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September Newsletter
Attention Kidney Stone Patients
Stone Patients with Hyperoxaluria as one of the causes of your stone diseases:
If you have  had to use antibiotics more than four times in a year (for any reason) and have kidney stones caused by elevated oxalate, we have exciting news!!
THE ANAEROBE OXALOBACTER FORMIGENES MAY HAVE BEEN KILLED IN YOUR BOWEL BY THE ANTIBIOTICS AND REPLENISHING IT WITH A PROBIOTIC CONTAINING THIS ORGANISM MAY TREAT YOUR HYPEROXALURIA EVEN IF YOU KEEP EATING HIGH OXALATE FOODS!!
You would know that you have this condition from Dr. Boone's evaluation of your 24 hour urine. She was looking for the causes of your stone formation. You would have been, subsequently, asked to eat a low oxalate diet.
At any rate, a probiotic with OXALOBACTER FORMIGENES can metabolize >50%of the oxalate that you eat and it will definitely lower your urine oxalate!!
So, if you have kidney stones and are missing your beets, spinach, sweet potatoes, olives, berries, chocolate and nuts, this might be for you.
And, as always, eating Calcium in food (NOT SUPPLEMENTS) could also lower your urine oxylate. Most oxalate stone formers need 1500mg of Calcium in FOOD per 24 hours.
If you choose to use the probiotic, and reintroduce some oxalate foods into your diet, PLEASE MAKE SURE THAT WE RECHECK YOUR 24 HOUR URINE ABOUT 6 weeks after you do it.
We want to make sure that it is working for YOU and that we are not making new stones!!

Stone formers with elevated calcium in your urine:
If you are a chronic kidney stone former and have elevated calcium in your urine, you may be interested in using the Theromega Fish Oil Nutrition Supplement every 12 hours. There has been recent evidence indicating that the use of the 2 specific oils in this product can decrease the amount of calcium in your urine. These oils are EPA (which equals Eicosapentaenoic Acid) and DHA (Docosahexaenoic Acid).
If you are one of my patients who has been on Hydrochlorothiazide (HCTZ) and are unable to tolerate it for any reason, we could try using the fish oil instead.
Please contact me for more information regarding this matter before changing your drug regimen.
We could need to look at your 24 hour urine to be certain that you would benefit before starting therapy.
  
Topical Estrogen for my UTI's!?!
If I came to Dr. Boone with the problem of recurrent urinary tract infections, why did she recommend that I put topical estrogren in my vagina??? 
Several studies have shown that in the premenopausal and post menopausal woman, topical estogen to the vagina can reduce the number of infections per year from 6 per year to 0.5 per year!
Estring, Vagifem, Premarin cream and Estrace cream are all low dose estrogen products that Dr. Boone might have given you.
Each have shown a DECREASE in vaginal pH and an increase in the number of Lactobacilli in the vagina. Both conditions lower the infection rate from coli form bacteria!
Please use only the LOW dose that she has prescribed. Always remember to share this information with your GYNECOLOGIST and INTERNIST, as they need to know everything that you are taking.

Also we have been told that Estring currently has coupons provided on their website at www.estring.com.
Thank you for your patience!!!
As many of you know we recently switched to a new Electronic Medical Records system. Your patiences during this growing pain has not gone unnoticed and we truly appreciate it. Please continue to bare with us as we continue to learn and adjust to this new system.
With this new system you will be able to create an account to update your information. For certain appointments you will even be able to reschedule or cancel you appointments. You will also be able to access your most recent labs and test. We should be completing this process in about 1 week. Please continue to check our website for the link to our new patient portal.
Copyright © 2012 Martha B. Boone, MD LLC, All rights reserved.
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