Reversing OSTEOPOROSIS 🦴🦴...KoACT, Exercise, Lifestyle and Nutrition.
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
🦴 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.
📊 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.
🚫 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.
💪 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
💡Bone Density
💡Osteoblasts and Osteoclasts
💡Collagen
💡Calcium Phosphate
💡COACT
💡Vitamin D
💡Vitamin K2
💡Hormone Replacement Therapy
💡Exercise
💡Bone Markers
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
[Music]
welcome back this is Dr JY Sun where
clinical Excellence meets excellent
results today we're going to talk about
revering
osteoporosis what is
osteoporosis what can we do to help
prevent it what are some of the
nutrition lifestyle management that you
can utilize to reverse
osteoporosis let's get right into it in
order to measure osteoporosis you have
to look at the loss of bone mass density
in the traditional way to do it is
called a dexa scan right it's a fancy
machine that will measure bone
density they give you a tcore and if you
get a t-core between -1 and
2.5 is considered
osteopenia or the beginning stages of
bone loss a t-core less than 2.5 is
considered
osteoporosis what this means is that you
are susceptible for fracture either a
hip fracture or compression fracture in
the spine due to a fall in really
advanced cases where you
have issues with bone mineralization you
can sneeze and Fracture a bone okay now
because the bone is a living organism
and has a turnover every 90 days you
need cells that produce bone and then
break down bone called osteoblast build
bone right and osteoclast break down the
bone okay this has to work in some sort
of synchrony right because if one works
too fast then you're going to have
either too much deposition of bone or
lack of deposition of bone so you need
to have this work in some sort of
synchrony now bone is made up of 40 to
50% or inorganic material some
literature will say anywhere from 60 to
65% in organic material however it's
basically made up of minerals hydroxy
appetite 10% could be about um made with
water and 35% is organic material now
this is very important because the
organic material about 90% of that
organic material is made up of collagen
type one often times in the treatment or
management of osteoporosis they neglect
the collagen aspect of
bone so uh 90% of that inorganic
material is collagen type one okay it's
very important and I'll get into that in
a second function supports the body it
protects the organs like your ribs are
flexible so if you take a hit when you
play football the ribs will somewhat
protect your internal
organs produces blood cells red blood
cells white blood cells platelets right
so it's very important for oxygenation
as well as your immune system it also
stores your mineral and fats so it helps
uh when you have a depletion of uh
minerals in your blood it can be
utilized as a reservoir or it can store
it uh for future use so it's very
important in terms of
function
now you can see that collagen is an
important part of bone collagen makes up
the framework and the flexibility of the
bone so if you take a hit it gives a
little bit of a give think of a
skyscraper when they build it they do
the framework first and they build
around it in high winds and hurricane
winds the skyscraper will actually Sway
and move has a little bit of a give and
that's what the collagen is all
about calcium phosphate is the other
component and that's the mineral complex
that attach attaches the framework and
gives it the rigidity of the
bone Osteo blasts things that produced
bone gives off something called alkaline
phosphatase which attach to the collagen
framework and these calcium molecules
can go ahead and attach to it okay
calcium is given priority in most Health
Care Systems so if you have osteoporosis
or osteopenia
they recommend taking calcium not
necessarily collagen so collagen is
neglected in
healthcare the framework gives it the
flexibility to absorb the impact so it
is so important to prevent the uh
fractures that can occur especially in
postmenopausal women now there's a
product called
coact coact is made up of collagen
peptides and calcium basically it's a
calcium collagen keate it's combined
okay they have a couple of different
studies one is an animal study that has
four groups no supplements were given in
the first group in the second group they
gave coac which increased bone density
by
3.5% coak increased strength by
10% now remember coact is calcium plus
collagen and
aate when they gave the fourth group
separately calcium and collagen
separately it increased strength by
1% okay so you can see that the COA
product actually will increase uh
tensile strength by
10% I believe this was an 8-week study
and it showed a statistical difference
in terms of improvement in strength as
well as
density now there's a human human study
39 postmenopausal women there was also a
3mon study but this one was a 12mth
study and it was checking bone markers
in the blood okay there's more than one
way to check for bone density or bone
growth and resorption the typical one
like I mentioned before is the dexa scan
but there are other markers which I'll
get into in a little bit but they
basically gave 5 gam of coak which is
equivalent to about 500 milligrams of
calcium plus their collagen complex and
they also gave them 20000 units or
international units of vitamin D the
second group got 500 milligrams of
calcium plus the 200 international units
of vitamin D and what they showed over
the 12 months is that it shows stat
statistical differences and bone loss
was
less counteracts the natural process of
bone loss in postmenopausal women
improves bone mass
density improves biomarkers in the blood
improves the strength of the bone and
they say there was zero loss in cancer
patients what that means is that when
patients go through cancer treatment
they typically will lose some bone mass
but kak was able to prevent the bone
loss for these patients okay now there
are reputable companies that actually
have coak what I would suggest is just
going on Amazon or Google coak and you
will find companies out there all right
so it's very important that you do that
and take a look because collagen is
often
neglected in our next part here we're
going to talk about the different
mechanisms and different supplements
that you can utilize as well as exercise
and how to manage or reverse
osteoporosis let's get get into
it so let's get into some of the facts
of
osteoporosis in the United States there
are approximately 44 million people who
has or at risk of developing
osteoporosis and these are not just
women it can also be
men peak bone mass is approximately 30
years old and you will lose 2 to 3% % of
bone density per year
thereafter one out of three
postmenopausal women will get a bone
fracture whether in the hip or in the
spine and
elsewhere 20% of hip fracture patients
will actually die within one year they
usually die of some sort of complication
usually infection and pneumonia okay
there is more abrupt loss Lo of bone
when you're
postmenopausal osteoporosis drugs slow
down osteoclastic activity so it slows
down the breakdown of
bone they're call bis phosphinates
and there's an increased risk with the
use of bis phosphinates for more than 3
years you can get jaw
necrosis or you can get an atypical
femoral fracture typically when the
fracture occurs in the hip it's at the
neck of the femur but with this
medication or drug the fracture will
occur in the middle of the femur not at
the neck of the femur right that's why
they call it atypical it's not a usual
place that it can occur okay so what
they do is they do a drug holiday if you
use it for more than 3 years they'll
make you stop because they know there's
a risk of atypical fracture
and jaw necrosis so there is definite
risks to taking osteoporosis medications
now you're here because you want to
learn about Alternatives and Naturals so
let's talk about
that let's talk about
supplements vitamin D is very important
in the form of
D3 5,000 international units would be
recommended now you can do higher doses
OB viously but I suggest testing for
your markers your blood markers for
vitamin D before going to 10,000 units
or 15,000 or 20,000 units per day so
vitamin D is very important factor
vitamin
K2 approximately 100 to 300 micrograms
would be great in the form of
mk7 calcium in the form of hydroxy
appetite because it has other minerals
in there vitamin A you can use that from
diet if you had eggs and organ meats and
other
meats you need other minerals zinc
copper Boron magnesium chromium
silicon now for vitamin D and magnesium
approximately 700 to 1,000 milligrams
per day between dietary intake and
supplementation would be
necessary you can also do milk basic
protein and lacto Farin the best source
for that is probably colostrum but there
are products made specifically for
lactoferrin but colostrum would have
both and basically it's the first
Mother's Milk which is colostrum okay
unless you have dairy allergies you can
use that Marine time pine bark extract
has also been shown in studies to
improve markers for bone loss and bone
growth growth and obviously coak which I
talked about utilizing calcium
along with collagen uh in a culated form
has been shown to um improve bone loss
uh improve prevention of B bone
loss lifestyle smoking alcohol soda
phosphoric acid if you're drinking soda
every day you got to stop okay you have
to increase animal
protein I believe that the Mediterranean
diet with an extra serving of protein
would be a great diet okay vegans and
vegetarians need to be careful often
times they have increased risk of
fracture hormone replacement may be
necessary so if you're going to early
menopause or you have a surgically
induced menopause then hormone
replacement might be necessary and you
need to talk to your physician about
that also for men testosterone is an
important hormone for maintaining bone
mass so if you have low testosterone
there's a possibility or consideration
for hormone replacement therapy for men
also medications especially the steroids
can uh increase bone loss uh asmatics
who use steroid inhalers will also have
increased bone loss there's other
medications like stands blood pressure
medications birth control pills because
it throws off your hormonal balance can
also um increase bone loss so these
lifestyle managements and Drug uh uh
interactions can cause bone loss now as
promised here are some of the labs that
you can test right CTX or BP which is
bone alkaline phosphatase
p1np DPT pyd this is found in the urine
you can do some something called o
osteocalcin and this is K2 dependent and
you can also check for inflammation
markers the reason is
inflammation uh causes cortisol levels
to go up and inflammatory processes with
cines Etc can uh perpetuate bone loss so
you can check these types of markers
also exercise now exercise for
osteoporosis has to be weightbearing as
well as resistance training now if
you're really Advanced and you have
advanced osteoporosis you have to be
careful how much resistance you do you
need to build up very slowly uh to
improve strength okay so resistance
training matters
okay frequency also matters so instead
of going to the gym and doing let's say
an hour and a half of some sort of
resistance training you can break that
up and do like 45 minutes and 45 minutes
or 30 minutes and 30 minutes that would
be enough to help build bone and the
frequency matters because there is some
cell signaling uh that occurs so when
you're actively working out or putting
stress on our body You're Building bone
but the cell signaling will help prevent
the breakdown of bone also so there's
two components to this with
exercise vibration therapy can be quite
benef icial for some people I would use
20 to 50 hertz right um maybe 10 minutes
two or three times a day at low
amplitudes uh you have to be careful if
you have osteoporosis and you're going
to use one of those heavyduty ones with
heavy force and vibration and high
amplitudes uh it can't cause injury so I
would suggest a low amplitude one at a
low frequency at 20 to 50
hertz sleep is also crucial because
sleep is where you heal and if you don't
get sleep you're going to your body's
going to be stressed increasing cortisol
levels and cortisol will deplete bone
mass
stress stress is a big factor if you're
under chronic stress with the levels of
cortisol in our system and throwing off
your hormonal imbalance it's going to
create bone loss so you got to manage
your stress now there's a lot here but
certainly you can do these lifestyle
changes the vitamins most times
companies put this portion right in here
kind of all together in a package so you
don't have to go out and buy individual
ones people who are U who have milk
allergies need to be careful here with
the milk basic protein and
lactoferrins um but you can use uh
colostrum to get
both COA I I spoke about
using calcium along with collagen
together to help the framework of the
bone and that can be beneficial so if
you can combine all of these therapies
you can certainly stop the progression
of
osteoporosis um but then you can also
reverse
osteoporosis really exercise is crucial
in this whole program all right my name
is Dr Jen S where clinical Excellence
meets excellent results and we'll see
you guys next week on the healthy side
have an awesome day
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