Still More News About Maintaining Bone Health In today's New York Times Science Section, there is an excellent article by Jane Brody entitled, "Fear of Drugs' Hazards may Put Bones at Risk." She reiterates a problem that I have seen evolving in clinical practice over the last several years. As the reimbursement for performing bone density tests had gotten so low that many facilities (including ours) could not stay open without losing money, the number of bone density tests being ordered nationw...
Last week a story broke in the News media about an article that appeared in the New England Journal of Medicine entitled, "Contemporary Hormonal Contraception and the Risk of Breast Cancer." I received a number of queries about this news story and told patients that I needed to see the original article itself and spend a good deal of time dissecting the "fine print." It is a very long and complicated article but let me make the following observations: It was a study done on a registry of Da...
In yesterday's New York Times Science section, there was an extremely interesting article entitled, "Researchers Track an Unlikely Culprit in Weight Gain." It has been known for quite some time that estrogen promotes lean body mass. At menopause, women no longer make estrogen and many patients experience the upsetting phenomenon of developing redistribution of weight to the abdomen; in medical terms known as "centripetal adiposity," or what it says in the article, turning women from "pears" to "...
Dear Patients, I thought you might be interested in this article from the weekend, in which Dr. Goldstein is quoted. (Click on the link below, then scroll down and you'll be able to read it) https://www.forbes.com/sites/ritarubin/2017/07/09/new-cdc-head-fitzgerald-peddled-controversial-anti-aging-medicine-before-leaving-private-practice/#49911ca51ef8...
Dear Patients, I am writing to tell you that Dr. Goldstein will be on Doctor Radio (Sirius XM Satellite Radio Channel 81, XM Radio Channel 81) this coming Monday, July 17 from 12-1 EDT. The show will also have 3 replays - Monday at 10pm EDT, Friday at 6pm EDT and Saturday at 10pm EDT. It will also be available on demand for 30 days. The topics he expects to cover are: 1) A new Paradigm that SHOULD revolutionize Hormone Replacement Therapy, but unfortunately will not 2) Birth Control ...
To My Pateints: As most of you know, I often send an email blast when there is something in the news that I feel must be commented upon. On the front page of today's New York Times there is an article entitled, "Longtime Foes of Birth Control Unravel Policy." The article really follows two distinct pathways. One involves a Mr. Matthew Bowman, a lawyer in the Department of Health and Human Services, who is pursuing the legal aspects of not allowing contraception to all patients as part of the ...
Woops! As promised in yesterday's email message, here is the list of foods and their calcium content. Click here to see the list...
This is the current issue of the journal OBG Management and, as you can see, the cover story is by Dr. Goldstein. It is an update in bone health specifically addressing calcium supplements and their role in cardiovascular disease. In 2001 a National Institutes of Health (NIH) consensus panel on osteoporosis concluded that calcium intake is indeed crucial to maintain bone mass and should be maintained at 1,000-1,500 mg/day in older adults. That panel felt that the majority of old...
Dr. Goldstein is the recipient of the North American Menopause Society's 2016 Thomas B. Clarkson Award. The award is for life time achievement in menopause research and is mainly related to his work in transvaginal ultrasound and SERMs (the estrogen alternative). Click on the link below to view the Society's announcement of their awards. NAMS Prestigious Thomas B Clarkson Award ...
In yesterday's New York Times there was a front-page article entitled "Birth Control Via App Gains Quiet Foothold". I am compelled to comment. I acknowledge that the problem of unintended pregnancy in this country is huge. It is estimated that as many as 50% of births are "unintended", or I guess that means "unplanned." Fortunately, that is not even close to true in my practice. You see, guidelines are created as health policy and are intended for populations. I prefer healthcare that is ind...
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