In this conversation, Dr. Felice Gersh and Dr. Doug Lucas delve into the evolving field of hormone therapy and its impact on women's health. Dr. Gersh, drawing on her extensive experience in OB-GYN and integrative medicine, highlights the transformation of her practice over the years. She discusses the importance of personalized medicine and the profound shifts in hormone therapy usage since the Women's Health Initiative. Dr. Gersh advocates for a holistic approach that combines lifestyle modifications with hormone therapy to promote healthy aging and overall well-being.

In this video, Dr. Doug Lucas discusses the critical relationship between hormones and bone health, emphasizing the importance of hormone replacement therapy (HRT) in managing osteoporosis. He highlights key studies that demonstrate the effectiveness of different forms, doses, and rhythms of hormone therapy, advocating for a personalized approach to treatment. Dr. Doug also critiques common misconceptions about hormone therapy and stresses the need for individualized care based on specific hormone levels and patient needs.

In this conversation, Dr. Doug interviews Dr. Adam Gavine about the innovative Wasabi Method, a shockwave therapy device designed to improve bone health and combat osteoporosis. They discuss the differences between traditional shockwave therapy and the Wasabi Method, the physiological mechanisms behind the therapy, and its potential benefits for bone density. Dr. Gavine shares insights from research studies and clinical applications, emphasizing the systemic effects of the therapy on bone health. The discussion also covers safety precautions, contraindications, and the future directions of the technology, particularly in addressing sexual health issues.

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In this conversation, Dr. Doug Lucas discusses the differences between plant-based and animal-based proteins, emphasizing the superiority of animal proteins in terms of bioavailability and digestibility. He introduces the concept of antinutrients found in plant proteins, such as trypsin inhibitors, tannins, and phytates, which hinder protein absorption. Lucas also compares the protein quality of plant and animal sources using PDCAAS and DIAAS metrics, concluding that while plant proteins can be consumed, they require careful consideration and preparation to maximize their benefits.

In this engaging conversation, Dr. Doug interviews Dr. Tara Scott, an OB-GYN and hormone expert, discussing the complexities of hormonal health, particularly focusing on estrogen and progesterone. They explore the risks associated with hormone therapy, including breast cancer and cardiovascular health, while emphasizing the importance of personalized care and the need for updated information in the field. Dr. Scott shares her journey from traditional medicine to integrative approaches, highlighting the significance of educating women about their hormonal health and advocating for themselves in a healthcare system that often overlooks their needs.

Osteoporosis, a condition causing weakened bones and increased fracture risk, is typically diagnosed using imaging tests like DEXA and REMS. However, conflicting results between these tests can create confusion for patients and doctors. The Vertebral Bone Quality (VBQ) score, derived from lumbar spine MRIs, offers a promising secondary tool to clarify bone health status. It provides an additional layer of assessment to help guide treatment decisions, particularly when discrepancies arise.

Dr. Belinda Beck, a renowned expert in bone health, has advanced the understanding of resistance training’s role in preventing and managing osteoporosis. Her research, particularly the groundbreaking LIFTMOR trial, demonstrated that high-intensity resistance training (e.g., deadlifts and squats) can improve bone density safely under professional supervision. Dr. Beck also emphasized the importance of impact training, which involves activities like jumping and landing to stimulate bone growth. To address the need for safe exercise guidance, Dr. Beck developed the Onero certification program, training professionals worldwide to implement evidence-based exercise protocols for individuals with osteoporosis

The alkaline diet, often promoted for its potential benefits on bone health, categorizes foods based on their potential renal acid load (PRAL). Proponents claim that acid-forming foods (e.g., animal proteins and grains) may lead to chronic metabolic acidosis, which could harm bone health. However, scientific evidence shows that the body’s buffering systems effectively maintain pH balance, and there is limited evidence to support a direct link between dietary PRAL and chronic metabolic acidosis. High protein intake, particularly from animal sources, is shown to support bone density and overall health more significantly than the alkaline diet.

In this conversation, Douglas Lucas interviews Lily Nichols, a registered dietitian specializing in nutrition for women during the perinatal years. They discuss the critical role of nutrition in bone health, particularly for young women and athletes. The conversation covers the importance of protein, vitamins D and K2, the implications of plant-based diets, and the necessity of proper supplementation. Lily emphasizes the need for adequate nutrition to support both maternal and fetal bone health, and the potential consequences of undernourishment during pregnancy and beyond.

In this engaging conversation, Dr. Doug interviews Dr. Carrie Jones, a leading expert in women's health and hormones. They delve into the complexities of estrogen metabolism, the significance of estrogen metabolites, and the controversies surrounding hormonal testing, particularly the Dutch test. Dr. Jones emphasizes the importance of understanding detoxification pathways, dietary interventions, and the role of genetics in hormonal health. The discussion also touches on the challenges of navigating the healthcare landscape for hormonal issues and finding the right practitioners. Dr. Jones reassures listeners that hormonal health can be modulated through lifestyle changes and that they are not limited by their genetics.