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Beyond Calcium: Botanical Support for Osteoporosis

This blog explores natural ways to support osteoporosis with targeted botanicals. Dr Noah Lebowitz covers key topics such as anabolic bone building, fracture healing, cartilage protection, post‑menopausal bone formation and root‑cause hormonal support for women with osteopenia and osteoporosis.


As practitioners, we are well-versed in the standard protocols for clients with osteopenia and osteoporosis. While calcium, magnesium, vitamin D, and weight-bearing exercises are foundational, many of our clients need targeted support that addresses the physiological and hormonal roots of bone loss.

At Supreme Nutrition Products, we utilise whole-herb, pure formulations to help stimulate bone repair, modulate inflammation, and support the endocrine shifts that often precipitate osteoporosis. For your clinical protocols, here are three of our top botanical and whole-food considerations for supporting bone density and skeletal health.

 

The Anabolic Bone Builder

When dealing with bone loss or injury, Cissus Supreme (Cissus quadrangularis) is one of our primary recommendations. Cissus has been studied for its role in bone and tissue healing and maintenance.

  • Bone and Tissue Stabilisation: First and foremost, we consider Cissus to have anabolic potential, specifically with building and stabilising all tissues, but more specifically in bone loss or injury to bone.
  • Destruction Inhibition: Cissus was also shown to lower both the cytokines and matrix metalloproteinases known to cause cartilage and bone destruction.
  • Cartilage Support: Cissus has shown the ability to protect chondrocytes from cell death and enhanced their growth and proliferation.

 

Post-Menopausal Bone Formation

Known in Ayurveda as the "Queen of Herbs," Shatavari Supreme (Asparagus racemosus) is deeply nourishing for the female reproductive system. Because oestrogen decline is a primary driver of osteoporosis in women, supporting hormonal balance is critical.

  • Decreasing Bone Loss: Multiple studies have looked at Shatavari to help prevent post-menopausal bone loss.
  • Increasing Bone Formation: One study found that the results of Shatavari were encouraging, as it has shown not only a decrease in bone loss, but a significant increase in bone formation.

 

Root-Cause Hormonal Support

While Shatavari helps directly with bone formation, Black Cohosh Supreme (Actaea racemosa) is an excellent complementary herb for the menopausal transition.

  • Natural Oestrogen Support: Its main indication is as a potential alternative to postmenopausal oestrogen therapy for symptoms such as hot flushes, depression, excessive sweating and sleep problems.
  • Systemic Relief: By easing the systemic stress of the menopausal transition and providing a possible natural alternative to traditional oestrogen therapy, Black Cohosh helps address the root hormonal shifts that leave the skeletal system vulnerable.

 

Quality Matters in Clinical Outcomes

When dealing with degenerative conditions like osteoporosis, clinical efficacy relies on the purity of the ingredients. All Supreme Nutrition products are encapsulated with nothing else added - no fillers, binders or flow agents. We avoid standardisation so as not to use any chemicals in the process and to retain the ratios found in nature.

By incorporating these pure, targeted herbs into your osteoporosis protocols, you can offer your clients a robust, root-cause approach to their skeletal health.

 


About the Author

Dr Noah Lebowitz is a second-generation chiropractor and applied kinesiologist based in Maui. Noah developed an early interest in natural medicine after seeing clients with complex, long-standing conditions improve under his father’s care.

He earned his Doctor of Chiropractic degree from Parker University and holds a degree in Biology from Arizona State University. His approach focuses on identifying underlying contributors to health concerns using applied kinesiology, clinical evaluation and lab testing. With training in nutrition, functional biochemistry, neurology and acupuncture, he supports clients with an individualised, natural approach.

Please note: This article was written by Dr Noah Lebowitz and adapted by Amrita Nutrition. It reflects his individual perspectives and professional experience. We always recommend speaking to your own healthcare practitioner before making any changes to your diet, lifestyle or supplement regimen. 



References & Clinical Research

Cissus Supreme (Cissus quadrangularis)

  • Potu, B. K., Rao, M. S., Nappinnai, G., et al. (2009). Evidence-based assessment of antiosteoporotic activity of petroleum-ether extract of Cissus quadrangularis Linn. on ovariectomy-induced osteoporosis. Upsala Journal of Medical Sciences, 114(3), 140-148.
  • Brahmkshatriya, H. R., Shah, K. A., Ananthkumar, G. B., & Brahmkshatriya, M. H. (2015). Clinical evaluation of Cissus quadrangularis as osteogenic agent in maxillofacial fracture: A pilot study. Ayu, 36(2), 169–173.
  • Mishra, G., Srivastava, S., & Nagori, B. P. (2010). Pharmacological and therapeutic activity of Cissus quadrangularis: An overview. International Journal of PharmTech Research, 2(2), 1298-1310.
  • Kanwar, J. R., Samarasinghe, R. M., Kumar, K., Arya, R., Sharma, S., Zhou, S. F., Sasidharan, S., & Kanwar, R. K. (2015). Cissus quadrangularis inhibits IL-1β induced inflammatory responses on chondrocytes and alleviates bone deterioration in osteotomized rats via p38 MAPK signaling. Drug Design, Development and Therapy, 9, 2927–2940.

Shatavari Supreme (Asparagus racemosus)

  • Sharma, K., & Bhatnagar, M. (2011). Asparagus racemosus (Shatavari): A Versatile Female Tonic. International Journal of Pharmaceutical & Biological Archives, 2(3), 855-863. (Note: Details its specific traditional and clinical applications in preventing post-menopausal bone loss and hormonal balance).
  • Ashraf, A., et al. (2025). Efficacy and safety of Shatavari root extract (Asparagus racemosus) for menopausal symptoms: a randomised, double-blind, three-arm, placebo-controlled study. Frontiers in Reproductive Health.

Black Cohosh Supreme (Actaea racemosa / Cimicifuga racemosa)

  • Seidlová-Wuttke, D., Jarry, H., Becker, T., Christoffel, V., & Wuttke, W. (2003). Pharmacology of Cimicifuga racemosa extract BNO 1055 in rats: bone, fat and uterus. Maturitas, 44(Suppl 1), S39–S50.
  • Wuttke, W., Seidlová-Wuttke, D., & Gorkow, C. (2003). The Cimicifuga preparation BNO 1055 vs. conjugated estrogens in a double-blind placebo-controlled study: effects on menopause symptoms and bone markers. Maturitas, 44(Suppl 1), S67–S77.
  • Nißlein, T., & Freudenstein, J. (2003). Effects of an isopropanolic extract of Cimicifuga racemosa on urinary crosslinks and other parameters of bone quality in an ovariectomized rat model of osteoporosis. Journal of Bone and Mineral Metabolism, 21(6), 370–376.