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Name: Dr. Lani's No-Nonsense Bone Health Guide: The Truth About Density Testing, Osteoporosis Drugs, and Building Bone Quality at Any Age: Simpson DC CCD, Lani, Arnaud MD FACE, Claude: 9780897936613: Amazon.com: Books
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Rating: 4.5 (680 reviews)

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Dr. Lani's No-Nonsense Bone Health Guide: The Truth About Density Testing, Osteoporosis Drugs, and Building Bone Quality at Any Age Paperback – August 12, 2014

by Lani Simpson DC CCD (Author), Claude Arnaud MD FACE (Foreword)

4.5 680 ratings

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Part whistle-blower book, part bone health bible, Dr. Lani’s No-Nonsense Bone Health Guide is the first consumer book to expose the shocking difficulty of getting an accurate bone density reading and the serious risks of long-term use of osteoporosis medications, which are often prescribed based on inaccurate readings. In addition to this vital information about bone density testing, Dr. Lani Simpson cuts through the confusion and inaccuracies surrounding osteoporosis and explains what readers can do now to build and maintain healthy bones for life. Dr. Simpson shares her well-rounded, whole-body approach to bone health, including discussions of digestive health, diet, supplements, exercise, and how aging affects the bones. Readers learn surprising facts about what foods and medicines might hurt bone health and which ones will help build strong bones. Also included is a thorough discussion of calcium supplementation and how to do it right. Dr. Lani’s No-Nonsense Bone Health Guide is the key to long, healthy, fracture-free golden years.

Print length

320 pages
Language

English
Publisher

Hunter House
Publication date

August 12, 2014
Dimensions

5.43 x 0.87 x 8.35 inches
ISBN-10

0897936612
ISBN-13

978-0897936613
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Editorial Reviews

Review

"Dr. Lani's No-Nonsense Bone Health Guide is loaded with solid and practical information that will have you standing strong and tall for a lifetime. I highly recommend it." ―Christiane Northrup, MD, author of Women's Bodies, Women's Wisdom

About the Author

Dr. Lani Simpson is a chiropractic doctor and a Certified Clinical (bone) Densitometrist (CCD). She has been an expert in women’s health care for 25 years, treating thousands of patients with a multidisciplinary and holistic approach to health. She cofounded the East Bay Menopause and PMS Center and the Osteoporosis Diagnostic Center in Berkeley, CA, where she lives. She is an expert in bone density, osteoporosis, and menopause and aging, and gives continuing education seminars to health professionals about these issues.

Excerpt. © Reprinted by permission. All rights reserved.

Chapter 2: Bone Density Screening Right Test, Wrong Results?

If your car’s fuel gauge is off, the worst that might happen is you’d run out of gas and need a tow ― or a battery charge, if the car’s electric. But if the tools used to gauge your health malfunction, the consequences are much more serious. Unfortunately, when it comes to evaluating fracture risk, bone density testing procedures can be off the mark. And that can result in your getting the wrong diagnosis, the wrong treatment plan, or unnecessary medications.

Consider what happened to Ellen, a woman in her sixties who’d had several bone density tests over the years because of concerns about osteoporosis.

Positioning Error Leads to Prescription for Fosamax: Ellen’s Story

Ellen called me from her home on the East Coast after a mutual friend recommended she ask me to assess her latest bone density test. Just listening to her story over the phone, I could tell that something was not right regarding the reported findings of her test. The most recent exam showed that Ellen had lost 7 percent of the bone density in her hip since her previous test a year earlier, but her spine remained unchanged. The discrepancy raised a red flag for me. As a densitometrist, I know that it is highly unusual to see such an extreme loss in the hip, especially within one year.

My suspicions were confirmed when I sorted through the stack of paperwork Ellen sent and after I reviewed each of her bone density scans. Comparing the two most recent tests, I could tell that the first technician had failed to position Ellen’s hip properly (using a fifteen- to twenty-degree internal rotation), while in the second test the hip was properly positioned.

Why does hip rotation matter during a bone density test? If the hip is incorrectly positioned, errors in density readings of up to 10 percent can occur. That can make the difference in whether or not a doctor recommends medication, as bone loss is a trigger for prescribing drugs. It could also make the difference in whether or not a person is diagnosed with osteoporosis. In Ellen’s case, the mistake led to an erroneous report of a 7 percent bone loss, which, understandably, made her very upset.

What’s worse, none of it should have happened. In Ellen’s first bone density test, the technologist’s failure to properly rotate her hip should have been caught and corrected before the report was made ― if not by the technologist then by the reporting doctor handling the test. Then, for Ellen’s second test, the technologist did rotate her hip correctly, but failed to note the error from the previous test. This is the mistake that resulted in the report of an apparent 7 percent bone loss in Ellen’s hip. Compounding the problem, the doctor who wrote the report on the second test results did not catch the mistake either. If the test results were truly showing such a significant change in her bone density, Ellen’s own physician should have ordered lab tests to investigate the problem further, but that did not happen; instead, she was prescribed Fosamax, a drug for treating osteoporosis. Believing that the reports were accurate, most medical doctors would likely have done what Ellen’s physician did, which was to recommend medications solely on the basis of apparent bone loss.

Once I was able to guide Ellen in getting an accurate bone density reading, we discovered that her bone was stable ― meaning no active loss of bone. Additional lab tests verified this finding. To date, she has been able to maintain her bone stability by following a bone-healthy nutrition and exercise program that includes appropriate nutritional supplements ― and currently she has no need for osteoporosis medications.

I wish I could tell you that Ellen’s case is unusual. But it’s not. I see similar bone density testing errors over and over when consulting with my patients. These problems are common knowledge among those trained in densitometry. We all know that preventable mistakes are being made. Why does this happen?

Product details

Publisher ‏ : ‎ Hunter House; 1st edition (August 12, 2014)
Language ‏ : ‎ English
Paperback ‏ : ‎ 320 pages
ISBN-10 ‏ : ‎ 0897936612
ISBN-13 ‏ : ‎ 978-0897936613
Item Weight ‏ : ‎ 1 pounds
Dimensions ‏ : ‎ 5.43 x 0.87 x 8.35 inches

Best Sellers Rank: #22,700 in Books (See Top 100 in Books)
- #3 in Rheumatology (Books)
- #5 in Osteoporosis (Books)
- #11 in Musculoskeletal Diseases (Books)

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4.5 680 ratings

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Lani Simpson

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Dr. Lani Simpson, D.C., C.C.D., has established herself as one of the leading experts in nutrition and women’s health care, specializing in hormone balancing and osteoporosis. She is a chiropractic doctor (Doctor of Chiropractic degree, Life Chiropractic College West, 1983), and the first alternative physician to become a Certified Clinical (bone) Densitometrist (C.C.D.), the certification required to demonstrate proficiency in reading and analyzing bone density test results, bone related lab work and medications used to treat osteoporosis.

Using her clinical experience and her multi-disciplinary approach, Dr. Lani has educated thousands of patients and health-care professionals about hormone and bone health through her consultations, workshops and several Continuing Education courses; and now, with her new Bone Health Guide, Dr. Simpson has written a preeminent resource for both professionals and lay-persons to understand “the truth about density testing, osteoporosis drugs and building bone quality at any age.”

That path started in 1993, with her own devastating and mysterious diagnosis of osteoporosis. Mysterious, because two different bone scans, only a week apart, yielded drastically different results. Determined to find answers, Lani embarked on a journey of many years of research, questions, and, ultimately the writing of The Bone Health Guide.

In 1994, Dr. Simpson co-founded the East Bay Menopause and PMS Center, and the East Bay Osteoporosis Diagnostic Center. She has been a LIFE chiropractic faculty member. In 1999, she was certified as a Speaking Circle facilitator, and has since taught many public speaking workshops.

Today, Dr. Lani practices and resides in Berkeley, California, with partner and jazz singer Audrey, and their Siamese cat Sadie. Their son, Sam, is an engineering student at Yale University. Until she was 63, when she hung her skates up for good, Dr. Lani was also an avid street roller-skater.

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chris

Very informative

Reviewed in the United States on March 9, 2024

Verified Purchase

Very well written and factual. Easy to read even though it contains a lot of detailed information. Takes away the fear of an osteoporosis diagnosis!

5 people found this helpful

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Lisa M.

Very Useful Book!

Reviewed in the United States on July 21, 2019

Verified Purchase

There are many books and plenty of info online, but this book give the most obejective and easy to understand information about understanding your bone density test, and steps to take if you are diagnosed. It helps a person to not panic and realize that they should make sure the diagnosis is correct, and especially to check for what other conditions could be contributing to someones osteoporosis and what tests might be indicated for a better diagnosis. And whether the person is losing bone actively now, or perhaps some event in the past caused bone loss. All that factors into decisions about what medication to take, or whether to take any at all or to try and stabilize with nutrition and exercise and postpone the need for medication. Doctors are regrettably lacking in knowledge about bone metabolism and it's important for patients to empower themselves with knowledge. This book is an excellent place to start and provoked me to then do further research on the internet about some of the topics. Highly recommend.

3 people found this helpful

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Pete "WAG" Wagner

The book is better than her PBS special

Reviewed in the United States on June 28, 2016

Verified Purchase

I was reluctant to order this after seeing Dr. Lani Simpson's special on PBS during pledge week. We were very unimpressed with how little info she offered on her TV show. But I looked at all the reviews and some of her other online stuff and did think her mentions of oatstraw and nettle on her show were intriguing so went ahead and took the chance. (Strangely, nothing on either of those in the book! Where I had been hoping to learn more. So I went online and found answers.) We were pleasantly surprised and found it very useful and found that the book offers a lot of good info and framework for thinking about how to optimize bone health. See my other review on another good bone book, Thanks for your review of Your Bones: How You Can Prevent Osteoporosis and Have Strong Bones for LifeNaturally, for reasons to read more than just one book on this subject if you are seriously concerned about getting the best results. Opinions differ and each author goes into different areas that the reader should parse out for him or herself.

10 people found this helpful

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Mona Lisa

Increased My Knowledge of Osteoporosis Do's and Don'ts

Reviewed in the United States on March 13, 2024

Verified Purchase

Well-written book. I have had osteoporosis for a number of years and this book provided me guidance for furthering to understand the condition and how I can improve my 'test' scores.

Reviewed in the United States on September 29, 2015

Verified Purchase

This is an outstanding book on the health of our bones and on understanding and treating osteoporosis. Dr. Simpson is a chiropractor who has been trained to read dexa-scans and understand these tests. She works closely with a medical doctor. Her research and experience with patients is detailed in the book and is thorough and convincing. She experienced bone loss herself and tells her own story. Dr. Simpson says that many of the medications given to promote bone growth actually cause harm. (I have had difficulty with these same medications so was glad for the validation of this.) She also says that often dexa-scans are not accurate and gives help in how to assure you receive valid tests. I was most surprised by Dr. Lani’s connecting the health of the digestive system of the patient and the health of the bones. When the digestion is off the body does not absorb the needed nutrients especially calcium and magnesium. (I’ve had digestive problems and never connected this with bone loss.) Instead of giving separate medications or treatment for the bones and the digestion she believes it’s essential to treat the body as a whole and understand what will help it heal. She offers a realistic plan for eating right, taking some supplements and exercising to correct the digestive issues and build stronger bones or at least stop the bone loss from progressing. This is a great reference book with much information here including pictures and diagrams. I highly recommend this book.

54 people found this helpful

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Tulip

Older book, but has excellent information

Reviewed in the United States on December 9, 2023

Verified Purchase

I found this book very informative for more than just osteoporosis. She may have a newer addition of this, nevertheless, I highly recommend this book for anyone who has problems with bone density.

3 people found this helpful

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Top reviews from other countries

adele mary king

Menopause causes bone loss

Reviewed in the United Kingdom on December 8, 2018

Verified Purchase

I have been diagnosed with osteoporosis and wanted to research the pros and cons of taking the medications offered to me. I found this book very informative and extremely helpful in making my decision not to take prescribed medication and treat this in a more holistic way, it also enable me to question my Z score rather than my T score which showed I have osteopenia rather than osteoporosis and medication is not recommended at this stage, so I now take a high dose of calcium and vitamin D 3, and continue to exercise and eat healthily. I feel all women who go into menopause who don’t take HRT should be aware of bone loss caused by the lack of estrogen and need to take a supplement to keep their bones healthy.

8 people found this helpful

Amazon Customer

Informative

Reviewed in Australia on September 3, 2019

Verified Purchase

Good read

Amazon Customer

A great investment

Reviewed in Canada on November 6, 2014

Verified Purchase

Being recently diagnosed with early and severe osteoporosis I was looking for information on this condition that was recent and clear for the average reader and could also offer a sense of direction. Lani's book was that and more. She explains the possible causes of osteoporosis, and presents impartial and in depth medications, side effects, diet and lifestyle suggestions to cope with this diagnosis. I found this book to be very enlightening and practical at the same time. It gave me direction and helped with a difficult decision making process regarding treatment options. I highly recommend this health guide for both men and women.

10 people found this helpful

Clifford Boucher

Five Stars

Reviewed in Canada on October 1, 2017

Verified Purchase

Excellent

One person found this helpful

Burnt

All should read

Reviewed in the United Kingdom on December 19, 2018

Verified Purchase

Great book to further knowledge with straightforward advice

One person found this helpful

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