Masterclass Q&A | HORMONES, FALLS, AND HOW TO STOP PROLIA

[@PattyNeie]

Thank you for this great video. I had one Prolia shot and decided to discontinue due to many side effects. (one being lower back pain) It has bee 9 1/2 months since that injection. Doctors are telling me to do nothing at this point because my ctx/ntx scores keep going down. Currently 33 ctx/ 14 ntx. I have continued back pain with no history of backpain prior to this med. I am not sure if this is Prolia still in my system, or a sign of a fracture coming. Never had a fracture, eat very healthy and go to the gym 2-3 times a week. Thank you for what you do!!!!

[@Dr_DougLucas]

Thank you for sharing this. I am glad these videos are helpful!

[@kathleenbaird8706]

I'm 75, healthy and have had osteopenia since my early 50's. I'm 5'1",100 lbs. small boned. My mom had osteoporosis, as well as my grandmother. When my mom was diagnosed in the early 80's weight bearing exercise was recommended. I went to the gym, lifted weights, bicycle and ski. In 2018 I started working with a Functional Movement trainer. I lift heavy weights, do plyometrics, work on endurance, mobility etc. In 2021 my Dexascan showed osteoporosis. I'm due for my Dexa in Jan and my Dr. thinks I need to go on drugs unless my results improve. My weight and small size are natural to me but my Dr. looks at me and considers me fragile. My trainer told me the other day I'm very strong. BTW, I can dead lift my body weight, 95lbs for 8 reps. I have no plans for the diagnosis to hold me back and don't plan to do drugs just yet.

[@Dr_DougLucas]

Thank you for sharing your story!

[@LesleyMowat]

Good for you re the weight lifting at your age! My mom did the same thing until 91! She had osteoporosis severely but still kept weight lifting. What I know about weight lifting is for me I gained 15 pounds of mainly muscle. If you eat well and often, plus eat adequate protein that is mainly primary protein, you should gain a decent amount of weight. Muscles weigh quite a bit more.

[@KarenHolliday-r3g]

Dr Lucas. I want to say THANK YOU I have been diagnosed with Osteoporosis. Im 61. Your pod casts have been very helpful and keeping me at Peace. Knowing I have a future

[@Dr_DougLucas]

Thank you so much for sharing this. I greatly appreciate your support and I am so glad to hear that these videos have been helpful!

[@NoTrashInHeaven]

I'm 62, exactly 10 years out from menopause, and never taken exogenous estrogen, but have been wondering; about it. Thanks for the explanation of the risks for someone like me.

[@Dr_DougLucas]

You’re welcome. You’re on the fence!

[@maebrown2938]

I have learned so much from you. You are greatly appreciated.

[@Dr_DougLucas]

Thank you for watching!

[@EmmaHeatherOBrien-ud2hf]

I’m a 34 year old female newly diagnosed with early onset osteoporosis. I knew I had risk factors for low bone density (low bmi, amenorrhea) but I had to push my GP to refer me for a dexa scan. I thought at worst I’d have osteopenia but unfortunately the results showed it was osteoporosis. It has been incredibly isolating and scary receiving this diagnosis so young but I am grateful for this community as I realise there are so many other people out there with this condition. Thank you for this platform. Whilst I wait for an appointment with a specialist, I am taking all the lifestyle measures I can including supplementation, seeing a dietician, improving sleep quality, red light therapy and changing my workout routine to focus on safe strength training. I’d love to know peoples thoughts on red light therapy for osteoporosis.

[@Dr_DougLucas]

Hi Emma, I’ve researched red light therapy but didn’t find any compelling evidence to support it as a stand along treatment for osteoporosis. There are some compelling data on mitochondrial function and blood flow but I don’t see it directly impacting bone health.

[@wychoo4889]

how can red light therapy help osteoporosis?

[@heathercoey4690]

This format is very helpful- THANK YOU! I am 57 and just diagnosed with osteoporosis by fluke (-2.6 spine, -2.8 left hip). My doctor immediately wanted me to take the bisphosphonate drug Fosamax. When I tried to talk about whether it was best for me right now she got defensive and said that is why she was the professional to make these decisions. 😮 So I am not taking it for a year while I work on exercising (just getting back to significant exercise after valve replacement open heart surgery) and overall healthy habits. In the past (before the weird heart stuff) I have been a fit, healthy, robust person. I am doing weights, jumps, vibration plate 1.5-2 hour hikes and lots of walking after retiring in June. I have three main questions: How much of an impact can surgery have on bone loss? How does inflammation factor into bone loss? Question 3 is a set: I know warfarin can affect Vit K - a. does it just affect K1 and blood clotting? b. Does it affect K2 and bone metabolism getting Calcium to the bone? c. Will taking K2 supplement help? I have signed up to take your Master course on Jan. 10th from Victoria BC Canada and am really looking forward to it. Yours is the only source I have found so far to be balanced information grounded in both science and common sense and considering personal differences. Thanks again!

[@Dr_DougLucas]

Hi there. Great job recognizing that there are alternatives to bisphosphonates. I'm sorry you experienced that defensive physician outcome of questioning drugs. It's common. Answers: Surgery can certainly impact an area of bone! It depends on the situation though. Inflammation will also certainly play a role. Reducing inflammation through diet is a big key for us. Warfarin will impact blood clotting but I don't think it changes bone health or K2 metabolism. I'm not a fan of this drug in general though and there are good alternatives for most people that are currently on it. I was trained to use it and most physicians I know who used it don't anymore. I'll see you on Jan 10th!

[@LesleyMowat]

Dr Doug. Can you tell me if bone loss measurements between both hips should be the same? I saw a group of specialists on REM scan say they should be the same and and thats how you know the scan is accurate. Often thats how you tell if the if the Dexa is inaccurate. I am having a rem and dexa done next month to compare. Thanks

[@Dr_DougLucas_Clips]

@@LesleyMowat That's my understanding as well! Truth is we don't really know which is more accurate BUT osteoporosis is systemic disease so it makes sense that we would see the same bone density throughout the body rather than big discrepancies between areas.

[@LesleyMowat]

@@Dr_DougLucas_Clips thank you for confirming that Dr!

[@LesleyMowat]

@@Dr_DougLucas_Clips yes! Thats exactly what the ortho doctors from Australia were saying! Just wanted to make sure you agree!

[@user-EinsteinSarge]

I'm 59 and recently had a dexa scan, showing osteopenia. I have a family history of so it wasn't a big surprise. I've been on HRT for years (transdermal estradiol patch) so it is encouraging to hear that it is benefiting my bones. Is there a transdermal estradiol patch dose that has been shown to be effective for bone loss? I'm on the .075 patch.

[@horacethecheese]

My mom reversed her osteopenia and diabetes at 80 with diet snd excercise. Last test she didn't have osteopenia any more.

[@horacethecheese]

Re the patch yes google it it has benifits for osteopenia. My aunt got her menopause at 35 and they didn't offer her anything and her osteo is so bad she's bene on every medication they all made her have serious pains and all sorts. Now she wasnt to get off prolia but it's a scary thing to come off. Get the diet sorted and excercise tai chi is amazing get your vitmin k2 45 mg not micrograms so 4500 micrograms 4 thousand micrograms I think the only one does it life extension and remember that magnesium should always be twice calcium intake 2 to 1 ... at least. And high phosphorous foods like milk are not good ratio of calcium to phosphorous so lots of vegetable calcium with magnesium to supplement because our food has very little. Trace elements like silica from horsetail tea and boron from figs and seaweed for iodine all help too. Best of luck. Try to do what you can my mom is fine now and my poor aunt who wouldn't listen to any advice except doctors drugs is in pain every day and like a little bird. But she won't listen so I stopped trying to help her and just glad my mom is so empowered to look after rherself and teach me to do the same. Bless you and hope you're OK.

[@Dr_DougLucas]

@user-EinsteinSarge there is not a specific dose that works for everyone. I’m an advocate for blood testing because there are levels that have been shown in blood to be a threshold for bone impact by estradiol.

[@Dr_DougLucas]

@horacethecheese thank you for your thoughts. Our literature review on these topics supports some but not all of your approach. You seem to be well educated in the space so perhaps you can help me to understand the phosphorus calcium ratio you mention. What is ideal and do you have evidence to support this claim? Secondly, the K2 dosing you mention is MK-4 correct? As MK-7 those would be very high doses and I haven’t seen anything in literature to support those numbers.

[@sylviakarall2131]

Thank you. Another great post. Cheers from Australia 🐨

[@Dr_DougLucas]

Glad you enjoyed it!

[@carollittle1381]

I really appreciate your points about Prolia. My sister and I were diagnosed in our 40s. At 64, she went on Prolia at her doctor's advice. My doctors generally ignore my DEXA results. I have looked at the reports and they should have had more attention. Evidently, they stop looking when they see that my hip measurement isn't too bad. My spine is at 3.9. I am not comfortable with Prolia solution at age 67.

[@Dr_DougLucas]

Thank you for sharing your story!

[@Indydi]

If I had to do it over again, I would NOT go on Prolia under any circumstances. It is not a long term solution. It's not even a short term solution. Side effects are more common than they admit. It takes a hit on your teeth, no matter how good your mouth hygiene is. Perfectly healthy teeth will develop fractures, or just break and fall out. The longer you're on it, the lower your quality of bone will be, because it suppresses bone turnover. This is what eventually causes atypical femur fracture and necrosis of the jaw. I've been on it for 9 doses over 4.5 years, and now have the ominous task of discontinuing. My sister is in the same position. Both of us have had adverse effects. They'll never be able to remove this drug from the market, because that will send everyone into rebound. Note that when Prolia was released, they recommended only using it for a specified period of time. Then they figured out that those who went off it went into rebound that was sometimes catastrophic. Then suddenly, it was, "Oh, nevermind! You can stay on it forever!" This is what you get from Pharma. We are their Phase 4 clinical trial. You were smart to refuse it.

[@aloh2056]

Hi my mom as diagnosed with osteoporosis and I told her to take Bone maker supplements it helps increase osteoblast to help with bone strengthening. I told her not to have those prolia shots due to possibly fracture and it stops the body from bone rebuilding. In fact her bone density improved a lot, and the doctors ask what did she do. I also made sure my mom takes D3. Foods often help increase bone repair process. B12, D3, vitamin C helps with increase collagen production, Doctor's Best Calcium Bone Maker® Complex with MCH-Cal™ and VitaMK7® provides key bone nutrients in their most bioactive forms. Vitamin C assists bone matrix formation. Vitamin D3 helps support the absorption of calcium in the bone, while vitamin K2 helps direct the calcium to the bones. MCH-Cal™ contains natural elements founds in healthy bone including calcium, phosphorus, and type 1 collagen. Calcium helps support the muscles, nerves and blood vessels to move blood throughout the body that effect almost every function of the human body. Collagen helps build and support bone matrix and connective tissue. MCH-Cal™ helps support optimal bone mineral composition and overall bone health. Broad nutrient spectrum for bone health Helps support muscular, skeletal, and vascular health Optimized to ensure safe and effective calcium utilization Contains high absorption ingredients

[@wychoo4889]

thanks for sharing

[@Flowers57862]

Thank you Dr Lucas! I had a bone density test 3 1/2 years ago. I was on Forteo for 2 years. I’m 66 year old female. I had spinal fusion surgery 2 years ago. Now I have multiple fractures in thoracic and lumbar spine. 7/2024. My question is should I try estrogen or go on Prolia . I have no history of breast cancer. I have had complete histerectomy at 40.

[@Dr_DougLucas]

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

[@susanhayes6207]

Very helpful and so informative. Knowledge is powerful. Thank you.

[@Dr_DougLucas]

Glad it was helpful!

[@annabella0929]

this is so helpful. the synthetic ‘progestins’ were connected to slight increase in BC. I am taking HRT 100mg micronized progesterone (along with Estradial patch .05). My gynecologist supports my use of HRT for bone health. My understanding is the bio-identical progesterone I take does not carry the same risk of BC as the synthetic progestin used in the WHI study. Is that correct? I am 60 with no fam hx of BC.

[@Dr_DougLucas]

That’s what the current literature supports, yes. However, there have not been large studies like the WHI on micronized progesterone so we are a bit in the grey area. It’s great that your GYN supports your approach. That’s not common.

[@karenina1]

Just diagnosed at 58. Thank you for all this infix it’s overwhelming getting a handle on it all and knowing what to start with. Supplements, exercise, diet, medication…

[@Dr_DougLucas]

Glad it was helpful!

[@conniemcdonald4678]

Very helpful. Thank you

[@Dr_DougLucas]

Glad you enjoyed it!

[@michelleschaffert3755]

Thank you for the discussion. I have purchased and read your book. Plan to do your masterclass. Have made an appointment with local osteostrong which I learned about from your videos. 66 and just diagnosed with osteoporosis. I am very interested in having a rems scan evaluation. Thank you for your information, it has given me hope

[@Dr_DougLucas]

Wonderful! Thank you for your support!

[@val48153]

Thank you for providing this research and info on what we can do. I'm grateful to Dr.Doug

[@Dr_DougLucas]

Glad it was helpful!

[@LoisJoos]

Great talks. I struggle with the diet sometimes as I worry all the protein I'm eating is going to increase my LDL

[@Dr_DougLucas]

Thank you for sharing!

[@TheAlejandra8814]

Hi, I'm 59 and was diagnosed with severe Osteoporosis. I'm on Tymlos. My question is, can opiods inhibit bone building

[@Dr_DougLucas]

Great question! Checkout The OsteoCollective 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/osteocollective

[@lewynld]

I have a question. I was just reading a post from a doctor who had lumbar surgery and was discharged with a bone stimulating device as part of his rehab. Have ultrasonic or electrical devices ever been tried for osteoporosis?

[@beyondfitrd]

I’m also wondering about this.

[@Dr_DougLucas]

I’ve never seen a study on this but consider what you’re asking it to do. Osteoporosis is a whole body bone metabolism issue. A bone stim placed in an isolate place won’t make a difference anywhere else.

[@lewynld]

@OptimalBoneHealthwithDrDoug Ah yes of course

[@dmatyas22]

Looking forward to your masterclass. My questions are numerous, but as a 61 yr old fit & active female (swimmer) with osteoporosis, early menopause (44) and a history of 2 pulmonary emboli (which my NYC hematologist cannot account for) - I have put off the Prolia the metabolic bone Dr. recommended- primarily due to my insurance wanting me to try the more traditional medicines first. I am nervous about waiting until I am able to have Medicare at 65…so many hidden factors, while I feel great. I don’t want to play a loosing ✋!

[@Dr_DougLucas]

Thank you for sharing!

[@bowler8]

Are the doctors going to take responsibility for the broken bones from the prescription medication?

[@Dr_DougLucas]

Good question!

[@marjoriestratton3829]

I was on the clinical trials for the development of Prolia. I was on it for several years and then it was released to market and of course could no longer get it due to the price.

[@Dr_DougLucas]

Thanks for sharing!

[@lynnmcgaha141]

Could you talk about TSH levels and osteoporosis? I wasn't born with a thyroid, and have taken thyroid supplementation for 76 years, mostly dessicated thyroid. My TSH levels are .006, but my FT4 and FT3 are in normal range and I feel like I'm at an appropriate thyroid dosage. My T- scores are -3.1 (s) and -3.5 (h). I wonder if my low TSH levels are a causal factor for my osteoporosis.

[@Dr_DougLucas]

Good question. TSH below 1 is associated with osteoporosis but hard to say at what point it’s causal. At 0.006 that’s pretty suppressed but if you don’t have a thyroid I would question if the feedback mechanism developed correctly either. We base treatment off of symptoms and thorough lab values. I would want to rule out of the causes before messing with management that seems to work.

[@greenleavesofsummer9673]

Do thyroid meds add or cause osteoporosis? What other meds contribute to osteoporosis or is it about lack of wt bearing exercise? Does coffee use lead us into bone loss?

[@Dr_DougLucas]

Over treatment with thyroid medications can cause bone loss. There is a long list of potential drugs that cause bone loss most common ones include PPIs, steroids, SSRIs and anti-convulsants

[@DeeHicks-l4u]

I have finished a12 month regime of Evenity. Now my therapist is recommending Prolia for the rest of my life. I am 69, active and not into doing any more drugs. I had my Dexxa yesterday and have improved hip to-1.7 and spine is better coming from-3.8 to a - 2.9. I have not had any broken bones bones in my life. So is Prolia my only option for the rest of my life?

[@Dr_DougLucas]

Hi! Checkout the video on my channel called "Can You Stop Prolia? Or Will It INCREASE Fracture Risk??"

[@DeeHicks-l4u]

@Dr_DougLucas Thank you! I will

[@GeeBee7171]

I've been enjoying your book and am looking forward to your Masterclass on Wednesday! I'm hoping you might address options for keeping osteoporosis from worsening during breast cancer treatment when one has to take an estrogen blocker. Is a natural approach enough to counteract the effects of the blocker, or is taking a pharmaceutical to counteract osteoporosis the only option? If so, are there any that you consider to be a little safer and effective without major side effects? I am told I will need to be on an estrogen blocker for 5 years. Thank you for any insights you have on this!

[@Dr_DougLucas]

This is the one situation where an antiresorptive may make sense for me. It’s a temporary drug to reduce the impact of another drug which is otherwise hard to mitigate. We do have patients in this boat who choose not to use bisphosphonates and we do see improvements BUT this is a case by case discussion

[@charlenedykstra9245]

I was diagnosed with Osteopenia at 52 after a hysterectomy. No HRT. Now at at 67 my T-score number for hip is -3.3. It was -2.2 two years ago. I have been on Fosamax for the last two years. I guess my question is should I continue another 2-3 years with the Fosamax? I'm trying to do the right supplements and good nutrition. I haven't gotten into any heavy weight bearing. It seems like whenever I start to try, my back or shoulders or hips have issues. Is the Rx preventing the osteoblasts from rebuilding bone? Any recommendations? If you answer this question, I'm not sure how I will know or how I can find this place again to see the answer.

[@Dr_DougLucas]

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

[@audreygrant9919]

I am 76 female was diagnosed with osteoporosis in 2019 family Dr put me on Prolia now ? after being on it for 5 years my Rheumatologist wants to put me on Alendronate Acid through Iv ! I am so afraid since looking at at the side effects can I say no to this ! Also I am on the list for a knee replacement so wondering if I did agree to take this drug I want to know will be bad for me to have a knee replacement ?

[@Dr_DougLucas]

Great question! Checkout The OsteoCollective 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/osteocollective

[@KimLyons-u9c]

What Is the minimum recommended dose of estradiol patch that is best for osteoporosis? Is there an estradiol blood level that should be attained?

[@Dr_DougLucas]

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

[@julieharris6095]

Diagnosed a few months ago osteoporosis , 58 year old Live in the UK I don’t think there is any bone optimisation clinics in the uk ? Also I was on HRT Lenzetto so after watching your videos I asked the GP to do the recommended bloods to rule out other causes other than the assumption that it was menopause It turns out my estradial levels were really low So is there a preferential brand of HRT for bone health I am now on Èverol 50 patch as I wanted body identical and take Uterogesterone Also do I really have to avoid the bending forward ? Prior to diagnosis I was doing lots of dynamic yoga , strength training (although maybe weights haven’t been progressive enough ) and generally really very active so now I find I am really worried about doing a manoeuvre that could cause a vertèbre fracture My last question is About 18 months ago I decided to practice time restricted eating and become More plant based for heart health reasons , I lost around 8kg in a matter of weeks , this took me from 55kg down to 47kg but I have always been a small petite framed female 5”2 so actually this weight was a return to baseline when I was in my 20s and 30s do you think this could have triggered rapid bone loss ? I am now focusing on protein with some Meat but still like to stay with whole foods as much as possible I do eat dairy including eggs every day and Greek yoghurt so I think I am getting enough calcium , I certainly do not want to take calcium supplements because of the risk to the coronary artery’s ..I am taking vit d with k2 (m7) variety

[@Dr_DougLucas]

Hi there. So many big topics to consider! From an HRT perspective there is no one brand that we prefer. In fact we use compounded cream because most commercial products don’t provide adequate blood levels for bone health. Time restrictive feeding I find in general is not helpful for bone health. Our goals in this arena are to be anabolic and build muscle and bone. Doing that with TRF is possible but harder than without. Similarly, I love a Whole Foods approach to eating but think it should be protein forward based on animal products. The heart health benefits from eating a plant based diet are an illusion. Don’t fall for the mirage.

[@chantage16]

Can a person with osteoporosis take Prolia and estrogen at the same time considering the way they function seems to be opposing? Thank you.

[@Dr_DougLucas]

⁠@@chantage16no direct contraindication. Actually they both impact osteoclasts so probably would be synergistic but I’ve not seen them studied together.

[@chantage16]

@@Dr_DougLucas thank you so much for replying. I really want to get her off of Prolia due to bone pain side effects, but I’m concerned about increased risk of vertebrae fractures if taken off. It doesn’t seem like hormones alone will be enough at this point.

[@Dr_DougLucas]

@@chantage16 It may not be.

[@Lorrainecats]

Much appreciated. Any thoughts about Evista?

[@Dr_DougLucas]

I have a video on that!

[@anniebest5932]

How can I get a zoom appointment with you Dr. Doug?

[@Dr_DougLucas]

Hi! We would love to speak with you. You may schedule a discovery call with one of our specialists at the following link --> www.optimalhumanhealth.com/membership

[@maril1379]

Excellent channel Subscriber Thumbs up from NYC

[@Dr_DougLucas]

Awesome! Thank you for your support

[@winneads8775]

I'm 61 and have stage 4 breast cancer. I'm doing very well. I'm on Anastrozole and my doc says that leads to osteoporosis. I'm wondering if most of your advice would be helpful for someone in my situation. My DEXA scan scores are great. T score 0.2 and Z score 0.6. Thank you.

[@Dr_DougLucas]

Hello, Congratulations on your cancer survival. Anastrozole does lower estradiol which can increase bone loss. Our approach does work for people on estrogen blocking medication because there are numerous pathways to optimize bone metabolism. Estrogen is helpful but not required.

[@salleone6387]

The second question you answered about the doctor only recommending weight bearing exercises up to ten pound, the first part of that individuals history about exercising for years and being shocked about the dx of osteoporosis, is something that really resonates with me. Thru testing and diet analysis, can you tell why someone has osteoporosis/osteopenia in the first place? I have been an avid brisk walker for decades. Truly perplexed.

[@lewynld]

Genetics and family history can play a big part, as can body size, ethnicity, age, medications, hormone levels, smoking, alcohol use, activity level, and I am sure there are factors yet to be discovered. It is indeed perplexing. Some people say that taking too much calcium in diet or supplements can be a big factor, while others say the reverse.

[@Dr_DougLucas]

@salleone6387 and @lewynld thank you for your comments. There are indeed multiple risk factors as outlined but there are numerous that date back to childhood and adolescents too. The key to reversal for most is to figure out the root cause and address that!

[@deebrooks9488]

❤Love the question video. Is Forteo OK if your ctx is 1095? Thank you

[@Dr_DougLucas]

Forteo will have more of an impact on P1NP and bone building. I always use these drugs in combination with a comprehensive program which would aim to reduce CTX.

[@phillipedwardness9591]

Hello, my mum was recently given Prolia by a doctor despite only having Osteopenia. The doctor then said one week later to stop the Prolia. I then learned about the risks and can’t believe the approach. I don’t know if she should continue it or stay off it. Very stressful for her.

[@Dr_DougLucas]

Hi! Thank you for sharing this, checkout the video on my channel called "Can You Stop Prolia? Or Will It INCREASE Fracture Risk??"

[@Clovelaurel]

Hi! I’m 58 and just received results of my dexa scan. T-scores are Spine -2.1, Left Femur-3.0 and right femur is -2.4. I was told to take calcium and vitamin D and walk. That doesn’t seem like enough to me. Should I consult with another doctor? Very confusing. Thank you!

[@Dr_DougLucas]

Hi Cindy, That’s the medical playbook. Another doctor in that system will likely tell you the same. If you haven’t been to our masterclass you could start there. Link in description.

[@MarySalmon-m9i]

Hi Fit 66 yr old. Diagnosed osteoporosis 6 years ago. -2.5 and now -2.6 in hip and -1.9 in vertebra. Taking lots of supplements and Osteostrong. Recently traumatic fall not fragile or balance. Accident related. Pelvic fractures non displaced and healing. Worried about my bone density decreasing while inactive but want to avoid bone drugs Also is osteogenic loading safe post fracture . Bone markers regularly are good.I want to avoid bone drugs and keep strength training with supplements and life style Any thoughts please

[@Clovelaurel]

⁠Thank You!

[@Dr_DougLucas]

Thank you for your support!@@Clovelaurel

[@Dr_DougLucas]

@@MarySalmon-m9i Hi there. Sorry to hear of your troubles. Pelvic fractures are slow to heal but do heal reliably. Osteogenic loading is safe after fractures are healed but ask your doctor who can review your imaging to verify that the fracture is healed.

[@sandrabarr374]

What are your thoughts about the use of Strontium supplements?

[@Dr_DougLucas]

I’ve got a video on that! Search Dr Doug Strontium for the most up to date video

[@lebooshdiaries]

Looking forward to watching your new channel. Just subbed. I received my P1NP test last week and it's not good. The average is 20-100 ug/L and I am 19.9. It's below the average. At age 47, should I get a Dexa? There is no REMS here. My GP had advised me to go for Dexa only after menopause. I am seeking opinion of another doctor this week but wanted to hear your advice. Thank you Dr.

[@KT-ml1sy]

@lebooshdiaries I am not a doctor, but I can tell you from my own experience, PLEASE get a DEXA asap. I am 58, just had my first DEXA and diagnosed with somewhat severe osteoporosis despite healthy eating lifestyle and regular exercise and BHRT. I am shocked and the worst part is I have NO idea why! If I had a baseline DEXA before menopause my doctor and I would have so much better information as to what caused this and therefore what treatment options might be best. Now it's just guessing. DEMAND your DEXA now when you can gain such valuable insight. They are easy, quick, painless and cheap. There is NO reason why every women isn't given one before she enters menopause. Yet they are often not ordered till age 65!! It's a huge failure of or system. Good luck.

[@LT-pp1je]

I paid $100 for dexa scan at 48. Showed osteopenia. So I’m on this confusing journey on how to deal with this without meds. I want to be on bhrt but I’m in perimenopause. I’m only offered birth control pills which I’m not taking due to clotting concerns. Plus I’m petite skinny small frame woman. Not sure how this factors into dexa results. I’m just taking my vit d3, mk7 and started weight bearing exercises. Up to 10 lbs for biceps curls and trying to go higher without injury. it’s 10% of my weight.

[@lebooshdiaries]

@@KT-ml1sy hey thank you for sharing. I hear you. It is scary to know that despite a healthy lifestyle, one could still have osteoporosis. I hope you are on your journey to reverse this with good support.

[@Dr_DougLucas]

Thank you everyone for your comments. DEXA is a no brainer @lebooshdiaries! P1NP of 19 is really low. We aim for 150 in our program if doing it naturally.

[@lebooshdiaries]

@@Dr_DougLucas Yea, I know it's very low and I am concerned. I started lifting my dumbells although they are not very heavy, like 5.5lbs each since Aug and then did the blood test in Oct. I guess within 3 months, the osteoblasts didn't get triggered much. I didn't want to immediately start with super heavy weights because I haven't been exercising with weights for many years, so I wanted to start slowly so as not to injure myself. I also jump, hopscoth and do push ups. Hope to see better results in the next 6 months.

[@estelitabugarin5655]

I took alendronate 75 mg for 13 months then stop coz i felt my condition worsens. When i start taking it, i had 2 lumbar fractures but after a yr i had t12 and l2 and 4. Fracture increased. Will my fracture still heal after stopping the medication? I do need an advice doc Thanks and God bless

[@Dr_DougLucas]

Thank you for sharing this, unfortunately I cannot provide specific opinions or 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

[@loribuchman4193]

I am on prolia. Can I get benefits from exercise, all life habits and diet?

[@Dr_DougLucas]

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

[@Mobeegirl]

Hi I really appreciate your videos, since being diagnosed recently, i have been on a path to find out why within 1.5 years i went from great density to basically looking like a mouse has been having my hips for a snack. I have been in constant pain in my hip and lower back bone pain. I saw a rheumatologist who ordered a bone density test and a 36 panel blood , it seem from the information , the root cause is hyperparathyroism, it makes sense that this is creating havic in my body over production of calcium and it’s taking it from my bones, what are your thoughts on this disease. I think finding root causes is should be top priority as well as rebuilding

[@Dr_DougLucas]

Checkout our masterclass or health span nation if you have not. We are able answer more specific questions through those platforms. Links for both of those are in the video description :)

[@evelyngonzaga4762]

I am 74, had a T12 compression fracture 5 years ago, on prolia for 2 years, dexa improved from -4 to -2. Stopped the prolia and recent dexa got worst..now my endocrinologist prescribed Forteo. Been reading a lot about side effects and the inconvenience of daily self injection. I fear that with side effects it will affect my active life, traveling, going the gym, gardening. Been trying to get a consult with after watching a lot of your yt presentations. What's your thoughts on this. I haven't started the meds. I have a bad feeling about this Forteo injection.

[@Dr_DougLucas]

Sorry to hear of your issues. Seeing bone loss after discontinuing Prolia is common and the traditional medical model will generally resort to another medication as that is the tool of choice. The question I would want to answer why are you losing bone so rapidly? What is the underlying cause of bone loss? Forteo and Tymlos have the best mechanism for bone growth from a drug but it’s still a drug and if drugs can be avoided they should. The risks of side effect are low though.

[@christinegrossi4430]

I’m 77, on alendronate for about a year. I am hoping that I can go off drug after two more years, but want that to be the end of drug therapy, I exercise, am not fragile, and am careful how I do things. Is it realistic for me to be drug free?

[@Dr_DougLucas]

Thank you for sharing this, unfortunately I cannot answer specific questions like this through this platform. 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

[@Elvira-m2l]

I am 67 YRS old, Filipino, 92 pounds, 5 ft, diagnosed with rheumatoid arthritis and osteoporosis. Presently taking methotrexate weekly and methylprednisone 2mg daily. I was prescribed with osteoporotic drugs but I still have to decide on what kind of drug should I take. The doctor gave me 3 choices alendronate, estrogen or prolia. Aware of the side effects, I cannot decide. My t score on radius is _3.5, L1 L2 - 2.7, right femoral neck - 2.8. I have started a low carb high protein diet for 2 months now. Pls help me manage my osteoporosis.

[@Dr_DougLucas]

Hi, thank you for sharing. Checkout our free Bone Foundations Masterclass if you have not attended one yet. This could be beneficial to you, you can find details here ---> www.optimalbonehealth.com/bone-foundations-master-class

[@AnnaKamarakis]

Hi Dr, early November '23 I was put on Prolia with some devastating side affects. Mid December '23, I started my journey with Algaecal. I won't be getting the second shot of Prolia because of my experience with the side affects. I've heard about the rebound effect once off Prolia. My question is can fractures and breaks occur just after the first shot without relay drugs? I plan to continue with the Algaecal and when I regain my energy after this poison is out of my system I can start excercising again, which I miss. I'm 61yrs old.

[@Dr_DougLucas]

Hi! It will be different for everyone. Unfortunately, I cannot provide specific recommendations or opinions on this through this platform and without knowing more about your case. You may schedule a discovery call at this link if you would like to learn more about our program and speak with a specialist --> www.optimalbonehealth.com/membership

[@MyEverydayGarden]

Thank you

[@Dr_DougLucas]

Thank you for watching!

[@Lurululiluuu]

Hi, thanks for the incredible info. I have same female 51 yrs old post menopausal case you mentioned with the additional complexity of Hipo Phosphatasia (seems genetic, getting tested). Knock on wood no fractures to date. My scores are really bad so I was prescribed with Forteo. I am as well concerned about what's next. On HRT w 0.025 Estradiol patch + IUD Progesterone as I have bad side effects from oral intake (no breast cancer in family so far). I am starting to train with weights (used to 25 yr ago) besides the regular exercises for this case. Appreciate any direction. Thanks. Lu. B.

[@Dr_DougLucas]

Hi there. Sorry to hear of your troubles! Have you come to our master class? It’s free and link is in the description. It’s a great way to get the big picture.

[@Lurululiluuu]

@@Dr_DougLucas Thanks for replying. I will attend for sure!

[@Lurululiluuu]

Btw the MC link says is for past one on Nov 1st. The one on the website is for a recorded one with Kevin Ellis. Is there a future live one I can attend?

[@Dr_DougLucas]

Thank you for your support and we look forward to seeing you!@@Lurululiluuu

[@Dr_DougLucas]

Yes there is. Go to our website: www.optimalhumanhealth.com if you do not see it you can send a message to the team via the contact us link on the website. They will get you set up and taken care of right away.@@Lurululiluuu

[@ayashasiddika]

I have taken prolia 3 times. I want to exit. Doctor wants me to take zolendronic acid. But i don't want. Can I just exit without having another drug?

[@Dr_DougLucas]

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

[@jodavies2283]

I’m in the UK and I cannot find a way to register for your master class. Every time I try it’s the link is no longer valid. The same happens when I try and download the ebook - but that’s not a problem because I can apparently buy it on Amazon. Please can you help with registering with the masterclass?

[@Dr_DougLucas]

Send an email to [e-mail] and they will get you a link.

[@jodavies2283]

@@Dr_DougLucas Thank you for replying regarding my problem with the link to your masterclass. May I just add, that you’re leaps and bounds ahead of the NHS over here and your site is invaluable to me. Many thanks and please keep up the amazing work. Many thanks, Jo

[@Dr_DougLucas]

Thank you so much for such an amazing compliment and continued support!@@jodavies2283

[@mybabygirl666]

When I clicked the link to get e-book, I got 3 KZbin videos, not an e-book. Is the videos the e-book?

[@Dr_DougLucas]

Hi there. We are redoing all of these landing pages. Check again in a few days. The link to the e-book should be in there!

[@conniemcdonald4678]

I started Evista about 10 years ago but it started a fire in my chest. No replacement was offered.

[@Dr_DougLucas]

I am sorry to hear that. Thank you for sharing this!

[@karlint39]

There are a lot of factors to consider so it's not a one size fits all solution, but going off Prolia without following up with an anti-resorptive like Alendronate or Reclast sounds like a recipe for disaster. Personally I would love to be drug-free, but I'll be going off Prolia in a safe, data-supported way. I have seen no studies that showed a person could go off prolia and not take another drug, and avoid major losses of bone density and greater risk of fracturing.

[@Dr_DougLucas]

Hi! Checkout the video on my channel called "Can You Stop Prolia? Or Will It INCREASE Fracture Risk??"

[@Udoshia]

I’ve had one shot of prolia and was given the medical material AFTER I was given the shot so I decided not to get another shot. The doctors office who gave me the shot refuses to help me with coming off the shot or giving any more help. I have appointment with an endocrinologist but am not hopeful because I’ve already seen one and he did not want another’s doctors mess

[@DankDragon62]

Story of my life, good luck 👍

[@phoenixgirl11]

And that’s why I don’t trust most doctors. I feel they don’t listen to the patients and address their concerns

[@phoenixgirl11]

Great video 🙏

[@phoenixgirl11]

I’m a 67year old female that has osteoporosis. I was on Boniva for five years. The doctor never told me that I couldn’t be on Boniva longer than five years neither the bad side effects with jaw bone and the femur. I no longer take it on my decision. I lift heavy weights,squats,deadlifts,bench press etc. I also walk and do high intervals running. I have a very healthy diet and eat dairy. I took control on my body. Doctors advising to lift 10 pounds weights is ridiculous. I do though have experience on weights. I was a natural,novice body builder. The laters research has shown that lifting heavy weights safely can reverse osteoporosis or slow it down significantly. Aldo the best exercise is the squat. I feel so much better once I took control of my body. Do you own research and first of all safety.

[@Dr_DougLucas]

I am sorry to hear that. Thank you for sharing this. If you have not attended one of our free bone foundations masterclass sessions before I would advise checking it out, it could be beneficial to you. You can find details at this link --> www.optimalbonehealth.com/bone-foundations-master-class

[@leonaedwards7104]

Great video.

[@Dr_DougLucas]

Thank you for watching!

[@yadealone]

I wish I could work with you. I cannot afford it. I wish you had a consult for $500 to ask questions.

[@Dr_DougLucas]

We have a few other tools! Our bone foundations masterclass is free, I try to answer as many of the most popular questions as possible during those sessions. We also have a self guided program, you can find further information on this at the following link --> www.optimalbonehealth.com/pricing

[@JonNelson-p1s]

wondering if a 70 yr old woman who went through menopause in mid 50's is too old to benefit from hormone therapy for osteoporosis.

[@Dr_DougLucas]

The question is not of benefit but of risk. There would likely be benefit but what is the risk at 20 years from menopause. It’s significant so that’s a difficult decision.

[@terrykirk8260]

I chose to take AlgaeCal for a source of calcium. At first I was pleased because my serum calcium was higher than it had been in a long time. Then I wasn't paying close attention and I had passed to hypercalcemia I need to stop taking algaecal. Anything else I need to do?

[@Dr_DougLucas]

Hi! Thank you for sharing this, unfortunately I cannot provide any specific recommendations through youtube. Checkout our health span nation network or the Free Bone Foundations course. You may ask questions in the masterclass sessions as well. All links are in the video description :)

[@annettesammut3002]

You talk to fast to understand 😢

[@Dr_DougLucas]

Thank you for the feedback! I will try my best to talk slower :)

[@jmc8076]

It’s prob hard to fit alot of info into a short space of time. Try slowing the video speed by click/tapping on settings icon (looks like a thick star) in upper right of the video and choose PLAY BACK SPEED. You can also scroll back/rewind using the bar at the bottom of videos. : )

[@deborahhunt6001]

Duavee. Draw backs to taking this

[@Dr_DougLucas]

Thank you for sharing

[@SumGirls]

#MondaysAreYucky but not when there’s a new Dr. Doug video! 🎉 🦴 💪🏻

[@Dr_DougLucas]

Appreciate your support!