Dr. Doug- First timer here - but can't help but ADMIRE that you actually take the time, and respond to human beings with thoughts and emotions, and real life dilemmas. High praise to YOU, for showing the essential respect that we all deserve. I will be watching and listening for my wife - Cheers and regards, Richard
Thank you. Our mission has two primary points. Providing world class service to our patients and educating broadly through digital and in person avenues. Thanks for your kind words.
Evening, I’m 58, semi retired and last fall I was dx with osteoporosis. Two months later my husband (M.D.) moved me from Alaska and to Arizona. My grandkids are here in AZ. Always a plus. Yes, osteoporosis can be reversed. I’m doing this thru diet, supplements, weight bearing exercises, weight vest and vibration plate. I’ve lost 12# in 6 months. I had a dexa scan in May 2023. It was the best news! I was worried that all this hard work was for nothing. It wasn’t much of an improvement, about 2% in 6 months. I just wanted to thank you for your videos and advice. I watched them almost daily. I did watch other educational channels. Please keep the videos coming! Thanks again!!
Thanks so much for all the really precious information! Why did you say that peptides should be prescribed? I've been taking 5 gr of hydrolized grass-fed cow peptides every day for a week now. I could not find those I was looking for (the very good ones used in a famous study that you mentioned in one of your videos) but I think they are pretty good quality.
I am currently working with Dr. Doug and I love that he and his team get to the ROOT CAUSE instead of just handing out meds with side effects that will likely cause even more problems. Identify, Heal, and then FIGHT! 💥💥💥
@@Dr_DougLucas That means a lot 🙏 You guys are the BEST and thanks to you and your impressive team, I know every day I’m getting healthier and stronger and better… 🎉👌🏻 💪🏻🤍
@@aemami7698 Dr. Doug is based in NC but he does everything virtually. He and his team have a private app and all tests/labs are conveniently sent to the house and then we have a follow up appt to discuss results and treatment. We are not in the same state. It’s not an issue. He’s the best.
This video is straight to the point, very informative and helpful. I love that you mentioned the importance of sleep, nutrition, exercise and stress levels. I have Osteoporosis and im learning a lot. Thank you 😊
Thank you for mentioning possible hyperparathyroid disease! I have suffered for over two years with it and finally got diagnosed. Even then, the endocrinologist I was sent to had out of date information and was dragging out the diagnosis and tests. I educated myself and found out what I needed and got it! Thank God for the great endocrine surgeons at Washington University.
@@Dr_DougLucas I'll be coming back immediately after surgery to start building bone. Do you have any books or articles that I can recommend to my doctor? He says he's a osteoporosis expert, but he's pushing bisphosphonates!
@@Dr_DougLucas I can hardly wait! As soon as I have my surgery, I'm coming to YOU for advice. My primary care doctor just pushes bisphosphonates and calls himself an expert on osteoporosis. What a joke! Thank God for decent doctors who do the investigation and keep their continuing education up to date!
1/14/23, 1pm EST, what baffles me about all the osteoporosis videos I’ve watched given by Physical Therapists & MD’s is that no one mentions gastric bypass RNY surgery & malabsorption as causing Osteoporosis. They talk about scary drug treatments or supplements & excercises. People who’ve had the RNY & other gastric bypass surgeries cannot take oral bone meds & from what I’ve read, these drugs have serious consequences & can’t be taken forever.
Gastric bypass surgery (especially Roux En Y (RNY)) is a known risk factor for malabsorption which puts you at risk for osteoporosis. This isn't discussed often. Bariatric surgery doesn't seem to get much criticism but in my opinion should be avoided. My work with PHD Weight Loss and Dr Ashley Lucas (The Doctor Ashley Show) proved to me that there is an efficient way to lose weight for nearly everyone.
@debbiec6216 I had a gastric bypass in the early 2000's and it wasn't mentioned it was STRESSED you take a multi-vit though and of course eat a high protein low carb diet I did wht was recommended and lost 250lbs I'm a nurse was a nurse at time of surgery and would have followed any directions I was diagnosed later with hyper parathyroid syndrome which is ANOTHER Mal absorption disorder so I NOW had 2 things going tht reached calcium out of my bones they were 96 when I was 40 taking oral calcium is not working so I have to use 1 of the yearly infusions offered by endocrinologist to treat osteoporosis hopefully keep it at bay I wish you the best on your journey
Thank you, awesome content! Could you speak more on hormone therapy? What are the pros and cons? What factors make someone a candidate or not for hormonal therapy in aiding osteoporosis?
Thanks for that video! I’m a 36 YO woman who’s been diagnosed with osteoporosis when I was 25 due to a long eating disorder and sports addiction resulting in female athlete triad. I successfully took Rocaltrol for a few years but had to stop last year because of secondary hyperthyroidism. I’ve just started teriparatide injections. Would love to hear more about osteoporosis in pre menopausal women! It’s very hard to find anything useful. Thank you so much in advance.
Excellent information!. As a petite 71 year old, and watching my mother shrink to the point of her ribs sitting on her pelvis, I'm desperate to maintain my bones. I lift heavy weights, walk, take supplements and try to eat right. I would love to hear to speak about Thyroid medicine and bone loss. I believe that is a double edge sword, you need it, but it causes damaging side affects. Why can't a thyroid medicine be made that doesn't damage bones? I would love to hear a whole segment on that. Also, please do a segment on Calcium. Not all calcium is created equal and it is important to know which one to look for at the store. Thank you! My husband has horrible osteoporosis from beer, cigarettes and not eating right, I'm trying to help him too. He is taking Prolia and I'm very concerned for his thigh bones, plus, he has had horrific heartburn since starting it.
Hi Kathy, Sorry to hear your concern and struggles. Thyroid medication delivered at optimized doses based on extensive blood panels should not negatively impact bone health. Take a look at our calcium videos by searching Dr Doug Lucas and Calcium. We have a few different videos on this topic. Lastly, Prolia video is coming in the next few weeks. Make sure you are subscribed and signed up for notifications.
I was supposedly treated by two unrelated endochronoligists who simply prescribed a drug that does not build bone. Neither had any interest in identifing the cause let alone treating the cause. Dr Lucas is the first to talk about actually treating osteoporosis.
Thank you for your praise. That is our approach. Looking for the causes of bone loss and subsequently reverse those causes and create a comprehensive plan to improve bone health.
Seeking proper treatment for osteoporosis can often feel like being in the Wild, Wild West! After my diagnosis a year ago, I realized that I needed to be my own advocate by educating myself. I am very much in synch with your sensible approach!
@@markusgumbmann188 Currently we have put all international opportunities on hold BUT you can enroll in an opportunity to engage with our HealthSpan Nation. You can sign up for that waitlist here: www.optimalhumanhealth.com/healthspannation
Great info! I was wondering what your thoughts are for using strontium citrate? I"m aware of the controversy around strontium ranelate in the EU and concerns regarding increased cardiovascular disease risk. Is this applicable to the citrate formulations of strontium in the US? If it is safe is it effective?
Hi Paul. Strontium citrate has not shown the same risks as ranelate in studies I've read. It is used in combination with other supplements like VIt D/Ca/K with beneficial results in intervention trials. I offer it to patients as part of their stack but let them choose. Many people don't want to take it and I don't think it's necessary for success. It can also have an impact of DEXA follow up which I'm not concerned about but has to be taken into consideration.
Enjoying your videos. I have severe asthma unfortunately in 70s n early 80s treatment was steroids. Then as a nurse I hurt my back. TX? Steroids! Double whammy. Followed by early hysterectomy. Noone warmed me the damage. After 40 plus yrs I've just got off steroids! But severe osteoporosis 😢 videos were confusing can I exercise, what supplements to take. Thanks for information, I will keep trying and learning. Question. I have PATs , I read k2 is a no no?
My scores put me at high risk on my back, femur moderate. I don’t want to take pharmaceuticals. I want to address this with exercise, nutrition, HRT first. But I’m scared what if I continue losing bone density or of I have a fracture. My doctor just started doing testing. Everything is normal so far. Not knowing what is causing my bones to deteriorate is so frustrating. There has to be a reason why my body is doing this…😞
Thank you so much for sharing all of this. It sounds like you could benefit from the next free Bone Foundations Masterclass we have coming up if you have not attended one before. You can find more information here --> www.optimalbonehealth.com/build-bone
Will you be offering another master class as the one mentioned has already taken place? In addition do you know if intermittent fasting is helpful or not for osteoporosis? Thanks for your informational videos!
Hi Janice, Yes, we offer the master class on a rolling basis and my team will update the links as soon as they are available. I love fasting as a tool for weight loss and diabetes but for osteoporosis I find it prevents optimal protein consumption. So, when my patient's primary problem is bone health I don't recommend fasting.
@@Dr_DougLucas Hello Dr Doug, I read the comment above and you said, you don't recommend "fasting" ? I have Osteoporosis and Osteopenia, both. And I need knee replacement surgery. And then my Orthopedic doctor said I might have to have a Hip replacement. As far as Gut health issues, I have Gerd, Gastritis, Erosion Esophagus. Low stomach acid, Hiatal hernia ( If I wasn't so proactive and ask for "EGD" test , every 6 months, I would never know, I had it ). Other words, I caught it early. I am dealing with a lot of health issues and not a day , that doesn't go by, I am researching on all my health issues. I visit my M.D. and other specialists for any health issues, I have. I know there's a lot of information here. I exercise daily too, "low bearing" !! I just want your opinion, what kind of supplements to take , for the bones. Thank you for your help. I do appreciate it. Debbie
Hello, thank you very much for this information. I am learning a lot but I must say I am a little overwhelmed by all the information out… I have been diagnosed with osteoporosis-osteopenia following check up for breast cancer (removed and followed by hormonothérapie ) I wonder if you have a specific video about hormonothérapie and osteoporosis and how they work (or not) together. Many thanks Martine
My doctor won’t prescribe estrogen for me because I am more than 10 years past menopause and the medical establishment, going on outdated studies, thinks it’s too risky for a woman of my age. She did approve of me taking DHEA and bioidentical progesterone cream, so I’m hoping these will help boost my hormones in 6 months when I get retested.
DHEA will help a bit but progesterone cream is not well absorbed and not as good as oral micronized progesterone. I bet she also didn’t suggest testosterone which would likely have benefit as well. Starting women over 10 years out from menopause on estrogen does have risks BUT so does having osteoporosis so a risk/benefit evaluation is required from someone that understands both.
@@Dr_DougLucas I told her about oral progesterone being better absorbed but she didn’t agree. When I increased the dose it seemed I could feel a boost of energy right after putting it on so I think it’s getting in. She also said that if the DHEA doesn’t boost my testosterone numbers she could prescribe testosterone for me.
How much protein do you recommend daily for someone with osteoporosis? Any recommendations on what kind of supplemental protein is good? (Besides protein from food)
Hi Dan, I start recommendations at 1g/lb of desired body weight for my patients. The actual number can vary depending on unique circumstances. When patients struggle to get the full amount from whole food sources (which is common) I recommend they add beef isolate or whey protein powders.
How do you see heavy metals as a contributory factor to bone loss? I had high levels of lead, mercury, cadmium and gadolinium diagnosed with an EDTA urine test and have since been having IV EDTA to remove them, which has reduced allergies and other things. Now I've been diagnosed with osteoporosis. Should I continue with the EDTA therapy?
Hi, I can't give advice through this forum. The relationship between metals and bone loss is complicated and requires more information. Generally we will help patients detox as part of their program but again that is specific to their unique situation.
Thank you Dr. Lucas, for your very informative videos. I am intrigued by the vibration plates as a means to increasing my bone health. Do you have content on this topic? And do you have a video about stomping? Or rucking? Do either of these activities fall in the category of weight bearing exercise? Like many of your followers, i prefer to shun pharmaceuticals.
would have loved to join the free masterclass and february 16th, but 1pm is 1am in thailand, where I live. And apparently, one needs also to be in the usa to apply for membership...
Hi there. I'm sorry we can't work with people outside of the US. Medical licensing is challenging enough within the borders of the US. Going outside of them creates an entirely different set of challenges!
Hi - 56-year-old male diagnosed with osteoporosis 2 years ago. The endocrinologist chose not to use time-limited drugs and put me on testosterone therapy. I've had an eating disorder for decades and the doctor determined osteoporosis was due to the fact that poor nutrition from adolescence caused the osteoporosis. my 2 years DEXA showed no improvement from the first, but no worse either. However, 6 weeks ago I fractured my L4. I am active and athletic and this is a huge downer for me. I am hoping for pharmaceuticals when I see the doctor this week - but looking for additional opinions..
Oooh, sorry to hear that! I’m surprised that your doc considered testosterone! Love the idea but obviously wasn’t enough. Good component though. For more info, consider our free masterclass. We will review additional options. Also, pick up our book!
@@Dr_DougLucas thanks., She didn't consider testosterone - she told me to "drink more milk and don't fall". I insisted on it - if she wasn't going to give me more potent drugs - and she finally agreed
Hi Dr Doug, thanks for your time and effort. Just found this channel after recently being diagnosed with Osteoporosis. I’m 55 post menopause with some strange scores. I’m -1.8 on my left hip and -5.1 on my right hip, -2.9 L1-L4. Is there any reason you know of, why such a disparity would occur between both hips? And what kind of pull back can I expect from a score like this, best case scenario. Not happy about taking drugs, but not sure I’ve much option. Been told to do no exercise except walk until I see a specialist. I’m pretty active and not sure that as wrapping myself in cotton wool will be good for me either. Any advice is very welcome. Thanks :)
Hi there. Yes, we see that not infrequently. When we do I recommend a retest. Without a reason, injury, surgery physical disability there is no reason for the discrepancy other than error, machine or operator. Osteoporosis is a systemic disease. We also will switch people to REMS when available. This seems to be more consistent even when repeat DEXA shows the same discrepancy.
My Dr won't even prescribe vit k on the NHS. They don't do the other TBS test that you previously mentioned and they won't put me on hrt because of the risk of cancer. Wish I had the money to have a consult with you. They want to put me on bisphophonates and when I q her about the risks she backtracked and said oh well we can't give you them without visiting a dentist first as bad teeth are the cause of it affecting the jaw. Im at a loss now as to what to do. The NHS hasn't got a clue.
I completely understand, thank you for sharing this. It sounds like our free Bone Foundations masterclass session would be the next best step for you, checkout the details on this page. You can also register here as well -->www.optimalbonehealth.com/bone-foundations-master-class
Hello, We offer programs that are 12 months in length. I don't mind if some of the tests have already been completed. We will repeat them anyway. It's great to have more than 1 data point for each of these results.
Me and my children aged6 and 13 have developed degeneration of temple bones on the sides and our chin is receeding plus becoming shorter the whole skull is decreasing in size .what to do kindly help.
Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about them as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan
I'm 76, lumpectomy for breast cancer 1/23, DEXA scan 2/9/23 with T score of -2.5, completed 6 wk of radiation 3/29/23, Rheumatology Clinic offered only pharmaceutical answers. This obviously impacts taking Tamoxifin or Aromatase inhibitors. I'm so frustrated. I've exercised for years, weight bearing exercises, walking 10,000 - 15,000 steps 5x/ wk, taken C and D3 for years, BMI is about 27.1. I'm looking at your video with a lot of hope. How can I help myself.
Hi Jayne, This is definitely a challenge. Tamoxifen effectively removes estrogen from cell signaling which reliably increases osteoclast function. This is a scenario in my patient population where matching pharmaceuticals may be an option if you can't hold back bone loss with natural methods. I wish there were a better way but you have to pick your biggest battle and right now it's probably breast cancer over bone health. We work with people in this situation and it's always a challenging conversation. There is hope but some options are limited.
Thank you Doctor for the best information I diagnose for osteoporosis it’s -3.2 and my doctor didn’t find the cause he gives me medication but that medication have more side affects because I have a acid reflux and inflammation on my esophagus and stomach. Please help me and I am living in San Diego.
Hello, I'm licensed in CA. We can help in one of 3 ways. First is free masterclass for you to sign up for in the description of our videos. Second is our DIY program which is nearing completion. Third is our full service program. Call our office for more information about the last two (828) 552-5515 or we will see in our masterclass.
I am diagnosed with steroid-induced osteoporosis after taking Prednisone long-term for ulcerative colitis. You mentioned a link between gut health and bone loss. Where can I learn more about that? Thank you for the informative video.
HI Doug. Bummer to hear about your UC. Steroids are a major risk factor in osteoporosis development for some. Celia, Crohn's and UC all can lead to significant gut dysfunction and immune dysfunction which will impact your bones. In addition prednisone directly causes bone loss. I suggest you reach out to our team at Optimal Human Health. www.optimalhumanhealth.com We run two companies in parallel and Optimal Human Health is the program that would directly address your UC in addition to your bones. Good news is prednisone induced osteoporosis can be reversed quickly (relatively) as long as we get to the root of the problem (your gut).
Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan
@@Dr_DougLucas I would love to join, but can't afford the monthly fee at this time. Is there a way to get a discount or something? I'm seriously pinched right now, can't find work, even on food stamps! UGH! I love and appreciate all you are doing with your videos and am watching them all! Thank you!
My osteoporosis was from a parathyroid that went haywire. Normal range is less than 70 and mine was 447. That single gland of the 4 was removed as well as my entire thyroid when they also found it to be cancerous. Now my pth levels are good but my dexa shows -3.5 for right hip. Can diet and supplement bring back bone density since the problem was from parathyroid, not life in general, or do I need to take pharmaceuticals?
Hi! Thank you for sharing this. Unfortunately I cannot provide specific recommendations like this through youtube. Checkout our next masterclass or health span nation! The free bone foundations course may be beneficial to you as well. All links are in the description of this video :)
Do you have some preferred vitamins that you recommend? I'm 56, post menopause for over 10 years, have osteoporosis. Have been recommended to take prolia. I'm don't think I want to take this.
We discuss supplements often so keep looking at our videos. Creating the custom supplement list requires in depth knowledge of medical history and bio markers. This is what we do in our programs.
Hi Dr Doug I am on 125 mg of thyroxine for under active thyroid and have been for over 30 years. I was diagnosed with OS 2 years ago and have attended Pilates classes 2 times a week. I do weights at home too and walk a lot. I. Know my medication affects bone and want to know whether going onto DEssicated pigs thyroid would make any difference to my bone health. All my Drs offer is AAcid which I don’t want to have. I am 76 and quite active for my age. Thank you
Checkout our masterclass or health span nation if you have not. We are able answer more specific questions through those platforms. Links for both of those are in the video description :)
HI Susan, Some may be fighting. Most are too busy treating patients. The issues with the insurance industry run deep. If we wanted to we could contract with insurance companies to get reimbursed for our services. The problem is they see our services worth pennies and no business can stay open with that level of reimbursement. That's why most of use a cash pay system. To evolve our system to medicine 3.0 it's going to take more than better insurance coverage. It's going to take a complete overhaul. I'm not optimistic that it's possible without a two tiered system of care. I think the level of care we provide will always require an investment from the patient. The question is what's the value to the patient? What's it worth? What's the cost of inaction?
And how much is your yearly income? There are a lot of people just trying to put food on the table and a roof over their family's head. More compassion, less snarkyness please.
@@sdw1103 My income is irrelevant to the care I provide and has nothing to do with the topic you are asking about. If you don't like my tone and demeanor you are welcome to get your free information elsewhere. I am who I am and the vast majority of my listeners show gratitude for the hours and resources we put into this channel. You don't know anything about me, my struggles, my resources or what I've gone through to offer these services to my patients.
I had a gastric bypass roux y, 21 yrs old. Now I am 65 and have been dx with osteoporosis. I have always been very active and do not look or act my age. I have started to fix my gut, because for years I suffer with chronic diarrhea. What should I do next?
Hi Rosie, That's a complex question. Gastric bypass is not considered a clear risk factor for osteoporosis due to the absorption issues. Understanding what you are deficient in and what could be done through supplementation would be a great starting point. Consider joining our masterclass or look at our programs to help you determine how to get these studies done.
Dr Lucas is it possible to reverse osteoporosis if you are taking omeprazole 40 mg? .I know these meds cause bone loss. All my blood test are normal.i need to keep taking this meds because I have barrets esophagus..
Hi there. Yes, it is possible. Barretts is one of those situations we discuss that requires continued PPI in my opinion. It just means we need to pull other levers harder.
Checkout our masterclass or health span nation if you have not. We are able answer more specific questions through those platforms. Links for both of those are in the video description :)
There is definitely a genetic component but we don’t know exactly where or how significant the impact is. Genetics is only one part of the puzzle but one you will definitely need to overcome!
I’m an 80 year old woman who is active daily with yoga ((5 days), walking my dog 30 to 45 min/day. I’m trying to increase weight lifting but feel I don’t make the progress Zi should because of low hormones. I’d like to take bio 7 hormones to deal with sarcopenia. Am I too old?
Your activity levels sound great! I can't give personalized medical advice on UA-cam. But I will say that with all of our patients, we have a discussion of risk vs benefits for bio identical hormones and assess this alongside lab values and history to determine if appropriate for that specific individual.
I am 42 and I have osteoporosis, the urine test showed that I have excess calcium loss through urine and she prescribed me Hidrochlorotiazide. But this drug had many side effects for me. What is your recommendation for this situation. Please help me. I am in Canada.
Hello Golnoosh, I can't give you direct recommendations but treating high urinary calcium with a potassium sparing diuretic seems very much like treating a symptom. That would have no impact on your bones but may make your labs look better. I'm not familiar with and wouldn't use this technique in my own practice. Instead I would recommend my patients explore WHY they are losing bone and correct those issues. Urinary calcium loss may be a sign of bone loss or secondary cause of bone loss but not necessarily and in general we have stopped using it because urinary calcium loss in the face of adequate calcium intake is NOT associated with bone loss. Consider watching our free master class and reaching out to our team for resources we can offer over international lines. I cannot treat patients internationally but we can direct people to resources available to them.
Hi C, Absolutely, and if you haven’t been tested you should do so immediately. Let your health care team know what symptoms you are having and get that under control urgently.
Hi. I just don't want to take these horrible medicine,only just have the start of it but if I just do diet supplements, exercise will i still loose and get worse.I could give it a try. Do you think I should.Thank you
It depends on your situation. I would encourage you to get a better grasp on your causes of bone loss and if they can be improved or reversed. Consider a self directed or full service program if you can.
HI! how can I find out my ideal metabolic function? also what is the best and most complete test that I should do to find out the causes of my Osteopenia? Since my mom and my sister have Osteoporosis, and I have begin of Osteopenia what you suggest as the best and complete test?
Hello, The best tests are going to be individual and requires an in depth intake to determine. With numerous causes of bone loss there is not one test to recommend.
Hi Dr Doug, thanks for your time and effort. Just found this channel after recently being diagnosed with Osteoporosis. I’m 55 post menopause with some strange scores. I’m -1.8 on my left hip and -5.1 on my right hip, -2.9 L1-L4. Is there any reason you know of, why such a disparity would occur between both hips? And what kind of pull back can I expect from a score like this, best case scenario. Not happy about taking drugs, but not sure I’ve much option. Been told to do no exercise except walk until I see a specialist. I’m pretty active and not sure that as wrapping myself in cotton wool will be good for me either. Any advice is very welcome. Thanks :)
@@user-rx9jd1fu4s Hi there. Welcome to our group! It's wonderful. When we see scores like this I often feel there's an error somewhere. Unless you are non weight bearing on one leg there is no reason to see decreased bone density on one side to that extreme. I would repeat the study or use a REMS. As far as what to do at 55 you likely have many options rather than drug therapy. Consider our resources of free masterclass, bone foundations course or HealthSpanNation. All available from drdouglucas.com
Iam a female, 65 years old. In 2015, while carrying some weight, my 8th bone was broken. Dexascan showed-4.46. So for 1& a half year I took terrifrac injection. Afterwards dexa scan showed -4.3. Again afterwards in 2019, I felt back ache and difficulty in getting up from bed , Dr said to take Denosumab injection. Fro 2019 July onwards Iam taking this injection. Going to be 4 years now. Can I stop this injection now Dr. Iam in India.
Hello, I can't give specific medical advice but in general to stop Prolia (Denosumab) you have to have a comprehensive plan to limit the bone loss that is expected. Even with that approach bone loss is expected. My patients with severe osteoporosis and multiple fractures may meet criteria to continue pharmaceuticals depending on other factors. Wishing you the best on your journey.
K2 as MK7 is a great supplement as it's hard to get in food. We use a product that has 300mcg of K2 and all Trans MK7. There are many products on the market using the cis form which is not functional in the body. K2 is great for aiding in calcium distribution to bones and away from arteries. It also accelerates vit D function. I like fermented foods too for other reasons!
Hi Dr. Lucas, I find your videos extremely helpful. Two months ago, my first bone scan showed I have -4.4 in the spine and -2.9/2.8 in the hips. I'm over 65 and weigh well under 120. I had a thyroidectomy. Both my mother and grandmother had osteoporosis. If I do everything right: exercise, diet, supplements, less stress, and more sleep, do you think it's possible to improve my scores without pharmaceuticals? My endo recommends Evenity or Reclast, but I'm very reluctant. Thanks!
Hello, I’m glad you are finding them helpful. Is it possible for you to improve bone density and quality without pharmaceutics? Yes, however the question of is that is the right move for you depends on a few additional factors and your labs. Our goal is to prevent fracture. T score is part of that equation but there are several more factors. I would want to pull as many levers as possible for someone in your position!!
@@Dr_DougLucas Thanks so much for your reply. I want to do my best with this. I live in a small community and don't think such tests as the REM would be available and have no clue if my endo ordered all of the needed labs. Would you be willing to provide a small hint as to the general cost of a membership?
@@omalwaysom5868 The cost depends on your situation so you’ll have to call our office to find out what’s right for you. You can reach our yes team at (828) 552-5515. Look forward to hearing from you.
Hi Kathie, If you are in the United States we aren't aware of anyone like me. I created Optimal Bone Health as a company because of the urgent need to create a place where a comprehensive approach to bone health can be built and customized for each unique set of patient needs. I see people trying to piece together different providers and approaches but that puts the responsibility of research on the patient which is unrealistic for nearly everyone!
@@Dr_DougLucas I need you but I probably won't be able to afford you!I am 71 yrs young diagnosed with severe osteoporosis due to a medication I was given years ago was not supposed to take for a long period of time but was never told to stop!Thru research I found that was the culprit+& quit it!Since then I have been trying everything natural so I can avoid the medication the doctors are trying to shove down my throat!But still they say it's bad!And the only slight improvement in my last dexa was because I have osteoarthritis now!
Kathie, Reach out to our team through our website www.optimalbonehealth.com and we can see how we can help you. We are creating programs with different price points and may have one that fits your needs. I look forward to hearing from you.
Thyroid medication when dosed properly should not negatively impact bone health. We monitor blood levels of thyroid hormone for everyone but especially for patients on replacement so that we don't inadvertently drive their levels up too much and negatively impact their bone.
@Dr Doug Lucas I've bern taking thyroid for 15 years. I'm now 61 and just had my first DEXA scan because I've developed near chronic back pain. (My husband insisted on it after he fractured two vertebra attempting to get out of the water on a slalom ski, basically water pressure, and after he asked for scan, discovered he is osteoporitic.) I knew I was at some risk because my mom and grandma both had OP, and I had earlyish menopause, but I also have done weight bearing exercise since forever, running or walking, plus weight training (though not as consistently,) and compared to my mom, I'm chubby. So I was shocked to learn my lumbar t-score was -4.6, and hip -3.3/3 5. I immediately jumped to the thyroid supplementation, but you say if "properly dosed" it shouldn't be an issue. Presumably I've been properly dosed based on yearly blood tests, but...almost as soon as I started taking it, I started having heart palpitations, which I now know are PVCs. I didn't want to say anything then because I felt so much better after months of feeling like I was walking under water, but it did make me wonder if there was a connection. Can a dose be too high yet not show as too high on blood work? I know, you're not an endocrinologist, and I should probably see one, but the one I contacted can't see me for like 6 months. 😞
@@Dr_DougLucas what do you consider a good level of TSH? Is 1.0 too low? that's where my ND has wanted it as to not stimulate growth of thyroid cysts I was told. I was on 3/4 grain of Wp thyroid for years until no longer available. Now 1/4 grain of amour is sufficient (lowest dose). Been taking thyroid natural since 2015. Now at age 61 discovered I have osteoporosis despite exercise daily.
@@selma5885 Hello, TSH of 1.0 - 2.0 are our optimal levels as well. At this level research supports that bone health should not be impacted negatively. I would recommend looking for alternative causes of bone loss.
@@Dr_DougLucas Thank you so much. It's a mystery as I've done all the other "right" things, but no hormone therapy at menopause due to endometriosis which then went into remission at menopause. I am small frame and have been very thin at times on various healing diets for chronic illness issues/fibro like blood type diet, high raw vegan for a couple of years, then settled on gf/df mediterranean diet. My weight over the years has fluctuated from 110- to now 140 which is high end of normal BMI for my height of 5ft 4 inc. I'm 61 and have been in menopause since beginning of 2017,
Hi Lori, Evidence is convincing that thy are a helpful modality! Marodyne Liv products are designed specifically for bone health. Expensive but if you have the resources could be a good home option!
Hello doctor, can you advise me about having osteoporosis and drinking lots of green tea with lemon juice? I eat well, I believe, meats and veggies, avoid sugar and grains, most of the time. Take vitamine D-1000 iu, vitamine K2 mk7-90mcg, zinc-30mg, cod liver oil also sometimes. I dont drink alcool, but I do not like water, that's why I drink tea and lemon. Thank you for your videos.
Hi there. We can’t give specific advice on this platform but all of the things you mentioned can be part of a comprehensive program. Figuring out what’s right for a specific person requires gathering a lot of data, biomarkers and creating a custom program.
I just got diagnosed with an Osteoporosis Bonetensity score of -2.6 on my femur bone and a little bit of Osteopenia on my hip and spine. My doc wanted to put me on Enevity followed by Prolia for life ... he does not believe in Fosamax. I am 65 and on my husband's group insurance which kind of protected me from starting the treatment (insurance won't pay) without having a big discussion with my doc. His argument: he has a 99-year-old female patient who does really well on this treatment. I thought that is a really fun way to compare it to me ... she probably doesn't even have teeth anymore and does not have to worry about dental problems, lol.
Hello, This is a very common scenario. At lease your doc is using newer drugs and not Fosamax. However, it does'nt sound like there has been a discussion of WHY you are losing bone, HOW to stop that bone loss and natural ways to improve your bone quality. There are likely alternatives to consider.
@@Dr_DougLucas Thanks for taking the time doc. I appreciate that. No, he did not give me any ideas on how to try to improve my bone health. I do work out on a regular basis and do not have too many "bad" habits regarding eating or substance. My mom was on for while on Fosamax when that was the only option but she did not like it and stopped. She never had a break at all. My sister has pretty bad numbers on the bone scan but her health isn't as good as mine. I am not too worried about my bones but keep an eye on my future numbers and made some adjustments to my diet and my workout regimens.
That’s an easy on to do on your own. RBC Mag. Alternatively for those that don’t have it we know that most of us need supplementation. Question is how much.
Fasting is a great tool for many things. There is value for weight loss, longevity and more. However, if you push your fasting window to the required therapeutic dose for those mentioned items it becomes difficult to hit the primary goal of diet for bone health. Getting adequate protein requires more than 2 meals per day. So, you have to clearly define your goals and adjust accordingly. Very unique to each patient!
I am on hormone blockers for treatment of breast cancer. I cannot do HRT. I am going to have to rely on supplements and exercise. I do not want a pharmaceutical solution.
Hormone optimization is a risk/benefit conversation for everyone. It's a great tool when you can use it but for many the potential risks may prevent it as an option. There are many other tools to consider.
@Dr Doug Lucas When I went on hormones briefly, not for bone health (though I knew there was some benefit to bones, they just weren't on my radar at that time,) but for energy/improved quality of life, and I think, more dollars for the guy who prescribed/administered them, I definitely had a wild ride. He utilized the patch for delivery of testosterone and estrogen, a cream for progesterone. I definitely could tell a difference in energy and strength, but also started growing more facial hair, had acne, was angry and thought about sex all the time (approximately 8 years postmenopausal.) Four or six months later, whenever the next patch came, he agreed to reduce testosterone, which left me with very lumpy breasts, back to normal energy, and my husband was way more irritating. The lumpy breasts made me nervous so I just said no to a third round. About two months after the patch was supposedly no longer delivering the product, I started to bleed, not heavily, but daily. I kept thinking surely it will stop on its own at some point, but it didn't, and finally I broke down, went to see an ob-gyn. (A naturopath had suggested hormones, was managing my hypothyroidism at that time.) It was incredibly awkward, particularly when the ob-gyn, who appeared about 14 years old, was literally clueless. Sure, she was young but this isn't something they teach as a possible side effect of HRT ? After a biopsy, she agreed I was probably right, the HRT had bumped me into more of a perimenopausal state, but 6 months of even light menstrual bleeding is...not great? 1 D&C later, which worked, I...wonder why that happened. Lots of things seem to happen to me, though, and that's part of why I'm not super excited to start another regimen of medical intervention, even though I am in pain pretty much 24/7, (though thankfully, it's mostly a dull ache that I barely notice if I'm sitting now.) *Yes this is the continuation of another comment, but just because there's so much I have been ignorant of, I'm throwing out my hormone story, in case it ... provokes a question/discussion for someone else. Too late for me to try to get THAT right.
@@cindylutz7442 Thank you for sharing. Your story is not uncommon, unfortunately. Because hormone replacement has been largely ignored by the traditional medical model the demand has been met by providers with various levels of training that exist outside of traditional care. This can be a good thing but with hormones I see a lot of what I would consider mismanagement. I can't give you direct advice but I can tell you based on your experience that your levels of testosterone were probably too high and your estrogen was not adequately balanced by the progesterone cream resulting in hypertrophy of breast tissue and endometrial tissue leading to the D&C. So, failure to test and dose appropriately led to you stopping the hormones which could have had other benefits. Your thyroid question is more simple. You simply need a comprehensive test to evaluate blood levels on replacement. This can be done by endocrinology or primary care. It sounds like you would be a great candidate to work with us too. If you'd like to learn more had to our website at www.optimalbonehealth.com and click on the schedule a consult link to meet with a team member to discuss your case!
I previously commented on a prolia shot I was given without any info from my doctor and got a response that you were sorry I was not satisfied with my doctors style. Style? Style is how you decorate your house and yard, Style is how you dress, Style is something you can stop and change at any point, Style is not invasive, Style cannot dissolve or break your jaw and bones, Style does not stop your body cells from building more bone Style does not stay with you for years after you quit. STYLE?
Hi Carole, Clearly that comment didn't sit well. Please remember we are all human and how we treat people can be described in many ways. I always consider medical practice an art and yes there is a "style" to how clinicians discuss management with patients. It's how I choose to describe it. I'm sorry you don't like it.
Hi! My Dr recently diagnosed me with moderate osteoporosis -2.5 and discussed options for pharmaceuticals. A retired Dr. friend used the Frax risk assessment to determine if moderate cases required pharmaceuticals or if the practices you talked about in this video would help. I suspect I may have a gut health problem due to other medications I am on such as carbemazepine. I am frequently nauseous. I live in Canada and currently we have a shortage of family physicians so they seldom have the time/opportunity to really explore root cause other than vitamin D and calcium bloodwork along with regular bloodwork. You have given me some good suggestion Re parathyroid and exploring gut health. Any suggestions on how to approach my Dr to explore root cause, which is time consuming work she may not be paid for? She does care about me but our family physicians are stretched to the limit. Our national health care system is based on the 1960s and does not reflect the changes over the past years for family doctors due to aging populations and a great deal more administrative and “after-hours” work. Some provinces are experimenting with primary care teams but our province is not very progressive. I recognize my Dr works very hard and cares a great deal so how do I approach getting to root cause with her? I am learning so much from you.
I’m glad you’re having a good experience with the channel! Unfortunately, exploring the root cause it’s not done in the traditional medical model, regardless of the country. If you haven’t already, considering joining our free master class, where we talk about all of the things that you are interested in.
Dr. Doug- First timer here - but can't help but ADMIRE that you actually take the time, and respond to human beings with thoughts and emotions, and real life dilemmas. High praise to YOU, for showing the essential respect that we all deserve. I will be watching and listening for my wife - Cheers and regards, Richard
Thank you. Our mission has two primary points. Providing world class service to our patients and educating broadly through digital and in person avenues. Thanks for your kind words.
😢😢😢 I am losing my bone density … my level is -3.3 and I don’t want more pharmaceuticals treatments anymore…
Discuss Fosamax - quite leery of
Evening, I’m 58, semi retired and last fall I was dx with osteoporosis. Two months later my husband (M.D.) moved me from Alaska and to Arizona. My grandkids are here in AZ. Always a plus. Yes, osteoporosis can be reversed. I’m doing this thru diet, supplements, weight bearing exercises, weight vest and vibration plate. I’ve lost 12# in 6 months. I had a dexa scan in May 2023. It was the best news! I was worried that all this hard work was for nothing. It wasn’t much of an improvement, about 2% in 6 months.
I just wanted to thank you for your videos and advice. I watched them almost daily. I did watch other educational channels. Please keep the videos coming! Thanks again!!
Thank you for sharing!
massive w be praying for people like u keep the hard work up
Thanks so much for all the really precious information! Why did you say that peptides should be prescribed? I've been taking 5 gr of hydrolized grass-fed cow peptides every day for a week now. I could not find those I was looking for (the very good ones used in a famous study that you mentioned in one of your videos) but I think they are pretty good quality.
@@davidakin3840 Thank you!
@@PatriziaMarani Peptides are a broad category of both prescription and OTC products. I'll do more videos on the prescription options soon.
I am currently working with Dr. Doug and I love that he and his team get to the ROOT CAUSE instead of just handing out meds with side effects that will likely cause even more problems. Identify, Heal, and then FIGHT! 💥💥💥
Thanks Robyn! You are a lot of fun to work with :) 😬
@@Dr_DougLucas That means a lot 🙏 You guys are the BEST and thanks to you and your impressive team, I know every day I’m getting healthier and stronger and better… 🎉👌🏻 💪🏻🤍
Where does he practice? I need to see him too
@@aemami7698 Dr. Doug is based in NC but he does everything virtually. He and his team have a private app and all tests/labs are conveniently sent to the house and then we have a follow up appt to discuss results and treatment. We are not in the same state. It’s not an issue. He’s the best.
Great! Are you willing to share your T-score changes?
This video is straight to the point, very informative and helpful. I love that you mentioned the importance of sleep, nutrition, exercise and stress levels. I have Osteoporosis and im learning a lot. Thank you 😊
Thank you for watching! Glad it's been helpful.
Thank you for mentioning possible hyperparathyroid disease! I have suffered for over two years with it and finally got diagnosed. Even then, the endocrinologist I was sent to had out of date information and was dragging out the diagnosis and tests. I educated myself and found out what I needed and got it! Thank God for the great endocrine surgeons at Washington University.
That's wonderful. Glad you got what you needed.
@@Dr_DougLucas I'll be coming back immediately after surgery to start building bone. Do you have any books or articles that I can recommend to my doctor? He says he's a osteoporosis expert, but he's pushing bisphosphonates!
@@TheresaGraf My new book will be available in a few months. Keep an eye out!
@@Dr_DougLucas I can hardly wait! As soon as I have my surgery, I'm coming to YOU for advice. My primary care doctor just pushes bisphosphonates and calls himself an expert on osteoporosis. What a joke! Thank God for decent doctors who do the investigation and keep their continuing education up to date!
@@TheresaGraf See you soon. Wishing you the best on your surgery!
1/14/23, 1pm EST, what baffles me about all the osteoporosis videos I’ve watched given by Physical Therapists & MD’s is that no one mentions gastric bypass RNY surgery & malabsorption as causing Osteoporosis. They talk about scary drug treatments or supplements & excercises. People who’ve had the RNY & other gastric bypass surgeries cannot take oral bone meds & from what I’ve read, these drugs have serious consequences & can’t be taken forever.
Gastric bypass surgery (especially Roux En Y (RNY)) is a known risk factor for malabsorption which puts you at risk for osteoporosis. This isn't discussed often. Bariatric surgery doesn't seem to get much criticism but in my opinion should be avoided. My work with PHD Weight Loss and Dr Ashley Lucas (The Doctor Ashley Show) proved to me that there is an efficient way to lose weight for nearly everyone.
@@Dr_DougLucas I never knew malabsorption is a risk for Osteoporosis.
I was never told this.
@debbiec6216 I had a gastric bypass in the early 2000's and it wasn't mentioned it was STRESSED you take a multi-vit though and of course eat a high protein low carb diet I did wht was recommended and lost 250lbs I'm a nurse was a nurse at time of surgery and would have followed any directions I was diagnosed later with hyper parathyroid syndrome which is ANOTHER Mal absorption disorder so I NOW had 2 things going tht reached calcium out of my bones they were 96 when I was 40 taking oral calcium is not working so I have to use 1 of the yearly infusions offered by endocrinologist to treat osteoporosis hopefully keep it at bay I wish you the best on your journey
Thank you, awesome content! Could you speak more on hormone therapy? What are the pros and cons? What factors make someone a candidate or not for hormonal therapy in aiding osteoporosis?
Coming up soon! Sign up for notifications so you know when it comes out.
Thanks for that video! I’m a 36 YO woman who’s been diagnosed with osteoporosis when I was 25 due to a long eating disorder and sports addiction resulting in female athlete triad. I successfully took Rocaltrol for a few years but had to stop last year because of secondary hyperthyroidism. I’ve just started teriparatide injections. Would love to hear more about osteoporosis in pre menopausal women! It’s very hard to find anything useful. Thank you so much in advance.
Thank you for the feedback! I appreciate you sharing your story
Thanks, just diagnosed yesterday and am on the path to taking action through enlightenment
.
Thank you for watching!
Excellent information!. As a petite 71 year old, and watching my mother shrink to the point of her ribs sitting on her pelvis, I'm desperate to maintain my bones. I lift heavy weights, walk, take supplements and try to eat right. I would love to hear to speak about Thyroid medicine and bone loss. I believe that is a double edge sword, you need it, but it causes damaging side affects. Why can't a thyroid medicine be made that doesn't damage bones? I would love to hear a whole segment on that. Also, please do a segment on Calcium. Not all calcium is created equal and it is important to know which one to look for at the store. Thank you! My husband has horrible osteoporosis from beer, cigarettes and not eating right, I'm trying to help him too. He is taking Prolia and I'm very concerned for his thigh bones, plus, he has had horrific heartburn since starting it.
Hi Kathy,
Sorry to hear your concern and struggles.
Thyroid medication delivered at optimized doses based on extensive blood panels should not negatively impact bone health.
Take a look at our calcium videos by searching Dr Doug Lucas and Calcium. We have a few different videos on this topic.
Lastly, Prolia video is coming in the next few weeks. Make sure you are subscribed and signed up for notifications.
Believe it or not, it isn't the beer that caused your husband's osteoporosis; beer actually strengthens bones! IPA style beer is the best for it.
I was supposedly treated by two unrelated endochronoligists who simply prescribed a drug that does not build bone. Neither had any interest in identifing the cause let alone treating the cause. Dr Lucas is the first to talk about actually treating osteoporosis.
Thank you for your praise. That is our approach. Looking for the causes of bone loss and subsequently reverse those causes and create a comprehensive plan to improve bone health.
Seeking proper treatment for osteoporosis can often feel like being in the Wild, Wild West! After my diagnosis a year ago, I realized that I needed to be my own advocate by educating myself. I am very much in synch with your sensible approach!
Thank you for your support.@@patriciapatterson1441
Thank you for your videos. I would love it if you could do a video on osteoporosis in younger (50ish) men
So glad to have found you.
Hi Markus,
See my other comment. Most common areas to look at in younger men are testosterone and gut health.
@@Dr_DougLucas I was tested for everything incl gluten allergies and nothing was found. Thank you for your response
@@markusgumbmann188 Hmmm, something is causing bone loss. May want to look deeper.
@@Dr_DougLucas do you take patients from Canada. I’m desperately trying to find a really good specialist
@@markusgumbmann188 Currently we have put all international opportunities on hold BUT you can enroll in an opportunity to engage with our HealthSpan Nation. You can sign up for that waitlist here: www.optimalhumanhealth.com/healthspannation
Great info! I was wondering what your thoughts are for using strontium citrate? I"m aware of the controversy around strontium ranelate in the EU and concerns regarding increased cardiovascular disease risk. Is this applicable to the citrate formulations of strontium in the US? If it is safe is it effective?
Hi Paul. Strontium citrate has not shown the same risks as ranelate in studies I've read. It is used in combination with other supplements like VIt D/Ca/K with beneficial results in intervention trials. I offer it to patients as part of their stack but let them choose. Many people don't want to take it and I don't think it's necessary for success. It can also have an impact of DEXA follow up which I'm not concerned about but has to be taken into consideration.
Enjoying your videos. I have severe asthma unfortunately in 70s n early 80s treatment was steroids. Then as a nurse I hurt my back. TX? Steroids! Double whammy. Followed by early hysterectomy. Noone warmed me the damage. After 40 plus yrs I've just got off steroids! But severe osteoporosis 😢 videos were confusing can I exercise, what supplements to take. Thanks for information, I will keep trying and learning. Question. I have PATs , I read k2 is a no no?
My scores put me at high risk on my back, femur moderate. I don’t want to take pharmaceuticals. I want to address this with exercise, nutrition, HRT first. But I’m scared what if I continue losing bone density or of I have a fracture. My doctor just started doing testing. Everything is normal so far. Not knowing what is causing my bones to deteriorate is so frustrating. There has to be a reason why my body is doing this…😞
Thank you so much for sharing all of this. It sounds like you could benefit from the next free Bone Foundations Masterclass we have coming up if you have not attended one before. You can find more information here --> www.optimalbonehealth.com/build-bone
Comprehensive treatment for osteoporosis.
That's the key!
Will you be offering another master class as the one mentioned has already taken place? In addition do you know if intermittent fasting is helpful or not for osteoporosis? Thanks for your informational videos!
Hi Janice,
Yes, we offer the master class on a rolling basis and my team will update the links as soon as they are available.
I love fasting as a tool for weight loss and diabetes but for osteoporosis I find it prevents optimal protein consumption. So, when my patient's primary problem is bone health I don't recommend fasting.
@@Dr_DougLucas Hello Dr Doug, I read the comment above and you said, you don't recommend "fasting" ?
I have Osteoporosis and Osteopenia, both. And I need knee replacement surgery.
And then my Orthopedic doctor said I might have to have a Hip replacement.
As far as Gut health issues, I have Gerd, Gastritis, Erosion Esophagus.
Low stomach acid, Hiatal hernia ( If I wasn't so proactive and ask for "EGD" test , every 6 months,
I would never know, I had it ). Other words, I caught it early.
I am dealing with a lot of health issues and not a day , that doesn't
go by, I am researching on all my health issues.
I visit my M.D. and other specialists for any health issues, I have.
I know there's a lot of information here. I exercise daily too, "low bearing" !!
I just want your opinion, what kind of supplements to take , for the bones.
Thank you for your help. I do appreciate it. Debbie
Hello, thank you very much for this information. I am learning a lot but I must say I am a little overwhelmed by all the information out…
I have been diagnosed with osteoporosis-osteopenia following check up for breast cancer (removed and followed by hormonothérapie )
I wonder if you have a specific video about hormonothérapie and osteoporosis and how they work (or not) together.
Many thanks
Martine
Hi! Checkout my video called "Hormone Replacement, Estrogen and Osteoporosis: Fear and Hope". This may be beneficial to you.
Great info!
Glad it was helpful!
My doctor won’t prescribe estrogen for me because I am more than 10 years past menopause and the medical establishment, going on outdated studies, thinks it’s too risky for a woman of my age. She did approve of me taking DHEA and bioidentical progesterone cream, so I’m hoping these will help boost my hormones in 6 months when I get retested.
DHEA will help a bit but progesterone cream is not well absorbed and not as good as oral micronized progesterone. I bet she also didn’t suggest testosterone which would likely have benefit as well. Starting women over 10 years out from menopause on estrogen does have risks BUT so does having osteoporosis so a risk/benefit evaluation is required from someone that understands both.
@@Dr_DougLucas
I told her about oral progesterone being better absorbed but she didn’t agree. When I increased the dose it seemed I could feel a boost of energy right after putting it on so I think it’s getting in. She also said that if the DHEA doesn’t boost my testosterone numbers she could prescribe testosterone for me.
Dr.Lucas ,
Thanks for your valuable information. Michael Cummings
Thank you Michael!
Cant wait for master class
We look forward to seeing you there!
How much protein do you recommend daily for someone with osteoporosis? Any recommendations on what kind of supplemental protein is good? (Besides protein from food)
Hi Dan,
I start recommendations at 1g/lb of desired body weight for my patients. The actual number can vary depending on unique circumstances. When patients struggle to get the full amount from whole food sources (which is common) I recommend they add beef isolate or whey protein powders.
@@Dr_DougLucas thanks
How do you see heavy metals as a contributory factor to bone loss? I had high levels of lead, mercury, cadmium and gadolinium diagnosed with an EDTA urine test and have since been having IV EDTA to remove them, which has reduced allergies and other things. Now I've been diagnosed with osteoporosis. Should I continue with the EDTA therapy?
Hi, I can't give advice through this forum. The relationship between metals and bone loss is complicated and requires more information. Generally we will help patients detox as part of their program but again that is specific to their unique situation.
Thank you excellent
I just subscribed.
Glad you enjoyed it!
Fantastic info. Just diagnosed with osteoporosis by one marker. I will take your piramid with me to discuss treatment plan. Thank you.
Let us know how we can help! Have you been to our masterclass yet?
Thank you Dr. Lucas, for your very informative videos. I am intrigued by the vibration plates as a means to increasing my bone health. Do you have content on this topic? And do you have a video about stomping? Or rucking? Do either of these activities fall in the category of weight bearing exercise? Like many of your followers, i prefer to shun pharmaceuticals.
Hi! Checkout a few of my exercise videos, I also have a video on weighted vest called, "Weight Vests for Osteoporosis? Do They Really Build Bone?"
@@Dr_DougLucas Thank you for your helpful information.
would have loved to join the free masterclass and february 16th, but 1pm is 1am in thailand, where I live. And apparently, one needs also to be in the usa to apply for membership...
Hi there. I'm sorry we can't work with people outside of the US. Medical licensing is challenging enough within the borders of the US. Going outside of them creates an entirely different set of challenges!
Glad I found you 😊
We're happy you are here.
Glad I found you too. I hope it is not too late to reverse bone loss for me at 75! Dr. Lucas, I appreciate your info and education on bone health. 😊
Thank you so much for your support!@@chantellucky4565
Hi - 56-year-old male diagnosed with osteoporosis 2 years ago. The endocrinologist chose not to use time-limited drugs and put me on testosterone therapy. I've had an eating disorder for decades and the doctor determined osteoporosis was due to the fact that poor nutrition from adolescence caused the osteoporosis. my 2 years DEXA showed no improvement from the first, but no worse either. However, 6 weeks ago I fractured my L4. I am active and athletic and this is a huge downer for me. I am hoping for pharmaceuticals when I see the doctor this week - but looking for additional opinions..
Oooh, sorry to hear that!
I’m surprised that your doc considered testosterone! Love the idea but obviously wasn’t enough. Good component though.
For more info, consider our free masterclass. We will review additional options.
Also, pick up our book!
@@Dr_DougLucas thanks., She didn't consider testosterone - she told me to "drink more milk and don't fall". I insisted on it - if she wasn't going to give me more potent drugs - and she finally agreed
Hi Dr Doug, thanks for your time and effort. Just found this channel after recently being diagnosed with Osteoporosis. I’m 55 post menopause with some strange scores. I’m -1.8 on my left hip and -5.1 on my right hip, -2.9 L1-L4. Is there any reason you know of, why such a disparity would occur between both hips?
And what kind of pull back can I expect from a score like this, best case scenario. Not happy about taking drugs, but not sure I’ve much option. Been told to do no exercise except walk until I see a specialist. I’m pretty active and not sure that as wrapping myself in cotton wool will be good for me either. Any advice is very welcome.
Thanks :)
Hi there. Yes, we see that not infrequently. When we do I recommend a retest. Without a reason, injury, surgery physical disability there is no reason for the discrepancy other than error, machine or operator. Osteoporosis is a systemic disease. We also will switch people to REMS when available. This seems to be more consistent even when repeat DEXA shows the same discrepancy.
My Dr won't even prescribe vit k on the NHS. They don't do the other TBS test that you previously mentioned and they won't put me on hrt because of the risk of cancer. Wish I had the money to have a consult with you. They want to put me on bisphophonates and when I q her about the risks she backtracked and said oh well we can't give you them without visiting a dentist first as bad teeth are the cause of it affecting the jaw. Im at a loss now as to what to do. The NHS hasn't got a clue.
I completely understand, thank you for sharing this. It sounds like our free Bone Foundations masterclass session would be the next best step for you, checkout the details on this page. You can also register here as well -->www.optimalbonehealth.com/bone-foundations-master-class
@@Dr_DougLucas I already watched it thank you for putting all this info out. 🙏
Thank you for your support!@@FreeBirdUKVanLife
Thx
Thank you for watching!
Do you only offer monthly programs? I have many of the tests you do just need a Dr that knows what to do with them.
Hello,
We offer programs that are 12 months in length. I don't mind if some of the tests have already been completed. We will repeat them anyway. It's great to have more than 1 data point for each of these results.
Great information!
Thank you Monica.
Me and my children aged6 and 13 have developed degeneration of temple bones on the sides and our chin is receeding plus becoming shorter the whole skull is decreasing in size .what to do kindly help.
Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about them as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan
I'm 76, lumpectomy for breast cancer 1/23, DEXA scan 2/9/23 with T score of -2.5, completed 6 wk of radiation 3/29/23, Rheumatology Clinic offered only pharmaceutical answers. This obviously impacts taking Tamoxifin or Aromatase inhibitors. I'm so frustrated. I've exercised for years, weight bearing exercises, walking 10,000 - 15,000 steps 5x/ wk, taken C and D3 for years, BMI is about 27.1. I'm looking at your video with a lot of hope. How can I help myself.
Hi Jayne,
This is definitely a challenge. Tamoxifen effectively removes estrogen from cell signaling which reliably increases osteoclast function. This is a scenario in my patient population where matching pharmaceuticals may be an option if you can't hold back bone loss with natural methods. I wish there were a better way but you have to pick your biggest battle and right now it's probably breast cancer over bone health. We work with people in this situation and it's always a challenging conversation. There is hope but some options are limited.
Thank you Doctor for the best information
I diagnose for osteoporosis it’s -3.2 and my doctor didn’t find the cause he gives me medication but that medication have more side affects because I have a acid reflux and inflammation on my esophagus and stomach. Please help me and I am living in San Diego.
Hello,
I'm licensed in CA. We can help in one of 3 ways. First is free masterclass for you to sign up for in the description of our videos. Second is our DIY program which is nearing completion. Third is our full service program. Call our office for more information about the last two (828) 552-5515 or we will see in our masterclass.
I am diagnosed with steroid-induced osteoporosis after taking Prednisone long-term for ulcerative colitis. You mentioned a link between gut health and bone loss. Where can I learn more about that? Thank you for the informative video.
HI Doug. Bummer to hear about your UC. Steroids are a major risk factor in osteoporosis development for some. Celia, Crohn's and UC all can lead to significant gut dysfunction and immune dysfunction which will impact your bones. In addition prednisone directly causes bone loss. I suggest you reach out to our team at Optimal Human Health. www.optimalhumanhealth.com We run two companies in parallel and Optimal Human Health is the program that would directly address your UC in addition to your bones. Good news is prednisone induced osteoporosis can be reversed quickly (relatively) as long as we get to the root of the problem (your gut).
Just found out I have severe osteoporosis. Would like to know what supplements to take.
Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan
@@Dr_DougLucas I would love to join, but can't afford the monthly fee at this time. Is there a way to get a discount or something? I'm seriously pinched right now, can't find work, even on food stamps! UGH! I love and appreciate all you are doing with your videos and am watching them all! Thank you!
My osteoporosis was from a parathyroid that went haywire. Normal range is less than 70 and mine was 447. That single gland of the 4 was removed as well as my entire thyroid when they also found it to be cancerous. Now my pth levels are good but my dexa shows -3.5 for right hip. Can diet and supplement bring back bone density since the problem was from parathyroid, not life in general, or do I need to take pharmaceuticals?
Hi! Thank you for sharing this. Unfortunately I cannot provide specific recommendations like this through youtube. Checkout our next masterclass or health span nation! The free bone foundations course may be beneficial to you as well. All links are in the description of this video :)
Do you have some preferred vitamins that you recommend? I'm 56, post menopause for over 10 years, have osteoporosis. Have been recommended to take prolia. I'm don't think I want to take this.
We discuss supplements often so keep looking at our videos. Creating the custom supplement list requires in depth knowledge of medical history and bio markers. This is what we do in our programs.
What are your thoughts on adding peptides and oxytocin as sublaments?
We use those for some patients. They are icing on the cake though. Not the main course.
Where can we see you to get consultatiom ?
Hi, you can meet with our team by using the scheduling link at optimalbonehealth.com! Let me know if you encounter any issues.
Hi Dr Doug I am on 125 mg of thyroxine for under active thyroid and have been for over 30 years. I was diagnosed with OS 2 years ago and have attended Pilates classes 2 times a week. I do weights at home too and walk a lot. I. Know my medication affects bone and want to know whether going onto DEssicated pigs thyroid would make any difference to my bone health. All my Drs offer is AAcid which I don’t want to have. I am 76 and quite active for my age. Thank you
Checkout our masterclass or health span nation if you have not. We are able answer more specific questions through those platforms. Links for both of those are in the video description :)
Insurance won't cover most of this kind of medicine. Are functional medicine doctors actively fight for insurances to cover them?
HI Susan,
Some may be fighting. Most are too busy treating patients.
The issues with the insurance industry run deep. If we wanted to we could contract with insurance companies to get reimbursed for our services. The problem is they see our services worth pennies and no business can stay open with that level of reimbursement. That's why most of use a cash pay system.
To evolve our system to medicine 3.0 it's going to take more than better insurance coverage. It's going to take a complete overhaul. I'm not optimistic that it's possible without a two tiered system of care. I think the level of care we provide will always require an investment from the patient. The question is what's the value to the patient? What's it worth? What's the cost of inaction?
And how much is your yearly income? There are a lot of people just trying to put food on the table and a roof over their family's head. More compassion, less snarkyness please.
@@sdw1103 My income is irrelevant to the care I provide and has nothing to do with the topic you are asking about. If you don't like my tone and demeanor you are welcome to get your free information elsewhere. I am who I am and the vast majority of my listeners show gratitude for the hours and resources we put into this channel. You don't know anything about me, my struggles, my resources or what I've gone through to offer these services to my patients.
Bye.
I had a gastric bypass roux y, 21 yrs old. Now I am 65 and have been dx with osteoporosis. I have always been very active and do not look or act my age. I have started to fix my gut, because for years I suffer with chronic diarrhea. What should I do next?
Hi Rosie,
That's a complex question. Gastric bypass is not considered a clear risk factor for osteoporosis due to the absorption issues. Understanding what you are deficient in and what could be done through supplementation would be a great starting point. Consider joining our masterclass or look at our programs to help you determine how to get these studies done.
Dr Lucas is it possible to reverse osteoporosis if you are taking omeprazole 40 mg? .I know these meds cause bone loss. All my blood test are normal.i need to keep taking this meds because I have barrets esophagus..
Hi there. Yes, it is possible. Barretts is one of those situations we discuss that requires continued PPI in my opinion. It just means we need to pull other levers harder.
Please let us know what are side effect of denozip
Checkout our masterclass or health span nation if you have not. We are able answer more specific questions through those platforms. Links for both of those are in the video description :)
Hi,I was told I had genetic osteoporosis, as do 2 of my children. I was diagnosed at 42, they were 19 and 21. How common is this?
There is definitely a genetic component but we don’t know exactly where or how significant the impact is. Genetics is only one part of the puzzle but one you will definitely need to overcome!
I’m an 80 year old woman who is active daily with yoga ((5 days), walking my dog 30 to 45 min/day. I’m trying to increase weight lifting but feel I don’t make the progress Zi should because of low hormones. I’d like to take bio 7 hormones to deal with sarcopenia. Am I too old?
Your activity levels sound great! I can't give personalized medical advice on UA-cam. But I will say that with all of our patients, we have a discussion of risk vs benefits for bio identical hormones and assess this alongside lab values and history to determine if appropriate for that specific individual.
I am 42 and I have osteoporosis, the urine test showed that I have excess calcium loss through urine and she prescribed me Hidrochlorotiazide. But this drug had many side effects for me. What is your recommendation for this situation. Please help me. I am in Canada.
Hello Golnoosh,
I can't give you direct recommendations but treating high urinary calcium with a potassium sparing diuretic seems very much like treating a symptom. That would have no impact on your bones but may make your labs look better. I'm not familiar with and wouldn't use this technique in my own practice. Instead I would recommend my patients explore WHY they are losing bone and correct those issues. Urinary calcium loss may be a sign of bone loss or secondary cause of bone loss but not necessarily and in general we have stopped using it because urinary calcium loss in the face of adequate calcium intake is NOT associated with bone loss.
Consider watching our free master class and reaching out to our team for resources we can offer over international lines. I cannot treat patients internationally but we can direct people to resources available to them.
Unmedicated Grave's disease. Pretty sure that's why for me. Can a test verify that?
Hi C,
Absolutely, and if you haven’t been tested you should do so immediately. Let your health care team know what symptoms you are having and get that under control urgently.
Hi. I just don't want to take these horrible medicine,only just have the start of it but if I just do diet supplements, exercise will i still loose and get worse.I could give it a try. Do you think I should.Thank you
It depends on your situation. I would encourage you to get a better grasp on your causes of bone loss and if they can be improved or reversed. Consider a self directed or full service program if you can.
HI! how can I find out my ideal metabolic function? also what is the best and most complete test that I should do to find out the causes of my Osteopenia? Since my mom and my sister have Osteoporosis, and I have begin of Osteopenia what you suggest as the best and complete test?
Hello,
The best tests are going to be individual and requires an in depth intake to determine. With numerous causes of bone loss there is not one test to recommend.
Hi Dr Doug, thanks for your time and effort. Just found this channel after recently being diagnosed with Osteoporosis. I’m 55 post menopause with some strange scores. I’m -1.8 on my left hip and -5.1 on my right hip, -2.9 L1-L4. Is there any reason you know of, why such a disparity would occur between both hips?
And what kind of pull back can I expect from a score like this, best case scenario. Not happy about taking drugs, but not sure I’ve much option. Been told to do no exercise except walk until I see a specialist. I’m pretty active and not sure that as wrapping myself in cotton wool will be good for me either. Any advice is very welcome.
Thanks :)
@@user-rx9jd1fu4s Hi there. Welcome to our group! It's wonderful. When we see scores like this I often feel there's an error somewhere. Unless you are non weight bearing on one leg there is no reason to see decreased bone density on one side to that extreme. I would repeat the study or use a REMS. As far as what to do at 55 you likely have many options rather than drug therapy. Consider our resources of free masterclass, bone foundations course or HealthSpanNation. All available from drdouglucas.com
Iam a female, 65 years old. In 2015, while carrying some weight, my 8th bone was broken. Dexascan showed-4.46. So for 1& a half year I took terrifrac injection. Afterwards dexa scan showed -4.3. Again afterwards in 2019, I felt back ache and difficulty in getting up from bed , Dr said to take Denosumab injection. Fro 2019 July onwards Iam taking this injection. Going to be 4 years now. Can I stop this injection now Dr. Iam in India.
Hello,
I can't give specific medical advice but in general to stop Prolia (Denosumab) you have to have a comprehensive plan to limit the bone loss that is expected. Even with that approach bone loss is expected. My patients with severe osteoporosis and multiple fractures may meet criteria to continue pharmaceuticals depending on other factors. Wishing you the best on your journey.
@@Dr_DougLucas .Thank you for replying dr.
Do you recommend k-2 mk7 or fermented foods to help supplements go to bones?
K2 as MK7 is a great supplement as it's hard to get in food. We use a product that has 300mcg of K2 and all Trans MK7. There are many products on the market using the cis form which is not functional in the body. K2 is great for aiding in calcium distribution to bones and away from arteries. It also accelerates vit D function. I like fermented foods too for other reasons!
CIS form? Please explain.
Hi Dr. Lucas, I find your videos extremely helpful. Two months ago, my first bone scan showed I have -4.4 in the spine and -2.9/2.8 in the hips. I'm over 65 and weigh well under 120. I had a thyroidectomy. Both my mother and grandmother had osteoporosis. If I do everything right: exercise, diet, supplements, less stress, and more sleep, do you think it's possible to improve my scores without pharmaceuticals? My endo recommends Evenity or Reclast, but I'm very reluctant. Thanks!
Hello,
I’m glad you are finding them helpful. Is it possible for you to improve bone density and quality without pharmaceutics? Yes, however the question of is that is the right move for you depends on a few additional factors and your labs. Our goal is to prevent fracture. T score is part of that equation but there are several more factors. I would want to pull as many levers as possible for someone in your position!!
@@Dr_DougLucas Thanks so much for your reply. I want to do my best with this. I live in a small community and don't think such tests as the REM would be available and have no clue if my endo ordered all of the needed labs. Would you be willing to provide a small hint as to the general cost of a membership?
@@omalwaysom5868 The cost depends on your situation so you’ll have to call our office to find out what’s right for you. You can reach our yes team at (828) 552-5515. Look forward to hearing from you.
How do you get to work with Dr Doug
Hi Cynthia,
You can email us at hello@ohhmd.com or call us at (828) 552-5515
How do I find a doctor like you who will do this searching?
Hi Kathie,
If you are in the United States we aren't aware of anyone like me. I created Optimal Bone Health as a company because of the urgent need to create a place where a comprehensive approach to bone health can be built and customized for each unique set of patient needs. I see people trying to piece together different providers and approaches but that puts the responsibility of research on the patient which is unrealistic for nearly everyone!
@@Dr_DougLucas I need you but I probably won't be able to afford you!I am 71 yrs young diagnosed with severe osteoporosis due to a medication I was given years ago was not supposed to take for a long period of time but was never told to stop!Thru research I found that was the culprit+& quit it!Since then I have been trying everything natural so I can avoid the medication the doctors are trying to shove down my throat!But still they say it's bad!And the only slight improvement in my last dexa was because I have osteoarthritis now!
Kathie,
Reach out to our team through our website www.optimalbonehealth.com and we can see how we can help you. We are creating programs with different price points and may have one that fits your needs. I look forward to hearing from you.
If you are taking a thyroid medicine, can you still maintain your bone level if you are doing all the things that you mentioned?
Thyroid medication when dosed properly should not negatively impact bone health. We monitor blood levels of thyroid hormone for everyone but especially for patients on replacement so that we don't inadvertently drive their levels up too much and negatively impact their bone.
@Dr Doug Lucas I've bern taking thyroid for 15 years. I'm now 61 and just had my first DEXA scan because I've developed near chronic back pain. (My husband insisted on it after he fractured two vertebra attempting to get out of the water on a slalom ski, basically water pressure, and after he asked for scan, discovered he is osteoporitic.) I knew I was at some risk because my mom and grandma both had OP, and I had earlyish menopause, but I also have done weight bearing exercise since forever, running or walking, plus weight training (though not as consistently,) and compared to my mom, I'm chubby. So I was shocked to learn my lumbar t-score was -4.6, and hip -3.3/3 5. I immediately jumped to the thyroid supplementation, but you say if "properly dosed" it shouldn't be an issue. Presumably I've been properly dosed based on yearly blood tests, but...almost as soon as I started taking it, I started having heart palpitations, which I now know are PVCs. I didn't want to say anything then because I felt so much better after months of feeling like I was walking under water, but it did make me wonder if there was a connection. Can a dose be too high yet not show as too high on blood work? I know, you're not an endocrinologist, and I should probably see one, but the one I contacted can't see me for like 6 months. 😞
@@Dr_DougLucas what do you consider a good level of TSH? Is 1.0 too low? that's where my ND has wanted it as to not stimulate growth of thyroid cysts I was told. I was on 3/4 grain of Wp thyroid for years until no longer available. Now 1/4 grain of amour is sufficient (lowest dose). Been taking thyroid natural since 2015. Now at age 61 discovered I have osteoporosis despite exercise daily.
@@selma5885 Hello, TSH of 1.0 - 2.0 are our optimal levels as well. At this level research supports that bone health should not be impacted negatively.
I would recommend looking for alternative causes of bone loss.
@@Dr_DougLucas Thank you so much. It's a mystery as I've done all the other "right" things, but no hormone therapy at menopause due to endometriosis which then went into remission at menopause. I am small frame and have been very thin at times on various healing diets for chronic illness issues/fibro like blood type diet, high raw vegan for a couple of years, then settled on gf/df mediterranean diet. My weight over the years has fluctuated from 110- to now 140 which is high end of normal BMI for my height of 5ft 4 inc. I'm 61 and have been in menopause since beginning of 2017,
What is your opinion on vibration plates for osteoporosis?
Hi Lori,
Evidence is convincing that thy are a helpful modality! Marodyne Liv products are designed specifically for bone health. Expensive but if you have the resources could be a good home option!
@@Dr_DougLucas What do you think about using the Marodyne LiV more than once per day?
Hello doctor, can you advise me about having osteoporosis and drinking lots of green tea with lemon juice? I eat well, I believe, meats and veggies, avoid sugar and grains, most of the time. Take vitamine D-1000 iu, vitamine K2 mk7-90mcg, zinc-30mg, cod liver oil also sometimes.
I dont drink alcool, but I do not like water, that's why I drink tea and lemon.
Thank you for your videos.
Hi there. We can’t give specific advice on this platform but all of the things you mentioned can be part of a comprehensive program. Figuring out what’s right for a specific person requires gathering a lot of data, biomarkers and creating a custom program.
I just got diagnosed with an Osteoporosis Bonetensity score of -2.6 on my femur bone and a little bit of Osteopenia on my hip and spine. My doc wanted to put me on Enevity followed by Prolia for life ... he does not believe in Fosamax. I am 65 and on my husband's group insurance which kind of protected me from starting the treatment (insurance won't pay) without having a big discussion with my doc. His argument: he has a 99-year-old female patient who does really well on this treatment. I thought that is a really fun way to compare it to me ... she probably doesn't even have teeth anymore and does not have to worry about dental problems, lol.
Hello,
This is a very common scenario. At lease your doc is using newer drugs and not Fosamax. However, it does'nt sound like there has been a discussion of WHY you are losing bone, HOW to stop that bone loss and natural ways to improve your bone quality. There are likely alternatives to consider.
@@Dr_DougLucas Thanks for taking the time doc. I appreciate that. No, he did not give me any ideas on how to try to improve my bone health. I do work out on a regular basis and do not have too many "bad" habits regarding eating or substance. My mom was on for while on Fosamax when that was the only option but she did not like it and stopped. She never had a break at all. My sister has pretty bad numbers on the bone scan but her health isn't as good as mine. I am not too worried about my bones but keep an eye on my future numbers and made some adjustments to my diet and my workout regimens.
The only test they haven't done is the magnesium.
That’s an easy on to do on your own. RBC Mag. Alternatively for those that don’t have it we know that most of us need supplementation. Question is how much.
What about fasting???
Fasting is a great tool for many things. There is value for weight loss, longevity and more. However, if you push your fasting window to the required therapeutic dose for those mentioned items it becomes difficult to hit the primary goal of diet for bone health. Getting adequate protein requires more than 2 meals per day. So, you have to clearly define your goals and adjust accordingly. Very unique to each patient!
I am on hormone blockers for treatment of breast cancer. I cannot do HRT. I am going to have to rely on supplements and exercise. I do not want a pharmaceutical solution.
Hormone optimization is a risk/benefit conversation for everyone. It's a great tool when you can use it but for many the potential risks may prevent it as an option. There are many other tools to consider.
@Dr Doug Lucas When I went on hormones briefly, not for bone health (though I knew there was some benefit to bones, they just weren't on my radar at that time,) but for energy/improved quality of life, and I think, more dollars for the guy who prescribed/administered them, I definitely had a wild ride. He utilized the patch for delivery of testosterone and estrogen, a cream for progesterone. I definitely could tell a difference in energy and strength, but also started growing more facial hair, had acne, was angry and thought about sex all the time (approximately 8 years postmenopausal.) Four or six months later, whenever the next patch came, he agreed to reduce testosterone, which left me with very lumpy breasts, back to normal energy, and my husband was way more irritating. The lumpy breasts made me nervous so I just said no to a third round.
About two months after the patch was supposedly no longer delivering the product, I started to bleed, not heavily, but daily. I kept thinking surely it will stop on its own at some point, but it didn't, and finally I broke down, went to see an ob-gyn. (A naturopath had suggested hormones, was managing my hypothyroidism at that time.) It was incredibly awkward, particularly when the ob-gyn, who appeared about 14 years old, was literally clueless. Sure, she was young but this isn't something they teach as a possible side effect of HRT ? After a biopsy, she agreed I was probably right, the HRT had bumped me into more of a perimenopausal state, but 6 months of even light menstrual bleeding is...not great? 1 D&C later, which worked, I...wonder why that happened.
Lots of things seem to happen to me, though, and that's part of why I'm not super excited to start another regimen of medical intervention, even though I am in pain pretty much 24/7, (though thankfully, it's mostly a dull ache that I barely notice if I'm sitting now.) *Yes this is the continuation of another comment, but just because there's so much I have been ignorant of, I'm throwing out my hormone story, in case it ... provokes a question/discussion for someone else. Too late for me to try to get THAT right.
@@cindylutz7442 Thank you for sharing. Your story is not uncommon, unfortunately. Because hormone replacement has been largely ignored by the traditional medical model the demand has been met by providers with various levels of training that exist outside of traditional care. This can be a good thing but with hormones I see a lot of what I would consider mismanagement. I can't give you direct advice but I can tell you based on your experience that your levels of testosterone were probably too high and your estrogen was not adequately balanced by the progesterone cream resulting in hypertrophy of breast tissue and endometrial tissue leading to the D&C. So, failure to test and dose appropriately led to you stopping the hormones which could have had other benefits.
Your thyroid question is more simple. You simply need a comprehensive test to evaluate blood levels on replacement. This can be done by endocrinology or primary care. It sounds like you would be a great candidate to work with us too. If you'd like to learn more had to our website at www.optimalbonehealth.com and click on the schedule a consult link to meet with a team member to discuss your case!
I previously commented on a prolia shot I was given without any info from my doctor and got a response that you were sorry I was not satisfied with my doctors style. Style? Style is how you decorate your house and yard, Style is how you dress, Style is something you can stop and change at any point, Style is not invasive, Style cannot dissolve or break your jaw and bones, Style does not stop your body cells from building more bone Style does not stay with you for years after you quit. STYLE?
Hi Carole,
Clearly that comment didn't sit well. Please remember we are all human and how we treat people can be described in many ways. I always consider medical practice an art and yes there is a "style" to how clinicians discuss management with patients. It's how I choose to describe it. I'm sorry you don't like it.
Ok
Thank you for watching!
🙊🤔😏I don't want to take the inyeccións....ugly side effects
The side effect profile can be scary. For some they are a good option but it is always a case by case decision.
Hi! My Dr recently diagnosed me with moderate osteoporosis -2.5 and discussed options for pharmaceuticals. A retired Dr. friend used the Frax risk assessment to determine if moderate cases required pharmaceuticals or if the practices you talked about in this video would help. I suspect I may have a gut health problem due to other medications I am on such as carbemazepine. I am frequently nauseous. I live in Canada and currently we have a shortage of family physicians so they seldom have the time/opportunity to really explore root cause other than vitamin D and calcium bloodwork along with regular bloodwork. You have given me some good suggestion Re parathyroid and exploring gut health. Any suggestions on how to approach my Dr to explore root cause, which is time consuming work she may not be paid for? She does care about me but our family physicians are stretched to the limit. Our national health care system is based on the 1960s and does not reflect the changes over the past years for family doctors due to aging populations and a great deal more administrative and “after-hours” work. Some provinces are experimenting with primary care teams but our province is not very progressive. I recognize my Dr works very hard and cares a great deal so how do I approach getting to root cause with her? I am learning so much from you.
I’m glad you’re having a good experience with the channel! Unfortunately, exploring the root cause it’s not done in the traditional medical model, regardless of the country. If you haven’t already, considering joining our free master class, where we talk about all of the things that you are interested in.