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.

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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

Bisphosphonates are oral, right?

So, you know, and covered by insurance.

And even if not, they're generic and they're inexpensive.

It kind of makes sense to do that, except that when we talk about bone metabolism, this breakdown and buildup, and look at treatment with drugs through that lens, the anti-resorptives are a bit limited because they essentially slow down bone metabolism.

which is potentially beneficial.

There's a time and a place for these things.

But if you slow down bone metabolism, slow down breakdown, you also slow down buildup, there just isn't a lot of bone turnover.

And that's okay in the short term.

It will reduce fracture risk.

It will increase on average bone mineral density.

But what's the long-term plan here?

The anabolics are an even shorter window, though, but they do build... What do you mean shorter window?

So they are FDA approved to be used for up to two years.

So shorter window, right?

So especially, I mean, if you're, you know, whatever, 60s, 70s, 80s, two years is a really narrow window, narrow opportunity.

And generally, these will be followed by an anti-resorptive drug.

I like the anabolics.

So the anabolics in the US are going to be brand name Forteo, teriparatide, timlos, abaloparatide.

Those drugs work with all of our lifestyle things.

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