This document discusses maintaining joint function through various treatment options. It begins by noting the increased use of complementary and alternative medicine (CAM) in the United States. It then discusses the high prevalence of arthritis. The document recommends COX-2 inhibitors as first-line drugs for pain treatment. It also reviews studies showing cardiovascular risks associated with COX-2 inhibitors like Vioxx. Several nutritional supplements are described that may help reduce inflammation and pain, including glucosamine, chondroitin, MSM, chicken collagen, flaxseed, and boswellia. Testimonials provide positive anecdotes about a joint health product called Arthroclem. The document promotes Arthroclem and provides background on the

1. How to maintain joint function.
R.T. Clement, MD
Richard Clement Nutrition.
richardclementmd@yahoo.com
www.web-outpatients.com

2. • Complementary and Alternative Medicine
use increased from 25% to 1990 to 42% in
1997
• Total visits to CAM providers in 1997
(629 million) exceeded total visits to all
primary care physicians (386 million).
CAM

3. • In the United States, about one out of
every six people (nearly 43 million) is
affected by arthritis
Arthritis
One of 6 Americans
1
2

4. Medical Therapy
• COX- 2 selective nonsteroidal anti-
inflammatory drugs (NSAIDs) such as
celecoxib and rofecoxib are now to be
considered first-line drugs of choice for
treating moderate to severe pain, and mild
pain associated with inflammation.

5. COX-2
• The cardiovascular effects of COX-2
inhibitors were evaluated in a review of
multiple studies published in the August 22
edition of the JAMA This review focused
on two major studies in particular, each
with over 8,000 participants: the Vioxx
Gastrointestinal Outcomes Research Study
(VIGOR) and the Celecoxib Long-term
Arthritis Safety Study (CLASS).

6. COX-2
• VIGOR showed that Vioxx increased the
risk of cardiovascular events, such as heart
attack or stroke, almost two-and-a-half
times. Two other smaller studies also
suggested a relationship between Vioxx
and these conditions. CLASS indicated an
increased risk for cardiovascular events in
COX-2 users, but was inconclusive
because of minimal data.

7. Nutritional Supplements
• 1 CHONDROITIN reduces inflammation.
This effect is explained by many action
mechanisms. First, it causes a decline in
pro-inflammation prostaglandins. Then, it
inhibits many enzymes secreted by
chondrocytes including elastase and
hyaluronidase. These enzymes are
responsible for the elimination of old
cartilage, making room for the new one.

8. Nutritional Supplements
• 2 GLUCOSAMINE SULFATE is a
supplement used in osteoarthritis.
When orally given, it is more effective
than placebo and at least as effective
as non-steroidal anti-inflammatory
drugs in relieving osteoarthritis
symptoms. .

9. • 3 MSM is a Sulfur compound. The
proper acid/alkaline balance of the
body cannot be maintained without it.
MSM can lower pain levels by 50% or
more. MSM reduces inflammation and
helps to restore mobility.
Nutritional Supplements

10. Nutritional Supplements
• 4 CHICKEN COLLAGEN TYPE II
Several controlled trials provide evidence
that oral administration of type II collagen
is both safe and can improve the clinical
manifestations of active rheumatoid
arthritis.
The Harvard Medical School study found
that several of the joint sufferers taking
daily Type II Collagen from chicken
cartilage were able to successfully decrease
or, in some cases, eliminate joint
medication

11. Nutritional Supplements
• 5 FLAXSEED is derived from the flax
plant.. Flaxseed is rich in alpha-linolenic
acid (ALA), an essential fatty acid that
appears to be beneficial for heart disease,
inflammatory bowel disease, arthritis, and
a variety of other health problems.. Several
studies suggest that omega-3 fatty acids
help reduce tenderness in joints, decrease
morning stiffness, improve mobility, and
allow for a reduction in the amount of
medication needed for people with
rheumatoid arthritis and, probably,
osteoarthritis as well.

12. Nutritional Supplements
• 6 BROMELAIN is a general name for a
family of sulfhydryl-containing,
proteolytic enzymes obtained from Ananas
comosus, the pineapple plant.
• Bromelain’s primary component is a
sulfhydryl proteolytic fraction. Bromelain
also contains a peroxidase, acid
phosphatase, several protease inhibitors,
and organically bound calcium.

13. Nutritional Supplements
• 7 BOSWELIA (active ingredient -
terpenoids). Boswelia has been used to
treat osteoarthritis. Boswelia behaves
much like other NSAID’s (i.e., aspirin,
Motrin, Celebrex) in that it decreases
inflammation. It does so by decreasing the
number of leukotrienes, one of the
molecules responsible for causing
inflammation.

14. Nutritional Supplements
• 8 CURCUMIN Turmeric (Curcuma
Longa)
Turmeric is a spice from Asia, in the ginger
family. It is mainly used in curries and as a
yellow coloring agent in food. Its anti-
inflammatory property in osteoarthritis
may be due to its effect on the eïcosanoïd
biosynthesis and the arachidonic acid
pathway enzymes.

15. Glucosamine
Chondroitine Sulfate
MSM
Chicken Collagen Type II
Flaxseed
Bromelain
Boswelia
Curcumin
One capsule three times
daily.

16. • Quality: Arthroclem is manufactured in
an FDA inspected facility we carry product
liability.
• We had no reported adverse reactions
• The product has been sold for 12 years in
the USA.
Patient satisfaction

17. Testimony
• Arthroclem- My grandfather has suffered
with arthritis and severe knee pain
for several years, and has gotten some
temporary relief using other
formulas. After less that 2 weeks on
Arthroclem, he called to tell that
nothing he has taken before has ever
worked as well or as quickly. After 2
months, he is completely pain free.
• Dr.T.Santucci Delray Florida 561-278-2005

18. • Another great success with Arthroclem.
• I was with a golf pro
who recently came to me for multiple joint
pain. After 3 days, he called to
tell me that he already notices significant
improvement in the joint pain,
• Dr.T.Santucci Delray Florida 561-278-2005
Testimony

19. • My mission statement is to provide you
with what I like to use in practice, at high
quality and fair price.
• I am available for product support and
therapeutic questions.
• I have twenty years of Medical practice, I
have been a reviewer of several NIH CAM
review committees
Why Richard Clement Nutrition ?

20. • Products created by a Medical Doctor
• FDA inspected facilities
• 12 Years of satisfied users.
• 1-877-438-3042 Fax 305-594-2174
• www.web-outpatients.com
Why Richard Clement Nutrition ?