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Is my Strong Bones - Healthy You Comprehensive Bone Program right for you? Please take a moment to answer the following:
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Email
*
Your email
First and last name
*
Your answer
Best Phone Number
*
Your answer
Have you been diagnosed with osteopenia or osteoporosis?
*
Osteopenia
Osteoporosis
Required
What confuses you about your bone diagnosis?
Your answer
BONE MEDICATIONS: Are you or have you taken bone medication?
*
Yes
No
Required
Which Bone Medication have you used?
This list is the antiresorptive/bisphosphonates.
*
Fosamax (Alendronate) once weekly/oral
Actonel (Risedronate) once weekly/ oral
Boniva (Ibandronate)
Reclast (Zolendronate) once a year infustion
Prolia (demosumab) antiresorptive but not a bisphosphonate
No Medication
Other:
Required
Bone Medication: S.E.R.M. (selective estrogen receptor modulator)
*
Evista (Raloxifene) usually daily
No Medication
Required
Bone Medication: Anabolics
*
Forteo (Teriparatide) daily injection at home
Tymlos (Abaloparatide) daily injection at home
Evenity (Romosozumab) monthly injection in clinic
No Anabolics
Required
Bio-Identical Hormones
*
Low dose estrogen patch 0.0375 mg weekly
Low dose estrogen patch 0.050 mg weekly
Progesterone capsule: oral 100mg daily
Progesterone: capsule: oral 200mg daily
Hormone cream
No hormones
Other:
Required
Have you ever fractured?
*
Spine - Vertebra
Hips
Femur
Humerus
Wrist
Pelvis
No fractures
Other:
Required
DXA: How often do you get a DXA?
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Yes, every year
Yes, every two years
It's been years
Required
Does your DXA have a TBS (trabecular bone score)?
*
Yes
No
Required
Do you have a printed copy of your DXA/TBS with images?
*
Yes
No
Required
Image hip and spine image examples:
Example TBS Image - TBS is for the Spine only
What kind of medical practitioner is providing care for your bone health?
*
Chinese practitioner
Chiropractor
Endocrinologist
Functional Medical Doctor
General Practitioner
Gynocologist
Medical Doctor that specializes in osteoporosis
Naturopath
Nurse Practitioner
Orthopedist
Rheumatologist
Other:
Required
Cooking" What type of cook are you? This will help us prepare appropriate recipes.
Cooking:
*
Like to cook simple recipes
Enjoy cooking new recipes
Feel intimidated but curious about cooking
I'd rather order in
Required
What kind of an eater are you?
I am an:
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Animal Protein Eater
Fish Protein Eater
Vegetarian
Vegan
Other:
Required
Animal / Fish Protein Eaters - Do you eat?
*
BEEF: Organic 100% grass-fed beef
BEEF: Regular beef: CAFO stands for Confined Animal Feeding Operation beef
Lamb
Organic Pasture-raised chickens
Regular chicken
Wild-caught fish
Farm raised fish
Pasture-raised eggs
Regular eggs
Other:
Required
Dairy
DAIRY: Do you eat/ drink?
*
I'm dairy Free
Cheese
Yogurt
Milk
Kefir
Butter
Other:
Required
NON-DAIRY: Do you drink?
*
Almond milk
Soy Milk
Hemp Milk
Oat Milk
Coconut Milk
Required
Supplements:
Supplements: Do you take these basic bone supplements?
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Calcium?
250 mg / day?
500 mg / day?
750 mg / day?
Other than above
Type of Calcium - Calcium Malate
Calcium Citrate
Calcium Carbonate
Calcium - Hydroxyappetite
Other type of Calcium
I don't take calcium supplements
Vitamin D3?
Magnesium
Fish Oil
Dr. McCormick's Sustain
Dr. McCormick's Stim
Collagen
More
Other:
Required
SUPPORT: What is your challenge in navigating your osteoporosis diagnosis?
Such as: Finding the right doctor? Understanding the right bone-loving foods? What is the best exercise for me?
*
Your answer
Is there anything you would like me to know?
Your answer
If you are a good fit and my Strong Bones- Healthy You my Comprehensive Program will benefit you, we'll schedule a 30-minute discovery call. An email will follow.
Your answer
Thank you for taking the time.
From my bones to yours,
Your answer
Irma Jennings, INHC
Osteoporosis Patient Navigator
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