Arthritis Medical News

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StopArthritis

PainAn Insider’s Guide to the Latest Breakthroughs

and Scientific Advancements

Natural AlternativesforHealthy Living

It’s amazing how musclesand bones work togetherto allow us to perform

countless movements. Thinkof all your activities in a typi-cal day – breathing, talking,sitting, standing, walking.Muscles pull on various seg-ments of your skeleton toallow you to move. But move-ment wouldn’t be possiblewithout the joints between thebones. Some joints allow noapparent movement, forexample, between the bonesof the skull, while other joints,such as your shoulder, arehighly movable.

When we are young, weenjoy running, playing andjumping but don’t think muchabout the joints between our206 bones. We are like newcars with well lubricatedparts. But just like your car,with extended use our partscan wear out, too.

You May Be Able to AvoidAging Joint Problems

As we age, our joints expe-rience a number of changes.The changes in the most mov-able “synovial” joints, like thearm, hip, hand, or knee havethe greatest impact and pres-ent the greatest problems. For

centuries, the stiffness, immo-bility and pain has been gener-ally accepted as a “normal”part of aging. But are theseconditions really unavoidable?

Mounting scientific dataindicates that aging joint prob-lems could, at least partially,be prevented and corrected.As today’s technologicaladvances shed light on howarthritis develops at the cellu-lar and molecular levels, andas we improve our under-standing of the physiologicalprocesses, it is easer to findways to help our joints.

Joints — a BriefBiology Lesson1

Although the actual move-ment pattern of the knee, hip,shoulder, wrist, finger, andtoes are different, their under-lying structure is essentiallythe same. Two or more adjoin-ing bones that are separatedby a joint cavity containing alubricant called synovial

fluid.

In addition, the opposingbone surfaces are coveredwith a layer of articular (hyaline) cartilage — a slick,smooth, and glassy material. A two-layered joint capsule

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Dr. Lucy Nurekis a renowned scientific researcherfocusing onstronger validations

of natural health remedies. For thepast 25 years, she has been anauthor, researcher and universityinstructor, and has been mostrecently affiliated with PurdueUniversity in Indiana as a VisitingProfessor. An advocate of alterna-tive and complementary therapies,Dr. Nurek is also certified inClinical Massage Therapy andOncology Massage. She holds aPh.D. in Natural Sciences fromPoznan University, Poland and aMasters degree in Biology andChemistry from WroclawUniversity, Poland.

Readers: Newsletter inquiresand address changes can besent to: Dr. Lucy Nurek, PO Box 5, Hammond, Indiana 46325-0005.

The information contained inNatural Alternatives for HealthyLiving is not intended to be a sub-stitute for medical advice. Beforechanging any health habits, it’salways a good idea to seekadvice from your physician orother medical professional.

Natural Alternatives forHealthy LivingAuthor: Dr. Lucy Nurek

Don’t Let Arthritis Win!There’s Help For Your Joints

By Dr. Lucy Nurek

Natural Alternatives forHealthy Living is dedicatedto educating readers on thelatest, most scientifically-advanced natural and alterna-tive therapies available today.

(fibrous and synovial layers)encloses the cavity and retainsits fluid. Under normal condi-tions, the bones do not toucheach other and the cartilage,together with synovial fluid,make movements almost fric-tion-free. Synovial fluid issecreted by a thin synovialmembrane that lines the insideof the joint capsule. This thick,viscous solution has three pri-mary functions:

1.Lubrication — the thinlayer of fluid between

moving bones markedlyreduces friction.

2.Shock absorption —when the pressure across

a joint suddenly increases, thefluid lessens the shock by dis-tributing it evenly across thejoint surfaces.

3.Nutrient distribution —since cartilage does not

contain blood vessels, the con-tinuously circulating synovialfluid provides oxygen andnutrients to cartilage cells(chondrocytes) and removeswaste products.

Synovial fluid is a mixtureof polysaccharides (mainlyhyaluronic acid), proteins, fat,and phagocytic cells (whichrid the joint cavity of microbesor cellular debris)

The articular cartilage actslike a sponge. As pressure onthe joint is relieved, synovialfluid seeps into the articularcartilage like water into a

sponge, ready to be squeezedout when the joint is com-pressed again. When synovialfluid is warmed by exercise, itbecomes thinner — less vis-cous and more easily absorbedby articular cartilage. Lack ofexercise causes the articularcartilage to deteriorate morerapidly from deficiency ofnutrients and oxygen, as wellas inefficient waste removal.

The 3 MajorForms of Arthritis

The term arthritis meansliterally “joint inflammation”and refers to over 100 differenttypes of degenerative orinflammatory diseases.Typically, they all have thesame initial symptoms: pain,swelling and stiffness. Arthritisis not a modern ailment. In

fact, Archeologists have dis-covered evidence ofosteoarthritis in the skeletonsof Neanderthals, other prehis-toric mammals and evendinosaurs. Chronic forms ofarthritis include osteoarthritis,rheumatoid arthritis, and goutyarthritis1, 2.

■ Osteoarthritis (OA) is themost common chronic arthri-tis. This degenerative conditionis often called “wear-and-teararthritis.” It involves damageto cartilage, bones and othertissues resulting in pain, defor-mity and limited movement ofjoints. OA may appear sudden-ly or come on gradually. Itrarely develops before the ageof forty, but nearly everyoneafter sixty is affected by it.According to researchers, anormal, healthy joint releasesan enzyme called matrix met-

alloprotease that breaks down

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The information presented is intended for educational purposes and is based on published research and books. It is not intended to be prescriptive or to replace the care of licensed health professional in the diagnosis and illness treatment.

Subchondralplate

Joint cavityfilled withsynovial fluid

Spongy bone

Jointcapsule

Articular cartilage

Synovialmembrane

articular cartilage2, 3, 4, 5. Thistightly regulated enzyme is nec-essary for tissue remodeling.

In young and healthy peo-ple, the damaged cartilage isreplaced with new cartilage,but with aging there isdecreased ability to restoreand synthesize normal jointstructures. As the disease pro-gresses, the bone tissue isexposed and deformation ofthe bony surface takes placewhich can restrict joint move-ment. The roughened surfacesmay rub together making acrunching noise called crepi-

tus1. The course of OA is usu-ally slow. In some individuals,OA may be so mild that a per-son is unaware of it until itappears on an X-ray. But bythe time it does show up on anX-ray, the problem has already

been around for 1-3 years.

So scientists are research-ing tests that could detectearly disease activity by focus-ing on molecular biomarkers.According to one of the recentstudies6, blood levels ofhyaluronic acid, the compo-nent of cartilage and synovialfluid, may be a useful biomark-er signaling the presence andseverity of OA.

Oxygen-derived free radi-

cals (highly reactive moleculesthat are inherently unstable,such as hydrogen peroxide,super-oxide anion, and hydrox-yl radicals) may be releasedfrom injured joint tissues7.Studies have demonstratedthat these scavenging mole-cules break down proteogly-cans as well as collagen, anddestroy hyaluronic acid, which

provides the lubricating quali-ties to the synovial fluid.Inadequate control of free radi-cals plays a role in the patho-physiology of OA.8- 11.

If you have painful joint(s),swelling and/or stiffness formore than two weeks, youshould discuss this with yourdoctor, since you may havearthritis.

■ Rheumatoid Arthritis

(RA) is a chronic inflammatorydisorder. It usually occursbetween the age of 40 and 50,but it may show up at any age.Even though it is not as com-mon as OA, RA causes disabili-ty to millions of people, affect-ing three times more womenthan men.

RA is an autoimmune dis-ease where the body’s immunesystem attacks its own tissues.While the initial trigger for thisdisorder is unknown, it is like-ly that many different causesare involved — physical andemotional stress, poor nutri-tion, as well as bacterial infec-tion and viruses. Regardless ofthe cause, once the jointbecomes inflamed, there is anattack on one of the majorcomponent of the joint — col-lagen12, 13. It is speculated thatthe microorganisms bear mole-cules similar to molecules nat-urally present in the joints, andthe activated immune systemattempts to destroy both14, 15, 16.

RA begins with inflamma-tion of the synovial membranethat abnormally thickens.Lymphocytes, neutrophils and

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1. The most common type of arthritis is osteoarthritis ___True ___False

2. Some arthritis is due to a bone injury ___True ___False

3. Drinking a lot of water has been shown to be effective in treating osteoarthritis ___True ___False

4. People who have arthritis should not exercise ___True ___False

5. Alternative treatments and supplements have been shown to provide comfort to those who suffer from joint pain ___True ___False

Answers:True,True,False,False,True

Test Your Knowledge of Arthritis

See references on page 11

other inflammatory cells fromthe blood migrate into the jointcavity. Synovial fluid thenaccumulates and causesswelling of the joint. The carti-lage and sometimes the under-lying bone are eroded.

With time, as scar tissueforms, the bone ends connectand fuse together, immobiliz-ing the joint. The stiff, bentand deformed joints, oftenseen on fingers, are produced.Fortunately, not all cases ofRA progress to crippling anky-

losis or bony fusion, but allcases involve extreme painand restriction of joint move-ment1. RA starts by affectingjust a few joints, but it usuallyspreads in a symmetrical pat-tern, affecting most majorjoints on both sides of thebody equally.

■ Gouty Arthritis, an acuteform of inflammatory arthritis,typically attacks the smallerjoints of the hands and feet.Most often affected is themetatarsal-phalangeal joint ofthe great toe. Approximately 5million Americans suffer fromgout,17 typically those who areoverweight or drink excessalcohol.18, 20.

In gouty arthritis, needle-shaped crystals are depositedwithin the synovial fluid of thejoint. The crystals are derivedfrom uric acid (a metabolicwaste product) which is nor-mally excreted in urine with-out any problems. However,when it is excessively pro-duced, or the excretion is tooslow, the blood levels of uricacid rise significantly and maybe deposited in the joints,causing inflammation.Swelling, redness, sensation ofheat, and intense pain accom-pany this condition17-22.

Gout is more common inmales than females, sincemales naturally have higherblood levels of uric acid19. Goutseems to run in families, sogenetic factors are certainlyimplicated.

4 Things YouCan Do To Help

Your JointsWhen a health problem

arises, everyone wants a

magic pill, but of course, thereis none. Changing yourlifestyle and exploring naturalhealth treatments are goodplaces to start.

It’s Difficult to GetEssential Nutrients from Diet Alone

Today, the American dietis full of processed foods,refined sugars, white flour,salt and a host of preserva-tives and chemicals, making itdifficult, if not impossible toget the nutrients we needfrom food alone.

As the use of fertilizers hasincreased, the content of vita-mins and minerals in freshfruits and vegetables hasdecreased. And, since mostpeople boil their vegetablesand then discard the cookingwater, they are actually dis-carding 90% of the mineralcontent of these vegetables! Asyou see, even if you’re consci-entiously trying to eat theproper amount of fruits andvegetables, it’s still going to behard to get the nutrition yourbody and bones need.

1. Try SupplementsCommonly

prescribeddrugs known asthe NSAIDS(nonsteroidalanti-inflamma-tory drugs),including aspirin, ibuprofen

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Rheumatoid arthritis causes disability to millions of people,

affecting three times morewomen than men

and naproxen, might relieveyour pain in the short term,but long term, they can actual-ly cause serious kidney dam-age or liver failure. They caneven cause or accelerate artic-ular damage23,24. Growingresearch indicates that varioussupplements are as effective asNSAIDS at relieving symptomsof OA, but without the damag-ing side effects. Supplementsare very powerful, but pleaseremember that you will fullybenefit from them only if youtake them regularly and eat awell balanced diet.

What Your Doctor May Not Tell You —Glucosamine Sulfate May be as Effective asPrescription Drugs

Glucosamine Sulfate hasbeen associated withdecreased pain and improvedrange of motion25-32. Most of theevidence of its effectivenesscomes from studies using 1500mg. of Glucosamine Sulfatedaily. According to a 3-year,multi-center, randomized, dou-ble-blind, placebo-controlledclinical trial in which 212patients with OA of the kneewere enrolled, Glucosaminewas shown to reduce progres-sion in narrowing of the joint-space28.

Several studies suggest thatGlucosamine may be as effec-tive in easing arthritic pain andinflammation as the NSAIDstypically recommended for

arthritis. Double-blind, place-bo-controlled studies verifiedthat Glucosamine was signifi-cantly better than ibuprofen(Advil®, Motrin® etc.) in con-trolling both pain and inflam-mation. Pain and inflammationcontinued to be reduced evenafter the Glucosamine was nolonger taken.

Chondroitin Sulfate isProven Safe and Effective

Chondroitin is another sub-stance crucial to healthy carti-lage and joint function.Chondroitin sulfate is one ofthe major constituents of carti-lage. It provides structure,holds water and nutrients andalso allows other molecules to

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An Old Treatment for ArthritisSees a Comeback: Leeches From my childhood in Europe, I

remember that leeches were commonlyused to relieve arthritis pain. My grand-mother, who was a nurse, applied a fewleeches topically to the most painfulspots around each sore joint. After a fewsessions, this therapy delivered relieffrom pain and increased joint flexibility.Lately, leeches have reentered medicinalusage and numerous studies are underway worldwide66,67,68,69,70.

While healers have been using the medicinal leech, Hirudomedicinalis in their practices since 1500 B.C., today surgeonsuse leeches after reattaching small body parts such as fingers,toes, hands, nose and ears. In fact, some of the advanced plas-tic and reconstructive surgeries may have failed if leeches hadnot been used in the operating room!

The potential of leech therapy for treating OA and the phar-macologic properties of leech saliva are subject to several clini-cal studies. Clinically significant pain relief after leech therapyfor OA of the knee has been demonstrated by a study involving51 patients69. Another study has shown that early morning stiff-ness is lessened and range of movement is improved70.

Attitude towards the use of leeches varies. Newcomers toleech therapy may have to overcome their revulsion and anxi-ety. Although this old therapy may not seem appealing at first,the reward comes when you feel better. Leeches are availableexclusively to hospitals and medical professionals. So if you arewilling to try this centuries-old therapy, you’ll need to obtainleeches through your doctor.

move through cartilage. This isa very important propertysince there is no blood supplyto cartilage. Chondroitin sul-fate has been shown in numer-ous double-blind trials torelieve symptoms and possiblyslow or reverse the progres-sion of OA33,34,35. It is believed toinhibit enzymes that breakdown cartilage36,37.

Glucosamine andChondroitin are safe and effec-tive nutritional supplements, asproven by the GAIT study (NIHGlucosamine/ ChondroitinArthritis Intervention Trial).The efficacy and safety ofGlucosamine and Chondroitinwere evaluated in 1,258 peopleacross 16 medical centers.Researchers concluded thatthe “combination ofGlucosamine and Chondroitinsulfate is effective in treatingmoderate to severe knee paindue to OA.” A combination ofGlucosamine, ChondroitinSulfate, and ManganeseAscorbate is more effective atslowing the progression of car-tilage breakdown than any ofthese agents alone38.

MSM Relieves Pain andReduces Inflammation

Although the mechanism bywhich Methylsulfonylmethane(MSM) may work isn't wellunderstood, it is commonlyused to treat arthritis. MSM is amajor source of Sulphur inhumans and is especially

important forhealthy joint func-tion. It stabilizescartilage, tendonsand ligaments.

MSM levelsstart to declinewith age.Researchers foundthat arthriticpatients were defi-cient in this essen-tial nutrient and bysimply addingSulphur to theirdiet, arthritissymptoms improved. MSMrelieves pain, muscle spasms,and reduces inflammation39,40.The combination of MSM withGlucosamine provides betterand more rapid improvementin patients with OA. MSM canbe found in fresh fruit, vegeta-bles, seafood and meats.

Hyaluronic Acid Lubricatesand Absorbs Shock

Hyaluronic acid (HA) isresponsible for the visco-elas-tic properties of synovial fluidthat acts as a lubricant and ashock absorber41,42. In synovialfluid, HA coats the surface ofthe articular cartilage and pen-etrates the deep spaces in thecartilage between collagen fib-rils and proteoglycans.Histological evidence showsthat HA prevents the degrada-tion of cartilage and may pro-mote its regeneration43.Injecting HA into the knee

joint, which is performed by amedical professional, provideslong-term pain relief for somepeople with OA.

Pomegranate, a PowerfulAntioxidant with Anti-inflammatory Properties

Pomegranate is known forits antioxidant and anti-inflam-matory properties that havepotential therapeutic benefitsin a variety of diseases.Recently, pomegranate fruitextract attracted the attentionof researchers. According tothe latest study conducted atCase Western ReserveUniversity44, a water extract ofpomegranate fruit was shownto block certain enzymes thatcontribute to cartilage destruc-tion in OA. The ability ofpomegranate fruit extracts toslow the deterioration ofhuman cartilage shows greatpromise in the treatment ofarthritis.

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MSM relieves pain, muscle spasms,and reduces inflammation

Boswellia, Excellent for Joints

The active component inBoswellia Serrata, Boswellicacid, exhibits anti-inflammatoryactivity and has been shown tobe very effective in supportinghealthy joints45,46. One placebo-controlled study, involving 81patients with RA, revealed sig-nificant reductions in swellingand pain over the course ofthree months. When combinedwith supplements like Turmericand Zinc or Ginger andAshwaghanda, Boswellinextract appears to be effectivefor both OA and RA.

Turmeric Helps RelieveInflammation

Turmeric’s component cur-

cumin is considered a stan-dard anti-inflammatory, poten-tially useful for relieving theinflammation associated witharthritis47,48,49. It reduces pain,swelling and morning stiffness.In addition, Turmeric wasfound to act as a COX-2enzyme inhibitor, but withoutthe harmful side effects ofpharmaceutical drugs.

Flax Seed, A Good Source for Omega-3

Flax seed is the richestsource of alpha-linolenic acid(ALA) found, and containsover twice the amount ofOmega-3 fatty acids (goodfats) as fish oils. The body can-not make these essential fatty

acids on its own, so Omega-3must be obtained from food.Flax seed may boost theimmune system, ease arthritissymptoms and provide otherhealth benefits.71, 72

Several studies suggest thatOmega-3 fatty acids reduce ten-derness in joints, decreasemorning stiffness and improvemobility. The participants inone study who took flax oildaily had reduced inflammatoryresponses by as much as 30%.71

Flax seeds provide themost benefits when freshlyground. Use 1 tablespoon ofwhole seeds two to three timesdaily with plenty of liquid.Grind the seeds in an electriccoffee grinder and sprinklethem on cereal, add them to

smoothies, or mix them withyogurt, cottage cheese, or oat-meal. (Never use flaxseed oil incooking.) Flax seeds also havepowerful antioxidant, anti-bac-terial, anti-viral, anti-fungal,and anti-cancer properties.

Soy Protein SupportsBone Health

Recent studies in pre- andpost-menopausal womenreport that soy isoflavoneshelp to support better bonestructure50,51. Soy isoflavonescan also reduce inflammationand pain, as well as improvethe condition of cartilage tis-sue. According to one study,taking a soy protein supple-ment might reduce pain anddisability from OA in men.However, it may not have sim-ilar effects in women52. Thecause of differing responsesbetween the sexes isunknown, but it is speculatedthat the differences in thedensity of estrogen receptorsand in hormone levels may bethe cause.

Stinging Nettle, Used for Hundreds of Years

Stinging Nettle is an herbthat was used to relieve arthri-tis pain by urtication (stingingwith nettle). Urtication wasconsidered to have counter-irritant effects (distractionfrom original pain). But thereare also other benefits.73-76 Thestinging sensation that theplant is causing, comes from

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According to the Center ofDisease Control, arthritis is theleading cause of disability inthe United States. Annually inthe U.S. it accounts for:

• 9,500 deaths

• 750,000 hospitalizations

• 8 million people with limitations

• 36 million ambulatory care visits

• 49 million people with self-reported, doctor-diagnosed arthritis

• 51 billion in medical costs and $86 billion in total costs

Arthritis Statistics

the microinjection of severalchemicals (i.e. histamine andformic acid) from the minute,stinging hairs of the plantwhen they come into contactwith skin. Injected histamineproduces antihistaminic reac-tion in the body, which affectsthe stung area, as well as theother inflammation sites (i.e.inflamed joints).

Nettle is also exceptionallyrich in Vitamins C and A and isloaded in nutrients includingCalcium, Phosphorus,Magnesium, Potassium,Sulphur, Choline, Boron, Iron,Iodine, Silica, Serotonin,Bioflavonoids and Aminoacids. (Never eat raw nettle.Cooking deactivates thestingers).

SAM-e (S-adenosylme-thionine) Provides Long-Lasting Benefits

SAM-e is an effective anal-gesic and anti-inflammatorysupplement for people withOA53. Its effectiveness is com-parable to NSAIDs, but withfewer gastrointestinal sideeffects54-56. The symptom relieffrom SAM-e may take up totwice as long as from NSAIDs,however, the benefits lastlonger and continue even afteryou stop taking it. Since SAM-e works closely with Folicacid, Vitamin B6, and B12, it’simportant to take the B vita-mins with it.

Other Important MineralsIn addition to calcium

other useful minerals that sup-port your bones include:

• Magnesium

• Manganese

• Zinc

• Copper

• Strontium

• Silicon

• Boron

Lately, Boron has gainedmuch attention in relation toarthritis. According to Dr. RexNewnham and otherresearchers, boron may have asignificant and crucial role inthe treatment of all forms ofarthritis57. Epidemiologicalstudies from several countrieshave shown that in the areaswhere the soil contains moreBoron and people are eatingBoron-rich foods grown in thatsoil, OA is less common.Apples, prunes, raisins, nuts,and green leafy vegetables aregood sources of Boron.

2. Increase Foods High in Anti-OxidantsConsider

preparing morefruits and veg-etables in ajuice, which canhelp improvethe functioningof liver and kidneys andincrease the elimination of tox-ins and waste products from

the body.

Keeping in mind that freeradicals are detrimental tojoint health58,59, increasing theintake of a full spectrum ofantioxidants can help. And thebest way to do this is to eatmore of these specific foods:

• Berries (dog rose, sourcherry, blackberry, straw-berry, raspberry, blueber-ry, and black currant)

• Pomegranate, grapes,oranges

• Walnuts, sunflower seeds

• Kale, red beets, ginger,peppers, carrots, andparsley

3. Maintain a NormalBody Weight Excess

weight leads topremature wearand tear of thejoints. Newresearch revealsthat obese people are approxi-mately 60 percent more likelyto develop arthritis than thosewho aren't overweight60. Bycontrolling obesity, we can pre-vent related risks of arthritis.

ExerciseIf you think that people suf-

fering from arthritis should notexercise because it causes fur-ther damage to joints, you aremistaken. According toresearchers, regular, moderateexercise offers many benefits.

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It reduces joint stiffness andpain and increases flexibilityand endurance. By buildingstrong muscles, you can actu-ally strengthen the joints.

Furthermore, exercisehelps promote overall healthand can reduce the risk ofosteoporosis, but be sure tostart slowly. Begin withstretching exercises toimprove your range of motion.Walking strengthens your mus-cles and helps maintain jointflexibility. Water exercise isparticularly good for peoplesuffering from the pain ofarthritis since it allows you toexercise without exertingexcess tension on your jointsand muscles. In water, yourbody's buoyancy reducesstress on your knees, hips, andspine. Yoga and Tai chi arealso safe exercises that use anatural range of movements.

4. Try Topical Treatments Topical

rubs contain-ing Cayennepepper,Menthol,MSM, Glucosamine andChondroitin are effective inlessening the discomfort ofarthritis.

✔ Cayenne pepper may trig-ger the release of pain killingendorphins and block sub-stance P, which plays a rolein pain transmission. Theactive ingredient of Cayennepepper — capsaicin, is usedas a counter-irritant61,62,63.

✔ Menthol is a compoundobtained from peppermintoil or other mint oils.Menthol has local anestheticproperties and also acts as acounter-irritant62. In onestudy (which included 10people with wrist OA, 8 withelbow OA, and 10 with kneeOA), each patient appliedthe cetylated fatty acidscream with menthol to theaffected area twice a day fora week64. After that week,they were tested for pain,stiffness, range of motion,balance, and movement. Allthe patients experienced sig-nificant improvements inphysical performance andreduced pain.

✔ MSM, a natural source ofSulphur is widely used byarthritis sufferers in theform of tablets and cap-sules, but it may also beworth applying MSM in acream form over painfuljoints and muscles. Sulphuris necessary for assemblingcollagen, the primary con-stituent of cartilage, bone,and other types of connec-tive tissue.

✔ Glucosamine is believed toregenerate articular carti-lage. By increasing produc-tion of proteoglycans andglycosaminoglycans,Glucosamine may yield ananti-inflammatory effect65,35.

✔ Chondroitin exerts an anti-inflammatory property andinhibits extracellular proteas-

es that metabolize connectivetissues. Chondroitin affectscartilage matrix integrity andbone mineralization36,37.

Start TodayDespite what you may have

heard, you can enjoy betterjoint health. With supplements,diet, exercise and proper care,you can overpower arthritisand enjoy physical activityonce again. Improve yourhealth…and improve your life.Start today.

If you have a question orwould like more informationfrom Dr. Nurek, please writeher at PO Box 5, Hammond,Indiana 46325-0005.

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With supplements, diet,exercise and proper care, you

can overpower arthritis and enjoyphysical activity once again.

11

Supporting research

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