T-score, negative 2.6. That's the whole conversation, most of the time. A number, a diagnosis, a prescription, and a follow-up scan booked two years out.
In this episode, Dr. Kelley breaks down what actually drives bone loss that almost never gets investigated. Hormonal decline, and why normal menopause is not the same thing as normal bone loss. Nutrient status beyond a calcium supplement, including vitamin K2, magnesium, and protein, since roughly half of bone volume is collagen matrix, not mineral. Vegan and plant-based diets, and what the research actually shows about fracture risk and how to correct for it. Chronic cortisol elevation. Thyroid medication, and how being over-replaced on T3 can thin bone the same way too little estrogen does. And a close look at the calcium supplements themselves, including real research linking them to coronary artery calcification and kidney stones, and why most women are never told how much they're already getting from food before being handed another bottle.
This episode also walks through the real, underdiscussed risks of the medications used to treat osteoporosis, atypical femur fractures, osteonecrosis of the jaw, the rebound fracture risk with stopping denosumab, and the cardiovascular warning on newer bone-building drugs, alongside the research showing when the benefit still outweighs those risks.
Including a real case of a woman whose bone density stabilized for the first time since her diagnosis, without changing her prescription, once the fuller picture was finally addressed.
A scan is a measurement. It was never meant to be the whole conversation.
You, Restored is hosted by Dr. Kelley Reis, Naturopathic Physician and founder of Liberty Natural Wellness — a fully virtual direct-care practice rooted in nervous system regulation, gut health, and hormones.
Learn more at libertynaturalwellness.com