperfecta, osteoporosis pseudoglioma syndrome.
“Osteoporosis is a paediatric disease,” so said Charles Dent over thirty years ago, and to a great extent he was right. A high peak bone mass (PBM) may be one of the most important factors in maintaining strong bones in ones elderly years.
References:
1. Am J Clin Nutr2007 Jul;86(1):150-8 Risk factors for low serum 25-hydroxyvitamin D concentrations in otherwise healthy children and adolescents Weng FL, Shults J, Leonard MB, Stallings VA, Zemel BS
2. Osteoporosis Clinical Updates The National Osteoporosis Foundation
Copyright 2005
3. Cromer BA, Stager M, Bonny A, Lazebnik R, Rome E, Ziegler J, Debanne SM. Depot medroxyprogesterone acetate, oral contraceptives and bone mineral density in a cohort of adolescent girls J Adolesc Health 2004;35(6):434-42
4. Weaver CM, Teegarden D, Lyle RM, McCabe GP, McCabe LD, Proulx W, Kern M, Sedlock D, Anderson DD, Hillberry BM, Peacock M, Johnston CC. Impact of exercise on bone health and contraindication of oral contraceptive use in young women Med Sci Sports Exerc. 2001;33(6):873-80
5. Cromer BA, Blair JM, Mahan JD, Zibners L, Naumovski Z. A prospective comparison of bone density in adolescent girls receiving depot medroxyprogesterone acetate (Depo-Provera), levonorgestrel (Norplant), or oral contraceptives. J Pediatr1996;129(5):671-6
6. Scholes D, LaCroix AZ, Ichikawa LE, Barlow WE, Ott SM Change in bone mineral density among adolescent women using and discontinuing depot medroxyprogesterone acetate contraception Arch Pediatr Adolesc Med.2005;159(2):139-44
7. MacKelvie KJ, McKay HA, Petit MA, Moran O, Khan K Bone mineral response to a 7-month randomized, controlled, school-based jumping intervention in 121 prepubertal Asian and Caucasian boys: associations with ethnicity and body mass J Bone Miner Res.2002; 17: 834-844
8. MacKelvie KJ, McKay HA, Khan KM, Crocker PRE A school-based loading intervention augments bone mineral accrual in early pubertal girls J Pediatr. 2001; 139 :501-508
9. National Cancer Institute. National Cancer Institute Research on Childhood Cancers. Cancer Facts: Date reviewed: 04/22/2005. Available at http://cis.nci.nih.gov/fact/6_40.htm. Accessed October 5, 2005
10. Henderson RC, Kairalia J, Abbas A, Stevenson RD, Predicting low bone density in children and young adults with quadriplegic cerebral palsy. Dev Med Child Neurol2004;46(6):416-9
11. Buison AM, Kawchak DA, Schall JL, Ohene-Frempong K, Stallings VA, Leonard MB, Zemel BS Bone area and bone mineral content deficits in children with sickle cell disease Pediatrics2005;116(4):943-9
12. Mancini T, Doga M, Mazziotti G, Giustina A Cushing’s Syndrome and Bone Pituitary 2005 11;
13. Draguet C, Gillerot Y, Mornet E Childhood hypophosphatasia: a case report due to a novel mutation Arch Pediatr 2004;11(5):440-3
14. Girschick HJ, Seyberth HW, Huppertz HI Treatment of childhood hypophosphatasia with nonsteroidal anti-inflammatory drugs. Bone 1999;25(5):603-7
15. Stepan JJ, Burckhardt P, Hana V. The effects of three-month intravenous ibandronate on bone mineral density and bone remodeling in Klinefelter’s syndrome: the influence of vitamin D deficiency and hormonal status. Bone2003;33(4):589-96
16. Vanderschueren D, Vandenput L, Boonen S Reversing sex steroid deficiency and optimizing skeletal development in the adolescent with gonadal failure. Endocr Dev. 2005;8:150-65
17. Glorieux FH, Bishop NJ, Plotkin H, Chabot G, Lanoue G, Travers R Cyclic administration of pamidronate in children with severe osteogenesis imperfecta N Engl J Med 1998;339(14):947-52
18. Zeitlin L, Rauch F, Plotkin H, Glorieux FH. Height and weight development during four years of therapy with cyclical intravenous pamidronate in children and adolescents with osteogenesis imperfecta types I, III, and IV. Pediatrics.2003;111 (5 Pt 1):1030-6
19. Rauch F, Travers R, Glorieux FH. Pamidronate in Children with Osteogenesis Imperfecta: Histomorphometric Effects of Long-Term Therapy J Clin Endocrinol Metab 2005 Nov 15;
20. Zacharin M, Cundy T. Osteoporosis pseudoglioma syndrome: treatment of spinal osteoporosis with intravenous bisphosphonates J Pediatr. 2000; 137(3):410-5
21. Ballabriga A Morphological and physiological changes during growth: an update Eur J Clin Nutr. 2000;54 Suppl 1:S1-6