Many postmenopausal women require calcium and vitamin D supplements. However, the calcium can cause constipation, which may hinder compliance. As a solution, try adding 1,000 mg of omega-3 fish oil. To decrease the fishy smell, freeze the capsules before ingesting. — Bev Reeves-Dudley, CRNA, Liberty, Mo. (173-6)


These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here. 


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