Bone Quality: Overview by Endocrinologist Dr. Janet Rubin, MD

In this interview, I ask Dr. Janet Rubin to define bone quality and provide strategies that individuals can follow to improve their bone quality.
-Chapters-
0:00 Introduction
1:19 What is Bone Quality?
3:09 Can a Trabecular Bone Score (TBS) Measure Bone Quality?
3:50 Does Low Intensity Vibration (LIV) Improve Bone Quality?
7:44 How Often Should You Use Low Intensity Vibration (LIV)?
9:28 Does Exercise Frequency Improve Bone Quality?
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ABOUT DR. JANET RUBIN, MD
Dr. Janet Rubin is the Sarah Graham Kenan Distinguished Professor and Vice Chair for Research at the Department of Medicine of the University of North Carolina in Chapel Hill. She is also the Professor of Medicine in the Division of Endocrinology and Metabolism, a Joint Professor in Pediatrics and Pharmacology, and Adjunct Professor for Bioengineering.
Dr. Rubin is not only a Professor of Medicine and researcher, she has a busy clinical practice treating patients with osteoporosis.
Dr. Rubin has been investigating bone remodelling for decades. Her particular focus has been on how exercise and mechanical force affects the cell cytoskeleton.
Since 2008 Dr. Rubin has been recognized by her peers as the best Doctor in America.
Medical Disclaimer
All the information, content, and material presented in this video is for informational purposes only. It is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider.

[@ms181]

I have very bad bone density results (-2, -3, -4) and my doctor is insistent I start PROLIA. I would MUCH rather try the LIV, but am puzzled that there aren't growing numbers of reports about its success. Shouldn't we be hearing users raving about bone density improvement? It costs a lot, so I would love to see more RESULTS before I invest. Thank you for covering this topic!

[@marymancuso9333]

I totally agree with you. I would love to hear some feedback from the people that have been using the machine for several years. This is the one reason I have not purchased a machine.

[@ceciliapreziose3783]

Look up OsteoMD, I am planning on taking it, NAC, ACV. The last two work on body ph. Low ph bleeds the bones of calcium

[@gaylemathews1327]

I have osteopenia. I have had hip surgery due to a cycling accident. Surgeon said I have good bone quality. I have also increased my spinal bone density 4.3% with exercise alone using weights. Resistance training makes a difference. I am 64 years old.

[@NBA_kids]

I recently broke my hip playing pickle ball. Had hip surgery and they now want me to inject myself with shots every day for 18 months to rebuild my bones. Medicine has horrible side effects. I'm 63 and have been active. I don't want to take this medicine. I want to do even better with exercise and diet. I'm told because I broke my hip I am high risk for more fractures. I don't know what to do!!

[@suelauchlan3586]

Very helpful. Gotta run now and exercise for my first 10 minutes after I balance on one foot while brushing my teeth:) Thanks!

[@margaretmartinpt]

Wonderful!

[@gpagnotti]

Very informative!

[@bernicewright9352]

Thks so much for posting this Margaret. It gives me a better idea of how to incorporate the LIV in my daily exercise routine and why I should do so. I continue to use the weight training you have provided me with to help manage my osteopenia. With gratitude always for your continued guidance.

[@margaretmartinpt]

Thank you very much. Glad you found the video discussion helpful.

[@chrisruss9861]

Thanks for insight.

[@margaretmartinpt]

My pleasure!

[@user-qj2wt5cs6p]

Fabulous blog I really enjoyed this!!!🍀Nicely presented!!!🍈

[@margaretmartinpt]

Glad you enjoyed it

[@seaglassjpl1467]

Dr Rubin what supplements do you recommend

[@leahlynch4700]

I own the Marodyne LIV and use it twice a day (morning and evening). I find it to be useful as a warm up before my daily exercise. I’m hoping it will slow / control my osteopenia so I can avoid the drugs. My endocrinologist thinks I should start the drug regimen immediately because I’m on tamoxifen for many more years.

[@margaretmartinpt]

Great to hear that. Good luck!

[@evangelieabs]

do you think that the marodyne liv has improved yr bones density since you use it? i am thinking to get one,do you know the cost of the machine ? thks

[@vinny6016]

@@evangelieabs $3000. I am thinking of getting one but Dr.Rubin does not sound very enthusiastic about it. Confused but at the same time being diagnosed with osteoporosis, want to do everything besides being on drugs.

[@jilljordan922]

Thank you for your videos on osteoporosis! Could you give a link to interview with her brother about the low intensity vibration? I didn't catch his name other than Clint.

[@margaretmartinpt]

Hi Jill. You can find the three interviews with Clinton Rubin at my blog post: melioguide.com/osteoporosis-exercise-equipment/whole-body-vibration-therapy/

[@vinny6016]

Hi Margaret, seeing your videos, emailed and got a quote from the company. Very happy about it. Have any of your clients used this Merodyne Liv and if so, what was their experience? Also, seen some review videos from the women based in UK. Is this machine not used or popular with osteoporosis people in the other parts of the world like USA or even Canada. Also, Dr. Rubin in this video does not sound very enthusiastic about this machine. Would really appreciate your input, It is an expensive machine so would like to make a right design. Thanks.

[@paulaconrad4380]

What do you think about the Echolight scan, which is supposed to tell you about bone quality

[@williammoor3069]

I agree. It’s been around 4 years. Why aren’t we hearing about great results? I just ordered it and it was $3000 not $2000. Did o get ripped off?

[@jafrasar1]

Can a mini trampoline, such as a rebounder, offer the same vibration, or simulate vibration. Have you tried it. Rebounders are used for exercising.

[@margaretmartinpt]

It cannot: kzbin.info/www/bejne/rpKvepihmbGGsNE

[@billiejeanknight7044]

That’s family for you ….behind you 62%! She seems dismissive of the vibration plate her brother developed. It has a purpose that is narrow and important NASA research is what I trust.

[@margaretmartinpt]

I discuss bone quality, how to measure it and how to improve with endocrinologist Dr. Janet Rubin.

[@sophieastral3646]

What do think of low dose estrogen for osteoporosis

[@attop21]

MY doctor said that low dose estrogen helps prevent hip fractures, I’m not sure why this isn’t being discussed more.

[@leonaedwards7104]

Estrogen after a period of time increases your risk of breat cancer

[@attop21]

@@leonaedwards7104 not really, the study that linked estrogen to BC had many flaws. You can check Dr Heather Hirsch either in KZbin or Insta, she is a great resource for menopause health

[@RobCoates1]

It would have been helpful to know about the vibration thing. What is it, and where do you get the device?

[@lolalavigne879]

Where can I order a platform

[@margaretmartinpt]

Hi Lola. You can contact Marodyne here: my-marodyne-liv.btt-health.com/