Alternative Therapies for Bone Health

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WBV rest needs vary by exercise category

Doing WBV barefoot preferred

Three main categories for WBV usage

Additional benefits of WBV

Ideal WBV protocol for building bone

WBV: Initial discomfort due to improper use or low blood sugar

WBV contraindicated conditions: consider the physiology, not the equipment

Contraindications for WBV

Optimal WBV frequency range for bone stimulation

WBV and heel drops

Adding weighted vest increases WBV workout intensity and effectiveness

Active exercise benefits require 10-20 minutes, three times weekly

Studies show consistent improvement to BMD over time with WBV

WBV sessions needed to start building bone

WBV helps strengthen lower body which is crucial for fall prevention and resilience

WBV improves bone health through microcontractions, force, and circulation

WBV can be overdone but there is a difference between using it for strength or pain and recovery

Whole Body Vibration (WBV) introduction and benefits

Other options for people who may not be a candidate for HRT

How are hormone levels tested?

How old is too old for HRT?

Estradiol levels associated with cardiovascular risk

Bone turnover markers change quickly with hormone treatment; imaging takes longer

Not every woman needs to cycle progesterone

Progesterone forms, preferences, and usage concerns

Hormone doses vary; individual optimization is necessary

Testing hormone levels is essential for effective management

Dr. Doug discusses estradiol levels when cycling progesterone

Cycling progesterone and how it impacts bone turnover

Dr. Doug explains what is happening to hormones as women enter and progress through perimenopause and menopause

Forearm exercises unnecessary; focus on systemic bone health instead

Consult your doctor for post-kyphoplasty vibration plate usage

Daily heel drops can be done over several minutes or several hours, all that matters is that they are completed

Doing heel drops on vibration plates not recommended

Effective impact training examples

Weighted vests may offer additional resistance but most likely won't have a huge impact and should not be prioritized over other bone building exercises

OsteoStrong overview

Impact training frequency varies by method and stimulus type

LIFTMOR trial overview

Weight-bearing exercise is not going to build bone, resistance training and impact training can build bone

Alternative screening locations needed in patients who have had hip replacement

Trabecular Bone Score (TBS) is not usually helpful in determining best treatment plan

Dexa scans recommended every 1-2 years due to slow bone density changes

Precision vs. accuracy in bone mineral density assessment

Discordance indicates REMS may be more accurate than DEXA

Desired hormone levels for bone health

The relationship between Progesterone and T3

The relationship between thyroid and sex hormones

Bones are dynamic organs

What are osteocytes?

What are osteoblasts?

What are osteoclasts?

Gut health significantly impacts bone health

Testosterone can cause unwanted side effects like facial hair if it breaks down to DHT

Body fat level impacts topical hormone absorption

Symptom management prioritized over testing for progesterone balance

HRT dosing: rhythmic vs static

Testosterone may compete with estradiol absorption

Hormones may protect against cancer

HRT and cancer risk is a contentious topic

No blood clotting concerns with topical estradiol

No contraindications for BHRT with surgical hysterectomy

There shouldn't be breakthrough bleeding on HRT

Going on HRT is a personal choice

Stopping HRT briefly will result in bone loss but speed of bone loss is unknown

Is there any limit to how long someone can stay on HRT?

Using CAC to determine risks for estrogen therapy

Dr. Doug discusses cardiovascular risks of HRT

Dr. Doug's qualifications for developing hormone protocols

Are there any considerations with HRT for people who have had a full or partial hysterectomy?

What is rhythmic hormone dosing?

What is Pema Bioidentical?

Types of hormones used for bone health

Would a family history of cancer be a contraindication for HRT?

Are there any cancers that would be a contraindication for HRT or the use of estrogen?

Dr. Doug discusses the Women's Health Initiative study

Why hormone replacement therapy is recommended for bone health

Hormone Replacement Therapy (HRT) basics

Does growth hormone have an effect on cancer?

What peptides can be used for osteoporosis?

What are peptides?

Testosterone helps bones but may not be needed by all women

Source of meat is important but it may not be a factor responsible for increased IGF-1

For most individuals, it's not possible to have too much protein intake

Whey is an excellent complete protein source, but not everyone tolerates it

Animal protein preferred over plant protein

What is the recommended intake for protein?

What is protein and why is it so important for osteoporosis?

Dysfunctioning thyroid as an underlying cause of osteoporosis

The thryoid is the master metabolic set point of the body

MTHFR gene can affect the absorption of HRT

Determining core supplements greatly depends on starting point

The role of supplements in treating conditions like osteoporosis

AlgaeCal doing more than any other company to ensure quality and safety of their product

Vibration therapy stimulates bone growth through impact

Discusses collagen studies and the credibility of multiple publications

Nasal spray likely better for oxytocin's bioavailability in the brain

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