Best Drugs for Osteoporosis or Pathway to Cancer? Forteo and Tymlos the Bone Building Drugs!
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- Опубліковано 10 чер 2024
- Best Drugs for Osteoporosis or Pathway to Cancer? Forteo and Tymlos the Bone Building Drugs! In this video we will delve into the controversy surrounding Forteo and Tymlos. Why do we use them? When do we use them? Is this the route to take for bone health? 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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00:00 Intro and summary
0:55 Controversy
3:00 Study 1
10:57 Masterclass Registration Link
11:11 Program Details Link
11:45 Impact of this drug on bone turnover markers
12:34 Second Study
13:48 Who do we use these drugs for?
16:25 Closing Summary
17:30 Masterclass Registration Link
17:39 Program Details Link
Study 1:
pubmed.ncbi.nlm.nih.gov/11346...
Study 2:
pubmed.ncbi.nlm.nih.gov/15883...
Study 3:
pubmed.ncbi.nlm.nih.gov/27533...
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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.
Subscribe and follow along as Dr. Doug Lucas explores the research and clinical applications surrounding women's health.
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
Awesome content Dr Lucas! Thank You!
Glad you liked it! Thanks for watching
Thank you for the best information I have ever heard!!
Glad it was helpful!
Great information. I was just given a list with these two drugs (and Evenity) on the list and thankfully you have videos on all. Don't know that's the path I want so time for more research! Thank you for continuing to share and educate on how these things work, risks and the interpretation of the studies. Very, very helpful.
Your welcome!
Such good information and very well expressed and I feel like I really understood what you were saying! Thank you so much not only for this but for the free master class which I will intend to sign up for and the free ebook! Your generosity is deeply appreciated by me! Thanks again!🎉
Glad to hear that! Thank you so much for your support, very happy to hear that these tools are helping you through your bone health journey!
Thank you so much for this. I’m currently on Forteo and this video is super useful.
Glad it was helpful!
Hi Dr. Lucas - so grateful to have found you. Great niche - and much needed. I will be joining your master class at a minimum. I'm 58 yo male, have a dexa of around -3.9 in the spine, I sustained 3-4 fractures, the latest one without trauma, diet and exercise is good. Extensive bloodwork is normal, so no root cause was found - a diagnosis of no diagnosis - idiopathic. I'm working with my naturapth on gut and metals analysis. My doctor wanted to prescribe forteo, but when she found out I had a high-grade papillary urothelial carcinoma lesion (localized and hadn't spread) she recommended a bisphosphonate ( IV zoledronic acid) with the theoretical risk that increasing bone turnover could increase the risk for cancerous mutations to occur in bone cells. Not looking for medical advice here, but curious if your research on cancer and forteo found evidence to support that risk?
Hi! Checkout the video on my youtube channel called "Best Drugs for Osteoporosis or Pathway to Cancer? Forteo and Tymlos the Bone Building Drugs!"
Thank you. I have just been prescribed Tymlos. I’m a 58 year old woman who went through menopause at age 42, had a combo of osteopenia and osteoporosis since then. I have been trying to get a Dr. To help me with this and all I got was exercise, take vitamin D & calcium. I was prescribed fosomax for a few years when I turned 48. In 2022 I got 2 compression fractures in my thoracic spine and have has severe pain since then. I started to see a rheumatologist and he has been so helpful. He told me he has not seen a case of osteoporosis so severe in someone my age. Had I known it was severe I probably would have been more careful, I had no idea I was at such a risk even though I had tried to get a Dr. to address this. It has taken my insurance company more than a month to approve of the medication.
Thank you for sharing this! IT sounds like you might benefit from our next free Bone Foundations Masterclass sessions. You can find further details here --> www.optimalbonehealth.com/build-bone
Very helpful thank you so much for information
Glad it was helpful!
This was a helpful episode for me, and reaffirmed that I made the correct decision in my treatment. I had terrible scores per bone density scan in my early 60s. I was on Tymlos for 20 months. Dr. wanted me to start Reclast when I refused, he placed me on Fosamax. I took it for several months. I did not tolerate well, urinary issues . I find very little research about this side effect. My symptoms resolved after I discontinued the drug. I now take Calcium/Vitamin D/ Vitamin K. I am more aware of my dietary intake of Calcium and I exercise. I wonder if I should even get another bone density if I don't intend to take any prescription medication. My mom is 90, and she took Fosamax for a short time 20 + years ago. Now, she takes supplements.
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
I’ve been taking Tymlos for 5 months. Would love to watch a video addressing the side effects. Thank you!! Really enjoy watching your videos.
Thank you! The side effects are often either unexplained or as a result of calcium levels. The latter need to be evaluated so make sure your doctor knows that you are having them. Otherwise, there isn’t much to say about them.
How do you feel? I will start Tymlos soon and in afraid, because after taking Boniva for my Osteoporosis, both of my femurs broke just by walking so now my osteoporosis is worst
@@sinpalabras4305 om gosh! how scary! Prayers to you.
My Dr is considering giving me this drug. This content is very useful to me as I don't like to take drugs that I don't know what they do. Not happy to take Alendronic Acid. Need meaningful bone density. Thank you so much
Thank you for watching!
Dr. Lucas, wonder if you can do a review of Aclasta. As I turned down Prolia injection, the endocrinologist (my doctor referred me to) suggested Aclasta infusion for me. I read negative side effects of this drug. Thank you for making videos on osteoporosis.
Hello,
Aclasta is known as Reclast in the US. It is an injectable bisphosphonate. The data presented in our "Worst Drug for Osteoporosis" video applies.
I have cerebral palsy (59F, ambulatory with DME). Diagnosed with osteopenia in my 40's. Oral meds and Reclast no help once I hit menopause. R hip AVN. Have been on Forteo for 13 months so far. Recent DXA showed big BMD gains in L femoral neck, overall hip and lumbar spine. Side effects limited to mild leg cramps on occasion. Supplement with Calcium and D3, also take Prempro. Periodic blood draws include checks of my calcium and D3 levels. In PT regularly.
Thank you for sharing this!
Thank you❤
Thanks for watching!
I’m glad you touched on the animal studies because most of the rats did develop tumors after 18 months taking this drug
True, but what does that mean for humans?
Hi. Newly diagnoses 50 y.o. surgical menopause years ago. No hormones. T score - 4 in spine. Suggested not to do natural and jump straight to Forteo? Not sure about this. Also, told I would need to take calcium with forteo since either is a builder even though my calcium is normal.. what do you think?
@@elizabethwilcox5023 low calcium is a side effect of Forteo which is why the recommendation is made.
thank you for this very imformative video. I was recently diagnosed with osteoporosis with a Tscore of -3.2 Im a post menopausal 5'3", 120 pd 54 years old, fitness instructor, eat healthy, active individual. My Dr. wants to start me on Tymlos, but Iam scared to death. I hardly even take something like tylenol,and prefer a natural approach to healthcare. Hearing that you sometimes use this drugs does make me feel better about taking it, although I have not decided if this is the route I will take. Maybe I should reach out to you and your team for other alternatives??
Hi, thank you for sharing this. Yes, we would be more than happy to speak with you about this! You can schedule a discovery call at this link --> www.optimalbonehealth.com/membership
Doctor, I am on Foteo for 7 months and stopped. I got really sick in the hospital for 8 days with pancreatitis because of Foteo side effects. I am 63 years old.
Thank you for sharing your story. I’m sorry you suffered from his consequences of the drug.
I have taken Movymia( I am told its the European alternative to Forteo) for 18 months, I do suspect a continued bone loss. Also I am hesitating to continue taking Movymia through the winter, as last winter was very difficult with stiff legs, joint pain etc. The doctor suggests a yearly Reclast injection, which I told him I dont want. I would think an overall assessment of the bones would be in place before making any further decisions. Whats your take Dr Lucas?
Yes. We find that it’s often possible to maintain benefits of bone anabolic drugs without bisphosphonates but requires a comprehensive plan.
Consider reaching out to our team to learn more.
www.optimalbonehealth.com/schedule
I had taken bisphosmatmates for years (Fosamax then Boniva) the switched to Prolia and had been on that for8 years. I suffered and Atypical Femur Fracture which was surgically repaired in November 2023. I am 74 years old and my endocrinologist started me on Tymlos this week but wants to switch me to Forteo in a month. Right now I am concerned about the side effects of each (which one is tolerated better) and what happens at the ed of 2 years.
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
I have stage 3/4(I go between the two all the time)…I have hyperparathyroidism. I am currently taking 20 mcg of calcitriol. It has brought it mostly under control, but my numbers have gone from 1000 to 70-90. Kidney disease was diagnosed as late stage/end stage 10 years ago. I have improved on a pretty much carnivore diet, and recently added MK-7 at 200 mcg per day. My kidney function continues to improve, but my PTH numbers remain high.
I don’t know what to do. I also have MS. And really bad arthritis in my lumbar spine.
If our patients have subtle elevated PTH we first look at Vit D. If still elevated after correction refer for eval for PTH secreting tumor.
I started on Tymlos due to having severe osteoporosis and multiple fractures. However, I quickly developed hives and had to stop. Do you know if there is an increased risk of being allergic to Forteo as well?
Hmmm, I don't know. They are similar so I would be concerned. Probably a good question for a pharmacist.
I was on Tymlos for two years and it raised my numbers from -3.75 on the DEXA scan to -3.70. It doesn't seem like that was very much.
No. That is certainly not the outcome that I would be looking for! The question I would want to answer is why are you continuing to lose bone or is that even the problem. The balance of bone metabolism is complex and numerous variables need to be considered.
@@Dr_DougLucas What would you suggest?
@@Livetoeat171 We would recommend a comprehensive approach to identifying the root cause of bone loss and create comprehensive plan to stop causes of bone loss and build bone. For more information you could join our master class if you haven't.
Are the side effects as awful as the common side effect list suggests?
@@susanne4168 Calcium levels are the only common side effect. The osteosarcoma scare is covered in this video and I don't think it is a real concern.
I'm a 54 year-old male who has been dealing with osteopenia for 20 years. Started with lifestyle modifications and then took a 5-year bout of Fosomax.. My numbers are holding steady, but now we are considering Forteo of Prolia. Most studies are based on women with osteoporsis, and I am not in this category. Would a consultation be reasonable for me? I have faith in my endocrinologist, but I must admit I am still nervous about more drugs.
Yes! We would be more than happy to speak with you about this. You may schedule a discovery call at the following link --> www.optimalbonehealth.com/membership
Now that the FDA has removed the 2 year limit for the use of Forteo, is it theoretically possible that indefinite use of Forteo can full restore bones? It seems to follow that if it stimulates bone regrowth that regrowth will continue as long as it is used - no?
Hello,
This was changed in 2020 but I'm not aware of any changes in prescribing patterns. There are still no intervention studies longer than 2 years and insurance may also play an issue. It's an interesting idea but I'm not aware of any planned studies to evaluate prolonged use.
Thank you. I’m obviously not a doctor but from a common sense perspective I don’t know why it would stop working…I have 2 vert fractures already (male, 56) so I may see about staying on it if doctor concurs
What about Cissus Quadulangularis? Is that a legitmate bone building method?
Apparently there is some evidence to support use! It’s new to me but I’ll put it on the research teams radar.
Per My endocrinologist
My hyperparathyroidism is prolia driven. Hyperparathyroidism and Breast Cancer diagnosed last year.
Thank you for sharing this. I am sorry to hear that!
I’ve been diagnosed with osteoporosis and have a small wedge deformity in my spine. My endocrinologist wants to start a bone builder med but says it needs to be followed by something like reclast or the bone builder won’t really work. First we are doing a work up to see if there is a cause for my osteoporosis. I’m 58
Thank you for sharing this!
I have had parathyroid tumors (2) removed in 2018. Prior to that I was diagnosed with osteoporosis by dexa scan in my late 40s. Long family history of osteoporosis and I’m a small, low weight lady. I’ve read your book. Sounds like anabolic drugs are your preferred pharmaceutical when drugs are required. I don’t want to take drugs. Seen the results from my mother. Really no help to her and still broken bones. With lots of stomach complaints. I have changed my diet to almost total carnivore/keto. Taking all the right supplements per your videos. Stopped calcium after all the negatives. Would you consider former parathyroid tumor patients ok to take Forteo or Tymlos? I have my PTH checked annually by endocrinologist to make sure I don’t get more parathyroid tumors. So I’m quite worried to not go there again. Endocrinologist pushes me all the time to do drugs. Thoughts on my situation?.
Hello,
I can’t give specific medical advice but there is no contraindication that I’m aware of for prior PTH tumors and synthetic PTH analogues. You’d have to check with your team for your unique case.
Hi Kim I also had two previous PTH hormones that resulted in my OP and had the same question you had. I hope you are doing well
@@staceyboyd3297 If you two are open to it please keep the community updated and me as well. I'd love to know your experience with this situation so I can educate others.
Hi Kim, I also had two PTH tumors removed in 2015 and was diagnosed then with OP, I was only 47 at the time and have been doing hormone therapy to halt the bone loss. Same happens with me, my OP clinic constantly pushing drugs and I give them the same answer each year.... NO!
Thank you for reaching out. So currently I have decided to get off the synthetics and now on the estradiol patch and BIO-ID progesterone. I even ordered a Menopause panel on my own via LabCorp to monitor estradiol levels to make sure I'm getting enough to cover bone loss. The Bioidentical hormones were going to cost $3000/year. I decided to do patch/pill treatment temporarily until my appointment with a Functional Medicine Doctor in January. It will and was too difficult to stop my current hormone therapy cold turkey to pursue Bioidentical at this time and the effect it had on my body was rough. I will revisit in a few months. I hope this helps!@@Dr_DougLucas
Hi. Your links to the master class don’t work. Can you provide a working link? Thanks.
Hi! Yes, sorry we recently updated our links. This link should work ---> www.optimalhumanhealth.com/build-bone
What do you think of Low Intensity Vibration plates?
I have a video on that! Search "Dr Doug vibration" in the UA-cam search bar to find it.
I have 5 compression fractures, T10, 11, 12, L1,2(L4 was had bone cement). I was taking Letrozole, after breast cancer. After fracture I was taken off Letrozole. I am waiting a couple months to see if any of the fractures heal by itself. What kind of medication would you recommend?
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 :)
What about bioidentical progesterone.
We use micronized progesterone, and our practice. I think that this is a good solution for many things. It has a positive impact on bone as well.
What would be your personal opinion on a 25 year old taking tymlos, my brother has a rare case of osteoporosis and was recommended this.
Depends on the situation but it could be logical. There may be other options for him too though! Have him check out our free resources, our masterclass and bone foundations course.
Newly diagnosed osteoporosis less than a month ago I do not have a thyroid or parathyroids had them removed because of cancer 30 years ago so if I do not have parathyroids, I’m not producing any of the hormone, correct and if so, then what is the cause of my osteoporosis?
By the way, I am a 66 year old, white female, overweight, but not obese and I am prescribed Fosamax 70 mg once a week
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
Hi, last month I fail 8 steps stair that cause bone broken at left leg and right shouler. Doctor said even I am 43 but the bone is like 70 of age!!! It is terrible if I have to spend many months till my bone fully recover, so I asked doctor is there any drug or remedy to help shorten the time of bone healing, then doctor recommend using Forteo. He said there some research that not only for Osteoporosis, it can also help to heal for bone fracture.
Have you ever heard about this?
Yes, we used forteo for difficult to heal fractures in my orthopedic practice. It was off label then but may have received an indication from the FDA in the interim.
Did you see any data on incidence of skin cancer or multiple myeloma in relation to these osteoanabolics? I have risk factors with both.
Not that I'm aware of.
I will be staring Tymlos soon, but I’m afraid, because I have taken Boniva for 4 years and stared with lots of pain on my bones and all of the sudden I was walking and my left femur broke in half and the put a rod and 2 days they did my other femur that it was going to brake soon, and I have a fracture on my back too, and other problems and they can’t do surgery because my bones are very bad, my back surgen say that is the worst bones he has seen, is there a place where I can see other people talking about their experience taking Tymlos?
Yes! 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
Every time I exercise I feel much worse. Dr said don't do anything that makes me feel worse. Due to needing and SI operation the doctors wont do with out 9 months of Forteo. I hope the drugs work without exercise.
Exercise is the key to longevity. I have plenty of patients that have limitations. We help them to figure out what they can do rather than focusing on what they can’t do.
What are your thoughts on taking Evista? Have you discussed this drug? I have osteoporosis, 52, and family history of breast cancer. I’m not considered candidate for HRT.
Hi there,
I haven’t done a video on it but maybe I should. Short answer is it does improve fracture risk but is not designed for long term use. Still need an answers there. Also increases blood clot risk.
HRT and family history is a tough topic. I have a video coming out tomorrow on estrogen. I think you’ll find it compelling. Most notably treating the issue you know you have rather than treating the one you are afraid of. A long conversation for sure but make sure that decision is made between you and someone that knows the literature really well.
@@Dr_DougLucasl
I have exactly same history with Susan, but after taking Evista for one and a half years my osteoporosis increased from -3 to-3,5, what about your thoughts on that?
@@suegur4762 I just released a new video on this topic! Subscribe and sign up for notifications so you see the new ones as they come out!
What about stopping Tymlos after 2 years? I am told that I will have to go to Prolia and/or Fosomax type for the rest of my life. I have osteoporosis with severe risk of fracture I am told, 68yo, began supplements in Jan, no fractures yet, I move alot but no regular exercise program. Have tried PT, etc over the years to help with periodic back pain. I would like to try to build bone without drugs but everyone has told me...Don't bend over...freaks me out. Also am in the need of a tooth extraction due to resorption of the tooth (could have been caused by too quickly moving my teeth with invisilign braces). Oral surgeons and dentists are scared of me being on these drugs and doing treatments now and in the future. So I am stuck not doing anything. And not sure if I can really improve my bones without these scary drugs. Any thoughts and help are welcome.
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
Hey doctor, An endocrinologist in diabetes specialist gave my mother Forteo(Eli lilly) or Rockbon(abbott brand). We are thinking should she take this medication or wait for to see another bone specialist to be appointmented after 1 month. She has -4.7 t score and L1 fracture. She is also taking calcium and vitamin D medications. What can you recommend about staring these injection? Thank you
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_DougLucasHey doc. Can I change the drug brand in the middle of 1 year course once started?
Is this drug available in the UK?
Not sure but I believe so.
Which one should i go for denosumab or teriparatide?? T score of - 2.8 snd age is 59
It depends on the unique case. I’m not a fan of Prolia in general but if bone loss needs to be slowed there may be a place for that. Forteo on the other hand is better for bone building.
I was encouraged u said u don't prescribe any drugs after Forteo. Are there any senerios where u would?
Is one year on Forteo beneficial & can u resume to complete 2nd year after a one year break?
Thx so much for your help
Hi, thank you for sharing. Checkout our masterclass or healthspan nation if you have not. We are able answer more specific questions like this through those platforms. Links for both of those are in the video description :)
Orthopedist advised me i need a total hip replacement, i have severe osteoporosis. Endocrinologist wants me to start Forteo or Tymlos asap. Really in a dilemma, can't imagine a hip replacement with severe osteoporosis and taking these drugs.
Tough spot but it’s common. The surgeons have specific approaches and instrumentation for poor bone quality and the anabolic drugs should improve bone quality prior to surgery. A scenario worth considering.
@@Dr_DougLucas unfortunately these drugs are cost prohibitive.
@@pjm8183 That may be true…
@@Dr_DougLucas don't understand your reply
@@pjm8183
He’s agreeing with your comment the drugs may be cost prohibitive. Best of luck.
What about Evenity?
Checkout the video on my channel called "Is Evenity (Romosozumab) the HOLY GRAIL of Osteoporosis Drugs? Not So Fast..."
So, if I'm understanding you correctly, though I'm sure you can't say specifically until you know why someone is losing bone, it sounds like you're saying anyone's bones can be improved without pharmaceuticals if they have the time (and comply with prescribed protocols, of course?) That's the thing...we're not particularly compliant, or we want to be but life gets in the way, or we don't see progress so we wonder why we're bothering. Etc. But, that's true of drug regimens too. There's a reason reclast is just once a year, right? I'm trying to envision giving myself a shot every day. I could do it but as the number of things I have to remember to do at what time goes up, I can see where something else could fall off, next thing you know, all you're doing for your bones is that one shot per day.
Which is the other problem, at least, for mw, with pharmaceuticals? I'm just old enough to never have not had antibiotics and vaccines and you go to the doctor to GET a pill, you were lucky to have easy access to medical care/pills...so even though I also was taught to try to stay healthy, it was always like, "But there's a pill/shot for that, so don't sweat it " My mom took fosamax and now Prolia without a second thought (which is kind of weird because she's kind of anti-vax, even anti-supplement ) My dad is personally helping keep the pharmaceutical companies (and doctors) afloat. All to say, it almost feels crazy to not just go with the flow, but...recent times HAVE made me think about things I've just accepted as true or inevitable.
My insurance company denied my doctor's request for Evenity, they suggest they might approve it if Prolia, Forteo or Tymlos prove to be contraindicated (how, by trying them?) They don't consider Evenity "medically necessary." Hence thus video. I feel better about forteo or tymlos now, (doctor didn't suggest them, not sure why,) but my husband, surprisingly, suggested I keep trying the natural route--at least until I get my next DEXA, due in January. (Heck, I'll be there before a drug is in hand, right?) So that's what I'll do.
And for those wondering why I share so much info online, it's because maybe someone else is asking the same questions, having the same thoughts, and just needs to know they're not alone. If that makes me crazy or stupid, meh...been living a long time, probably I'm not going to change now.
Hi Cindy,
Thanks for sharing. Short answer is yes, bone can be improved naturally but that has to come with some kind of action. lifestyle, nutrition, sleep, supplement and more. We design most programs without injections so that's not an issue.
@OptimalBoneHealthwithDrDoug Well of course action is required. :-😜
Hi Cindy, thank you for sharing your thoughts on this. I share your feelings on these drugs. I 74 with osteoporosis dexa is - 4 was on prolia for 2 years after my diagnosis on 2019 after a fall with a T12 compression fracture.
Now my endocrinologist wanted me on Forteo which I believe was not approved by my insurance. Maybe it's providential.
Anyway I have following Dr. LUCAS, bought his book, teaked my diet, add more strength training on my exercise routine, change my calcium supplement to Bone Up, stopped my omneprazole..now I am shopping for Liv plate..
All these I am in gratitude to Dr. Lucas. I haven't had the opportunity to be in his master class. Maybe I will soon.
@@evelyngonzaga4762 Thank you for those kind words. Sounds like you have taken some great steps forward. Remember part of our protocol is to Retest to make sure we are seeing the progress we hope to see!
I live in Ohio do I need to come to your office or can be treated online?
You can be treated online! We have a telemedicine platform and can see patients in Ohio.
Doc how do I get in touch with you for telehealth consultation?@@Dr_DougLucas
Im using forteo for a bit over 1 year now. Dexa at 1 year L- spine improved 4.9% (3.4 to 3.1), but both hips got worse -7.6% ( from1.7/1.8 to 2.1/2.2). Other test results were insignificant. What could cause this disparity b/t spine and hip? I was focusing on weight/resistence training but not so much cardio. Lately ive added walking and ecliptical 30-45 min daily. Love to hear ur comments! TY!
@belly4608 we see this discrepancy sometimes. We see it in both directions too. It sounds like the metabolic benefits of Forteo are providing the right impulse but the questions I’d want to answer are around other causes of bone loss, hormone, gut health, nutrition, nutrient depletion, inflammation etc. When we see a discrepancy often it could be to the stimulus for bone growth too. Is the training side loading the hips and spine adequately?
Read the prescribing information before you accept a prescription. Femoral neck increase at the end of the two year maximum duration is 1.5% and then goes away. Will this reduce your lifetime risk of breaking a hip? Not for me.
Correct! However, we have to recognize that the studies ended with no good next step. This is the issue with short term drug therapy with no comprehensive plan in place. When we use these drugs, which is rare, we are making sure to create a comprehensive plan, that will support bone improvement overtime. I look at these drugs as an opportunity to push the lever on bone metabolism for a short period of time to get somebody out of a dangerous situation. If that is not paired with, a comprehensive plan to continue to improve on health then we are likely to see the loss of those benefits and potentially an increase in fracture risk.
My dr gave fosamax.
Thank you so much for sharing 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
I wish you could speak more slowly!
Hi! Thank you for your feedback. I receive many comments that the videos can be too dragged out and ask for my speaking to be quicker. I am to try to meet in the middle for everyone :)