After listening to this, Dr. Avrum Bluming of 'Estrogen Matters' and some of your other videos, I am beginning to get a clearer picture of the pros/cons of using HRT 10+ years past menopause. If only all doctors, paraphrasing Dr. Twyman, 'saw the patient in front of them'. I guess the only thing I was left wondering after watching is, what are your benchmarks for starting a women on HRT 10+years who is experiencing the bone, heart, brain problems of reduced estrogen; must they have perfect CAC, Carotid, CCTA scores? Were does the risk out way the benefit for this population? Thanks, terrific video!
Great questions! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
This is an absolutely incredible video! Is there any way to list what tests (blood or othrwise) , in what order we need to take post menopausal. I am a little confused about what all I need . I understand it depends on the person but a general idea.
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Boston Heart Diagnostics and Cleveland Heart Lab have the advanced cardiovascular labs. There are over 300 metrics so no easy way to list them all out. Just check out their websites for the list of labs
I would love to talk to this cardiologist about heart attack prevention for those of us that are ER+ / breast cancer, and have to take anastrazole. Please have him back to discuss this. ❤
Focus on what you can control. Keep nitric oxide optimal. Support the glycocalyx. Keep oxidative stress and inflammation low. Lower Apo B particles if above 70 using combo of lifestyle, supplements, and medications. This is the starting point. Advanced labs can tell you what other items to focus on
This was a superb interview. I learned so much, both from the content shared but also thanks to the excellent delivery and interaction of both Doctors. Thank you very much. Dr Doug: please bring Dr Twyman again for a deep dive on CVD.
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.optimalhumanhealth.com/hsn
Loved this interview - learned a lot. Would be interested in learning more about an 80 year old female with osteoporosis interested in taking BHRT. Also with my family heart history I was glad to hear about the CACS test. Thanks so much.
Thank you so much for sharing all of this. It sounds like you could benefit from the next free PEMA Masterclass we have coming up if you have not attended one before. You can find more information here --> www.pemabioidentical.com/
This was one of the best explanations ever of the sclerosis of artery and the prevention. Thank you so much. My doctor wanted me to take cholesterol lowering medication 20 years ago...When you are young it is very hard to sell the idea that is for prevention. Unfortunately, doctors either don't have time to explain it or don't know how to sell it to the patients. I have been on PSK9 for 5 years now. Nothing else worked for me.
Best info I have ever heard about protecting women’s cardiovascular and bone health with possible hormone treatment! Sending to my two perimenopausal daughters. Thank you!!!
Thank you for this great interview with Dr. Twyman. I did not hear anything being discussed about taking supplemental calcium for osteoporosis being contraindicated for heart health due to the possibility that it will contribute to plaque buildup in the arteries. Maybe that can be a topic to discuss with him in another interview.
@@Dr_DougLucas Great! I had to recently start seeing a cardiologist. He told me to take absolutely no calcium supplements of any kind even though I told him I had osteoporosis. I told him I take K2 also to assist with calcium transport to the bones. He said he only endorses taking vitamin D; he does not feel that any other supplements help and that calcium supplemenation is linked to a high risk of heart attacks and strokes.
Hi Dr. Great discussion thank you. Please if you would consider having another video conversation about aortic disease and aortic aneurisms and oesteoporis as well. That is a topic not discussed and one that needs to be reviewed as there are very few dr. sharing this information with their patients. This is a much more common issue that people realize. I unfortunately am one of those patients recently diagnosed and struggling with the details of what to do. I am on the verge of needing open heart surgery unfortunately to replace my bicuspid aortic valve and repair an ascending aortic aneurism. I have also recently being diagnosed with oesteopenia and oestoporosis with no medical bone doctors are available to support for the oesteoporosis in my part of the world at this time due to long waiting lists. I am therefore, trying to find information to guide myself through. As I am limited on what exercises I can do at this waiting stage for surgery. I am not sure if vibration exercises are safe or if I can lift too much as I am 1 mm away from the need for that surgery. I also deal with chronic pain and fibro so this limits my ability to do much. I am just shy of 50 yrs so I am still quite young. Dealing with the reality of needing blood thinners from the surgery that may be life long as well further has the potential to negatively impact my oestoporosis issues. So a video on such questions and addressing such issues would be greatly appreciated. Thanks for what you do doc your support helps so many of us out in the world siffting through all this.
I loved this but I can't get my cardiologist to do these tests in Toronto. Statins, BP meds and off you go. How do we ensure we can get some of these tests?
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Hi and thanks for your amazing interview. Buying compounded HRT and wonder should estrogen and testosterone creams be separate from each other or is a combination of both ok?
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Wow. I will be watching this again because mind is boggled. Until now, all I was concerned about was NOT getting Prolia. My doctors are double teaming me and trying to get me on Prolia. Everything just got more confusing. I want to go away and ignore it all. Thank you for this. It is making me think more. Um, then there is calcium…..
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
This is interesting and great info... I'm wondering why there's no discussion re- women taking bioidenticle testosterone, since all estrogen is converted from testosterone... just wondering. Thx
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
It’s all so confusing, because I’m one video, the doctor says, greens are not much needed, and don’t want to be eaten!! Meat and some fruits are the way to go!
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Hi! You may skip to the conclusion if you would like. There are timestamps in the description. Most of our listeners ask for more detailed and slower paced presentations :)
I completely understand. It is important to find the right specialist. We discuss this in our health span nation as this is definitely a concern for many. You can find more information here about our community --> www.drdouglucas.com/healthspan
![Top 5 Supplements to REVERSE Osteoporosis in 2025 [Doctor Explains]](http://i.ytimg.com/vi/g-bnO3FYBxo/mqdefault.jpg)
![Top 5 Supplements to REVERSE Osteoporosis in 2025 [Doctor Explains]](/img/tr.png)
After listening to this, Dr. Avrum Bluming of 'Estrogen Matters' and some of your other videos, I am beginning to get a clearer picture of the pros/cons of using HRT 10+ years past menopause. If only all doctors, paraphrasing Dr. Twyman, 'saw the patient in front of them'. I guess the only thing I was left wondering after watching is, what are your benchmarks for starting a women on HRT 10+years who is experiencing the bone, heart, brain problems of reduced estrogen; must they have perfect CAC, Carotid, CCTA scores? Were does the risk out way the benefit for this population? Thanks, terrific video!
Really good questions. I hope Dr D will clarify here or in a subsequent video 💚
Great questions! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
I love the passion of these two doctors in their chosen professions. You don't see that much interest or excitement from the average doctor.
Thank you for watching!
This is an absolutely incredible video! Is there any way to list what tests (blood or othrwise) , in what order we need to take post menopausal. I am a little confused about what all I need . I understand it depends on the person but a general idea.
Yes! A list that I could take to my doctor would be very helpful!
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Boston Heart Diagnostics and Cleveland Heart Lab have the advanced cardiovascular labs. There are over 300 metrics so no easy way to list them all out. Just check out their websites for the list of labs
I would love to talk to this cardiologist about heart attack prevention for those of us that are ER+ / breast cancer, and have to take anastrazole. Please have him back to discuss this. ❤
Yes! His contact information is in the description
I also need that answer. I'm on anastrol also
Focus on what you can control. Keep nitric oxide optimal. Support the glycocalyx. Keep oxidative stress and inflammation low. Lower Apo B particles if above 70 using combo of lifestyle, supplements, and medications. This is the starting point. Advanced labs can tell you what other items to focus on
This was a superb interview. I learned so much, both from the content shared but also thanks to the excellent delivery and interaction of both Doctors. Thank you very much. Dr Doug: please bring Dr Twyman again for a deep dive on CVD.
Yes! Very glad to hear that you enjoyed this
Please bring him back … excellent !!!
Glad you enjoyed it!
No mention of the potential role of calcium supplements in atherosclerosis. Looking for that.
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.optimalhumanhealth.com/hsn
A pdf and what specific tests to ask your cardiologist for, especially when your doctors don’t support anything but the medicines for osteoporosis
Thank you for sharing this. Dr. Twyman's contact information is in the description. He may be able to help you with this further.
Depends on age but a CT Coronary Calcium scan is a good start for most. If score 0 then low risk. If score over 400 then high risk
Loved this interview - learned a lot. Would be interested in learning more about an 80 year old female with osteoporosis interested in taking BHRT. Also with
my family heart history I was glad to hear about the CACS test. Thanks so much.
Thank you so much for sharing all of this. It sounds like you could benefit from the next free PEMA Masterclass we have coming up if you have not attended one before. You can find more information here --> www.pemabioidentical.com/
This was one of the best explanations ever of the sclerosis of artery and the prevention. Thank you so much. My doctor wanted me to take cholesterol lowering medication 20 years ago...When you are young it is very hard to sell the idea that is for prevention. Unfortunately, doctors either don't have time to explain it or don't know how to sell it to the patients. I have been on PSK9 for 5 years now. Nothing else worked for me.
Thank you for sharing this!
Best info I have ever heard about protecting women’s cardiovascular and bone health with possible hormone treatment! Sending to my two perimenopausal daughters. Thank you!!!
Glad you enjoyed it! Thank you for watching!
Very very informative. Thank you. So much to learn❤. I sure wish we have someone like you and Dr Twyman ( near to us, Northeast part of NJ)
I am one of his NJ patients. Check the notes below the video for more information. Also you can get a REMS test in Wayne, NJ at XBody.
Thank you for watching! Our program is 100% virtual. You can learn more by scheduling a discovery call here --> www.optimalbonehealth.com/membership
Thank you for this great interview with Dr. Twyman. I did not hear anything being discussed about taking supplemental calcium for osteoporosis being contraindicated for heart health due to the possibility that it will contribute to plaque buildup in the arteries. Maybe that can be a topic to discuss with him in another interview.
Dr. Doug has multiple videos on that. Check out the most recent one.
@@Indydi Yes, but I was hoping that Dr. Twyman would give his opinion.
Such a great interview…
Yes! We will keep that in mind for a future interview with him.
@@Dr_DougLucas Great! I had to recently start seeing a cardiologist. He told me to take absolutely no calcium supplements of any kind even though I told him I had osteoporosis. I told him I take K2 also to assist with calcium transport to the bones. He said he only endorses taking vitamin D; he does not feel that any other supplements help and that calcium supplemenation is linked to a high risk of heart attacks and strokes.
Hi Dr. Great discussion thank you. Please if you would consider having another video conversation about aortic disease and aortic aneurisms and oesteoporis as well. That is a topic not discussed and one that needs to be reviewed as there are very few dr. sharing this information with their patients. This is a much more common issue that people realize. I unfortunately am one of those patients recently diagnosed and struggling with the details of what to do. I am on the verge of needing open heart surgery unfortunately to replace my bicuspid aortic valve and repair an ascending aortic aneurism. I have also recently being diagnosed with oesteopenia and oestoporosis with no medical bone doctors are available to support for the oesteoporosis in my part of the world at this time due to long waiting lists. I am therefore, trying to find information to guide myself through. As I am limited on what exercises I can do at this waiting stage for surgery. I am not sure if vibration exercises are safe or if I can lift too much as I am 1 mm away from the need for that surgery. I also deal with chronic pain and fibro so this limits my ability to do much. I am just shy of 50 yrs so I am still quite young. Dealing with the reality of needing blood thinners from the surgery that may be life long as well further has the potential to negatively impact my oestoporosis issues. So a video on such questions and addressing such issues would be greatly appreciated. Thanks for what you do doc your support helps so many of us out in the world siffting through all this.
A PDF transcript of this would be so helpful.
Click on "more" in the description box, then scroll down to "show transcript".
Yes! The comment below is how you find it :)
More attention to diet should have been addressed in this video. Dr. Doug likes high protein but what does Dr. Avrum think?
Thank you for your feedback. We will keep this in mind if we do a second interview!
That was great. Finally got some of my questions answered that I was asking awhile back.
Thank you for watching!
This was GREAT! Very informative! Thank you!
Thank you for watching!
I loved this but I can't get my cardiologist to do these tests in Toronto. Statins, BP meds and off you go. How do we ensure we can get some of these tests?
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Thank you! And, where can I get one of those wall mitochondria?
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
My team at Apollo Cardiology had it custom made for me for my birthday. A machinist sculpted it for them so it's a one of a kind piece for now
Hi and thanks for your amazing interview. Buying compounded HRT and wonder should estrogen and testosterone creams be separate from each other or is a combination of both ok?
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
Wow. I will be watching this again because mind is boggled. Until now, all I was concerned about was NOT getting Prolia. My doctors are double teaming me and trying to get me on Prolia. Everything just got more confusing. I want to go away and ignore it all. Thank you for this. It is making me think more. Um, then there is calcium…..
I am glad you enjoyed this!
What about history of blood clots, would hrt be prescribed?
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
This is interesting and great info... I'm wondering why there's no discussion re- women taking bioidenticle testosterone, since all estrogen is converted from testosterone... just wondering. Thx
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
How do you spell the drug acetzmide ?
Are you looking for the drug called Acetazolamide?
Ezetimibe (Zetia) is a cholesterol reabsorption inhibitor
How about eating more greens for nitric oxide?
It’s all so confusing, because I’m one video, the doctor says, greens are not much needed, and don’t want to be eaten!! Meat and some fruits are the way to go!
Great question! 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. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan
I recommend green leafy veggies but it depends on soil conditions and if organic or not how much nitrates will be available
I listened to this presentation. Did the cardiologist address testing for lipoprotein a?
Yes
@@sheila7814 Is there a description of at what time in the video
Found it @sheila7814. Unfortunately my lipoprotein a is high (familial)
@@marycrossan7837 Sorry, I didn’t note that. Glad you found it.
Yes!
It takes 49 minutes to say yes or no?
Hi! You may skip to the conclusion if you would like. There are timestamps in the description. Most of our listeners ask for more detailed and slower paced presentations :)
Most doctors do t want to prescribe hormones!
I completely understand. It is important to find the right specialist. We discuss this in our health span nation as this is definitely a concern for many. You can find more information here about our community --> www.drdouglucas.com/healthspan
You must have been reading my mind this am. RFull fat ricotta on whole grain
Thank you for watching!