Wits & Weights | Fat Loss, Nutrition, & Strength Training for Lifters

Why Lifters Over 40 Should Focus on Bone Health, Not Just Muscle (Dr. Doug Lucas) | Ep 409


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Have you ever wondered if your skeleton can actually support the muscles you work so hard to build? Or how bone density affects the way you lift weights, lose fat, and build muscle for long-term strength?

This conversation with orthopedic surgeon and bone health expert Dr. Doug Lucas completely reframed how I think about body recomp, strength training, and longevity.

We break down why bone health is the real foundation of nutrition and fitness, what happens to bone metabolism as you age, and how lifting weights, optimizing macros, and supporting hormone health directly impact bone density and muscle building. 

Dr. Doug also shares why women’s fitness, men’s health, and strength training over 40 all depend on resilient bones that respond to training stress.

If you want evidence-based fitness strategies that support metabolism, weight loss, and long-term performance, this one is packed with takeaways.

Today, you’ll learn all about:

0:00 – Why bone health shapes long-term strength
4:13 – How bone metabolism really works
7:19 – Why Dr. Doug left surgery for prevention
10:25 – At-risk groups and early bone loss
14:07 – What lifting heavy means for bone strength
16:33 – Bone density vs bone quality
21:19 – Lifestyle factors that build stronger bones
23:30 – When to use impact training
29:30 – Medications, risks, and limitations
32:55 – Hormone health and skeletal strength
40:42 – The 4R Method for reversing bone loss
46:39 – A real success story of reversing osteoporosis
53:39 – Lifting safely when you have osteoporosis

Episode resources:

  • The Dr Doug Show (YouTube): @Dr_DougLucas 
  • The OsteoCollective: osteocollective.com 
  • Instagram: @dr_douglucas 
  • Facebook: @dr_douglucas 

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Wits & Weights | Fat Loss, Nutrition, & Strength Training for LiftersBy Philip Pape, Evidence-Based Nutrition Coach & Fat Loss Expert

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