Reversing OSTEOPOROSIS 🦴🦴...KoACT, Exercise, Lifestyle and Nutrition.

Dr. Jin W. Sung
30 Jan 202417:31

Summary

TLDRIn this informative video, Dr. JY Sun discusses osteoporosis, emphasizing its prevalence and the importance of bone density. He explains the role of osteoblasts and osteoclasts in bone health and highlights the significance of collagen in bone structure. Dr. Sun reviews various supplements, such as coact, which combines calcium and collagen, and their impact on bone strength and density. He also addresses lifestyle factors, necessary tests, and the benefits of exercise and proper sleep for managing and potentially reversing osteoporosis, advocating for a holistic approach to bone health.

Takeaways

  • 🦴 Osteoporosis is a condition characterized by a loss of bone mass density, which increases the risk of fractures, particularly in the hip and spine.
  • 🏥 A DEXA scan is the traditional method to measure bone density, with a T-score indicating the presence of osteoporosis or osteopenia (the beginning stages of bone loss).
  • 🛠️ Bone is a living tissue with cells called osteoblasts that build bone and osteoclasts that break it down, needing a balance to maintain proper bone health.
  • 🌟 Collagen type one, which makes up about 90% of the organic material in bone, is often overlooked in osteoporosis treatment, yet it provides the framework and flexibility of the bone.
  • 💊 COACT, a product combining collagen peptides and calcium, has been shown in studies to increase bone density and strength, more effectively than separate calcium and collagen supplements.
  • 📊 In the United States, approximately 44 million people are affected by or at risk of developing osteoporosis, with peak bone mass typically reached by age 30.
  • 🚫 Osteoporosis medications, such as bisphosphonates, carry risks including jaw necrosis and atypical femoral fractures, especially when used for more than three years.
  • 💊 Supplements like vitamin D3, K2, calcium (in the form of hydroxyapatite), and other minerals are essential for bone health and can help manage or reverse osteoporosis.
  • 🍽️ Lifestyle factors such as diet, smoking, alcohol, and hormone levels play a significant role in bone health, with animal protein and certain diets recommended for bone support.
  • 🏋️‍♂️ Exercise, particularly weight-bearing and resistance training, is crucial for bone health, with frequency and type of exercise affecting bone density and strength.
  • 💤 Sleep and stress management are important for overall health, including bone health, as chronic stress can lead to increased cortisol levels that deplete bone mass.

Q & A

  • What is osteoporosis and how is it measured?

    -Osteoporosis is a condition characterized by a loss of bone mass density, making bones more susceptible to fractures. It is measured using a DEXA scan, a machine that assesses bone density and provides a T-score to determine if the individual has osteoporosis or osteopenia (the beginning stages of bone loss).

  • What is the difference between osteoporosis and osteopenia?

    -Osteopenia is a condition where there is a bone density T-score between -1 and -2.5, indicating the beginning stages of bone loss. Osteoporosis is more severe, with a T-score less than -2.5, signifying a higher risk of fractures.

  • What roles do osteoblasts and osteoclasts play in bone health?

    -Osteoblasts are cells that produce bone, while osteoclasts break down bone tissue. They work in synchrony to maintain bone health, with osteoblasts building bone and osteoclasts breaking it down, ensuring a balance between bone formation and resorption.

  • Why is collagen important in bone health?

    -Collagen, which makes up about 90% of the organic material in bones, provides the framework and flexibility needed for bones to absorb impact and protect internal organs. It is often neglected in the treatment of osteoporosis, despite its crucial role in bone structure and function.

  • What is the significance of the product 'coact' in managing osteoporosis?

    -Coact is a product that combines collagen peptides and calcium. Studies have shown that it can increase bone density and strength more effectively than taking calcium and collagen separately, making it a potentially beneficial supplement for osteoporosis management.

  • How does vitamin D play a role in bone health?

    -Vitamin D, particularly in the form of D3, is crucial for bone health as it aids in the absorption of calcium. A daily intake of 5,000 international units is recommended, but it's important to test blood markers for vitamin D levels before increasing dosage.

  • What are some lifestyle factors that can contribute to bone loss?

    -Lifestyle factors such as smoking, excessive alcohol consumption, and regular soda intake can contribute to bone loss. It is also important to increase animal protein intake and manage stress levels to prevent bone loss.

  • How can hormone replacement therapy help in managing osteoporosis?

    -Hormone replacement therapy can be beneficial for individuals who have gone through early menopause or surgically induced menopause, as it helps maintain hormonal balance and can prevent bone loss associated with hormonal changes.

  • What types of exercises are recommended for osteoporosis management?

    -Weight-bearing and resistance training exercises are recommended for osteoporosis management. These types of exercises help build bone strength and prevent further bone loss, but it's important to start slowly and increase intensity gradually.

  • What are some supplements and nutrients that can support bone health?

    -Supplements such as vitamin D3, vitamin K2, calcium in the form of hydroxyapatite, vitamin A, and other minerals like zinc, copper, boron, magnesium, and chromium can support bone health. Additionally, milk basic protein and lactoferrin, as well as marine time pine bark extract, have been shown to improve bone markers.

  • What are some blood markers that can indicate bone health or the presence of osteoporosis?

    -Blood markers such as CTX or bone alkaline phosphatase, P1NP, Dpd, and osteocalcin can indicate bone health or the presence of osteoporosis. These markers can help monitor bone density and the rate of bone growth and resorption.

Outlines

00:00

🦴 Understanding Osteoporosis and Its Reversal

Dr. JY Sun introduces the topic of osteoporosis, a condition characterized by the loss of bone mass density, which can lead to fractures. He explains the use of a DEXA scan to measure bone density and the significance of the T-score in diagnosing osteoporosis. The doctor emphasizes the importance of the balance between osteoblasts, which build bone, and osteoclasts, which break it down. He also discusses the composition of bone, highlighting the often-neglected role of collagen type one, which provides flexibility and support. The summary concludes with the mention of a product called 'coact,' which combines calcium and collagen peptides to potentially improve bone health.

05:01

📊 Clinical Studies on Coact for Bone Health

This section delves into the studies conducted on 'coact,' a supplement designed to improve bone density and strength. An animal study demonstrated that coact increased bone density by 3.5% and strength by 10%, outperforming separate calcium and collagen supplementation. A 12-month human study involving postmenopausal women showed that coact, along with vitamin D, significantly reduced bone loss, improved bone mass density, and enhanced bone strength. The study also noted that coact prevented bone loss in cancer patients undergoing treatment. Dr. Sun suggests looking for reputable coact products online and emphasizes the importance of addressing the often-overlooked collagen aspect of bone health.

10:03

🚫 Risks of Osteoporosis Medications and Natural Alternatives

The script addresses the risks associated with osteoporosis medications, such as bisphosphonates, which can lead to jaw necrosis or atypical femoral fractures when used for more than three years. It then transitions to discussing natural alternatives for managing and reversing osteoporosis, including supplements like vitamin D3, vitamin K2, calcium (specifically hydroxyapatite), and other essential minerals and vitamins. Dr. Sun also mentions the importance of diet, hormone replacement therapy, and lifestyle changes to prevent bone loss. He advises against smoking, excessive alcohol consumption, and soda, and promotes a diet rich in animal protein, possibly following a Mediterranean diet pattern.

15:05

💪 The Role of Exercise and Supplements in Osteoporosis Management

In this paragraph, Dr. Sun focuses on the importance of exercise, particularly weight-bearing and resistance training, for managing osteoporosis. He advises starting slow and emphasizes the significance of frequency in exercise routines to stimulate bone growth and prevent breakdown. The doctor also mentions vibration therapy as a potential beneficial treatment, cautioning against high-intensity use that could cause injury. Additionally, he discusses the importance of sleep, stress management, and the role of certain supplements like milk basic protein, lactoferrin, and coact in supporting bone health. The summary concludes with a reminder of the importance of a comprehensive approach, including lifestyle changes, supplements, and exercise, to effectively manage and reverse osteoporosis.

Mindmap

Keywords

💡Osteoporosis

Osteoporosis is a medical condition characterized by a decrease in bone density, leading to fragile bones that are prone to fractures. The video's theme revolves around understanding and preventing this condition. In the script, Dr. JY Sun explains that osteoporosis is identified through a DEXA scan, which measures bone mineral density, and that a T-score less than -2.5 indicates osteoporosis, making individuals susceptible to fractures.

💡Bone Density

Bone density refers to the amount of bone mineral per square centimeter of bone. It is a key factor in determining bone strength and is directly related to the risk of osteoporosis. The script mentions that a DEXA scan measures bone density and provides a T-score to diagnose osteoporosis or osteopenia, the early stages of bone loss.

💡Osteoblasts and Osteoclasts

Osteoblasts and osteoclasts are types of bone cells that play a critical role in bone remodeling. Osteoblasts are responsible for bone formation, while osteoclasts break down bone tissue. The script highlights the importance of the balance between these cells for maintaining bone health, as an imbalance can lead to either excessive bone deposition or insufficient bone formation.

💡Collagen

Collagen is a protein that forms the flexible framework of bone, providing strength and flexibility. The script emphasizes that collagen is often neglected in the management of osteoporosis, even though it makes up about 90% of the organic material in bone and is essential for bone health.

💡Calcium Phosphate

Calcium phosphate is a mineral complex that contributes to the rigidity of the bone by attaching to the collagen framework. In the script, it is mentioned as a critical component of bone, working in conjunction with collagen to provide both strength and flexibility.

💡COACT

COACT is a product mentioned in the script that combines collagen peptides and calcium. It is highlighted as a beneficial supplement for bone health, with studies showing that it can increase bone density and strength more effectively than calcium and collagen taken separately.

💡Vitamin D

Vitamin D, particularly in the form of D3, is essential for bone health as it aids in the absorption of calcium. The script recommends a daily intake of 5,000 international units of vitamin D3, suggesting that it plays a vital role in the prevention and treatment of osteoporosis.

💡Vitamin K2

Vitamin K2, in the form of MK7, is important for bone health as it helps in the proper utilization of calcium, ensuring it is deposited in the bones rather than in arteries. The script suggests a daily intake of 100 to 300 micrograms of vitamin K2 for bone health.

💡Hormone Replacement Therapy

Hormone replacement therapy is mentioned in the script as a potential treatment for individuals who have gone through early menopause or surgically induced menopause, as it can help maintain bone mass and prevent bone loss.

💡Exercise

Exercise, particularly weight-bearing and resistance training, is emphasized in the script as crucial for bone health. It helps to improve bone strength and prevent the progression of osteoporosis by stimulating bone formation and reducing bone breakdown.

💡Bone Markers

Bone markers are biochemical indicators that can be measured in the blood or urine to assess bone health and monitor the effects of treatments for osteoporosis. The script mentions several bone markers, such as CTX, P1NP, and Dpd, which can be used to evaluate bone turnover and the effectiveness of interventions.

Highlights

Osteoporosis is measured by bone mass density loss, traditionally assessed by a DEXA scan.

A T-score between -1 and 2.5 indicates osteopenia, the early stages of bone loss, while a T-score less than -2.5 is osteoporosis.

Osteoporosis increases the risk of fractures, particularly in the hip or spine due to falls.

Bone is a living tissue with a turnover every 90 days, involving osteoblasts and osteoclasts for bone formation and resorption.

Bone composition includes 40-50% organic material, primarily collagen type one, and 50-60% inorganic material, mainly calcium phosphate.

Collagen is often neglected in the treatment of osteoporosis, despite its crucial role in bone flexibility and framework.

COACT, a product combining calcium and collagen peptides, has been shown to increase bone density and strength.

A study found that COACT increased tensile strength by 10% over an 8-week period.

A 12-month human study showed COACT reduced bone loss in postmenopausal women and improved bone mass density and biomarkers.

Approximately 44 million people in the United States have or are at risk of developing osteoporosis.

Osteoporosis medications, such as bisphosphonates, carry risks including jaw necrosis and atypical femoral fractures.

Vitamin D3, K2, calcium, and other minerals are essential for bone health and should be considered in osteoporosis management.

Exercise, particularly weight-bearing and resistance training, is crucial for bone health and preventing osteoporosis.

Lifestyle factors such as smoking, alcohol, and soda consumption can negatively impact bone health.

Hormone replacement therapy may be necessary for individuals experiencing early menopause or low hormone levels.

Certain medications, including steroids and some blood pressure medications, can increase bone loss.

Laboratory tests such as CTX, P1NP, and Dpd can help monitor bone health and the effectiveness of treatments.

Vibration therapy and proper sleep are additional methods that can support bone health and recovery.

Stress management is important for bone health as chronic stress can lead to hormonal imbalances and bone loss.

Transcripts

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[Music]

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welcome back this is Dr JY Sun where

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clinical Excellence meets excellent

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results today we're going to talk about

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revering

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osteoporosis what is

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osteoporosis what can we do to help

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prevent it what are some of the

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nutrition lifestyle management that you

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can utilize to reverse

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osteoporosis let's get right into it in

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order to measure osteoporosis you have

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to look at the loss of bone mass density

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in the traditional way to do it is

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called a dexa scan right it's a fancy

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machine that will measure bone

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density they give you a tcore and if you

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get a t-core between -1 and

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2.5 is considered

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osteopenia or the beginning stages of

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bone loss a t-core less than 2.5 is

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considered

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osteoporosis what this means is that you

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are susceptible for fracture either a

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hip fracture or compression fracture in

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the spine due to a fall in really

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advanced cases where you

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have issues with bone mineralization you

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can sneeze and Fracture a bone okay now

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because the bone is a living organism

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and has a turnover every 90 days you

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need cells that produce bone and then

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break down bone called osteoblast build

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bone right and osteoclast break down the

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bone okay this has to work in some sort

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of synchrony right because if one works

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too fast then you're going to have

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either too much deposition of bone or

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lack of deposition of bone so you need

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to have this work in some sort of

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synchrony now bone is made up of 40 to

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50% or inorganic material some

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literature will say anywhere from 60 to

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65% in organic material however it's

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basically made up of minerals hydroxy

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appetite 10% could be about um made with

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water and 35% is organic material now

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this is very important because the

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organic material about 90% of that

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organic material is made up of collagen

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type one often times in the treatment or

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management of osteoporosis they neglect

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the collagen aspect of

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bone so uh 90% of that inorganic

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material is collagen type one okay it's

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very important and I'll get into that in

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a second function supports the body it

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protects the organs like your ribs are

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flexible so if you take a hit when you

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play football the ribs will somewhat

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protect your internal

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organs produces blood cells red blood

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cells white blood cells platelets right

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so it's very important for oxygenation

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as well as your immune system it also

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stores your mineral and fats so it helps

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uh when you have a depletion of uh

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minerals in your blood it can be

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utilized as a reservoir or it can store

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it uh for future use so it's very

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important in terms of

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function

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now you can see that collagen is an

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important part of bone collagen makes up

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the framework and the flexibility of the

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bone so if you take a hit it gives a

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little bit of a give think of a

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skyscraper when they build it they do

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the framework first and they build

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around it in high winds and hurricane

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winds the skyscraper will actually Sway

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and move has a little bit of a give and

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that's what the collagen is all

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about calcium phosphate is the other

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component and that's the mineral complex

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that attach attaches the framework and

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gives it the rigidity of the

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bone Osteo blasts things that produced

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bone gives off something called alkaline

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phosphatase which attach to the collagen

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framework and these calcium molecules

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can go ahead and attach to it okay

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calcium is given priority in most Health

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Care Systems so if you have osteoporosis

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or osteopenia

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they recommend taking calcium not

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necessarily collagen so collagen is

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neglected in

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healthcare the framework gives it the

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flexibility to absorb the impact so it

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is so important to prevent the uh

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fractures that can occur especially in

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postmenopausal women now there's a

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product called

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coact coact is made up of collagen

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peptides and calcium basically it's a

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calcium collagen keate it's combined

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okay they have a couple of different

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studies one is an animal study that has

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four groups no supplements were given in

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the first group in the second group they

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gave coac which increased bone density

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by

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3.5% coak increased strength by

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10% now remember coact is calcium plus

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collagen and

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aate when they gave the fourth group

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separately calcium and collagen

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separately it increased strength by

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1% okay so you can see that the COA

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product actually will increase uh

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tensile strength by

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10% I believe this was an 8-week study

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and it showed a statistical difference

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in terms of improvement in strength as

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well as

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density now there's a human human study

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39 postmenopausal women there was also a

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3mon study but this one was a 12mth

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study and it was checking bone markers

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in the blood okay there's more than one

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way to check for bone density or bone

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growth and resorption the typical one

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like I mentioned before is the dexa scan

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but there are other markers which I'll

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get into in a little bit but they

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basically gave 5 gam of coak which is

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equivalent to about 500 milligrams of

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calcium plus their collagen complex and

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they also gave them 20000 units or

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international units of vitamin D the

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second group got 500 milligrams of

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calcium plus the 200 international units

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of vitamin D and what they showed over

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the 12 months is that it shows stat

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statistical differences and bone loss

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was

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less counteracts the natural process of

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bone loss in postmenopausal women

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improves bone mass

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density improves biomarkers in the blood

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improves the strength of the bone and

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they say there was zero loss in cancer

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patients what that means is that when

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patients go through cancer treatment

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they typically will lose some bone mass

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but kak was able to prevent the bone

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loss for these patients okay now there

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are reputable companies that actually

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have coak what I would suggest is just

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going on Amazon or Google coak and you

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will find companies out there all right

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so it's very important that you do that

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and take a look because collagen is

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often

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neglected in our next part here we're

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going to talk about the different

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mechanisms and different supplements

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that you can utilize as well as exercise

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and how to manage or reverse

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osteoporosis let's get get into

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it so let's get into some of the facts

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of

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osteoporosis in the United States there

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are approximately 44 million people who

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has or at risk of developing

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osteoporosis and these are not just

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women it can also be

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men peak bone mass is approximately 30

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years old and you will lose 2 to 3% % of

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bone density per year

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thereafter one out of three

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postmenopausal women will get a bone

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fracture whether in the hip or in the

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spine and

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elsewhere 20% of hip fracture patients

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will actually die within one year they

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usually die of some sort of complication

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usually infection and pneumonia okay

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there is more abrupt loss Lo of bone

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when you're

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postmenopausal osteoporosis drugs slow

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down osteoclastic activity so it slows

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down the breakdown of

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bone they're call bis phosphinates

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and there's an increased risk with the

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use of bis phosphinates for more than 3

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years you can get jaw

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necrosis or you can get an atypical

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femoral fracture typically when the

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fracture occurs in the hip it's at the

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neck of the femur but with this

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medication or drug the fracture will

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occur in the middle of the femur not at

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the neck of the femur right that's why

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they call it atypical it's not a usual

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place that it can occur okay so what

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they do is they do a drug holiday if you

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use it for more than 3 years they'll

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make you stop because they know there's

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a risk of atypical fracture

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and jaw necrosis so there is definite

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risks to taking osteoporosis medications

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now you're here because you want to

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learn about Alternatives and Naturals so

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let's talk about

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that let's talk about

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supplements vitamin D is very important

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in the form of

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D3 5,000 international units would be

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recommended now you can do higher doses

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OB viously but I suggest testing for

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your markers your blood markers for

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vitamin D before going to 10,000 units

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or 15,000 or 20,000 units per day so

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vitamin D is very important factor

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vitamin

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K2 approximately 100 to 300 micrograms

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would be great in the form of

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mk7 calcium in the form of hydroxy

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appetite because it has other minerals

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in there vitamin A you can use that from

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diet if you had eggs and organ meats and

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other

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meats you need other minerals zinc

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copper Boron magnesium chromium

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silicon now for vitamin D and magnesium

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approximately 700 to 1,000 milligrams

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per day between dietary intake and

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supplementation would be

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necessary you can also do milk basic

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protein and lacto Farin the best source

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for that is probably colostrum but there

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are products made specifically for

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lactoferrin but colostrum would have

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both and basically it's the first

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Mother's Milk which is colostrum okay

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unless you have dairy allergies you can

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use that Marine time pine bark extract

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has also been shown in studies to

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improve markers for bone loss and bone

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growth growth and obviously coak which I

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talked about utilizing calcium

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along with collagen uh in a culated form

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has been shown to um improve bone loss

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uh improve prevention of B bone

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loss lifestyle smoking alcohol soda

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phosphoric acid if you're drinking soda

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every day you got to stop okay you have

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to increase animal

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protein I believe that the Mediterranean

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diet with an extra serving of protein

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would be a great diet okay vegans and

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vegetarians need to be careful often

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times they have increased risk of

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fracture hormone replacement may be

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necessary so if you're going to early

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menopause or you have a surgically

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induced menopause then hormone

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replacement might be necessary and you

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need to talk to your physician about

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that also for men testosterone is an

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important hormone for maintaining bone

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mass so if you have low testosterone

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there's a possibility or consideration

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for hormone replacement therapy for men

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also medications especially the steroids

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can uh increase bone loss uh asmatics

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who use steroid inhalers will also have

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increased bone loss there's other

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medications like stands blood pressure

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medications birth control pills because

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it throws off your hormonal balance can

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also um increase bone loss so these

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lifestyle managements and Drug uh uh

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interactions can cause bone loss now as

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promised here are some of the labs that

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you can test right CTX or BP which is

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bone alkaline phosphatase

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p1np DPT pyd this is found in the urine

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you can do some something called o

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osteocalcin and this is K2 dependent and

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you can also check for inflammation

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markers the reason is

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inflammation uh causes cortisol levels

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to go up and inflammatory processes with

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cines Etc can uh perpetuate bone loss so

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you can check these types of markers

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also exercise now exercise for

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osteoporosis has to be weightbearing as

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well as resistance training now if

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you're really Advanced and you have

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advanced osteoporosis you have to be

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careful how much resistance you do you

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need to build up very slowly uh to

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improve strength okay so resistance

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training matters

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okay frequency also matters so instead

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of going to the gym and doing let's say

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an hour and a half of some sort of

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resistance training you can break that

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up and do like 45 minutes and 45 minutes

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or 30 minutes and 30 minutes that would

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be enough to help build bone and the

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frequency matters because there is some

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cell signaling uh that occurs so when

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you're actively working out or putting

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stress on our body You're Building bone

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but the cell signaling will help prevent

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the breakdown of bone also so there's

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two components to this with

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exercise vibration therapy can be quite

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benef icial for some people I would use

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20 to 50 hertz right um maybe 10 minutes

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two or three times a day at low

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amplitudes uh you have to be careful if

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you have osteoporosis and you're going

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to use one of those heavyduty ones with

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heavy force and vibration and high

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amplitudes uh it can't cause injury so I

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would suggest a low amplitude one at a

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low frequency at 20 to 50

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hertz sleep is also crucial because

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sleep is where you heal and if you don't

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get sleep you're going to your body's

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going to be stressed increasing cortisol

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levels and cortisol will deplete bone

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mass

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stress stress is a big factor if you're

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under chronic stress with the levels of

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cortisol in our system and throwing off

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your hormonal imbalance it's going to

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create bone loss so you got to manage

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your stress now there's a lot here but

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certainly you can do these lifestyle

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changes the vitamins most times

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companies put this portion right in here

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kind of all together in a package so you

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don't have to go out and buy individual

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ones people who are U who have milk

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allergies need to be careful here with

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the milk basic protein and

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lactoferrins um but you can use uh

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colostrum to get

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both COA I I spoke about

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using calcium along with collagen

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together to help the framework of the

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bone and that can be beneficial so if

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you can combine all of these therapies

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you can certainly stop the progression

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of

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osteoporosis um but then you can also

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reverse

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osteoporosis really exercise is crucial

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in this whole program all right my name

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is Dr Jen S where clinical Excellence

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meets excellent results and we'll see

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you guys next week on the healthy side

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have an awesome day

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Related Tags
OsteoporosisBone HealthNutritionLifestyleDEXA ScanCollagenCalciumVitamin DExerciseHealthcare