In this conversation, Douglas Lucas discusses how to build a comprehensive bone health program. He introduces the Health Optimization Pyramid, which emphasizes the importance of focusing on the pillars of health, including nutrition, exercise, sleep, social connection, mindset, and spiritual health. Lucas explains the significance of each pillar and provides recommendations for optimizing them. He also discusses the role of supplementation and hormone replacement therapy in bone health. Lucas concludes by highlighting the potential benefits of peptides and drugs, although they are not commonly prescribed in his program.