Existence of rational points on ellipses equivalent to existence of integral points?

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Let $d$ and $n$ be square-free natural numbers. Is it true that $x^2+dy^2=n$ has a rational solution if and only if it has an integral solution? I know this is true for circles (i.e., when $d=1$) but I can't seem to be able to extend that proof to ellipses in general.

Can someone give me a proof (hopefully elementary), or a counterexample?

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$x^2+23y^2=41$ is easily checked to have no integral solutions, but $x=1/3$ and $y=4/3$ is a rational solution. This is related to factorization in the integers of $\mathbf{Q}(\sqrt{-23})$.