Are You Going to Break Your Hip? How do you know? FRAX Explained.

Unlocking the Secrets of Fracture Risk: How FRAX Can be Used to Help Guide Your Osteoporosis Journey! In this video I discuss a valuable tool for assessing fracture risk and guiding management decisions for individuals at risk of osteoporotic fractures. Watch this video to learn more on improving your bone health and lifespan.
Watch and Enjoy! Dr. Doug Lucas Key Moments in this Episode
========================
00:00 Intro and summary
01:11 What is FRAX?
05:29 FRAX Examples
10:20 Closing Summary
INTERESTED IN OUR OPTIMAL BONE HEALTH PROGRAM? Click the link below to speak with a specialist! Click here: www.optimalhumanhealth.com/me...
SIGN UP FOR MY FREE MASTERCLASS USING THE LINK BELOW!
Click here: www.optimalhumanhealth.com/bu...
Masterclass details: Hosted by Doug Lucas, DO, Board Certified Orthopedic Surgeon and Anti-Aging Specialist, you'll gain insight into the lifestyle, nutrition, testing, and medical solutions for Osteoporosis management and yes, possibly, even reversal.
HEALTH SPAN NATION: www.optimalhumanhealth.com/pr...
JOIN OUR FREE BONE FOUNDATIONS COURSE AND UNLOCK ADDED BONUSES: www.optimalbonehealth.com/bonus
Purchase the hardcopy of "The Osteoporosis Breakthrough" here: www.amazon.com/Osteoporosis-B...
I would be grateful if you could consider sharing your thoughts by leaving a review once you've had a chance to read it. Your feedback can inspire others on their own path to bone health excellence. You can leave a review here: www.amazon.com/product-review...
=======================
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
========================
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/
Instagram: / dr_douglucas
Facebook: / drdouglucas
Linkedin: / doug-lucas-b0243522
#osteoporosis
#hormones
#bones

[@marianjones9340]

Thank you, most interesting. I have been waiting for a Dexa Scan for nearly 18 months, I was put Risdronate which gave me side effects, took myself off them.. Now the idea is to put me on Denusomab (Prolia). Still have not had a face to face with anybody ref this. But this is in the UK where all health things are in a bad way. I do watch your videos and I am learnng a lot, on how to improve my diet etc. so I thank you for them

[@Dr_DougLucas]

Hi Marian, Every health system has it's ups and downs. I haven't seen a good one yet! Keep watching and we will keep talking!

[@JCortens]

Super helpful!! Thank you!!

[@Dr_DougLucas]

You're welcome!

[@AliceColder]

I am so glad i found your information I was reading everything i could find and getting cofused with all the diverse information You put everything together, into context and give the scientific data analysis Really helpful thank you

[@Dr_DougLucas]

Glad it was helpful!

[@gracehsiung6298]

I am 61-62 years old female. Recent DEXA T-scores are not so good (-2.2/-1.6/-1.1, spine/femoral/total), in the osteopenia range, but FRAX calculation shows risk as 3.8%/0.4%. I think I fall into the 4th guideline. I am determined not to go down the pharmaceutical route. As a scientist in life science, I am not convinced that increasing bone density (as a readout on DEXA) can be translated into bone function. The information you put up is very helpful in various aspects and is much appreciated. As far as exercise is concerned, I dance (ballet) 2-3 times a week. In many aspects I believe it is high intensity resistance training but I don’t know if it is enough for bone health. As for the diet, I definitely don’t get enough protein (micronutrients are fine), barely 30 gm/day, based on the calculation (1 gm protein for 1kg body weight). Is there any protein supplement (like drinks) that I can take easily to make up the gap? I weigh about 50 kg with a BMI

[@Dr_DougLucas]

Hi Grace, Thank you for sharing your story! Your right that your DEXA scores are low but they are not terrible. This is a good starting point. I have many talks coming on bone drugs and BMD. You are correct in that BMD is not always strongly associated with bone strength and fracture prevention. We are more than our bone density. That said, density does matter to some extent. We can't ignore it but there is more to it. I bet you didn't know I was a professional ballet dancer :) I know first hand what it takes. That said I think it mostly fills the first requirement and minimally the second. It requires strength but not to external load. It also depends on the intensity in which one is doing it. For most I bet it's not enough. Protein needs we aim for are 1g/POUND, sorry for the silly American/English units. 2.2g/Kg. So, yes it sounds as if you are deficient by these standards. I like Whey for those that con tolerate it or Beef isolate powders. If you are vegan pea protein is the most complete protein powder out there. For more answers consider joining our free master class!

[@gracehsiung6298]

Thanks! For protein quantity calculation, I am giving myself some leeway. There is no way I can consume 110 gr of protein. 😭 Typically it is 0.8 gr/kg but for older people the ratio goes up a lot. For the exercise, I agree with you but that is the only exercise I have been doing. 🩰 Definitely will try to join the master class to gain more insights.

[@scottcant4663]

I’m a 62 YOM who has always been active in sports, soccer, skiing, hiking, etc. due to a malady of my youth I had to have bilateral hip replacements in 2011 but stayed very active in sports. I had a routine bone density scan and was shocked to learn I had osteoporosis with a DEXA T score do -2.9 in my spins and wrist. Huh what?!. My physician says bisphosphinates haven’t proved to be effective in preventing spine fractures but will put me on Fosamax if I wish. That’s where we left it. ??????? I have read a bunch of contradictory and cautionary but supportive stuff, a lot of squeeze for a little juice, and other article saying I must get on the medication straight away, all on the internet . I don’t really know when to go at this point.

[@Dr_DougLucas]

Scott, Please join our masterclass for info on how we manage patients. You’ll get tips and tricks and the ability to ask questions.

[@cherlgolja5402]

How to I join that MASTER.

[@islandbirdw]

I think more needs to be said about the fact that most drugs once started must be continued for life. Also the blood tests need to be regular screening tools for women in peri-menopausal and post menopausal. American RN 30 plus years wellness focus.

[@Dr_DougLucas]

Hi Simone, Completely agree but would add one additional issue. Most of the drugs cannot be taken for life. Prolia is the only drug that has a long track record at this point but I question if we just haven't seen the effects of poor bone metabolism with long term use yet. Drug therapy simply doesn't have the long game in mind. They are tools that can help prevent fracture in the short term and I believe there are cases where that makes sense but ONLY after a comprehensive plan is in place. Most of my patients do great without drugs and when we do recommend them (rarely) it is for a brief period of time with Healthspan in mind. Thanks for your input and service to the wellness community.

[@vivienperreau9886]

Love your Podcasts, Dr Lucas and have learnt so much. I am 67 year old female and have a T score -3.1 at lumbar sine and - 2.9 in hips. I had a L2 fracture a few years ago. I didn’t know till I x-Ray. Should I start taking bone meds or can I be redeem through lifestyle changes😢?

[@Dr_DougLucas]

Thank you for sharing this, we would need to complete a deeper evaluation on your specific case. If you are interested in learning more you can schedule a free discovery call at this link ---> www.optimalbonehealth.com/schedule

[@vivienperreau9886]

@@Dr_DougLucas I’m

[@Dr_DougLucas]

We look forward to reviewing with you!@@vivienperreau9886

[@vivienperreau9886]

@@Dr_DougLucas Thanks Dr Lucas. I have already submitted my contact details with one of your masterclass

[@Dr_DougLucas]

That is great! We will see you there.@@vivienperreau9886

[@wocket42]

Interesting that according to the tool, previous mid/long term prednisone use basically doubles the risk. Pushes me to 14%/8.5%.

[@Dr_DougLucas]

Prednisone has a powerful impact on bone!

[@troytmd]

Thank You Great info! I never knew this tool existed Assuming we can the info from a DEXA Scan I scan periodically Then use the T-Score to enter in this FRAX tool? Other means or tools to obtain the T-score would be from an MRI? another question then🙂 DEXA Scan.. Would this be ok and " reliable "? I understand per a previous video..it was not the best

[@Dr_DougLucas]

Hello, DEXA has limitations, yes, but it is the easiest and most available way to get T-scores. I have a video on imaging for DEXA you could check out! Another modality would be REMS/Echolite. It's an ultrasound study that gives T-score and fragility score. It's great but not abundantly available. You can use a T-score from either to input your FRAX data and see risk. You can also get a risk percentage without a T-score.

[@premamathew4690]

How can I get a personal consultation with you. I am from India.

[@Dr_DougLucas]

@@premamathew4690 Hello! We offer international coaching opportunities. Medical licensure is tricky internationally but with clear guidelines we can meet with international clients and off services. Email us at [e-mail] and my team will help you out.

[@troytmd]

@@Dr_DougLucas thank you

[@alimenhem3348]

You know 125 pounds is 56 kg and not 86 kg this make the assesment inaccurate

[@Dr_DougLucas]

Not sure what you are referring to here but the FRAX calculator does the math automatically.

[@alimenhem3348]

Yea I know that it automatically does it but in your example you placed 125 pounds for conversion it should have given 56 kg automatically But somehow it gave 86kg which would affect the frax score I believe