What They Don't Want You To Know about Osteoporosis!

The Dr Doug Show | Bones, Hormones and HealthSpan
6 Sept 202411:13

Summary

TLDRThis video script addresses the overlooked aspects of osteoporosis, criticizing the medical system's approach to diagnosis and treatment. It highlights the flawed imaging methods, inadequate risk factor education, and the system's lack of focus on prevention and cure. The speaker challenges the conventional wisdom on hormone replacement therapy, nutrition, and exercise, advocating for a more proactive and holistic approach to bone health. The script suggests that the current healthcare system may inadvertently profit from chronic illness, urging individuals to take charge of their health and seek alternative solutions.

Takeaways

  • 😨 Osteoporosis is not just a disease; it's a reflection of deeper issues within the healthcare system.
  • πŸ•΅οΈβ€β™€οΈ The current diagnostic imaging for osteoporosis is flawed and limits the adoption of new technologies.
  • 🚫 Doctors often overlook numerous risk factors for osteoporosis, which should be considered for early screening.
  • πŸ₯ The healthcare system is not designed to prevent or cure osteoporosis, as it profits from ongoing treatment.
  • πŸ’Š The pharmaceutical industry's influence skews medical recommendations, particularly concerning hormone replacement therapy (HRT).
  • πŸ‘©β€βš•οΈ There's a pushback against questioning traditional medical advice, even when it comes to women's health and osteoporosis.
  • 🍽️ Nutritional advice for osteoporosis is often misguided, with a focus on alkaline diets rather than nutrient-dense foods.
  • πŸ‹οΈβ€β™€οΈ Exercise is crucial for bone health, contrary to previous advice that was overly cautious about the risk of fractures.
  • πŸ’ͺ High-intensity resistance and impact training are beneficial for bone and muscle health, despite earlier misconceptions.
  • 🌟 Taking charge of one's health is essential, as the current healthcare system may not prioritize long-term wellness.

Q & A

  • What is the main issue with the current osteoporosis diagnosis according to the speaker?

    -The main issue is that the diagnosis often comes too late and relies on suboptimal imaging modalities, which are tied to prescription writing rather than addressing the root causes of bone loss.

  • Why does the speaker claim that imaging for osteoporosis is flawed?

    -The speaker claims that imaging is flawed because it is designed to prevent new technology from emerging and does not encourage looking at the underlying causes of bone loss.

  • What are some risk factors for osteoporosis that doctors might overlook?

    -Some overlooked risk factors include birth control pills, irregular menstrual cycles, eating disorders, autoimmune disease, chronic inflammation, toxic exposure, sedentary lifestyle, gut dysfunction, celiac disease, poor nutrition, and over-the-counter or prescription drugs.

  • How does the speaker view the healthcare system's approach to curing osteoporosis?

    -The speaker views the healthcare system as not being designed to cure or reverse osteoporosis, as it profits from ongoing treatment and management of the condition.

  • What is the speaker's stance on HRT as a tool for osteoporosis?

    -The speaker believes that HRT is a powerful tool for osteoporosis that is often underutilized due to misinformation and bias in the medical community.

  • Why does the speaker criticize the current nutritional advice for osteoporosis?

    -The speaker criticizes current nutritional advice because it often promotes a mainstream diet that is inflammatory and nutrient-poor, or an overly alkaline diet that neglects the importance of animal protein and nutrient-dense foods for bone health.

  • What is the speaker's opinion on the importance of exercise for osteoporosis patients?

    -The speaker believes that exercise, particularly high-intensity resistance training and impact training, is crucial for improving bone and muscle health in osteoporosis patients, contrary to previous advice that was overly cautious about the risk of fractures.

  • What does the speaker suggest as an alternative to the current healthcare system for managing osteoporosis?

    -The speaker suggests creating a system outside of the current healthcare system that focuses on prevention, reversal, and is not restricted by insurance limitations.

  • How does the speaker feel about the role of pharmaceutical interests in the field of women's health and osteoporosis?

    -The speaker feels that pharmaceutical interests have negatively influenced the field by focusing research on synthetic drugs rather than bioidentical ones, leading to biased recommendations and misinformation.

  • What is the speaker's advice for patients who suspect they have risk factors for osteoporosis?

    -The speaker advises patients with suspected risk factors to get screened early, discuss these risks with their doctors, and consider alternative imaging methods like DEXA scans to assess bone quality and density.

Outlines

00:00

🦴 Osteoporosis: A Flawed Diagnosis and Systemic Issue

The speaker, a physician, discusses osteoporosis as a symptom of broader issues within the medical system. They critique the current diagnostic methods, particularly the reliance on DEXA scans, which they argue are flawed but are the only available option. The speaker emphasizes the need for early screening and consideration of various risk factors that are often overlooked, such as birth control use, eating disorders, and autoimmune diseases. They argue that the medical system is not designed for prevention or cure, which is problematic given the high costs of healthcare and the potential for profiting from ongoing illness. The speaker calls for a more proactive approach to healthcare that focuses on prevention and reversal of conditions like osteoporosis.

05:00

🚫 The Suppression of HRT's Role in Treating Osteoporosis

The speaker addresses the controversy surrounding hormone replacement therapy (HRT) as a treatment for osteoporosis. They criticize the medical establishment for not acknowledging HRT's potential benefits, citing the influence of pharmaceutical interests and outdated research. The speaker argues that the focus on synthetic drugs over bioidentical ones has skewed the field and led to a lack of proper research. They also express frustration with the resistance to new ideas in women's health, comparing the situation to past misguided medical advice for diabetics. The speaker advocates for earlier screening and a more open-minded approach to HRT as a potential preventative measure against osteoporosis.

10:02

πŸ‹οΈβ€β™€οΈ The Misguided Approach to Exercise and Nutrition in Osteoporosis Care

The speaker challenges conventional wisdom regarding exercise and nutrition for those with osteoporosis. They critique the advice to avoid heavy lifting and to focus on calcium and vitamin D supplementation, arguing that this approach can lead to further weakening of bones. Instead, they advocate for high-intensity resistance training and impact training as beneficial for bone and muscle health. The speaker also criticizes the mainstream and integrative medical communities for their respective approaches to nutrition, which they view as either overly processed or overly restrictive. They argue for a diet rich in whole foods, including animal protein, as the foundation for improving bone health. The speaker concludes by emphasizing the need for patients to take charge of their health and seek out alternative approaches that promote healing and prevention.

Mindmap

Keywords

πŸ’‘Osteoporosis

Osteoporosis is a medical condition characterized by a decrease in bone density, leading to an increased risk of fractures. In the video, osteoporosis is presented as a symptom of broader issues within the healthcare system, highlighting the need for early detection and prevention. The speaker criticizes the current approach to diagnosis and treatment, advocating for a more proactive and holistic strategy.

πŸ’‘DEXA scan

A DEXA (Dual-energy X-ray Absorptiometry) scan is a diagnostic tool used to measure bone mineral density and is often used to diagnose osteoporosis. The video script suggests that while DEXA is the standard imaging technique, it may not be optimal for early detection or for capturing the full picture of bone health, indicating a need for better diagnostic methods.

πŸ’‘Risk factors

Risk factors are elements that increase the likelihood of developing a particular condition. In the context of the video, the speaker emphasizes that doctors and patients should be aware of various risk factors for osteoporosis, such as birth control pill use, eating disorders, and autoimmune diseases. The video argues that the healthcare system often overlooks these factors, leading to late detection and treatment.

πŸ’‘HRT (Hormone Replacement Therapy)

HRT is a medical treatment that involves hormone supplementation, often used to alleviate symptoms of menopause. The video discusses how HRT is a powerful tool for managing osteoporosis, particularly in postmenopausal women, but is often underutilized or misrepresented due to misconceptions and pharmaceutical influences. The speaker advocates for a reevaluation of HRT's role in osteoporosis management.

πŸ’‘Pharmaceutical industry

The pharmaceutical industry is the sector of the economy concerned with the research, development, and marketing of drugs. The video suggests that this industry may influence medical recommendations and research, potentially skewing the focus towards synthetic drugs over bioidentical ones. This influence is critiqued as it may lead to suboptimal treatment options for osteoporosis.

πŸ’‘Nutrition

Nutrition refers to the intake of food and the way the body uses it for growth, maintenance, and repair. The video argues that mainstream nutrition recommendations for osteoporosis are inadequate, with a focus on low-fat, high-carbohydrate diets that may not support bone health. The speaker promotes a diet rich in animal protein and nutrient-dense foods as key to improving bone health.

πŸ’‘Exercise

Exercise is physical activity that helps maintain or improve overall health and fitness. The video script challenges the conventional wisdom that individuals with osteoporosis should avoid certain types of exercise due to the risk of fractures. Instead, it advocates for high-intensity resistance training and impact training as beneficial for bone and muscle health.

πŸ’‘Healthcare system

The healthcare system encompasses all organizations and resources that provide medical services to individuals. The video criticizes the current system as being more focused on treatment and profit than on prevention and cure, which the speaker believes is detrimental to addressing chronic conditions like osteoporosis effectively.

πŸ’‘Synthetic drugs

Synthetic drugs are chemically manufactured medications, often used in contrast to natural or bioidentical alternatives. The video discusses how synthetic drugs for osteoporosis may carry higher risks compared to bioidentical drugs, suggesting a bias in medical recommendations that favors synthetic options due to pharmaceutical industry influence.

πŸ’‘Bioidentical drugs

Bioidentical drugs are medications that have the same molecular structure as hormones produced by the human body. The video script suggests that these drugs may offer a safer and more effective alternative for managing osteoporosis, especially in the context of HRT, but are often overlooked due to the dominance of synthetic drugs in research and recommendations.

πŸ’‘Patient advocacy

Patient advocacy involves individuals taking an active role in their healthcare decisions and seeking information to make informed choices. The video encourages viewers to be proactive about their health, questioning the status quo, and seeking out alternative treatments and diagnostic methods for osteoporosis, reflecting a broader theme of patient empowerment.

Highlights

Osteoporosis is a reflection of many problems in our medical system.

Diagnosis of osteoporosis often comes too late and imaging modality is flawed.

Risk factors for osteoporosis are often overlooked by doctors.

The medical system is not designed for prevention or cure of osteoporosis.

Healthcare is a massive industry, and curing patients means losing customers.

Hormone Replacement Therapy (HRT) is a powerful tool for osteoporosis, but often underutilized.

The research on women's hormones is heavily influenced by pharmaceutical interests.

There is a need for better education on risk factors and early screening for osteoporosis.

The current approach to women's health and menopause is often outdated and not helpful.

Nutrition recommendations for osteoporosis are often inadequate.

The mainstream diet is inflammatory and nutrient-poor, which is detrimental to bone health.

There is a misconception that animal protein is harmful to bones, which is not true.

Exercise is crucial for bone health, contrary to the fear of causing fractures.

High-intensity resistance and impact training have significant benefits for bone health.

The advice to avoid heavy lifting and focus only on calcium and vitamin D is misguided.

The healthcare system is more focused on managing sickness rather than promoting health.

It is up to individuals to take responsibility for their health and seek alternatives to the current system.

Transcripts

play00:00

osteoporosis is a diagnosis of fear and

play00:03

anxiety after treating hundreds of

play00:04

patients and reversing osteoporosis

play00:06

every day I've realized that

play00:08

osteoporosis is a reflection of so many

play00:10

of the problems of our medical system so

play00:13

stick with me as I review the top six

play00:15

things that they don't want you to know

play00:17

about osteoporosis all right now I'm not

play00:19

really a conspiracy theorist but this is

play00:21

going to kind of sound like that because

play00:24

I am designed to ask tough questions I

play00:27

am trained to do thorough research and

play00:29

that makes me physician armed with the

play00:31

tools to seek truth with a passion for

play00:34

Education now that's a problem when the

play00:36

system is stacked against us so when I

play00:39

look at osteoporosis I see osteoporosis

play00:41

as a symptom of all the things wrong

play00:44

with our system let's start with the

play00:46

diagnosis first screening is way too

play00:50

late and suboptimal imaging modality is

play00:53

tied to prescription writing if this

play00:56

t-core then that drug equation it cuts

play01:00

out what we should be looking at which

play01:03

is why are you losing bone it ignores a

play01:05

new technology dexa will probably never

play01:07

yield to RS this Imaging is actually

play01:10

designed to prevent new technology from

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emerging the way that they have called

play01:13

this the gold standard with no other

play01:15

thing to compare it to so the number one

play01:17

thing that they don't want you to know

play01:18

about osteoporosis is that the Imaging

play01:21

is very flawed and yet it's all we have

play01:24

we have to use it number two is risk

play01:26

factors doctors are really not trained

play01:28

to look at most risk factors most could

play01:30

list off a couple but there are so many

play01:33

here's a couple that they might not have

play01:35

thought about birth control pills Len

play01:37

osteoporosis irregular menstrual cycles

play01:39

Eating Disorders autoimmune disease

play01:41

chronic inflammation toxic exposure

play01:43

sedentary lifestyle gut dysfunction

play01:45

celiac disease poor nutrition

play01:47

over-the-counter drugs prescription

play01:49

drugs and on and on and on and on and on

play01:51

here's the thing all doctors all

play01:53

patients with osteoporosis should be

play01:56

educated on these potential risk factors

play01:59

if you one of these risk factors you

play02:01

should be screened the system is not

play02:03

designed for prevention the system is

play02:05

not designed for cure remember that a

play02:07

patient cured is a customer lost doctors

play02:09

and patients alike should understand

play02:11

these risk factors because if you have a

play02:14

risk factor you should be screened for

play02:16

osteoporosis you should be screened

play02:18

early for osteoporosis you should not

play02:19

wait until you're 65 so talk to your

play02:21

doctor about risk factors for

play02:23

osteoporosis that you think that you

play02:24

have and get a DEX scan or get a reps

play02:27

get something so that you can show what

play02:29

your current bone quality and density is

play02:32

and then you'll know what to do with it

play02:33

all right so number three thing that

play02:35

they don't want you to know about

play02:36

osteoporosis is that our system is not

play02:39

designed to cure it it's not designed to

play02:41

reverse it I saw a meme on Instagram

play02:43

recently that said that a patient cured

play02:46

is a customer lost now that is a very

play02:48

morbid way of looking at our system but

play02:50

recognize that Healthcare is a 4.3

play02:54

trillion per year expenditure almost 20%

play02:57

of our GDP so as the positions as people

play03:00

in the healthcare space we must ignore

play03:03

that it is a money-making machine but

play03:06

yet we know that curing osteoporosis

play03:08

means no drugs no fractures no surgery

play03:12

no care so should we really rely on a

play03:15

system that profits from sickness we

play03:16

don't have choice but as a provider

play03:18

who's been in both the employee model

play03:20

and the private pay model I can tell you

play03:23

that even if you're ethical even if you

play03:25

have strong morals and ethical values

play03:28

these subconscious Financial p

play03:30

can persuade you to make decisions that

play03:32

you wouldn't otherwise make so I think

play03:34

it's really unfortunate that we have a

play03:35

system that is built like this but we

play03:37

can't escape it right now I'm not

play03:39

personally going to change it but here's

play03:40

the deal is that we have to be in charge

play03:42

of our own health we have to build a

play03:44

system outside of our current health

play03:47

care system that removes the

play03:48

restrictions of insurance that focuses

play03:50

on reversal and prevention not treatment

play03:54

so the next thing I want you to consider

play03:55

that they don't want you to know about

play03:57

is that HRT is a powerful tool for

play04:00

osteoporosis what most doctors tell

play04:02

patients is you're worried about your

play04:03

phone Health yeah HRT is not for that

play04:06

it's not FDA approved for that there's

play04:08

really no area where I feel like the

play04:11

system is stacked against people than

play04:13

when it comes to women's hormones the

play04:15

research from my perspective even though

play04:17

there's a ton of it the research is

play04:19

really lacking asking the right

play04:22

questions with the right products the

play04:24

pharmaceutical interests have destroyed

play04:26

this field because the research is

play04:28

focused on the Synn itic drugs not the

play04:30

bioidentical drugs the medical

play04:32

organization recommendations

play04:33

unfortunately seem to be heavily biased

play04:36

by the pharmaceutical industry I can't

play04:37

think of any other way around it

play04:39

remember that there are synthetic drugs

play04:41

that have higher risks and there's are

play04:42

bioidentical drugs that seem to have

play04:44

less risks but there's so many versions

play04:47

and there's so much fear around dosing

play04:50

that the right studies will probably

play04:51

never be done what I consider to be the

play04:53

OBGYN Mafia on Instagram telling people

play04:56

that they need to stay in their Lane

play04:58

that coaches need to stop talking about

play05:00

hormones because they don't understand

play05:02

them and that you shouldn't think for

play05:03

yourself and you should just trust the

play05:05

medical organization this drives me nuts

play05:07

because every woman will lose estrogenic

play05:09

menopause it doesn't matter what

play05:11

supplements you take every woman will

play05:13

lose bone in the subsequent 5 to 10

play05:16

years or even longer at a more rapid

play05:18

Pace than they would otherwise so don't

play05:20

we want to know what our starting point

play05:22

is what your risk of fracture is why

play05:25

don't we tell people to get screened

play05:26

before then why don't we tell people to

play05:28

get screened at 50 to be monitored to

play05:30

prevent osteoporosis what I really

play05:33

struggle with in all this messaging

play05:34

around the the new field of doctors who

play05:37

were talking about women's health and

play05:40

menopause is that they're still

play05:41

propagating the same messages from 20

play05:44

years ago don't ask questions you don't

play05:46

need to be screened before 65 don't

play05:48

worry about it suffer through it I think

play05:50

it's terrible so it's really hard not to

play05:52

draw the conclusion then that the system

play05:54

wants women to become osteoporotic they

play05:57

want you to be weak they want you to be

play05:59

dependent on them it's hard to not think

play06:01

of it any other way I look at it kind of

play06:04

like the Diabetes Association when you

play06:06

go back you know 10 15 years ago when

play06:08

they used to recommend a lowfat high

play06:10

carbohydrate diet to accommodate giving

play06:13

insulin to diabetics now this persisted

play06:15

until really recently when the evidence

play06:17

was so overwhelming that they could no

play06:20

longer face the scrutiny of all of the

play06:22

people in the health world who were

play06:23

saying would you stop telling diabetics

play06:25

to eat a high carbohydrate diet is just

play06:28

crazy so this parallel to diabetes is

play06:31

that they know you're going to lose bone

play06:33

when you go through menopause they'll

play06:35

tell you that HRT is risky they'll tell

play06:38

you to tolerate it or use tiny doses or

play06:40

what I would call Placebo HRT which

play06:42

isn't going to impact your bones I see

play06:44

it all the time then they'll tell you

play06:45

that you can't have aexa to be screened

play06:47

you need to be 65 and then once you turn

play06:49

65 and you get aexa you have

play06:51

osteoporosis and now you need drugs so

play06:54

it's hard not to draw this conclusion

play06:55

from the setup that if we know you're

play06:57

going to go through menopause we know

play06:59

that you're to rapidly lose bone and

play07:00

we're going to tell you not to go on HRT

play07:02

why don't we tell you to get screened so

play07:04

we know what your starting point is not

play07:06

every woman is going to go on hormone

play07:08

replacement therapy and that's okay but

play07:10

if they already have osteoporosis it

play07:12

might change the equation around the

play07:14

risk benefit would you agree with that

play07:15

so the fourth thing they don't want you

play07:16

to know that HRT is a powerful tool and

play07:19

this conversation around menopause while

play07:20

it's great and we're bringing a lot of

play07:22

things to light there's a lot of old

play07:24

Dogma that's being passed forward and

play07:26

it's being disguised through the lens of

play07:28

feminism but but it's actually the same

play07:31

misogyny that existed 20 years ago all

play07:33

right the fifth thing they don't want

play07:34

you to know about osteoporosis is that

play07:36

nutrition recommendations for

play07:38

osteoporosis are terrible now I actually

play07:42

think that mainstream medicine and

play07:44

integrated practitioners are a fa here I

play07:46

think that they have taken kind of two

play07:49

different but both unfortunate Pathways

play07:52

neither of which are really helping

play07:53

people with osteoporosis now the

play07:55

mainstream medical system is going to

play07:58

encourage people to consume what I would

play08:00

consider to be the mainstream steroid

play08:02

American diet now we know that this is

play08:04

inflammatory we know that it leads to

play08:05

obesity it's a nutrient por there's

play08:08

nothing good about a highly processed

play08:10

food diet so we don't really need to

play08:11

talk about that much further but the

play08:14

integrative and the functional space has

play08:17

sort of taken this a different direction

play08:19

and I don't think it's helpful there's a

play08:20

lot of conversation around the alkaline

play08:22

diet around a plant forward diet because

play08:24

it's going to be better for your bones

play08:26

because somehow the acidity of steak is

play08:30

going to cause your bones to crumble

play08:31

there's a conversation around worrying

play08:33

about the environment before worrying

play08:34

about your bones I'm not going to talk

play08:36

about the environment right now but

play08:38

please understand that you can have your

play08:39

steak and eat it too what they don't

play08:41

want you to know and the most critical

play08:43

part is is that the protein especially

play08:47

animal protein and nutrient-dense food

play08:50

is the key to improving your bone health

play08:52

to improving your muscle mass to

play08:54

improving your health span overall and

play08:56

if you're eating a Whole Food's diet

play08:58

that is rich in vegetables and fruit and

play09:01

animal protein alkalinity doesn't matter

play09:04

if you're getting the standard American

play09:06

diet maybe it does but don't do that

play09:08

food is medicine food is the foundation

play09:11

of improving bone health all right and

play09:13

the last one so the sixth thing that

play09:15

they don't want you to know about

play09:16

osteoporosis is that you do actually

play09:19

need to exercise now I used to tell

play09:22

people this too so I'm totally at fault

play09:24

I was worried about them fracturing and

play09:25

I still am worried about people

play09:27

fracturing however we can't take our

play09:29

patients with osteoporosis in put them

play09:31

in a paded room guess what it's going to

play09:33

get worse now if you say that's why I

play09:35

use the drugs okay but for most people

play09:38

they don't want to take the drugs and I

play09:40

think most people don't need to take the

play09:41

drugs so we need to tell them to do the

play09:44

exercises that actually benefit their

play09:47

bones and their muscles so if you look

play09:49

at some of the evidence you could say

play09:51

that the lmore trials Dr blinda Beck's

play09:53

work has done a great job of

play09:54

demonstrating that high-intensity

play09:56

resistance training and impact training

play09:58

are going to have the biggest impact on

play10:01

our bones and probably our muscle now I

play10:04

used to tell people don't lift more than

play10:06

5 lbs make sure you take your calcium

play10:07

and vitamin D but the truth is I was

play10:10

doing them a massive disservice I just

play10:13

didn't know wasn't trained so while

play10:15

everybody is going to be different in

play10:16

their starting point many people with

play10:18

osteoporosis have never done resistance

play10:20

training have never done impact training

play10:22

and that's okay but we need to

play10:23

progressively overload if we're going to

play10:25

improve our bones and our muscles that's

play10:27

going to look different for everybody

play10:29

but what they're telling you will keep

play10:31

you weak what they're telling you will

play10:33

likely lead to being on a drug so that's

play10:35

it those are the top six things they

play10:37

don't want you to know about

play10:38

osteoporosis now do I sound like a

play10:41

conspiracy theorist yet maybe but think

play10:43

of it this way our healthc care system

play10:45

is really a sick care system when it

play10:47

comes to chronic disease I am not

play10:49

disparaging doctors I'm not disparaging

play10:52

development they are caught in a system

play10:54

and are usually very well meaning

play10:56

technology is a must if we're going to

play10:58

improve our health Heth span however

play11:00

it's up to us to create our own health

play11:03

we hold a responsibility for our health

play11:06

these six things that they don't want

play11:07

you to know are driven by A system that

play11:09

doesn't want you well a patient cured is

play11:12

a customer lost

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Related Tags
OsteoporosisMedical SystemHealthcare TruthsRisk FactorsHRT BenefitsNutrition AdviceExercise ImpactHealth PreventionDisease ReversalPatient Empowerment