Building Strong Bones Through Nutrition

Where Bone Strength Begins®

Welcome to OsteoNaturals. We invite you to shop our online store for quality nutritional supplements that promote skeletal health. In addition, our site is full of useful information about osteoporosis and insights about how it can be managed naturally.

Individuals who intend to stay active into retirement will need strong, healthy bones, and a strategy for maintaining muscle strength and overall fitness. Whatever your age or current condition, it is never too early or too late to make a positive difference. The "OsteoNaturals difference" = natural ingredients chosen for quality, safety, purity and potency.

Wednesday, August 31, 2016

A Crisis in the Treatment of Osteoporosis can be Turned Around with a Paradigm Shift

According to an editorial by Drs. Khosla and Shane in the August 2016 Journal of Bone and Mineral Research, there is A Crisis in the Treatment of Osteoporosis.(1) I totally agree...but my call to action is different.

The point of the editorial is that even with all the “remarkable advances in the diagnosis and treatment of osteoporosis…many patients, even those who unequivocally need treatment, are either not being prescribed osteoporosis medications at all, or when prescribed, refuse to take them.” Khosla and Shane point out that this paradox has been brewing for some time, but the issue was brought to a head in a recent article by Gina Kolata in the New York Times titled, Fearing Rare Side Effects, Millions Take Their Chances with Osteoporosis. Coincident with media and public concern about side effects such as osteonecrosis of the jaw (ONJ), atrial fibrillation, and atypical femur fractures from osteoporosis medications, Kolata found bisphosphonate use declined by greater than 50% from 2008 to 2012. The pattern was confirmed by another recent study that used claims data from a U.S. commercial health plan. Those authors found that "among 22,598 patients with hip fractures, use of bisphosphonates decreased from an already dismal 15% in 2004 to an abysmal 3% in the last quarter of 2013." The editorial also notes that the scope of the problem may be worse because the underlying studies did not evaluate patient compliance. “…Most of us in practice have observed that a significant proportion of the patients we see clinically are reluctant to initiate bisphosphonate therapy and many on these drugs want to stop taking them and do so despite our best advice." Khosla and Shane are saddened (and rightly so) because they feel that the medical community has "failed our patients, and that is something we cannot allow to happen." Their call to action is to find ways to ensure that patients who need them are prescribed effective medications and equipped to make informed choices on taking these drugs.

I have dedicated my life to helping others with osteoporosis for the past 15 years and I feel the same sadness. Sad because a diagnosis of osteoporosis just does not have to lead to devastating life-altering consequences of chronic pain, loss of mobility, and the all-to-often "death-spiral" following a hip fracture. It just does not have to be this way.

I am particularly saddened because we (as doctors) have failed our patients by:
  • Pushing medications with potential serious side-effects and not "working with the body" to normalize physiology. We have turned people completely away from approaching osteoporosis treatment in a sane, effective, none-harmful manner. Many of these patients have become afraid of osteoporosis medications. So afraid that they will not use them even as emergency treatment. 
  • Not offering them a "balanced" treatment option. Medications are not inherently "bad" or necessarily harmful...if they are used properly. There are two issues here: (1) the unfortunate practice of prescribing them to patients who don't really need them and/or keeping patients on them for too long; and (2) little or no emphasis on normalizing the bone remodeling process naturally by encouraging a reduction in overly aggressive osteoclastic bone resorption and a boost to osteoblastic bone formation. This, can usually be accomplished through improved diet, exercise, and specific vitamins, herbs and nutritional compounds such as those found in our OsteoNaturals products.
  • Allowing the confusion and fear that media sensationalism causes in our patients to dictate their health care choices. Yes, osteoporosis drugs can cause serious adverse effects and too much supplemental calcium is not good for you but that does NOT mean that a person should never take medications and that does NOT mean that supplemental calcium should not be taken. EVERYONE with osteoporosis NEEDS to take at least 600 mg of calcium/day and there are SOME people that NEED to use osteoporosis medications at least for a short time.

I think the call to action should be to change the medical model for the treatment of osteoporosis. Drugs...and only drugs (ok...also some vitamin D) defines the current model for too many doctors. It is certainly true, osteoporosis medications CAN be helpful, but they should NOT be the primary emphasis of treatment except when the patient is in a situation of impending fracture. Then and only then can we look at medications as the primary short-term EMERGENCY or TRIAGE treatment. But our real effort, even in these situations, is to find a way to slowly change the biochemistry, change the way the patient’s body is functioning, and help promote healthy bone remodeling.

(1)  Khosla, S. and Shane, E. 2016 Editorial: A Crisis in the Treatment of Osteoporosis. Journal of Bone and Mineral Research 31(8):1485-1487.

Thursday, June 30, 2016

Early Detection and Intervention are Crucial to Stop the Progression of Bone Loss - How Biomarkers Can be Used to Improve Treatment of Osteoporosis

As you know from my book The Whole-Body Approach to Osteoporosis,(1) I am a strong advocate for working closely with your health care provider and using specific laboratory tests to gather critical information about your bone health.

Both men and women begin to lose a small amount of bone mineral density in their mid-thirties. A “healthy” person may lose 0.7% to 1.0% per year after they reach their 40s but this loss is slow and typically has a minimal detrimental effect on their over-all health longevity, especially if they had normal bone accrual as a young adult. But for women, the sharp loss of estrogen at menopause can precipitate a dramatic loss of bone density, up to 3 or 4% per year. A rapid decline in bone mineral density leads to unwanted changes within the microarchictecture of bone, such as cortical thinning and a loss of trabeculae – the microscopic support beams within bone. These changes cause a loss in bone quality. Together, when both bone quantity and quality are lost, there is a sharp decline in bone strength and an increased risk for fractures. Identifying women at greater risk for developing osteoporosis, and especially those who are loosing bone rapidly during transmenopause,* is of key importance. The earlier the detection the better!

When bone densitometry (a DXA exam) is used to determine bone loss, the doctor must compare two consecutive exams over a two-year period to assess the speed in which a person is loosing bone. The larger the loss in bone density, the more rapid is the bone loss and the greater is their risk of breaking a bone. Having to wait two years before identifying those at greater risk can, and often does, result in catastrophic results such as sustaining a hip fracture or spinal compression fracture. Once bone is lost it is very difficult to regain, placing these women at a much higher risk for fracture. With earlier
identification of those at high risk for rapid-bone loss…by eliminating this 2-year period of time…we can intervene with appropriate therapy and reduce the incidence of subsequent fractures.

The GOOD NEWS: Natural therapeutic methods to improve skeletal health works! Changing a person’s diet, taking quality supplements such as the OsteoNaturals line and engaging in bone-healthy exercise work to improve skeletal health by “gently nudging” bone cells into a new and healthier course of being. When working with nutrition, we aren’t just sprinkling more calcium into bones, we are changing the "habits" of cell metabolism. While we can't alter our genetic code - our DNA, we can improve the way a person's genes "express" themselves - the epigenetics of cells. It is through changes in a person's epigenetics that we can put a stop to rapid bone loss and move out of the "high risk for rapid-bone loss" osteoporosis category.

The “NOT SO GOOD NEWS”: Natural therapeutic methods to change skeletal health can take time to “engage”. If a person has had a poor diet for the past 20 years, is in a nutritionally sub-optimal state, and has low-level chronic systemic inflammation, simply improving his or her diet will NOT result in instant success. The sooner we can identify the heightened level of bone cell activity, the quicker we can start “encouraging” bone destroying cells to calm down and reduce their excessive level of bone resorption. Think of osteoclasts (the cells that break down bone) as a gang of wild maniacs on the loose. If you just tell them to stop their wild behavior they probably won’t just “normalize”….on the other hand, put them into a quality therapeutic counseling program, change their eating habits and destructive lifestyle habits and, over a period of years, they may be able to re-enter society as constructive members. The earlier a person is tapped into therapy, the better the results. Changing the way cells “behave” can take several years, several generations of cellular division, even after being immersed into a new, healthier environment.

Back to the GOOD NEWS: With the science of current biomarkers constantly improving and new, even more sophisticated biomarkers being developed, we have come a long way in our understanding of osteoporosis and ways to treat it effectively. Most recently, in a study published in the Journal of Bone and Mineral Research,(2) Shieh, et al. assessed the clinical utility of measuring N-telopeptide (a bone resorption laboratory marker) during the menopause transition as a way of identifying women at high risk for developing osteoporosis. The study included 604 women. The authors concluded that higher levels of N-telopeptide during the early postmenopausal period were most strongly associated with a higher rate of bone loss during transmenopause. This correlation, elevations in N-telopeptide to the rate of bone loss, was most pronounced in the lumbar spine but also in the hip. More studies like this are needed to ensure individuals at highest risk for rapid bone loss are identified as quickly as possible.

I have been using biomarkers such as N-telopeptide (and the other bone resorption markers C-TX and DPD) for over fifteen years to assess and monitor patients with bone loss. I have seen the benefits of early detection of those at great risk of developing osteoporosis and those who have rapid bone loss and thus even a higher risk for fracture. Please help pass the word to everyone you know – especially women approaching transmenopause – about the importance of specific laboratory tests to gather critical information about their bone health. Armed with this information, they can work with their health care provider to customize a plan to address the underlying causes of their bone loss, ultimately enabling them to improve bone health, reduce the risk of fracture, and enjoy a more active lifestyle.

* Transmenopause or menopause transition refers to the period of greatest estrogen loss. Rapid bone loss often begins 1 year prior to a woman's final menstrual period and lasts for 2 to 3 (or more) years after their last period. After this 3 to 5 year (up to 10 years in some cases) period, the rapidity of bone loss normalizes to prior menopause levels. 

(1) McCormick, R.K. 2009. The Whole-Body Approach to Osteoporosis, How to Improve Bone Strength and Reduce Fracture Risk. New Harbinger Publications.

(2) Shieh, A., Ishii, S., Greendale, G.A., Cauley, J.A., Lo, J.A., and Karlamangla, A.S. 2015. Urinary N-Telopeptide and Rate of Bone Loss Over the Menopause Transition and Early Postmenopause. Journal of Bone and Mineral Research DOI: 10.1002/jbmr.2889.

Thursday, June 2, 2016

Becoming Anabolic in the Face of Osteoporosis - Even While Running 50 miles at the 2016 Pinelands Salomon Trail Running Festival

Reducing fracture risk is about more than just making bones denser with calcium. It is also about: 1) reducing chronic systemic inflammation, 2) staying strong and supple, and 3) remaining positive as you navigate through life. 

As I was slogging through a 50-mile race in Maine a few days ago, I began to wonder if what I was doing was really a good idea. After all, going non-stop for over 10 hours....eating M&Ms, potato chips, pretzels and guzzling down gallons of disgusting sugary drinks as I beat my joints and muscles to a pulp...intuitively doesn't SEEM like a smart thing to do to reduce systemic inflammation! And, as far doing things to promote strength and suppleness...well, just watch the short video on our OsteoNaturals Facebook Page (please "like" us while you're there!) as I slowly hobble across the finish line, and you will see that running 50 miles at one clip doesn't promote suppleness (especially

when you have achilles pain that started at mile 2). Strength of will, maybe, but suppleness, certainly not!

OK, so last weekend I failed miserably at accomplishing the first two things that I say are so important for bone health. But what about the third?...the "remaining positive" bit? My thought is that ONCE IN A WHILE it is OK to indulge in TOTALLY WACKY THINGS to keep your engines running on all cylinders. I know what you are thinking..."Didn't Dr. M just go up Mt. Kilimanjaro last month and didn't he just do an Ironman last year?", and "Is this REALLY a 'once in a while' thing that he does?" Well for me, a guy who just 17 years ago was breaking so many bones from osteoporosis that running 50 miles, doing Ironmans, or going up Mt. Kilimanjaro were not only out of the question but total pipe dreams....these are all REALLY important things for me to do for promoting my positiveness factor.

While I may have questioned my sanity as I slogged through the miles at the 2016 Salomon Trail Running Festival, I also relished at how lucky I was to be able to do such a crazy thing once again in my life. Years of struggling with osteoporosis, breaking bone after bone, was quite a challenge. I know many of you have face a similar challenge. And that is why I founded OsteoNaturals. And that is why I write these crazy newsletters. I want you to know that there ARE solutions and that people CAN bounce back from osteoporosis. That YOU CAN bounce back from bone fragility and regain physical confidence. It took me years of constant vigilance to diet and consistently taking important healing supplements such as OsteoNaturals, but my bones are now strong enough to push the envelope again (on a limited basis). Yes, I get incredible satisfaction from these adventures, but what I am most proud of is when I receive letters from people who have been taking OsteoNaturals products and hear how well they are doing. THAT is the best! I did it...they are doing it...and you can do it.

In my book, The Whole-Body Approach to Osteoporosis, I cover all the key points you need to know about creating an anabolic body for improved bone health. I talk about the importance of exercise (sane exercise), diet (no, no M&Ms or potato chips), gut health, and taking nutritional supplementation for reducing chronic systemic inflammation and improving bone health. Some of the most critical supplements I talk about are: calcium, magnesium, vitamins D and K, alpha-lipoic acid, N-acetyl cysteine, and berberine. My book explains how these and other important vitamins, minerals, and herbs can help reduce chronic systemic inflammation and improve skeletal health. Our OsteoNaturals products combine all of these ingredients, in just the right ratios, making it easy to ensure you are getting exactly what you need for better bone health.

So last weekend I may have failed miserably in reducing systemic inflammation and promoting suppleness but I made up for it with an overdose of the "remaining positive" thing. I'm not saying I will ever do another 50 miler but I will certainly do many more wild and crazy adventures in my life. Now back to being anabolic by eating better, getting lots of sleep, and taking my OsteoNaturals supplements. Rock on and stay tuned for more adventures!

Wednesday, May 4, 2016

Probiotics May Be Repurposed for Therapy in Osteoporosis

In my book, The Whole-Body Approach to Osteoporosis, I write about the importance of gut health when treating osteoporosis. An unhealthy digestive tract can not only interfere with optimal nutrient absorption but it disrupts the immune system and can lead to chronic systemic inflammation. As with the loss of estrogen at menopause, another common cause of osteoporosis is when the immune system gets out of balance (especially in postmenopausal women). Since 70% of the immune system is housed in the gut, keeping it healthy is critical for skeletal health. In a study published recently in The Journal of Clinical Investigation, researchers (Jau-Yi Li et al) working with mice reaffirm this premise and suggest that giving the mice probiotics improved the immune response and improved bone density. In this blog, I would like to help readers better understand how a healthy gut keeps chronic systemic inflammation at bay, and why it is so important to keep inflammation to a minimum if you want healthy bones.

The gastrointestinal tract is home to literally billions of bugs. Some good...some not so good. When the gut is over run by the not so good ones, (often due to a poor diet, allergies to foods and/or frequent use of antibiotics) it can be damaged and begin to leak. A chronically inflamed digestive tract causes gaps to form through which partially digested food particles and microbes can pass. Now, instead of being a protective barrier, this "leaky gut" becomes a portal to ill health. The particulate and microbial toxins that filter through these newly opened gaps set off reactions, which are a constant source of inflammation that insidiously permeate the entire body. This "leaking gut syndrome" or intestinal dysbiosis not only causes a chronic inflammatory reaction and a disruption of proper immune function in the person but when the gut is damaged it can no longer absorb nutrients effectively. So we NEED "good" bacteria to thrive in the gut. When healthy microbiota predominate in the gastrointestinal tract we are much healthier and so are our bones.

Our immune system and bone cells use the same signaling molecules (cytokines) to relay messages. When the immune system is out of balance it sends out way too many abnormal signaling molecules and the bone cells, especially the osteoclasts (the cells that break down bone), "hear" these abnormal signals and become hyper aggressive, eating up excessive amounts of bone. In chronic systemic inflammation, a condition I talk a lot about in my book, the "out of wack" immune system ends up being the cause of excessive bone loss. With too much inflammation in the body the osteoclasts become turned on ALL the time and the result is bone loss...osteoporosis. People often think that the most important thing they can do for osteoporosis is to take supplemental calcium. Yes, calcium is important but it isn't the whole story. We need to take in approximately 1,200 mg/day which is best achieved through a combination of dietary and supplemental sources. But we also need to make sure we get enough magnesium and vitamins D and K. AND we also must make sure our gut and immune systems are functioning optimally. Having all the nutrients available won't help much if the gut can't absorb them or if there are so many inflammatory cytokines circulating in the blood that the osteoclasts just destroy all the bone that is being made. When we give the body the minerals and vitamins it needs, PLUS have a healthy gut and immune system...then better bones will follow. Take out just one of those from the equation and the whole system falls apart.

Postmenopausal osteoporosis is typically the result of two things: 1) the loss of estrogen production from the ovaries, and 2) chronic systemic inflammation. Often, these go together as estrogen helps to reduce inflammation. In the published study using mice, researchers found that with the loss of estrogen there was an increase in ‘gut leakage’ and the subsequent inflammation resulted in increased osteoclastic or bone resorbing activity. After giving the mice probiotics, there was improvement in the immune response and improved bone density. 

Taking oral probiotics and eating fermented or cultured foods such as yogurt, kefir, sauerkraut, and miso encourages healthy gut microbiota which in turn helps gut function (as a barrier to pathogens and for improved digestion and absorption of nutrients) and regulation of the body's immune system. The bottom line from this study is that the use of probiotics has potential in the treatment of postmenopausal osteoporosis.

 Jau-Yi Li, et al. Sex steroid deficiency-associated bone loss is microbiota dependent and prevented by probiotics. The Journal of Clinical Investigations. 2016;10.1172/JCI86062.

Monday, April 25, 2016

Zolpidem (Ambien) Increases Fracture Risk In Men and Women with Osteoporosis

People break bones when they fall. In fact, falling is the number one cause of fractures especially in the elderly. It therefore makes sense that people with osteoporosis should avoid taking medications that increase their risk of falling. That is exactly what a recent study published in Osteoporosis International concluded. Park et al. conducted a large (1,092,925 participants) systematic review and meta-analysis and concluded that Zolpidem (Ambien), a medication often prescribed for insomnia, was associated with increased risk for fracture. The study noted that the increased fracture rate was especially pronounced for hip fractures.

This finding makes total sense when you realize that Ambien, a short-acting nonbenzodiazopine hypnotic, can cause ataxia, poor motor control, difficulty maintaining balance, dizziness, and sleepwalking. The last thing a person with fragile bones needs to be doing is dizzily walking around in their sleep . The kicker here is that a 2012 NIH study published in the British Medical Journal concluded that much of Zolpidem's effectiveness is other words, a placebo effect. The study concluded that greater caution should be used when prescribing Ambien to individuals at risk for fracture and that "increased attention should be directed at psychological intervention of insomnia".

Park, S.M. et al.  2016. Zolpidem use and risk of fractures: a systematic review and meta-analysis. Osteoporosis International April 22.

Huedo-Medina, T.B. et al. 2012. Effectiveness of non-benzodiazopine hypnotics in treatment of adult insomnia: meta-analysis of data submitted to the Food and Drug Administration. BMJ (Clinical Research ed.) 345:e8343.

Thursday, April 21, 2016

Do Calcium Supplements Contribute to Clogged Arteries?

"Am I at risk for clogged arteries by taking calcium supplements?"
                   Woman age 65 living with osteoporosis

Excellent question.

The short answer:
Healthy bones DO need a sensible intake of supplemental calcium, along with adequate vitamin D and K, and magnesium for proper absorption. They also need ingredients that (1) promote balanced bone remodeling and (2) help prevent blood vessel calcification. OsteoNaturals products fit all these requirements.

The long answer:
In a recent study published in Climacteric, C.E. Lampropoulos, et al. assessed the correlation between osteoporosis and vascular calcification in postmenopausal women. The goal was to determine not only if there was a correlation (there have been numerous studies linking these as comorbidities) but also to determine if low dose calcium supplementation plus vitamin D contributed to calcification of arteries.

The study concluded that "Calcified plaques were significantly correlated with osteoporosis."  Osteoporotic women were "16 times more likely" to develop calcification of the abdominal aorta and "seven times more likely" to develop plaques and thickening of blood vessels compared to normal individuals. It also concluded that "low doses of supplements do not appear to cause any increase in vascular calcification in osteoporotic women." In other words, although bone loss and calcification of arteries go hand in hand their connection is NOT due to taking calcium supplements. And this is key! We need calcium for our bones to be healthy. Taking supplemental calcium is safe when used in moderation. Taking huge amounts of any supplement, including calcium, is never advisable. But a sensible intake of 600 to 1,000 mg/day of supplemental calcium (plus another 500 or so from the diet) is important for getting your 1,200 to 1,500 mg calcium/day as recommended by most bone-health experts. Making sure you get adequate vitamins D and K, and magnesium is also a vital part of the equation. You NEED these to ensure that the calcium you take in goes to the right places in your body: muscles, nerves and bone...and NOT settle into the blood vessels!

So what is it that makes women with bone loss be more susceptible to calcification and hardening of the arteries? The answer is INFLAMATION. We at OsteoNaturals know that simply taking in adequate calcium is NOT the total answer to improving bone health. The MOST important thing you can do for better bone health is to reduce inflammation-driven, excessive osteoclastic bone resorption. Inflammation, not a lack of calcium, is usually what fuels excessive bone loss. And that is where OsteoStim comes to the rescue. OsteoNaturals' OsteoStim has ingredients designed to do exactly that: modulate the activity between the osteoclasts and the osteoblasts so that the bone remodeling process comes more into balance. A balanced bone remodeling system is important for the skeleton to renew itself periodically...important for keeping it young, supple, and strong. AND, not only does OsteoStim have ingredients that promote balanced bone remodeling but it also has 300 mg of a very important antioxidant that, yes, you guessed it...helps prevent blood vessel calcification!

And as Lampropoulos, et al. showed in their research, since osteoporotic women are 16 times more likely to develop calcifications it is EXTREMELY important to address this head on! Alpha lipoic acid is THE perfect antioxidant that can help prevent this calcification. Studies such as the one by Ying, et al. demonstrate this beneficial effect. In this 2010  research, published in Life Sciences, Ying, et al. showed that lipoic acid "reduced atherosclerotic plaques in the abdominal aorta".

The combined effect of supplemental calcium, magnesium and other minerals from OsteoSustain and OsteoMineralBoost, plus improved bone remodeling and lowered atherosclerotic risk from our OsteoStim makes OsteoNaturals products your first choice for improved skeletal health.  

Lampropoulos, C.E., et al. 2016. Osteoporosis and vascular calcification in postmenopausal women: a cross-sectional study. Climacteric April 5:1-5.

Ying, Z., et al. 2010. Lipoic acid effects on established atherosclerosis. Life Sciences 86(3-4):95-102.   

Saturday, April 9, 2016

Climbing Mt. Kilimanjaro

Success/failure...?...well, the course of this adventure was certainly not the way I had planned it... but I'm going to put it in the category of success none the less. I guess that is the way I will interpret my ascent up Mt. Kilimanjaro (19,341 feet) two days ago. My plan had been to take the Umbwe route up to the top in three days, going slowly to get used to the altitude. Then on day four head back down the mountain to the starting point at Umbwe gate (about 5,000 feet above sea level) and then do a speed ascent/descent on the fifth day. That all changed on the third day when snow and freezing rain made the going extremely dangerous. After camping at 17,000 feet at the Lava Tower we (my guides Julius, Jonas and myself) started our ascent up the dangerous Western Breach. We only made it approximately 2 kilometers when we hit an impasse on a ridge with 30 foot drop-offs to each side. It was just too treacherous to continue up and trying to make steps with the ice axe was of no help due to the loose shale rock beneath the snow. We

had no choice but to head back down the mountain. I knew at this point that a speed attempt would not happen. With rain and snow for five days straight this, the beginning of the rainy season in Tanzania, was not the optimal time to try a speed ascent.

After descending to about 14,000 feet we spent the night at Barranco camp. On day four we headed back up to 17,000 feet to Barafu where we camped and from where we would try again to reach Uhuru peak, the top of Mt. Kilimanjaro, on the morning of day five.

Julius and I started our ascent at 1 a.m. It was cold and the trail was snow covered the whole way. Not too long into the ascent I became extremely ill with altitude sickness throwing up numerous times. The nausea never let up and it was tough going. We reached Uhuru peak just before sunrise. Freezing cold at 20 degrees and with extreme nausea I couldn't enjoy the view and headed back down off the mountain after only 5
View from the top of Africa
minutes at the top of Africa. I just had to get down to a lower altitude and breath some air again.

I will certainly never forget this adventure up Mount Kilimanjaro. I would love to try for a speed attempt again someday but I'm still nauseous two days later so it is hard for me to make that commitment right now. I'm just happy to have made it to the top. My advice for anyone wanting to tackle this amazing mountain is to NOT try in the rainy season. The altitude is a problem no matter what season but by not having to deal with snow and ice your odds of success will improve greatly. So, what ever your next dream...dream big, I always do. Don't be afraid to try...and don't be afraid to fail. The more failures you rack up in your life just means the more things you have tried...and that is awesome in and of itself. Most of all, enjoy what ever you do. Onward!
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