The Dr Louise Newson Podcast 24 - Bone health, hormones and the real risk of osteoporosis
Sep 9, 2025
Dr. Doug Lucas, a US-based orthopedic surgeon and hormone specialist, joins the conversation to shed light on bone health and osteoporosis. He explains the crucial role hormones like progesterone and testosterone play in bone maintenance. They discuss the limitations of conventional bone density tests and highlight the importance of a comprehensive approach, combining lifestyle changes with hormone therapy. The episode underscores the often-overlooked dangers of osteoporotic fractures and advocates for better understanding and prevention strategies for osteoporosis.
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Osteoporosis As Metabolic Imbalance
- Osteoporosis is best seen as an imbalance of bone metabolism rather than just a DEXA number.
- Shifting the balance to more build-up and less breakdown can reverse bone loss over time.
Bones Respond To Load
- Bones respond to mechanical load and continually remodel based on stress.
- Everyday activities like walking bend and strengthen bones through adaptive responses.
Prioritise Vitamin D And Cofactors
- Check and correct vitamin D because it enables mineral utilisation for bone formation.
- Ensure adequate magnesium, vitamin K and trace minerals alongside vitamin D for effective bone building.