Worst Drug for Osteoporosis? Bisphosphonate Drugs, Fear, Confusion and Facts
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- čas přidán 28. 05. 2024
- Worst Drug for Osteoporosis? Bisphosphonate Drugs, Fear, Confusion and Facts. In this thought-provoking video, we delve into the controversial topic of Bisphosphonate drugs and present the cold hard facts surrounding these medications. 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
1:22 Bisphosphonates
3:32 Fracture Risk
9:41 Bisphosphonate Risk
10:41 Atypical femoral fractures
13:35 How long can you be on this drug?
15:36 Bone Building
16:58 Masterclass Registration Link
17:04 Program Details Link
17:13 Example cases
25:00 Doctor recommendations
26:05 Closing Summary
26:25 Masterclass Registration Link
26:30 Program Details Link
Study 1
pubmed.ncbi.nlm.nih.gov/17476...
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This channel is focused on Bones, Hormones, and Healthspan to help midlife women and beyond aim for optimal, not average, and reignite their spark!
The videos on this channel will be focused around helping women navigate healthspan and longevity through the lens of osteoporosis, perimenopause, and menopause. When it comes to osteoporosis and menopause providers and educators often get tunnel vision and your symptoms might get better, but if you don't keep longevity in mind, symptom improvement may come at the expense of heart and brain health.
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ABOUT DR. DOUG LUCAS
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Dr. Doug Lucas: Owner/founder of Optimal Bone Health and Optimal Human Health. My team and I work together to create custom bone optimization plans for individuals based around supplements, hormone optimization, peptides and more in order to increase bone health and longevity!
Optimal Bone Health www.optimalhumanhealth.com/
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#osteoporosis
#hormones
#bones
Excellent presentation. Concise, informative and delivered well. I find speech patterns highly diagnostic for intelligence and the good Dr. has it in spades. Thanks
Thank you!
@@Dr_DougLucasppppa
I am 60 and was diagnosed with osteoporosis 4 years ago. T SCORE -2.5 I was also overweight. I started on a serious exercise regiment of walking, yoga, weights. And a calcium and vitamin supplement together with dietary improvements. As i got fitter, i started running and increased the weights. I lost weight, all my pains disappeared. My bones improved. My health improved and even my mood improved. I now love to exercise, its the best decision i ever took .
Wow!
Congratulations on your life transformation. You have stumbled onto one of the secrets to finding joy in life. Congratulations.
Graphite, I’m right behind you!
Thank you. You have given me hope. I lost teeth because of Osteoporosis.
@@gailchypyha3587 I hope you get better. Check out a good age appropriate exercise program . I hired a personal trainer at first , as I did not know how to exercise without injury. It was the best investment , better than paying hospital bills. The bonus was on other aspects of my health as well. I was prediabetic, it disappeared. I had high LDL, it normalised. My stiff joints loosened , I became pain free. It's slow and one needs patience, but it works. I dont smoke or drink. God bless.
Thank you for watching. You've got this!@@gailchypyha3587
My aunt was prescribed a bisphosphate (Fosamax I think) for her osteoporosis. She's also previously had oral cancer and radiation treatments for that cancer. She should never have been prescribed that medicine given her medical history. She died of necrosis of the jawbone (complications due to...?, but yes, we were told it was 'necrosis of the jawbone' that killed her). I feel like too many Drs prescribe patients whatever is the common drug for whatever issue without considering a person's total health picture, medical history, or even what other drugs they're currently on. And then they get angry with you if you don't want to take it or express concern or reluctance - some are even horrible bullies about it. People are losing faith in doctors, and its not surprising.
I'm sorry to hear of her experience. You are correct that prescriptions are often written without an understanding of the full picture. There are a lot of reasons for this but no excuses. The bullying part gets under my skin and is related to hubris and pride in my experience. Thank you for sharing your tragic story.
As a former allied health professional and sufferer of chronic pain due to osteoporosis I 1000% agree
Thank you!@@sg6474
They do it for $$$$$$$$$$$$
So very sorry for the loss & experience your aunt went through.
My dr started me on alendronate 70 mg, for last 2 months, extreme pain on bottom of both feet, got steroid injections on both feet, fixing to get steroid injection on L-4, L-5, bc of recurring sciatica. I can’t even go exercise anymore & it all started after taking this drug, I AM NOT taking this crap anymore, I’d rather die exercising sporadically than nothing at all. Never had prob’s w/plantar fasciitis before! Yes I have osteoporosis & osteopenia but I was happy before, I was exercising, now nada! No more Alendronate for me, I’m 75 & miserable w/this drug. No mas!!
Thank you 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 am very sorry about this happening to you. I am already I chronic pain. I wish you well.
i was told I had osteoporosis by a PA after a routine bone scan. I didn't see the report but agreed to take Prolia because I didn't want to take pills weekly. Big mistake! Pain from the first week. Feet, hips, legs, back, ribs, knees, hands, fingers, jaw! OMG! I did research (which I should have done BEFORE but I trusted the doc)...anyway all the POSSIBLE side effects listed were what I had. Kicker was once I saw the bone scan it only showed my arm had the bad score. I had a spine fusion and they couldn't do the complete scan, but the other areas were fine!!!! Later I was told perhaps I had fallen and hurt that arm at one time. Anyway, I also was not told that when I stopped take Prolia, I HAD to have a relay drug or I could get vertebral spontaneous fractures! WTH! It has been almost two years since my one and only shot. Still have pains and I have been to six different doctors and they have no idea what I'm talking about!!! Apparently, after going off Prolia the bone is basically goes into the loss of bone unless stopped. It is almost impossible for me to exercise now. I was told I need spine surgery (again) and a complete knee replacement! So frustrated! I will not take any meds for this EVER as I tried Actonel as the relay drug and hurt just as bad!
What a nightmare osteoporosis is, and it’s crazy how it’s not taken as seriously as it should!!!
Agreed on the crazy around seriousness. I don't think it has to be a nightmare for most people but it certainly can be!
I’ve fractured ( compression fracture) twice, the pain is horrible!
@@mariamarino138 Sorry to hear that! It sounds like I'll see you soon in our masterclass.
I listened to it, not much help.
@@mariamarino138 How can we serve you? What are you looking for?
I have taken them all. Most made me sick after using for a period of time. I rather risk fractures than ever be on these drugs again.
Fair enough! I don't like them either. There are so many things that can be done instead!
Me too
I lift free weights and walk daily, do chair excercises daily...hoping that helps my bone strength too.
My poor mother took an oral bisphosphonate drug for 20 years, and her lower spine collapsed into itself. A surgeon tried to repair it, but she developed an infection and died of sepsis. Never never never would I take one of these drugs that I consider dangerous.
Thank you so much for sharing this I'm so sorry about your mother that sounds so awful,, that's why I don't want to take the medications myself they don't treat the root cause and the side effects are too dangerous and there's no guarantee that someone won't suffer the side effects , I hate when people talk about these medications like there the perfect and only solution when they are not
Hello,
I'm sorry to hear of your loss. Surgical complications can be devastating and surgery on bone that has been severely impacted by bisphosphonates is challenging. I've done it myself. The bone has limited capacity to heal and wound complications, infections and further complications are common.
Thank you for sharing your story.
@@Dr_DougLucas Thank you. My Mom suffered so much the last few weeks of her life. My only consolation is that I'm sure she is in Heaven.
@@roseann5562 Amen.
Sorry for your loss..😢. I’m experiencing severe osteoporosis. The pain is unbearable. 😢
My neighbor and my sister both took bisphosphonates; one weekly, and the other was a monthly prescription. They both had extreme pain immediately in their bones. My neighbor, 82 yrs old, went to the hospital for help, screaming in pain and they told her there was no antidote for that and she'd have to just put up with it and it would probably last a month. They gave her painkillers, which she eventually got hooked on, and no resolution for what she took. That's why I will never, ever take bisphosphonate's.
Wow, I'm sorry to hear of their experience. Unfortunately, side effects are often under reported and what we hear on the clinical side seems like higher rates than what we see in studies.
@@Dr_DougLucas That's how it always is. I think it's the typical shenanigans used in so-called clinical trials and "studies" that have an end goal in mind. They ignore or downplay side effects, making the patients the actual lab rats later. I'm a retired RN, and hubby is a retired pharmaceutical chemist, and what I've seen since COVID, when I finally started paying attention, is that the whole system is set up not with the patient in mind, but to support Pharma, especially the big names.
@@IndydiYou got that right 👍🏻
🤔🤫@@Indydi
Same happened to me, minus the pain killers! I will NEVER take 1 of these drugs again! I have cancer, have had several intensive surgeries, nothing caused me more pain than Zometa. Another doc prescribed XGeva, I had to look it up myself to see that it was in the same family of drugs! Never, ever, would I take these.
If you have understood the difference between absolute and relative risk, you have a better understanding than most doctors. Thanks for explaining this here again, doc.
Sadly, you are right. Thanks.
And our insurance companies also play a negative role in our health- the one that makes the decisions about our health and what we can do or not do, versus the doctor's expertise.
Great, pertinent information. Thank you! Can you give me he address for the Master Class? I couldn’t find it on the website. Thanks!
Agreed! The use of statistical numbers was eye opening!
@@elainelight9286 Try this link!
www.optimalbonehealth.com/bone-foundations-master-class
Helpful and practical video. When Fosamax first came out, it was even being prescribed for osteopenia. Now some doctors say it should not be prescribed for people who don't actually have osteoporosis. At first, the drug was considered a lifetime drug. Since some serious side effects have come to light, they have backed off on long-term use, using such terms as "drug holiday." The bottom line is that some of the earlier guidelines for this drug are being walked back. Despite that, many doctors are still promoting it without taking these patient differences into consideration. Let's all hope and pray a better, less dangerous drug comes along.
Thank you for sharing this!
Thank you for explaining the variables. I’m 69 and have been researching this heavily for the past year. This is the first conversation I’ve seen that actually offers a considered approach vs a blanket ‘don’t take the meds’ approach. I will be signing up for your masterclass and recommending this channel to friends also diagnosed with osteoporosis
Thank you Linda! I hope this message resonates. I too see the "never drug" approach which isn't the right choice for some. However, I also see the drugs recommended inappropriately by medical professionals so we are trying to bridge the gap!
Found the program very interesting. Will re consider taking Bonita at 84.
Hi Linda , I’m trying to get information on this medication the doc gave me . Risedronate, was just given it and no real deep information. I’m struggling as I don’t know what or who to get the best information for me
I am on hormone therapy after breast surgery
I have been on Arimidex tabs plus calvium daily for 7 years. My last Bone density test was poor so Dr says infusion of Zometa 1infusion 3 yrs. Bones joints are painful
I so much appreciate this video!! What a clear and concise explanation of bisphosphonates. I was prescribed them at age 40 because of osteopenia and had horrible side effects. Doctors have continued to push me to take these drugs even though they made my quality of life so bad. I am now in my late 60's and probably have osteoporosis. I had a DEXA scan 6 years ago that still showed osteopenia and have now decided that there is no point in getting another one because I cannot tolerate the drugs. I have made every lifestyle change possible and that will have to be good enough.
Hi Glenda,
Sorry to hear you had a poor response. Consider joining our free master class to possibly learn more tools you can implement!
@@Dr_DougLucas Thank you! I will sign up for your master class when it is on a date that I can participate.
What about Forteo?
Vitamin D3 with K2, and magnesium are good for your bones. 🙏🏼
Yes, I would like to know about that one as well.
I agree. Please talk about women and men in their 70’s.
Hi Linda, we use younger patients because the contrast between scenarios is more clear. The older people get the more we have to ask ourselves about other limitations from aging. We certainly work with people in their 70s but the conversation changes as people age.
So are you saying those of us in our 70’s should/shouldn’t take biphosphenate ? I’m 70 female and get PROLIA every 6 months. Thank you kindly. Enjoying the content.
@@Dr_DougLucas Thanks for the reply. Will your online session be beneficial to me? I’m 75 but very active. My husband is 75 and not active. Thanks.
I was asked to take Alendronate Sodium but never took it.
If a patient of your fractures who does the surgery?
Thank you very much for making a complex subject so understandable.
Glad it was helpful!
DR. LUCAS " YOU ARE AWESOME " I AM 76 AND HAVE A -2.7 WRIST. THESE BISPHOSPHONATES SCARE ME.I AM GOING NATURAL WITH DIET AND WEIGHT BEARING EXERCISE.THANK YOU FOR TELLING US (WE HAVE THE RIGHT TO MAKE OUR OWN DECISION) TO TAKE OR NOT TO TAKE. DOCTORS ARE WANTING TO HELP US BUT IN THE LONG RUN , WE MAY KNOW OUR BODIES BETTER THAN THEY DO
Yes! thank you so much for sharing this, I am glad you are enjoying the videos!
Thank you Dr. Lucas for this excellent information.
Glad it was helpful!
Awesome discussion! Thankyou. Helped me very much xx🥰♥️
You are welcome!
This was the most informative, unbiased video I've seen, and I can't thank you enough!
Glad you enjoyed it!
Thank you thank you. Most well explained and easily understood explanation I have ever seen on CZcams since my journey began 5 years ago. I’m equivalent to your first case
Thank you! I hope you are continuing to improve on your journey!
Thank you for this informative video.😊
Glad it was helpful!
Just the info I am looking for ...very helpful..Thank you!
You are so welcome!
Such a helpful post. I am example 2 and you've described the concerns so well. Thank you for a balanced approach without one side fearmongering.
Yes, thank you for watching!
Thank you so much for this clear explanation of relative vs absolute risk. Patients need more of these tools to manage their health!
Thank you for watching!
Excellent video - thank you so much
Glad you enjoyed it!
So helpful ❤
Glad you think so!
Wow! Excellent explanation of choosing or not choosing to take the bisphosonates. Well organized and clear presentation! Thank you.
Glad it was helpful!
Great video! Will be sharing! I’ll be getting my bone density test in December. I’m on Prolia and will have had 4 injections at the time of my test. I’m keeping my fingers crossed that this drug is working for me. Thanks for sharing your knowledge with us.
Hello,
We have a video coming on Prolia soon. Subscribe and sign up for notifications so you get notified when it comes out.
I’ve been watching a lot of your videos, very informative, greatly appreciated. Thank you 🙏
Glad you like them! Thank you for your support.
Very good information, much appreciated!
Glad it was helpful!
Thanks Doug. Enjoyed this vlog. It seems you have a balanced well considered approach recognising the individuality of patient. I logged in to your masterclass and spoke with one of your team members in an inttoductory appointment session. I have to commend you and your team.
Thank you for those kind words. I look forward to hearing from you in our next masterclass!
I am sure you mean, DOCTOR Lucas.
No, i mean Doug. That is the way he introduces himself.
It seems to me that the relative reduction risk should be considered fraudulent advertising! Thank you so much for explaining this! My Dr. didn't mention any of this when he prescribed me Fosamax! I was too nervous about it to start it. I automatically subscribed to you after hearing this wonderful teaching! 👏👊👍
Of course, thank you for listening!
I agree. How many patients would take a drug if you told them actual risk? Not very many!
Thank you so much for your in depth explanation
Glad it was helpful!
Thank you for clarification
Glad it was helpful!
I respect you Dr Lucas for your honesty and helping us learn more about prevention of osteoporosis. I am 74 and just this year went from osteopenia to osteoporosis.
I greatly appreciate your support!
Very good explanation of absolute and relative risk, and bisphosphonates. Would really like more info on cases 70+ who have been on bisphosphonates and are high fracture risk despite no fractures. Feels pretty hopeless being between a rock and a hard place.
Thank you, like I said, there is certainly a role for drug therapy especially as patients get older, and our options become less in both number and impact. We work with patients in her 70s and mini do not need drug therapy but this is a case by case discussion and situation.
Excellent presentation... thank you, Dr.
You are welcome!
Thanks so much for the very valuable information.
Glad it was helpful!
This is so very balanced! Thank you for concise and very clear information!
Glad it was helpful! Thank you for watching
Very important and helpful video! Thank you so much! ❤
When it comes to trust there is one problem for me,
since the covid pandemic.
Professionals who write all those guidelines are payed by pharma-industry. Think their decisions are hugely influenced by this.
Doctors became more and more reserved or even scared to recommend a treatment which is not in line with the giudelines.
And not everyone goes searching through the whole internet to find differenciating videos like your. I will.
Because my trust in the medical system is gone.
Thank you so much for sharing this, I appreciate you watching my videos!
Thanks Doctor for sharing and well explaining this issue, thus is very helpful.
Thank you for watching!
I love the way he presents information! That voice ❤
Thank you for watching!
This was awesome, new subbie. I was on Fosamex for 12+ yrs without any followup and stopped (5/2022) due to muscle pain. After my last Dexa in July 2023 they want to put me on it again without consult . This answered a lot of questions and through my Dr I am scheduled for bone health program, but I do not plan on taking script for a LONG TIME. Thank you!
Hello,
That's concerning from my perspective but not uncommon. Have you considered other options? Consider joining our free masterclass for ideas.
My experience with Fosamax: Took one pill. Starting hurting all over and felt pain and weakness in previously healthy joints (3). Never took another pill. Those joints have never been the same since taking that pill.
Yikes! Scary, thank you for sharing.
That's why I don't feel comfortable taking those pills because of the side effects of what they can do
To take the pills and then feel sick and horrible from the side effects and how would we be able to work out and straight train and get through the day if you're feeling awful from the side effects? I made this mistake taking birth control for many years I don't want to make this mistake anymore
@@MariaBrinks25 Don't get me started on oral birth control pills! Terrible drugs. Understanding the risks and benefits of pharma is tough. Each circumstance and patient need to be taken into consideration!
@@Dr_DougLucas the reason I was on birth control for so many years it wasn't to prevent pregnancy I wasn't even active , my doctor and other doctors I would go see recommended birth control because I wasn't menstrating , even though birth control pill did help with my severe severe awful cystic acne and gave me a menstration I know now it wasn't a real menstrual cycle , doctors should've helped me find out why I wasn't menstrating and help me get back my real menstrual cycle
But a lot of doctors have too much faith on the pill , so all those 11 years that I Didn't menstruate is one of the reasons why I have osteoporosis today , I do feel misled by my doctors of those days I think it was lazy on their part for not trying to figure out why a female in her 20s wasn't having a menstrual cycle instead of putting me on a pill to have a fake menstrual cycle like I mentioned earlier I wasn't even active I didn't need to prevent pregnancy ,, to this day too many doctors still have too much faith on the pill for acne and to help women have a fake menstrual cycle I regret every year I was on that pill but it wasn't my fault I didn't know any better back then I didn't know to question doctors in those days I was just a kid doing what the doctor told me to do
Same thing happened to me
Thank you for providing this priceless presentation with reasoned and logical information! The best and most balanced information I've seen on the topic. I'm working with a Functional Medicine group for my primary care and will share this information in discussions about managing my osteoporosis.
Glad it was helpful! Thank you for watching
Thank you for this very thoughtful presentation.
Thank you for watching!
Thanks for this information. I am at a crossroads of whether to take drugs for my newly diagnosed osteoporosis. I signed up for your master class in August.
Hello,
We will see you soon! This can be a difficult decision for sure!
This was absolutely the most clear and concise video I have seen about osteoporosis and the drugs prescribed for it. I plan on checking out your masterclass. Thank you!
Thank you. See you soon!
Thank you,Dr.
Thank you for watching!
Thanks so much for giving me the information about your master class. I look forward to learning all i can about osteoporosis. 😄
You are so welcome!
This was an excellent video. I had a lot of confusion and yes, fear, regarding drugs. You explained the risks, what the data means etc. The jaw necrosis thing was my biggest fear as I usually have a lot of dental work. I appreciate you stating, yes it CAN happen, but it’s rare. I would like information as to how you take on patients from out of state? Also I would appreciate a quick video educating us on what to ask and look for when we meet with an endocrinologist for the first time. How do we advocate and educate ourself for this critical first meeting. Thank you again for a fabulous video!
Hello,
I'm glad it was helpful.
I am licensed in most states and completing the requirements for the rest now so can see patients in all 50 states and maybe Canada in the near future! If you'd like to talk with our team you can schedule that by following the link below.
www.optimalbonehealth.com/book
A video on how to talk to your endocrinologist would be helpful. I'll have to consider how to craft that in a way that doesn't offend every endocrinologist out there! People have been canceled for much less...
This is one of the best explanations on osteoporosis treatments I have come across. Thank you ! I have osteoporosis and I don’t want to take the drugs but my recent bone scan report showed significant deterioration in my spine . Still don’t want to take drugs. Daily walks and weight lifting a few times a week haven’t helped. 😢
Thank you for sharing this! Checkout our next Free Bone Foundations Masterclass if you have not attended one before, this could be beneficial to you! You can find more information here --> www.optimalbonehealth.com/bone-foundations-master-class
@@Dr_DougLucas It says "page not found" for your Masterclass. Is it not offered anymore, and why?
But that exercise builds strong muscles which helps support bone. Keep it up !! You will be better off.
I won't take drugs either....especially Fosomax....NEVER!!! I am really disappointed that I went to the Osteopathic clinic at the University and the only thing he told me was to take Fosomax. Really????? Is that all you can tell me to do with your "speciality"???? The only test I've had is DEXA scan and not offered any other tests. You don't have to tell me to take the Masterclass because that is your reply to everything on here.
Thankyou for your informative, fair and balanced sharing of the facts on this issue.
Glad it was helpful!
. This is a great video as people are so different and react to drugs differently. Thanks! I just subscribed. 😊
Thank you for watching!
My dentist explained the "clasts and blasts " when slow healing gum jaw produced problems. I found this information extremely valuable for my myself, a multiple myeloma patient once on Zometa. Hmmm. Living with a necrotic jaw. Thank you
Your welcome. Blessings for your journey.
Have u been treated.. My sister is facing same problem with necrosis of jaw since 4 years. We are too much frusted and i can't see my sis in pain. Now today doctor has suggested for bishphosphonate.. Sir Or maam kindly reply to my answer. How u have treated ur jaw bone loss. Plz it's urgent
This is such a concise and unbiased presentation of facts. I really appreciate you and will watch and learn from your channel. Thank you!
Glad it was helpful!
Thank you for your excellent explanations.
Glad it was helpful!
I really appreciate all this information. I was diagnosed with osteopenia 20 years ago and have been doing weight bearing exercise ever since. Now I have osteoporosis but think I might have had it for some time. I need to go back to my General Practitioner soon with a decision on which way to go and so your post is very helpful!
Good luck, Helen. Wishing you the best.
Glad you found it helpful. When you get the recommendations and want to know about alternatives, take a look at our master class and consider reading our book. Links for both in the video descriptions.
My spine is in terrible condition from DDD , entire lumbar fused now I’ve developed Scoliosis and osteoporosis of the spine the hardware in my spine has become loose and broken screws. I have been put on Forteo daily injections. What are your thoughts on this drug?
@@conniechumbler4960 Video coming this week on Forteo! Summary is I like it when it's needed. I used it for slow to healing fractures and fusions off label years ago. It's my go to when a drug is needed and bone growth or healing is the goal.
Where is the Forteo video?
I really appreciate your education on relative vs absolute fracture risk. I had to work that out for myself, after the locum dr at my GP clinic had terrified me with the idea that I could break a hip and die at any moment if I didn't immediately start on Prolia (some poetic exaggeration there, but it was really upsetting). Luckily I called pause on the drugs and did some investigation, where I found that a 58 year old was extremely unlikely to fracture a hip in any case, and similar to the examples in this video, the 75% risk reduction meant that for my age group, the risk of a hip fracture was diminished from 1.25% to 0.5%. I also discovered that the risks of dying from a hip fracture, that had been quoted to me, were severely skewed by the high numbers of very elderly people who die subsequent to a hip fracture, and if you dug down into demographics, I actually had very little to worry about. Which is just to say, numbers never lie, but they can be manipulated to imply untruths.
Thank you for sharing this!
I can relate to how you have calculated your risk factors.. I am feeling the same way.
Thank you for the information, i am interested in masterclass.
Thank you for watching! You can find details for the masterclass here --> www.optimalbonehealth.com/bone-foundations-master-class
The most thorough presentation I have seen to determine whether or not bisphosphonates or reclast is right for you. Thank you!
Thank you for watching!
Really happy to have discovered your channel Dr Lucas! I appreciate the lack of bias in your presentation and the examples were really helpful. I identify very closely with the 50 's woman with breast cancer example, although for me it's Ovarian Cancer, as I'm also being treated with an AI (Letrozole). At the start I had good bone density, two years in, I entered the ostopenia territory ,and in a few months I'll be having my three year DEXA. Sounds like more bone loss is likely. Do you see any women on hormone blockers that don't lose bone rapidly, or that are able to significantly slow it down? I hoped being a runner would help, but not enough it seems. Thanks for all you're sharing here!
Hello,
Sorry to hear of your troubles! You are correct, this is a similar situation with a different estrogen sensitive cancer.
Bone loss can be slowed down in these situations naturally but it is much tougher and our tools are more limited. That doesn't mean drugs are a must but as I mentioned this is a case where they may make sense. Without them every lever must be pulled as hard as possible and testing frequently to verify that a landslide of bone loss isn't occurring!
Wishing you the best on your journey.
So similar for me. I had bc ten years ago. They threw all the treatments at me. DEXA showed I had osteoporosis already (apparently not caused by treatment) but it took till now to finally see someone about my bones. They put me on bisphophonate….let’s pretend I can spell that right. Which of course my body couldn’t tolerate (digestion wrecked) so I lasted four months and had to come off it. But now my hair is falling out! It never flipping ends!
I’m going to end up as a pile of bone dust in a bag of skin.
Oh yeah, and I’m mid forties, so that’s potentially a long time to be sitting around in a skin bag if something doesn’t kill me off first. Future is so gloomy. Hope yours is looking better.
@@debbiec6216 Where do you live? What region? If you are in the US telehealth options can reach everywhere. Outside of the US I’m not sure.
Dr. Lucas, thanks for explaining why the individualization of care regarding treatment is important. So sad most doctors especially in my 🧣 of the woods don't do so. I have seen a number of endocrinologists throughout the years, all recommending different solutions. The last two couldn't be more different in treatment for my osteopenia, now osteoporosis. One classified me as an accident waiting to happen and prescribed Evenity, the current one said no, ordered Fosamax. The current endocrinologist refused testing CTX P1NP, said insurance wouldn't pay, I offered to pay, still refused. So my dilemma is how to know if fosamax is working. Was on Actonel years ago and gained 5% in spine. Im so disappointed.
Hello Denise,
Sorry to hear about your confusion and frustration. This is an all too common scenario.
We see this commonly in our patients and group coaching clients. We work to bring the pieces together for them and help find a solution that makes sense in the unique situation.
What's wrong with them?
@@donnadiesburg7451 I"m sorry, I don't understand your question. Are you asking what's wrong with the drugs?
Yes my dr wouldn't do the tests unless I agreed to take the meds. So I found a chiropractor who would
Great talk.
Thank you for watching!
I am so glad I found your channel! I am a recent breast cancer survivor and the exact description of the (second) woman you mentioned in your video! I was just diagnosed with severe osteoporosis in my spine- they think it's related to long term steroid use alongside of the chemo treatments. Your explanation really helps me in my decision-making regarding bisphosphonates. Thank you!!
I am very glad to hear that, thank you for watching!
Watching your videos for the past month has been tremendously helpful. I was able to formulate a bone health plan, and my doc is okay with my proposed diet (nutrition-wise), exercise regimen, and supplements. This video on the drugs has helped ease my mind, as I am one of those people who would not take a drug if there were a 1 in a _million_ chance of developing osteonecrosis.
Glad they were helpful. I totally understand. ONJ is frightening.
So, taking a drug could give you osteocronosis?
@@donnadiesburg7451 Yes, osteonecrosis of the jaw is a known serious side effect of taking bisphosphonate drugs.
Me too! All it takes is knowing there was 1 victim. 🙋🏻♀️
it is rare to develop the osteonecrosis of the jaw@@Dr_DougLucas
My T score for my hip has increased since being on Prolia. The vertialible area has supposedly improved so i was put on I V zolendronate. I am 80 so i have to go with this drug. Thankyou for your information. I have had to try and find details for myself over the past four years
There is a time and place for these drugs.
Excellent presentation. Very helpful. There are many presentations online, and yours is the best I've seen thus far, including some from universities.
I would be concerned about rebound bone loss during the drug holiday in a few years. I wonder if you could do an in-depth presentation of the chemistry involved in bone loss and bone density on a molecular level?
Thank you. Great presentation.
Thank you! Appreciate you taking the time to leave feedback.
So enjoying your informative videos. I have been watching them together with my husband. We are wondering if there is a doctor like you in or around NY? Thank you so much for all that you do to help guide us through this overwhelming journey.
Hi! Thank you for watching. Our program is actually 100% virtual. This way I am able to see patients in multiple states around the country. We would love to speak with the both of you! You may schedule a call at this link to learn more about our program --> www.optimalbonehealth.com/membership
I'm happy to have found your videos. I'm 74, formerly very active (walking, Pilates, taught ballet previously), but currently dealing with an atypical femur stress fx, and hoping for healing with a bone stimulator which I wear 24/7 (fingers crossed), dietary and supplement changes as well. Will stop Prolia after 5.5 yrs and go back to a bisphosphonate to combat that rebound. I wish I'd known then what I am learning now. I look forward to watching more of your videos. Thank you.
Thank you for sharing this, I am glad this video was helpful!
My doctor just prescribed Fosamax for osteoporosis. My hip is a -2.5 and he said my lumbar spine is also low and I just turned 73. I up until three years ago have been very physical working as a paramedic in the field and then in an emergency room. I’ve never had a fracture. I had a knee surgery and a knee replacement three years ago, but unfortunately I had hyper parathyroidism that was not diagnosed for over four years of high calcium levels in which I was symptomatic with bone pain, hair loss, and all the classic symptoms. I ended up having two large tumors and two of my four parathyroid’s removed and cysts on my thyroid. I’m extremely nervous to take the Fosamax especially since I’ve had a lot of dental surgery ongoing. So I’m opting to go with the natural approach that I can get from diet and exercise. One of the reasons I decided not to take this medication was I was reading that while taking it in follow-up DEXA scans the bone can appear to have grown in density but in actuality, it’s very brittle! I’ve watched several of your videos on this topic. So is there there any reason my age would prevent me from increasing bone density, by going through the more natural nonpharmaceutical route. Also, what kind of physician should I go to regarding my bone health and diet and exercise outline program to help with my bone loss?
Thank you for sharing your story Vicky. We're glad you are here, It sounds like you would benefit from attending our next bone foundations masterclass. If you are interested you can register at this link --> www.optimalbonehealth.com/bone-foundations-master-class
@@Dr_DougLucas you don't give anyone any advice on here. You just tell them to take your Masterclass and when you click on the link it says "Not Found". What good is this doing?
Excellent!!
Glad you like it!
Congrsts! You are doing all you wsnt to do. And it paid off👌
Thank you! Appreciate your support.
Thank you so much for this valuable information. I am 58 and had a hip replacement last year following a nasty fall. Since learning I have osteoporosis, I have been confused by all the treatments available. I had already made up my mind the meds weren’t for me and have been considering HRT. I’m putting it off time and time again but as Dr Doug has explained, I am one of the women who has been anxious about all risks involved. I have watched the relevant talks to me and now feel confident to ask for HRT. I have a plan in place and feel so much better. Thank you so much for these talks. I only wish we had somebody in the UK who had this approach. I haven’t yet found the help suitable for me like this.
Thank you for those kind words! I wish you the best on your journey.
Dr Doug
At 58, the probable side effects of HRT….cardiac-wise, outward the possible advantages for your bones. Please research this carefully.
I have, and after watching Dr Doug’s talk on HRT has reassured me based on my situation and health that this will be the best option for me right now.
Menopause Taylor is a Gynaecologist who gives an unbiased approach to all things menopause, she is brilliant! She goes into such detail about everything, in a way that we can all understand. I would thoroughly recommend her vlogs on CZcams.
@@jayneread2178 The flawed WHI study greatly extrapolated the breast cancer risk. In fact studies show it is protective of breast cancer, heart disease, alzheimers.,osteoporosis and many more. My fiancees Aunt is still on her hormone use of 40 years due to hysterectomy.She has no health issues. FDA approved bioidentical hormones, the same molecular structured hormones we made before menopause took them away are a great option for many women. Check out Dr. Mary Claire Havers channel and Menopause Taylor!!! Once menopause hits we have zero. :*(
In 3 and a half years i had had no deterioration in my bones.I have been on steroids for PMR but have been working with a personal trainer.I M 67.I was diagnosed with osteoporosis when i was 50
Hello,
Great job! It's hard to combat the negative effects of steroids. It takes a comprehensive approach!
@@Dr_DougLucas thank you, it has taken hard work but has been worth it
You are great, thank you!
Happy to help! Glad you enjoyed this video
Great to have discovered your program. Is there episodes where you show us the exercise we need to incorporate in our daily life to improve our osteoporosis?
Checkout the video on my channel called "New Study on Best Exercise for Osteoporosis Reversal!"
Enjoying your videos. I've recently seen mention of Taurine, melatonin & NAC for osteoporosis. Would love to hear your thoughts on any or all of these supplements.
Great topics. Taurine and melatonin are on my list already but I'll get NAC added. Stay tuned!
What is NAC?
@@DragonNinja4680 N-Acetyl Cysteine
I am 67 and was diagnosed with Osteoporosis last year. I currently take Alendronate, once weekly. I know I need to up my exercising, esp. walking. You have given me confidence to do that and I have subscribed to your channel. Thank you. :)
That's great! Consider joining our free masterclass too for more information. Link in the video description.
@@Dr_DougLucas I signed up for the zoom master class but was then blown away by the response stating that I should understand that there is no insurance coverage..I’m guessing it’s on the suggested protocols, but then to understand that cost is $10,000. So the free master class is really $10,000. Am I misunderstanding?
The Master Class is Free. Our programs offered do range in price. If you have questions about a program you can call the office and speak with our team or email from our website all information for that is below:
828-552-5515
www.optimalbonehealth.com@@MissT2U1
@@Dr_DougLucas It seems your Masterclass no longer exists.
Thank you for extremely informative videos. I get so, so much from the science based overview and discussion of the research and statistical significance of various studies. Have watched and read various OBH for about 2 yrs but think it might be time to get involved in a bit more focused manner.
Great to hear! I greatly appreciate your support. We would love to discuss your specific case and figure out the best optimal bone health plan for you. Feel free to schedule a discovery call at anytime --> www.optimalbonehealth.com/membership
This has clearly explained to me all the concerns I’ve had around taking a drug. Unfortunately here in UK there is no help apart from take a drug. I’ve seen a Consultant and that was his answer. It’s so frustrating because as you say I ended up looking at endless FB pages and that’s not helped either.
Thank you for sharing that, I am sorry to hear this. Checkout our masterclass if you have not attended one before. You can find further details here --> www.optimalbonehealth.com/build-bone
What tests do you recommend to figure out where bone loss is coming from? Thank you for all this helpful information.
Our full panel is designed for that purpose! You can take a look at our website, join our masterclass or participate in our self directed program to learn more about this panel.
I've been on alendronate for over 20 years, along with Vit D3 and Vit K2. My Dexa scores have gotten worse over the years. No mention of taking a drug holiday from my doctor.
Perhaps it’s time for a consultation with a new doctor.
Thank you so much. I’m an NP and found this program to be very helpful. I never feel comfortable encouraging anyone to just take meds and refer to endocrinology.
Thank you for watching!
Thanks for all this information. Why aren’t there more practicing Drs like you?
Thank you so much! Hopefully that will change in the future as more of this information is spread!
Sadly I’m patient #2 :( I tried to take the Fosamax and prolia ..they made me sick. I have little to zero estrogen. I’m pretty worried about what I can do. Thank You for the information 👏🏻
Hello,
I’m sorry to hear about your situation. I can certainly understand your fear. Fortunately, there are a number of things that you can do. Consider coming to our free master class to learn tips and tricks that could be done on your own or with your own providers.
@@Dr_DougLucas I’ve also had a Bone Marrow Transplant & subsequently 4 spinal fusions from that -that make it very difficult to do weight bearing exercise. My Breast Cancer was Stage 4. Thank You for your reply.
@@VintagePrincess27 You are welcome.
Thx for your work here !
So, I am a 62, female, 5'0", under 100 lbs my whole life. No dr. Will talk to me about how dexa might be flawed for extreme height. I got a t -2.8 hip and t -4.2 spine. No issues yet. No height loss yet. 2 drs. want fosamax ..another Tymlos. No celiac or heavy urine calcium. Wish i knew my bones scan at 35 ! Why can't we compare ourselves to.."ourselves"...dexas are cheap ! One retired endoc. Said i would have never been non-osteoporatic with dexa earlier... just don't weigh enough...but yet small caucasians have poor statistics...but truly, do they ? Are we sitting ducks for it ...or will we always fail the dexa and can be bone healthy...?
I am traumatized. Was a gymnast even. Trying to lift heavy weights now.
Thx....small people need better answers !!! Lol 😢
Thank you for sharing and for watching! I hope it helps
I agree. I am 69, 5 ft. 4 in. and weigh 113. I was told the same. I was a runner for almost a decade and then got nationally certified in yoga and taught 21 classes rach week for a decade. Then osteoporosis???? I have been frightened since I was told.
@@maryweddle4150 fear is common! We find a comprehensive plan really helps to eliminate or at least put that fear into a smaller container. A REMS can also show good bone quality despite less than ideal density. I see this often in my athletic, lean OP patients.
Did you ask for bone marker blood testing (eg., C-Pelopetide/CTX)? That might at least tell you if you are losing bone.
And/or P1NP bone marker to tell if building bone.
Thank you for your presentation and the information. I just turned 54 and was recently diagnosed with osteoporosis in my spine and hip. Super helpful to hear you talk about 52 year old women with this diagnosis. I am seeking alternative options to RX and appreciate your videos.
Thank you for sharing this. I am glad you are enjoying them!
Thank you so much for this excellent presentation. I am 63 and have recently been diagnosed with severe osteoporosis - dexa scan results really gave me a fright and I have been advised to start on the medication you have talked about. I have been so overwhelmed with everything - so your presentation was so clear and helpful. The explanation of absolute and relative fractures was very helpful.
Hi! Thank you so much for sharing, I am glad to hear that this video was helpful!
Appreciated this video…. I am pretty much the first woman of the two you compared. I’m 53 and recently had my first dexascan and have osteoporosis in my spine and hip. Was prescribed Fosomax without a phone call to even discuss the drug or the diagnosis. I went to my health provider that prescribes my HRT and made a plan just like the pyramid you described and I’m feeling empowered to do all I can before resorting to medications. Ater taking the Fosomax for one month I just felt like there was a better way at my age, I have time on my hands to try the first four steps before feeling like I have to take Fosomax. Getting educated and taking charge of my health has really been empowering. I will continue to watch more of your videos but this one has been extremely helpful and I appreciate the information. Thank you!
Thank you for sharing this. I greatly appreciate your support and glad that these videos have been helpful to you!
I was scheduled for reclast after my dexa sacan without any discussion at all about the options.
@@lindakautzman7388 so frustrating! How do healthcare providers think we are okay with blindly taking something without discussing it at all?
The patient should also know the duration of the study that risk change. For example, were the differences seen after one, two or three years of treatment? For most of these drugs we see a 1 or 2% absolute reduction in fracture risk after 3 or more years of treatment. The difference is real but not nearly so impressive or persuasive as the relative risk reduction. Whenever relative risk reduction is quoted (in a presentation or in any medical literature) it is usually a marketing ploy. Buyer (user) beware!
By the way, excellent video, thank you. I am a Rheumatologist in the UK and will direct my patients to your channel in the future, if I may.
Hello,
Thank you for your comments! I appreciate you being open to sharing our message with your patients. We have a substantial UK following!
Excellent analysis and educational opportunity for folks not familiar with the statistical play that exists in research as well as understanding the true mechanism of action of these drugs which is somewhat counter-intuitive to how the body works.
Thank you for watching!
Awww. I’m just studying my mineral options. I have been on Fosomax for 4 years. Ugh. But I’m done and over meds about the bone issue. Thk you for your info.
In car accident past…..no bones broken…grateful. Now I am diagnosed with osteopenia which I perceive as a positive regression. Now I am researching holistic restoration. Thks for your info.
Ahna 👏👏👏👏👏👏
Thank you for sharing this and for watching!
You did a great job explaining why the different approaches based on the individual. Could you do a review of Prolia? I’ve read & seen in some of the British medical journals that this may be the worst shot of an Osteoporosis pharmaceutical because it doesn’t build bone but only applies a “topping” over the bones and almost guarantees a fracture after stopping the pharmaceuticals. I can see where your knowledge of providing over all building block healthy conditions would work whereas most docs are only giving the pharmaceuticals & sending us on our way. Thank you so much for sharing your research
I agree - I’d love Doug to cover Prolia. I’ve studied Prolia as my doctor wanted me to go on it telling me you needed to be on it for life but not explaining why. My understanding is that drug basically immunises bone against the osteoclasts, sending them into a sort of deep sleep. But they wake up after about 6 months, hence the need for the 6monthly injections. If you stop the drug, the osteoclasts that were dormant now resurrect and start their work again quite aggressively, although the cells have a shorter life span. So any bone gained is lost, plus the osteoclasts are now more aggressively taking further bone. I’ve heard this discussed by endocrinologists and medical doctors suggesting that being on Prolia requires a management plan. I know that the spine is particularly vulnerable if a person stops taking Prolia without further intervention.
Yes I decided to use hormones instead
Would be interested in more info
Thank you for the comment. Prolia is next on the list of drug videos! Lots to talk about on that one.
Thank you for the comment. Prolia is next on the list of drug videos! Lots to talk about on that one.
Thank you for the comment. Prolia is next on the list of drug videos! Lots to talk about on that one.
Great informative video! Looking forward to the master class. I am curious if you tailor the weekly dosage based on the weight of a person. Would a 130 pound person in their 70's take the same dosage as a 200 pound person? Would taking bone supplements with D3, CA, Magnesium, Vit K, and more, and being on HRT have an effect on prescribed dosage?
Are you referring to bisphosphonate dosing? I'm not sure. I have never prescribed them. I'll see you in the master class!
That's a very good question and you wonder why doctors do not tell you! I assume you are referring to e.g. Fosamax or Prolia in combo with the vitamins you have in mind. My own preference is to rely on the vitamins and an exercise routine incl. daily brisk walks for 30 min. to an hour. Just turned 90 in August.
good questions..same here I would like to know but my doctor is clueless
Bravo, again Bravo.Thanks so much
Thank you for watching!
Thank you for going over the two scenarios (postmenopausal w/out cancer, and postmenopausal with cancer treatment). I take letrozole and have lost significant BMD in only 1 year. I'm supposed to take letrozole for 5-10 years. I've been trying to increase BMD naturally and have been delaying the Reclast infusion because I thought I could improve my bone density all on my own. I will continue to do all of the things I'm doing concerning strength training, nutrients, etc. I will also let my doctors know that I am now on board with the Reclast recommendation. Thank you for this important distinction. Breast cancer is very common with 1 in 8 women being affected in their lifetime. Thank you for this important information.
Thank you for sharing this!
Thank you for the great information. I was just diagnosed with osteoporosis this week. I am a 57 year old female and am not on any medications. My doctor is prescribing the drug and I am considering not taking it but trying supplements, weight training and diet. I am very scared and am glad that I found your channel. I am already vegan so eat mostly fruits and vegetables.
Hello,
This is a common and challenging decision. If you are new to our channel consider signing up for our free master class. The link is in the description of each video. Also, please search Dr Doug Lucas Diet Osteoporosis for our take on the optimal diet for growing bone and muscle.
@@Dr_DougLucas I have signed up for the class.
That is great!! Thank you.@@janekuipers1036
I just had my 90th birthday. Have always looked years younger and still do. Now 5 ft. only due to bone loss but keep my weight around 120 lbs., slim and trim still while being conscious of extra calcium plus D-3 and the K's for better absorption. Still confused about the ideal amount to take. I walk daily - again. Had a fall and fractured my wrist which was successfully operated on and healed well. But it had an impact on my body and I never felt the same after that. I changed and was unable to walk the way I always had. Then suddenly muscle pains in one of my legs (sciatica), horrible experience. The other leg has poor blood circulation possibly from an ankle fracture during my years living in Mexico nearly 15 years ago. (I had an oldfashioned cast to the knee for weeks, walked for miles daily in tropical heat and could have overdone?)Now back to walking routine (w. walker) and feel stronger and somewhat improved. Still DEXA shows serious decline. I still refuse meds. Diagnosed with Dysplacia under my tongue since 50 yrs. with many biopsies. So not worth taking the chance on my jaw bone, but probably would decide against any drugs with known side effects regardless. I just don't want to take it, period. Swedish gymnast as a child and, like my mother, never sick in bed for one day in my life.Three healthy sons. Came over on the boat to the U.S. a free spirited immigrant. How long can you live anyway? I prefer to end my days without suspicious liquids in my bod. Did my last show on stage just before COVID. Stumbled on a kitchen mat at home during the run and broke three ribs but never saw a doctor because: "The show must go on." X-ray after final curtain call (Threepenny Opera). By my own final curtain call hopefully still free of Fosamax, Prolia, Boniva, Evita, et al. Better safe than sorry.
@@bibicita1000 Congratulations and thanks for sharing.
I was on a statin for three weeks and in that time I developed bruising and strange little blood spots all over my skin and my liver enzymes went up. I got off of the pills right away and it took a few weeks for all the blood spots and bruises to go away, but it took two years for my liver enzymes to go back to normal. I’ll never touch them as long as I live I take vitamin D and magnesium.
Thanks for sharing.
Just subscribed from NYC. I believe this channel will help me - will check out masterclass.
Thank you for your support!
This was a great, calm presentation. Having been diagnosed with osteoporosis and started on the meds initially, appreciate the detailed info here. I switched off the pills and did the intravenous method since it’s only once a year. I’ve always consider editing myself quite healthy and still In relatively good physical health otherwise (not overweight, relatively regular exercise, careful with food selections, I.e. no sugar, salt or processed foods) but the osteoporosis diagnosis has freaked me out. Am anxious to see if my t-score on Dexa scan has improved in a couple months. Left hip has been a concern so anxious to see what the Dexa scan shows.
Thank you for sharing this!