LONGEVITY with Nathalie Niddam

Episode #293: Dr. John Neustadt: Hormone Replacement Therapy for Postmenopausal Bone Loss: The Role of Calcium and Vitamin D in Bone Health

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Dec 17, 2024
Guest
John Neustadt
Dr. John Neustadt, a renowned expert in integrative medicine, dives into the crucial relationship between hormone replacement therapy and bone health. He uncovers the limitations of traditional bone density tests in predicting fracture risks and stresses the importance of a personalized approach. The conversation also includes essential insights on the role of calcium, vitamin D, and collagen in maintaining strong bones. He shares practical strategies for supplementation and diet, targeting those at risk for osteoporosis while emphasizing the connection between digestion and bone health.
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ANECDOTE

Fosamax and Hip Fracture

  • Dr. Neustadt's mother-in-law broke her hip despite increased bone density from Fosamax.
  • This highlighted the limitations of bone density as the sole predictor of fracture risk.
INSIGHT

Bone Density Tests' Limitations

  • Bone density tests predict less than half of future fractures, prioritizing mineral quantity over quality.
  • Fracture risk depends on factors beyond bone density, like collagen and other proteins, which are crucial for bone strength.
INSIGHT

Collagen's Importance

  • Bone density tests measure minerals, not proteins like collagen, which provide bone strength and flexibility.
  • Demineralized bone, primarily collagen, becomes almost indestructible, highlighting collagen's importance.
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