Dr. Douglas Lucas

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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.

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The Dr. Gabrielle Lyon Show · 5 Hidden Causes of Bone Loss (#4 Is a Shock) - Dr. Douglas Lucas · 28 Jul 2026 podcast

Yeah, I surprisingly hear more of the latter.

The other one I want to point out that isn't talked about often is the top of the arm right around the shoulder.

If you break the top of your humerus bone, the top of the shoulder itself, you will likely lose a significant amount of range of motion that has tremendous impact on your life.

So especially for women, imagine men, maybe they care too.

But for me, I don't care if I can brush the back of my head, but I have so many patients who can't get their hairbrush to the back of their head and it really bothers them.

They can't reach up and grab something off the top shelf because they have a restricted range of motion of their shoulder after these things heal.

In surgery, it doesn't necessarily make that better.

So again, these are just fractures we want to avoid.

Well, estrogen is the primary sex hormone driver for bone in both men and women.

And I actually was thinking about this today because I just had a patient who went and got a consult from some longevity doc in Miami.

And he said, hey, you should go on testosterone and an estrozole, an AI.

And I said, for bone, that doesn't make any sense at all.

You need the estrogen level, right?

You want your estradiol to be upper end of normal.

And so, yeah, I think it's a big concern, especially for men who are in that zone of treatment, right, that's really common to use anastrozole.

I'm concerned about all of the men that have been doing that at high doses for years, because I bet that we're going to see, again, this landslide of osteoporosis as a result.

Not because they don't lose bone.

They do.

But if you think about what happens with sex hormones, testosterone levels decline more gradually.

There is no, like, andropause is not as sudden as menopause.

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