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
This is why I like them.
So imagine if you're doing the exercise, you're eating the diet, you're taking whatever supplement you think is good for you, you're optimizing hormones, and you're still not getting there, or you are at very high fracture risk, taking an anabolic drug
can help to just push everything forward.
So I really like that approach for those at very high fracture risk.
But the question is, then what?
Do you have to go on this anti-resorptive approach?
And again, that's the bisphosphonates across the board.
Prolia or denosumab is another one.
Avenidae, romasozumab is sort of like in between.
It's a little bit of both.
But having a very good understanding of what the long-term plan is is critical regardless of where you start.
Sure.
Yeah.
If you don't fix the underlying issue, then the drug is simply suppressing or potentially improving.
But for a short period of time, what was happening naturally?
I talk a lot about this concept of, quote unquote, osteoporosis reversal.
And many endocrinologists have given me some, we'll call it strong feedback, to say that I shouldn't say that.
And the reason why I agree with them to some extent is that they equate it to diabetes, hypertension, where if you treat it with a drug and you don't fix the underlying issue, even if their biomarkers, their blood pressure, their A1C, their glucose, whatever is normalized, they still have the chronic condition, right?
They still have diabetes and high blood pressure.
Osteoporosis is the same thing.
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