Professor Neil Gittoes is Consultant Endocrinologist at the Queen Elizabeth Hospital, Birmingham and Honorary Professor of Endocrinology at the University of Birmingham. He graduated from the University of Birmingham with honours in medicine and anatomical studies and has a PhD in molecular endocrinology. Neil is recognised nationally and internationally for his work in metabolic bone diseases including osteoporosis, vitamin D deficiency and disorders of calcium homeostasis. He has co-authored recent international guidance on management of parathyroid diseases and UK guidance on osteoporosis. Neil was awarded the Goulstonian Lectureship at the Royal College of Physicians, London and has had many key roles, including being the current chair of the Royal Osteoporosis Society. https://theros.org.uk/Did you know you can check your risk of osteoporosis with a quick online tool from the Royal Osteoporosis Society? Just pop onto their website and try the risk checker. If it shows you’re at high risk, it’s worth speaking to your doctor, who may suggest a bone density scan. The good thing is that osteoporosis is largely preventable. Neil talked us through how our bones change as we get older. Half of all women over 50 will break a bone because of osteoporosis, and so will one in five men. Genetics play a big part—about 70 to 80% of our risk comes from our genes—so it’s important to know your family history. But lifestyle matters just as much. Doing regular weight-bearing exercise, cutting down on alcohol, not smoking, keeping vitamin D levels up, and eating enough protein and calcium can all help protect your bones. The tricky thing about osteoporosis is that it’s a silent disease—you don’t feel it happening. But the good news is that there are effective treatments. Some are one-off or short courses, and you don’t need to be on lifelong medication. We also touched on whether women should take HRT to prevent osteoporosis, and Neil had some interesting views. He also explained why getting a diagnosis of osteopenia isn’t something to panic about. Another key point Neil made is how important lifestyle is before the age of 25—that’s when we reach our peak bone mass. So if there’s one message for younger people, it’s that the choices you make in your teens and twenties, especially around exercise, can shape your bone health and your risk of chronic conditions later in life. Date of episode recording: 2025-09-26 Duration: 01.04.57 Language of episode: English Presenter: Professor Joyce Harper Guests: Professor Neil Gittoes Producer: Joyce Harper

Ask this episode

“What did the council decide on item 42?” — answered with the speaker and the moment.