Gyne-Lotrimin (Clotrimazole Vaginal)
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| leadmedic "Gyne-Lotrimin" | 100 mg | 14-21days/$10
5-7 days/$25 | | every country | |
| 12 pills $65.27 | 24 pills $100.73 | ||||
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| Medph | Not available for sale | FedEx next day/$24 |  | USA only | |
| med-pen | Not available for sale | 14-20 days/$10
7-14 days/$20 |   | most countries | |
| ourpharmacyrx "Gyne-Lotrimin" | 100 mg | 14-21 days/$15
5-12 days/$30 | | most countries | |
| 10 pills $51 | 120 pills $456 | ||||
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| RxPharms | Not available for sale | 14-24 days/free | | worldwide | |
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5-9 days/$30 3-6 days/$40 | | most countries | |
Other names: Mycelex-G
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OSTEOPOROSIS AND THE MENOPAUSE
The popular theory is that women are at risk of developing brittle bones at the menopause because of lower oestrogen levels. Oestrogen, it is true, helps stimulate the liver to produce a protein which protects the bones against the harmful dissolving effects of adrenaline. But it’s clear that this is not the whole picture. If the oestrogen theory is correct, why do men, who have relatively small amounts of oestrogen in their bodies all their lives, not suffer more from osteoporosis than women? Men tend to have only a fraction of the bone density loss experienced by women. In tests it has been found that the male hormone testosterone triggers the bone-building osteoblasts, and this is accompanied by higher levels of the enzyme alkaline phosphatase which helps to form calcium crystals in the bone. As we reach the menopause, and our ovaries reduce their production of oestrogen, we then have proportionately more testosterone circulating in our system. It is possible that if we are in optimum health, our bodies provide fail-safe mechanisms to take over as one set of hormones reduces.
And bone density loss in women is not universal. Research has demonstrated that Asian and Caucasian women are more likely to suffer bone loss than African women, for instance. In Singapore more men than women get osteoporosis, while in Hong Kong they seem to be equally susceptible. And why does bone mass start to decline when we are in our thirties when oestrogen levels should still be high? Research demonstrates that bone loss starts well before the menopause and before any decreases in oestrogen levels. The anti-oestrogen drug Tamoxifen is given to women at risk of breast cancer. If lack of oestrogen is the prime cause of osteoporosis, it would be logical to expect that Tamoxifen would cause bone loss. But this does not seem to be a side effect.
A few years ago there was a fascinating article in The Lancet medical journal about tests done on eighteenth-century human bones discovered during the restoration of a London church.2 The rate of bone loss in modem women, both pre- and post-menopause was found to be far higher than that apparently experienced by our ancestors. All this suggests that oestrogen levels are not the only, nor the most important, factor in bone loss. It seems to indicate that differences in lifestyles, what we eat – or what we don’t eat – are a crucial element in the complex process of bone manufacture. This means that serious bone loss is not an inevitable part of the menopause, although the menopause may accelerate it. It is something that we ourselves can take positive action about without resorting to very powerful hormone drugs through fear. But first we need to understand a little more about what is going on.
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