Bone Density Testing- What's The Best Test for Osteoporosis
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- Опубліковано 27 гру 2022
- What's the best test for osteoporosis? In this video I discuss the best testing for bone density. Watch this video to learn more on improving your bone health and lifespan!
Watch and Enjoy!
Dr. Doug Lucas
Key Moments in this Episode
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0:10 Intro and summary
00:54 DEXA Scan
1:30 Bone quality and bone density
2:45 Trabecular Bone Score
4:15 Computed tomography
4:38 Dynamic CT
6:14 Echolight REMs
8:02 Masterclass information
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This channel is focused on Bones, Hormones, and Healthspan to help midlife women and beyond aim for optimal, not average, and reignite their spark!
The videos on this channel will be focused around helping women navigate healthspan and longevity through the lens of osteoporosis, perimenopause, and menopause. When it comes to osteoporosis and menopause providers and educators often get tunnel vision and your symptoms might get better, but if you don't keep longevity in mind, symptom improvement may come at the expense of heart and brain health.
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ABOUT DR. DOUG LUCAS
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Dr. Doug Lucas: Owner/founder of Optimal Bone Health and Optimal Human Health. My team and I work together to create custom bone optimization plans for individuals based around supplements, hormone optimization, peptides and more in order to increase bone health and longevity!
Optimal Bone Health www.optimalhumanhealth.com/
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#osteoporosis
#hormones
#bones
Dr Doug: I am 71, was very athletic all my life but did too much…afflicted with Spondy, knees, hips. I am 5 ft tall, weight 94 and have a scoliosis. On regular DEXA, -3.9. I desperately need a fusion at L4/5 (exhausted all other options) and of course no neurosurgeon wants to touch me. Want to go get REMS with Dr. Bush. Hoping for a different outcome. BTW, fell three times (stupid stuff) and never fractured.
Hello. Surgery on osteoporotic bone is riskier. Sounds like a comprehensive plan is in need. Have you come to our masterclass?
A REMS would be helpful too. There is one in Asheville if that’s any closer.
Okay! This is great. They should play this video to inform those who take the DEXA Scan.
I would love that. Not in the best interest of the imaging centers or hospitals that run them though. DEXA is a tool but probably not as important as we are led on to believe.
Hi Doug. Thanks for talk on REMS I have been having them in Melbourne Australia. Over the last year my TScore has improved -1.8 neck of femor and -1.7 lumbar spine. But fragility score is deteriorating in nof 34.5 sept 23 to 36.8 dec 23 Now in yellow zone for my age 66 yrs But TScore improved slightly. My dilemma is I have recently fractured from a traumatic accident and pelvis fractured 8 weeks prior to echo but healed well. My CTX and PINP both increased with fracture healing. I wonder how that will impact my fragility score. ? Can you help me understand how I can improve fragility and how long will my bone,markers stay up and is this impacting my bone strength? No bone drugs. Supplements and weight training before and hopefully bounce back soon to start weights again
Thanking you
Hi there. You have great data to utilize. Let me help you see it how we see it. First, if you are recovering from a fracture and are off your bones the fragility score may worsen simply due to that but should improve when load is reapplied. If you have bone turnover markers consider using the ratio we use to see what direction they are heading. We use P1NP/(CTX/1000). You should get a number between 100 and 200. Higher is better. Those units are in ng/mL.
I’m Florida resident ,searching for echo lite facility,no luck yet please,please advise where I can have that test.
At the moment we only know of the following locations: North Carolina, Texas, Illinois and New Jersey
👏👏👏
Appreciate your support!
Is there a REMs near Dallas, Texas?
I believe in College Station.
Why would an Endocrinologist refuse to do bone marker
Tests.
Her response was we don't use them.
I asked for them to be done as part of my initial blood work.
How do I get them done in Australia?
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’m a 63 year old female Canadian living in Italy. Doctors are making rounds in pharmacies by appointments/screenings to measure bone health by using your heel with a fairly large portable machine. Is this ultrasound? Mine said -2.8 so I plan to dig deeper. Just wondering accuracy.
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 video! What are your thoughts on the NTx test for determining the rate of bone loss?
Hi Todd,
NTX is okay but CTX is easier for us as we are getting blood draws anyway. No one likes to test urine if they can avoid it!
@@Dr_DougLucas That makes sense, I appreciate the help! Thank you for the quick response!
I have had an NTX urine done with a score of 94. Is that a high reabsorption rate? My lumber DEXA showed-3.5. Is NTX or CTX more accurate? That k you for your work. I found an Osteostrong near me!
I was told I'm. 2.1, not sure if it's that bad, please help
Hello,
That number is likely referring to your T-score. T-score is the statistical number used to identify osteoporosis. -2.1 is not technically osteoporosis and may represent concern depending on the situation. Consider joining our master class for more information and basics around bone health.
Any tips for how to find providers of REMs and/or TBS on their DeXA in US Southwest?
I’m not aware of any REMS machines in the Southwest.TBS I don’t find particularly helpful.
@@Dr_DougLucas Okay, thanks!
Thank you!@@sheryl3268
Hi Doug..l'm a professional dancer..been diagnised with osteoporosis 4.5 t-score on my spine.
I feel strong and healthy and l can't believe it. Also l won't take meds..Could you explain what bone microarquitecture is. And also what is bone quality independently of bone density?
Thanks so much.
Great questions! Density and quality make up strength together. They are both important but more goes into strength than density. Micro architecture describes the thickness and natural design the bone makes during remodeling. It is thin and sparse in osteoporosis and thick and abundant in peak bone mass. Hope that helps!
Helpful. This does not inspire confidence in the Dexa scan at all.
Hello! No, it doesn't and it shouldn't. DEXA is a tool and provides useful information but our bones are more than a repository for minerals.