The Dr. Doug Show

In this video, Douglas Lucas discusses the complexities of hormone replacement therapy (HRT) for women with osteoporosis, particularly in the context of family history of breast cancer. He emphasizes the importance of understanding the risk-benefit equation when considering estrogen therapy, especially for women who may have a significant family history of breast cancer. Through various studies, he highlights how family history impacts breast cancer risk and the nuances involved in making informed health decisions regarding hormone therapy. Study Links: https://pubmed.ncbi.nlm.nih.gov/36262035/ https://pubmed.ncbi.nlm.nih.gov/28986348/ https://pubmed.ncbi.nlm.nih.gov/19904271/ https://pubmed.ncbi.nlm.nih.gov/11705483/

In this video, Douglas Lucas discusses the significant role of hormones in bone health, focusing on estrogen, progesterone, and testosterone. He emphasizes the evidence supporting hormone replacement therapy (HRT) for osteoporosis and bone density, while addressing the controversies surrounding estrogen and the importance of understanding the risks and benefits of HRT. Lucas also explores the roles of progesterone and androgens like DHEA and testosterone, highlighting their potential benefits and the need for personalized treatment approaches. The conversation concludes with an invitation to join an HRT masterclass for further education on the topic. Study Links: https://pubmed.ncbi.nlm.nih.gov/33220453/ https://pubmed.ncbi.nlm.nih.gov/31237150/ https://www.nejm.org/doi/full/10.1056/NEJM199802193380801 https://pubmed.ncbi.nlm.nih.gov/17524997/ https://pubmed.ncbi.nlm.nih.gov/19434876/ https://pubmed.ncbi.nlm.nih.gov/37164187/

In this video, Douglas Lucas discusses the importance of estrogen in maintaining bone health, particularly in postmenopausal women. He critiques the use of BiEst, a hormone replacement therapy that combines estriol and estradiol, arguing that it is ineffective for bone density. Lucas presents evidence from a study comparing the effects of estradiol and estriol on bone mineral density, highlighting the superior efficacy of estradiol. He emphasizes the need for evidence-based practices in hormone therapy and warns against the misconceptions surrounding the safety and effectiveness of different estrogen forms.Study Links: https://pubmed.ncbi.nlm.nih.gov/17524997/

In this video, Dr. Douglas Lucas discusses the emerging research on tokotrienols, particularly those derived from the Anatto plant, and their potential benefits for bone health. He explores the differences between tocotrienols and tocopherols, the significance of vitamin E in health, and the implications of recent studies on osteoporosis. Lucas emphasizes the need for further research while also considering practical applications in supplement protocols. 🔍 *Study Links:*https://pubmed.ncbi.nlm.nih.gov/34352722/https://pubmed.ncbi.nlm.nih.gov/34790038/https://pubmed.ncbi.nlm.nih.gov/29330573/https://pubmed.ncbi.nlm.nih.gov/28891093/https://pubmed.ncbi.nlm.nih.gov/29412105/

In this episode, Dr. Doug Lucas explores the significance of testosterone for women, particularly post-menopause, and introduces DHEA as a viable alternative for testosterone supplementation. Douglas Lucas discusses the physiological aspects of testosterone production in women, the benefits and research surrounding DHEA, potential side effects of both testosterone and DHEA, and the implications of IGF-1 in relation to cancer risk. Practical recommendations for DHEA supplementation are also provided, emphasizing a cautious approach to dosing. 🔍 *Study Links:* https://pubmed.ncbi.nlm.nih.gov/33220453/ https://pubmed.ncbi.nlm.nih.gov/33045358/

In this episode, Douglas Lucas discusses the benefits of black currant extract (BCE), highlighting its potential for improving bone health, cardiovascular health, and metabolic health. He reviews research studies that demonstrate BCE's effectiveness in increasing bone mineral density, enhancing insulin sensitivity, and improving arterial function. Lucas also introduces a specific product from a reputable company and provides recommendations for dosage and usage, emphasizing the importance of considering BCE for various health concerns.

In this episode, Douglas Lucas discusses the complexities of hormone replacement therapy (HRT) and its associated risks, particularly concerning heart disease. He emphasizes the importance of individualized assessments when considering HRT and explores the role of cholesterol in cardiovascular health, highlighting that it is not the sole risk factor. Lucas introduces the significance of nitric oxide and the endothelial glycocalyx in maintaining vascular health and discusses specific supplements that can enhance nitric oxide production. He also touches on the importance of community support for individuals dealing with osteoporosis and cardiovascular health issues.

In this video, Dr. Douglas Lucas discusses the use of the drug Evenity for osteoporosis treatment. He explains that Evenity is both an anabolic and anti-resorptive drug, and it is typically used for a year. Dr. Lucas emphasizes the importance of optimizing the drug's effects by focusing on the anabolic window and combining it with lifestyle changes such as resistance training and adequate nutrition. He also discusses the limitations of Evenity and the need for a comprehensive bone health program. Overall, the conversation provides insights into the use of Evenity and the importance of a holistic approach to osteoporosis treatment.

In this video, Dr. Doug Lucas discusses a study on the alkaline diet and its impact on bone health. The study focuses on a specific group of vegetables and fruits that are believed to be more alkaline and beneficial for bone health. The results of the study show that the alkaline diet reduces acidity and urinary calcium excretion. However, when looking at bone turnover markers, it is found that the alkaline diet actually worsens bone turnover by suppressing bone building. The conversation concludes that while fruits and vegetables are important for overall health, the alkalinity of the diet does not have a significant impact on bone health.

Dr. Doug sits down with Maria Claps, FDN-P and Kristin Johnson, JD, BCHN FNTP to discuss their journey into working with women and their focus on hormone replacement therapy (HRT). Kristin and Maria are the co-founders of the women’s health and hormone education practice, Wise and Well, as well as the Instagram account @wise_and_well_. They explain their six-month program that focuses on preparing women for Hormone Replacement Therapy by addressing gut health, nutrition, and fitness. They emphasize the importance of educating women about the role of hormones in their bodies and the potential benefits of HRT. They also discuss the different approaches to HRT, including patches, prometrium, pellets, injections, and vaginal estrogen. They highlight the need for individualized treatment and the importance of monitoring estradiol levels and considering the impact of progesterone on the body. The conversation explores the concept of physiologic ceiling in hormone replacement therapy (HRT) and the benefits of rhythmic dosing. Dr. Doug, Maria, and Kristin discuss the importance of optimizing estradiol and progesterone levels before considering testosterone supplementation. 📚Get The Great Menopause Myth https://amzn.to/4dPouFU ⚡️⚡️ The EASIEST Way to Get BHRT https://pemabioidentical.com/ 🩺⚡️ INTERESTED IN OUR OPTIMAL BONE HEALTH PROGRAM? Click the link below to speak with a team member! Click here: https://www.optimalhumanhealth.com/membership 🦴⚡️ SIGN UP FOR MY FREE HORMONE HARMONY MASTERCLASS USING THE LINK BELOW! www.pemabioidentical.com/masterclass 💻⚡️ HEALTH SPAN NATION: https://www.optimalhumanhealth.com/hsn 📚⚡️ JOIN OUR FREE BONE FOUNDATIONS COURSE AND UNLOCK ADDED BONUSES: www.optimalbonehealth.com/bonus 📖 ⚡️Get my book "The Osteoporosis BreakThrough" https://bit.ly/OsteoporosisBreakthrough I would be grateful if you could consider sharing your thoughts by leaving a review once you've had a chance to read it. Your feedback can inspire others on their own path to bone health excellence. https://bit.ly/LeaveABookReveiw ▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️▪️ 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. Subscribe and follow along as Dr. Doug Lucas explores the research and clinical applications surrounding women's health. ABOUT DR. DOUG LUCAS 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: https://www.optimalhumanhealth.com/ Instagram: https://www.instagram.com/dr_douglucas/ Facebook: https://www.facebook.com/DrDougLucas/ Linkedin: https://www.linkedin.com/in/doug-lucas-b0243522/ Watch and Enjoy! Dr. Doug Lucas Key Moments in this Episode Chapters 00:00 Introduction and Background 04:59 The Six-Month Program for Hormone Replacement Therapy 09:33 Exploring Different Approaches to HRT 16:00 Monitoring Estradiol Levels and Assessing HRT Effectiveness 21:23 Progesterone Intolerance and Alternative Options 26:17 Switching to Topical Progesterone and Monitoring Outcomes 28:15 The Physiologic Ceiling and Rhythmic Dosing in HRT 30:33 Optimizing Estradiol and Progesterone Levels 34:15 The Risks of Excessive Testosterone Use 43:19 DHEA as an Alternative to Testosterone 51:03 Monitoring Iron Levels in Hormone Replacement Therapy