What Is OsteoFrax™? Safety, Evidence, and the Science of Bone Regeneration

OsteoFrax bone support supplement with research-backed ingredients for bone repair and regeneration

Introduction

Fractures and slow bone healing are among the most common challenges faced by adults as they age. As early as our 40s and 50s, changes in hormone levels, nutrient absorption, and cellular signaling begin to alter the natural rhythm of bone turnover—the delicate balance between bone breakdown and renewal.

OsteoFrax™ was developed to support this natural bone repair cycle. Combining clinically studied botanical extracts and essential bone-supportive nutrients, it aims to assist the body’s innate ability to repair, regenerate, and maintain strong, resilient bone tissue.

This article reviews what OsteoFrax™ is, how its key ingredients work, the evidence supporting their use, and what research tells us about safety and effectiveness.

The Biology of Bone Repair and Why It Slows With Age

Bone is a living tissue constantly being renewed through bone remodeling, a process involving two primary cells: osteoclasts, which break down old or damaged bone, and osteoblasts, which build new bone tissue. In youth, these processes are balanced. As we age, this balance shifts toward greater resorption, leading to gradual loss of bone density and slower healing following stress or fracture.

Aging also increases oxidative stress and chronic low-grade inflammation—both of which can interfere with osteoblast activity (1). Postmenopausal hormonal changes compound the effect, accelerating the rate of bone turnover and reducing bone mineral density (BMD) (2).

Nutrients such as vitamin D, vitamin K2, and various plant-derived compounds have been studied for their ability to positively influence this bone remodeling environment. OsteoFrax™ brings together several of these compounds in a single formulation.

What Is OsteoFrax™?

OsteoFrax™ is a professional-grade dietary supplement formulated by Healthy Bones Co. to support the body’s natural bone repair and regeneration processes.* It contains four clinically studied components:

  1. OsteoCaf® (Dalbergia sissoo) — a standardized botanical extract from Indian rosewood leaves, studied for its osteogenic and anti-resorptive properties.
  2. Calzbone® (Cissus quadrangularis) — a traditional Ayurvedic extract validated in modern research for its fracture-healing support.
  3. Vitamin D3 (Cholecalciferol) — essential for calcium absorption and bone remodeling.
  4. Vitamin K2 (MK-7 from MenaQ7®) — helps direct calcium into bone tissue and away from arteries.

OsteoFrax™ is manufactured in the USA with U.S. and globally sourced ingredients, in a GMP-certified, FDA-registered facility, and undergoes third-party testing for purity and potency. It is Non-GMO, Gluten-Free, Dairy-Free, and Sugar-Free.

OsteoFrax™ Ingredient Evidence and Mechanisms of Action

1. Dalbergia sissoo (OsteoCaf®)

Dalbergia sissoo, commonly known as Indian rosewood, has been used in traditional medicine for centuries. Modern research has confirmed its potential role in promoting bone formation and reducing inflammatory processes that interfere with bone turnover.

In a 12-month open-label clinical study in postmenopausal women, standardized Dalbergia sissoo extract was associated with significant reductions in TNF-α, total alkaline phosphatase (ALP), and high-sensitivity C-reactive protein (hs-CRP), with bone mineral density maintenance across most measured sites (3).

Preclinical work demonstrates that Dalbergia sissoo constituents can stimulate osteoblast differentiation through BMP-2 and Wnt/β-catenin signaling pathways, both of which play essential roles in bone formation and remodeling (4,5). In animal models, extracts promoted cortical bone regeneration and showed both anti-resorptive and bone-forming effects (6,7).

Together, these findings suggest that OsteoCaf® may help create a biological environment favorable to bone regeneration and repair—particularly during periods of elevated turnover or recovery from fracture.*

2. Cissus quadrangularis (Calzbone®)

Cissus quadrangularis is another botanical with deep roots in traditional medicine, often called the “bone-setter plant” for its longstanding use in supporting skeletal healing. Modern investigations have validated many of these historical claims.

Clinical studies report that Cissus quadrangularis supplementation can accelerate fracture healing, increase callus formation, and improve biomechanical bone strength [8,9]. A 2024 systematic review and meta-analysis of human trials concluded that Cissus quadrangularis significantly improves bone-related biomarkers, including serum calcium, phosphorus, and alkaline phosphatase, with excellent safety and tolerability (10).

Mechanistically, this extract influences osteoblast activity, reduces oxidative stress, and modulates inflammatory cytokines—all factors that play crucial roles in bone recovery and remodeling (11).

When combined with Dalbergia sissoo, the synergistic effect is notable. In a randomized, controlled clinical trial comparing Teriparatide (a prescription anabolic agent) with a Cissus + Dalbergia combination, researchers found that the botanical combination produced the strongest early radiographic bone union and superior improvements in osteogenic markers within 8–12 weeks (12).

3. Vitamin D3

Vitamin D3 (cholecalciferol) is vital for calcium and phosphorus absorption in the intestines and for maintaining adequate serum calcium levels for bone mineralization. Deficiency in vitamin D is strongly associated with poor fracture healing and increased risk of falls and fractures in older adults (13).

Research consistently demonstrates that adequate vitamin D status supports the bone remodeling cycle and the function of osteoblasts and osteoclasts (14). Within the OsteoFrax™ nutrient system, D3 serves as the absorption catalyst—ensuring the minerals and cofactors available in the diet can actually reach bone tissue where they are needed most.*

4. Vitamin K2 (MK-7, MenaQ7®)

Vitamin K2 in the MK-7 form has been studied for its unique role in activating bone-building proteins, particularly osteocalcin and matrix Gla protein. These proteins are responsible for binding calcium within the bone matrix and preventing its deposition in soft tissues (15).

Three-year, low-dose trials of MenaQ7® MK-7 in healthy postmenopausal women demonstrated a reduction in age-related decline in bone mineral density and bone strength indices, and improvements in vitamin K status and osteocalcin carboxylation (16).

 K2 effectively acts as the director in calcium metabolism—ensuring the mineral is delivered into bone tissue rather than accumulating elsewhere.*

Integrating the Evidence: OsteoFrax™ Supports Bone Regeneration from Four Angles

The OsteoFrax™ formulation integrates these nutrients into a four-phase model of support:

Absorb (D3) → Direct (K2) → Build (OsteoCaf®) → Repair (Calzbone®).

  • Vitamin D3 enhances calcium absorption and bioavailability.
  • Vitamin K2 (MK-7) directs absorbed calcium into the skeletal matrix.
  • OsteoCaf® (Dalbergia sissoo) supports osteoblast formation and reduces inflammatory interference with bone growth.
  • Calzbone® (Cissus quadrangularis) accelerates tissue regeneration and structural repair after fracture or stress.
Vitamin D3 Absorb
Vitamin K2 Direct
Dalbergia Build
Cissus Repair

Collectively, this system supports balanced bone turnover — the process by which old bone is replaced with new, stronger tissue. Balanced turnover is crucial not only for fracture recovery but also for ongoing skeletal integrity in adults 50+.

Clinical Summary

Study
Population
Duration
Key Findings
Raut et al., 2019
Postmenopausal women
12 mo
↓ TNF-α, ALP, hs-CRP; BMD maintained across most sites (Dalbergia sissoo)
Dixit et al., 2018
Long-bone fracture patients
12 wk
Faster healing, improved comfort (Dalbergia sissoo)
PG G et al., 2023
Maxillofacial fracture
12 wk
Dalbergia + Cissus > Teriparatide for early bone union & osteogenic markers
Takuathung et al., 2024
Meta-analysis (humans)
-
Significant improvement in bone biomarkers with Cissus quadrangularis
Knapen et al., 2013
Healthy postmenopausal women
3 yr
MK-7 (MenaQ7®) decreased age-related BMD/BMC loss & improved bone strength

These data collectively suggest that the active ingredients in OsteoFrax™ may help optimize bone metabolism and support fracture recovery, particularly when combined with balanced nutrition and regular weight-bearing activity.*

OsteoFrax™ Safety and Quality Profile

Across published clinical studies, both Dalbergia sissoo and Cissus quadrangularis demonstrated excellent tolerability and safety, with no significant adverse events reported (3,8,10).

Vitamins D3 and K2 (MK-7) are well-characterized nutrients with decades of research supporting their safety when used within recommended ranges (13,15).

Every batch of OsteoFrax™ is produced in compliance with Good Manufacturing Practices (GMP) and third-party tested to verify purity, potency, and identity. The formula is Non-GMO, Gluten-Free, Dairy-Free, and Sugar-Free.

OsteoFrax™ Practical Application and Expected Timeline

Bone remodeling is a gradual biological process. In clinical studies, measurable improvements in bone biomarkers and fracture healing typically appear within 8–12 weeks, with progressive gains over 3–6 months of consistent use (3,8,12).

For adults aiming to maintain strong, resilient bones or support recovery from a fracture, the recommended serving of OsteoFrax™ is four capsules daily with food, which can be spread across multiple meals, or as directed by a healthcare provider.

OsteoFrax™ is not a replacement for medical treatment or fracture management but may serve as a nutritional adjunct that complements professional care.*

OsteoFrax™ Expert Perspective

“Many adults want to do everything possible to protect their mobility and independence. OsteoFrax™ brings together ingredients with credible scientific support for promoting the body’s natural repair mechanisms. It’s not about replacing medicine—it’s about equipping the body with what it needs to rebuild and stay strong.”

— Kevin Ellis, Bone Coach™ | Founder of BoneCoach.com

OsteoFrax™ Conclusion

The research behind OsteoFrax™ highlights a growing area of interest in nutritional strategies for bone repair and regeneration. By combining Dalbergia sissoo and Cissus quadrangularis—two botanicals with documented osteogenic and anti-inflammatory effects—with essential cofactors vitamin D3 and vitamin K2 (MK-7), OsteoFrax™ provides comprehensive support for the body’s natural bone remodeling processes.*

While no supplement replaces proper medical guidance, the clinical evidence suggests that these nutrients can play a meaningful role in supporting skeletal strength, recovery, and overall bone health as part of a broader lifestyle approach.

Medical Disclaimer:

The information shared above is for informational purposes only and is not intended to provide medical or nutrition therapy advice; it does not diagnose, treat or cure any disease, condition; it is not to be used as a replacement or substitute for medical advice provided by physicians and trained medical professionals.

If you are under the care of a healthcare professional or are currently using prescription medications, you should discuss any dietary and lifestyle changes or potential dietary supplements use with your doctor. You should not discontinue any prescription medications without first consulting your doctor.

FDA Disclaimer:

The information on this website has not been evaluated by the Food & Drug Administration or any other medical body. We do not aim to diagnose, treat, cure or prevent any illness or disease. Information is shared for educational purposes only. The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions.


You must consult your doctor before acting on any content on this website, especially if you are pregnant, nursing, taking medication, or have a medical condition.

References

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  2. Eastell R, et al. Postmenopausal osteoporosis. Nat Rev Dis Primers. 2016;2:16069.
  3. Raut AA, Meeta, Vaidya AD, et al. A clinical study of a standardized extract of leaves of Dalbergia sissoo (Roxb ex DC) in postmenopausal osteoporosis. J Mid-Life Health. 2019;10(1):37–42.
  4. Dixit P, Pande S, Deshmukh A. Safety and efficacy of a standardized extract from leaves of Dalbergia sissoo in healing of long-bone fracture: a pilot clinical study. J Complement Med Altern Healthc. 2018;5(1):JCMAH.MS.ID.555654.
  5. Ahmad N, Gautam J, Singh A, et al. A novel therapeutic approach with Caviunin-based isoflavonoid that en routes bone marrow cells to bone formation via BMP2/Wnt-β-catenin signaling. Cell Death Dis. 2014;5(9):e1427.
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  7. Khedgikar V, Ahmad N, Gautam J, et al. A standardized phytopreparation from Dalbergia sissoo has antiresorptive and bone-forming effects on a postmenopausal osteoporosis model of rat. Menopause. 2012;19(12):1336–1346.
  8. Brahmkshatriya HR, Jadav PK, Brahmkshatriya MH, Shah HA. Clinical evaluation of Cissus quadrangularis as osteogenic agent in maxillofacial fracture: a pilot study. Ayu. 2015;36(2):169–173.
  9. Singh V, Gupta V, Sharma R, et al. Clinical evaluation of Cissus quadrangularis and Moringa oleifera as osteogenic agents in mandibular fractures. J Maxillofac Oral Surg. 2011;10(1):6–11.
  10. Takuathung MN, Mekseepralard C, Ingkaninan K, Sawangjit R, Jampachaisri K. The effects of Cissus quadrangularis on bone-related biomarkers in humans: a systematic review and meta-analysis. Front Nutr. 2024;11:12288206.
  11. Na Takuathung M, Aisara J, Sawong S, Koonrungsesomboon N. The effects of Cissus quadrangularis on bone-related biomarkers in humans: a systematic review and meta-analysis. BMC Complement Med Ther. 2025;25(1):286. Published 2025 Jul 24. doi:10.1186/s12906-025-04995-8
  12. PG G, Chugh A, Chaudhry K, et al. Comparison of Teriparatide and combination of Cissus quadrangularis and Dalbergia sissoo on bone healing against the control group in maxillofacial fractures: a randomized open-label control trial. Craniomaxillofac Trauma Reconstr. 2023;16(1):23–33.
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  14. Lips P, et al. Vitamin D status and bone turnover in elderly subjects. J Clin Endocrinol Metab. 2019;104(4):1033–1041.
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  16. Knapen MH, Drummen NE, Smit E, Vermeer C, Theuwissen E. Three-year low-dose menaquinone-7 supplementation helps decrease bone loss in healthy postmenopausal women. Osteoporos Int. 2013;24(9):2499-2507. doi:10.1007/s00198-013-2325-6