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 · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.
Appearances
If you're using them frequently and consistently, definitely check and see what's happening with your bone.
That is a public service announcement.
Outside of that, because everyone's usually pretty well known, outside of that, the ones that I would say that surprise people would be like your PPI drugs, right?
The drugs that you're going to use, the Nexium, I always forget the brand names, but like Nexium, things that are now over the counter.
Yeah, that suppress stomach acid in an attempt to reduce symptoms of acid reflux.
Those drugs are associated with increased fracture risk.
Ironically, not with decreased bone density, though, which I can kind of explain.
But ultimately, if you're having to take these things for a long period of time, try to understand why.
There is a time and a place for that, but should not be for chronic acid reflux without a reason.
And then another really common group that's concerning are the SSRIs.
So SSRIs, antidepressants, anxiety drugs, these are also associated with osteoporosis.
I don't actually understand the mechanism there.
Associated but not causative with no underlying mechanism.
I don't know the mechanism, correct.
But we do see the association and it's pretty strong.
It's odd coming from a physical therapist.
So gut integrity does play a role for sure because it relates to the inflammatory component, the immune system, absolutely.
The effect of NSAIDs like ibuprofen and naproxen, I've not seen a direct causative or correlation there.
It makes sense to me again, and I discourage the use unless somebody really needs it.
Birth control is an interesting topic.
Showing 501–520 of 736 · page 26 of 37
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