Dr. Douglas Lucas

speaker
736 appearances 1 recordings 1 series first heard Jul 2026 last heard 28 Jul

Dr. Douglas Lucas’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

Appearances

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Yeah, this is the frustrating part about bone health is that it's still a slow journey.
DEXA is probably not going to change faster than every 12 months.
And even then, when people don't see, if they're on, if they're doing all the things and they don't see DEXA improve like we would expect it to, I just tell them, look, it changes slowly.
Bone is slow to mineralize.
So even if all the good things are happening, you may just not see it yet.
Now, the ultrasound device in theory is faster, but again, evidence is a little sparse.
Well, first off, let's talk about when this actually happens, right?
We think, you know, we've talked a lot about this idea that in the five to seven years after the onset of menopause, you see up to 20% loss in bone density.
Those are real numbers and definitely worth pointing out.
But what's interesting is when you look at the graphs that show that, it doesn't start at 50.
It starts at 45.
So we talk about this, you know, quote unquote, at the onset of menopause, but no, it's actually during perimenopause because that's when the back and forth cycling starts to get dysfunctional.
That's when you start to lose progesterone.
It's when estrogen levels start to not actually reach the peak.
So it starts much sooner than that.
The opportunity for intervention is also not at 65.
My goodness.
At 50, sure.
But I would argue actually before that as well.
Like let's optimize hormones throughout the lifespan, especially midlife for women.
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