A Functional Medicine Approach To Osteoporosis
We have been led to believe that drinking milk is the key to bone health. Unfortunately, the prevailing myth that drinking milk as children builds up a calcium bank that helps us avoid osteoporosis and fracture later in life is simply not true. Our bone health is determined by a number of things including what we eat, our stress and activity levels, our muscle mass, and other factors that contribute to the delicate balance between bone build-up and bone breakdown. Unfortunately, osteoporosis is a very common and life-threatening problem, it is also highly underdiagnosed. This is part of the reason why prevention is so important when it comes to osteoporosis.
In this episode, Dr. Hyman sits down with Dr. Todd LePine to discuss the Functional Medicine approach to osteoporosis. They get into how chronic inflammation acts as one of the main drivers of osteoporosis, why both bone density and quality are so important, and much more.
Dr. LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine’s focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders and the neurobiology of mood and cognitive disorders. Dr. LePine teaches around the world, and has given lectures to doctors and patients at American College for Advancement in Medicine (ACAM), Age Management Medicine Group (AMMG), the University of Miami Integrative Medicine Conference, The Kripalu Center in Lenox, MA, and is on the faculty for American Academy of Anti-Aging Medicine (A4M). Dr. LePine is the head of the Scientific Advisory Board for Designs for Health and a consultant for Diagnostic Solutions Laboratory. He enjoys skiing, kayaking, hiking, camping and golfing in the beautiful Berkshires, and is a fitness enthusiast.
This episode is sponsored by ButcherBox and Dr. Hyman’s Sleep Master Class.
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In this modern world we place too much value on staying busy and deprioritizing sleep, which is why Dr. Hyman created his first ever Master Class. It guides you through the most important steps to getting better sleep, starting today. Get free access to Dr. Hyman’s Sleep Master Class at drhyman.com/sleep.
What about also adding vibration like power plate to other exercise?
I’ve never smoked, I don’t drink, I’ve always been very active and never drink or eat junk. I’ve lived a healthy, active, clean life….. so why did I get osteoporosis?
We need these wisdom 🙏, am grateful 🙏 ❤
Pls let the man speak!!
Mark, Africa is a continent not a country. 🙂
Medicare has that annual wellness exam which includes dexascan. At 73 I was diagnosed with osteoporosis about 5 years ago. I have no negative things, I don’t smoke, drink, and was raised in goats milk due to allergy. I was in a hit run car wreck that broke my neck at age 46. I am sedentary. My career was 911 supervisor and you sit in front of me of a computer talking to people in extreme distress. I fall often due to spinal injury in the wreck. I fell of a chair while cleaning a ceiling light and broke my collar bone, but I hit a marble window sill. Nothing has broken in my many falls. My doctor gave me an RX when I was first diagnosed but after reading the details I declined. Stress is my biggest issue but that is a bit beyond control. My dad died when I was 11 and mom went to work. She got some social security but we were poor. Now I also have polycystic ovarian syndrome and have been on thyroid meds since my teens and Premarin since my 20s. I required a surgery and clomid to finally have children. Uterus was removed in early 30s due to endometriosis, I’m too old to have had ultrasound and ablation type treatments. So I’m going to try some yoga, sort of. My neck was fused decades ago in several surgeries. I wonder if adding vitamin K would help. I’ve never even cooked with salt, never could afford soda. I’m a tap water gal, we drank from the garden hose and outdoor faucet. I’m having another dexascan in a couple weeks but I’m an inch shorter and have what was lumbago to me but is sciatica it seems now. I’m going to try to do more, my 77 yr old husband is very fit God Bless. Him. This was a great podcast!! I feel a bit vindicated since my lifestyle and habits did not help the disease! I do take vitamin D and some minerals and I stretch as I can. I can still put my palms on the floor but the hamstrings are starting to complain! Thanks for all the tips, one of my daughters was just diagnosed with osteopenia at age 51. I’m going to try to get her off soda!
What about eating cheese? Is that the same as drinking milk?
Very interesting 👌
Tahini only has 10 mg per tablespoon….you’d have to have 100 tablespoons! come on!
And Prolia kills Osteoblasts!!!!! Rhuemetologist and Endocrinologists push osteoblasts killers while building false dexa readings numbers with fake osteoclast numbers😢😢😢😢
I wish Dr. Hyman would let his guest speak. He interrupts way too much.
Having osteoporosis I know that it is not the patients who “ignore” this “silent killer”, it is the medical folks who ignore this disease. They don’t want to be bothered spending time with a patient who has this malady which has no remedy so they have been taught in medical school.
You wont pee out calcium if you take K2 vitamin d3 magnesium and zinc
Can you explain what excessive protein is? With all the focus on high protein (30g per meal) for menopausal women is that considered excessive? And I have the same question below about collagen. I have read some info on fortibone.
The best podcast on osteoporosis and I have seen tons of
Do you feel the following supplements might help~Vitamin K2 added to D3? Collagen powder that has Fortibone? Drinking bone broth? Eating dried plums? Vibration plate? Thanks!
Very aggravating! Why bring on a brilliant mind and then not let him talk.
Mark, Please watch other interviewers who do a great job of letting their guest speak and share their info.
That’s where I’ll be.
Dr Hyman just cannot listen. Really difficult to listen to his constant interruptions
I have had my bone density checked and was told I have ostropina at age 40. But that was the end of that. The doctor never did anything about it. What a waste, what was the point, just to make money from. Insurance.
Osteoporosis of skull is scary
They’re talking a lot but not saying anything
You never talked about collagen. Is it good for your bones to supplement with collagen? Thanks.
ALL of us xhould study medicine and law……
They did not talk about parathyroids leaking calcium and if the disease parathyroids need to be removed etc…to stop losing the bone. Please comment.
unfortunately the interrupting interviewer makes watching this video impossible.
Dr. Hyman: tell me what you know
Guest: The…
Dr. Hyman: I’ll tell you what you know
Dude- you are rude to your guests and to us listeners who came to hear your GUEST!
What do you think about the Marodyne vibration plate?
I would love to read the transcript? IS THIS AI 🤔
Vitamin K2 puts the calcium into your bones
CARNIVORE DIET GETS RID OF INFLAMMATION AND DIABETES. You need bone strength not Density!
It’s always a good idea to let your guests speak.
Hi Dr. Hyman — Would you please get your I.T. people to look at the
Auto-Translate in this video bcos when I click on the CC feature to read the
text in English, instead, it shows Text in a bazar English. The Auto-Translate
is preselected for Dutch>English. Please ask them to fix it. Thank you.
Heaps of oxolates in vegies etc
Captions in not English. Transcript not English. Cannot find how to adjust it. Never had it happen so frustrating. If I sign up for newsletter will it be in English? lol
Women need hormone replacement
I noticed that at 65, I started losing strength in my wrists. I have osteoarthritis in my joints. It started with opening jars and weakness. Over a year ,it happens so fast .Now, when working out, I feel like my wrists are going to snap. My blood work is excellent ,I take 5000 mg of vitamin D3 and K2. I eat dairy once in a while, but not often. I don’t want to push my wrists, but aging is real, and you do feel weak. My brain wants to move, but physically, my wrists are done, I’ve lifted canoes boats my whole life, and they’re done. I know if I continue to exert wrists, they feel like their going to snap. I don’t drink or smoke, I eat healthy and take my vitamins.
Please check yourself Dr. Hyman, You overpower your guests and make it so frustrating to try and listen and learn , because you hog all the time!
Gut Microbiome Impact on Bone
Gut microbes produce metabolites that influence bone remodeling, including short-chain fatty acids (SCFAs).
Commensal bacteria create SCFAs like butyrate, propionate, and acetate through anaerobic fermentation.
These compounds regulate both osteoblasts (bone-forming cells) and osteoclasts (bone-resorbing cells). Each SCFA has specific signaling functions in the bone. Butyrate stands out for promoting osteoblast differentiation, mineralization, and bone formation.
It does this partly by enhancing osteogenic growth factors and stimulating regulatory T cells to suppress excess osteoclast activity.
Butyrate also enables parathyroid hormone to stimulate bone-building, again by boosting regulatory T cells. Overall, SCFAs help balance bone resorption and formation, central to healthy remodeling, by modulating immune-skeletal system connections. Supplementing with individual SCFA nutrients has limitations. However, diets that nourish SCFA-generating gut bacteria through resistant starches and fibers represent a promising nutritional approach for preventing osteopenia. Further research on microbiome-skeletal links may reveal additional microbial metabolites like SCFAs as targets for nutritional therapies to control bone health.
The gut-bone connection extends to influential hormonal signaling from intestinal regions. Researchers theorize gut-derived peptides help coordinate bone cell homeostasis beyond basic nutrient effects. Small clinical trials have begun investigating this concept in humans. One 2021 crossover study (n=14) examined associations between two bone remodeling blood markers and satiety gut peptides GIP, GLP-1 and PYY after meals. They found one bone biomarker positively correlated with GIP and GLP-1, yet negatively with PYY. While larger trials are needed, these preliminary data support the hypothesis that gastrointestinal hormones communicate with skeletal systems, potentially directly modulating osteoblast and osteoclast activity. Uncovering the specific mechanisms in humans that show enteroendocrine secretions controlling bone resorption and formation rates could spotlight digestive health as a contributor to osteoporosis. If further research confirms particular gut hormones do reliably indicate, or even drive, imbalanced remodeling toward net bone loss, targeting these signals could open new paths for nutritional therapies promoting skeletal integrity.
Mediterranean Diet, Prebiotic Foods, and Probiotics
https://internalhealingandwellnessmd.com/connecting-bone-and-gut-health/
I am wondering…..hoping you will answer my question. Today is 3-24-2024. Among other diseases I have non-alcoholic cirrhosis of my liver. This morning I was going stark raving crazy at hearing Dr. Berg talking about Melatonin. He was touching on two points that I struggle with. He said that instead of taking small doses for sleep that women ought to take…..? around 100 mg. Ohhhhhh, do I EVER EVER need that. My sleep is just rotten and has been for 20 years. And then he mentioned it might prevent dementia. My daughter is worried because…..I sometimes REALLY struggle to remember things. So, I thought, “ My Lord, I can hit two birds with one stone if I take this stuff ! “ Then, I decided to Google the downside. The recommendation was that if I have Cirrhosis…… NOT to take Melatonin
at ALL. I am just SICK over reading this. Let me toss this in, please. I am aware that Magnesium should help with sleep, HOWEVER, my Hepatologist has me taking one Spirolactone pill daily ( probably for waaaay in the past Varices . And Spirolactone will interfere with taking Magnesium. So, I am caught between a rock and a hard place. My Hepatologist is so darn cautious about EVERYTHING, so my middle aged daughter suggested that I reach out to you to ask, “ Will the 100 or so mg. of Melatonin harm me……since I have the cirrhosis “ ? I am holding my breath that you will be kind enough to respond, Sir. I……am much much more craving sleep than worrying about dementia, but it certainly would benefit this almost 80 year old gal if I could relax and take it. Thank you so very much for responding.❤️
"Infla-aging"
The transcript is not in English.Not helpful.
What about having hyper-mobility/ hEDS and osteoporosis?
You missed it Mark!! You’re too busy with your own comments to interview the expert. How do you lower FSH? What are the other signs of high FSH? What do we do about lead in bones?
It is painful Dr. Hyman how often you interrupt your guest. You tells us that he is so smart, and yet you are constantly putting in your “two cents”. It is disrespectful.
WOW I HAVE OSTEOPOROSIS AND ..BORN IN MICHIGAN , 1944 , GRAND RAPIDS MICHIGAN DID A EXPERIMENT IN THE CITY TAP WATER IN 1945 ITS THE FLUORIDE DRINKING IT A BIO ACCUMULATIVE, ENDOCRINE DISRUPTORS , TYPE II CANCER CAUSER. FLUORIDE SHUTS DOWN YOUR THYROID GLAND FROM PRODUCTING THYROXINE & FROM ABSORBING IODINE.
MAKING US OBESE AND M’DS PUT US ON LEVOTHYROXINE T4 ONLY IN HIGH DOSES TO SUPPRESS OUR THYROID GLAND EVEN MORE AND HIGH DOSES OF T-4 CAUSE BONE LOSS !~
USA COLOR CODES THE T-4 WITH RED DYE 40 , BLUE LAKE ALUMINUM , YELLOW AND ORANGE DYES….RED DYE 40 CAN CAUSE ADHD ,ADD ANDCANCER……AND JUST ABOUT EVERY DOCTOR I HAVE GONE TO WITH MY THYROID CONDITION CALLS ME NUTS , HYSTERICAL WOMAN THAT WHEN I INSIST ON THEM DOING A FREE T-3 ,T-4 ….I KNEW WITH THE HIGH DOSE THAT MY OSTEO WAS GETING WORST SO WERE MY TEETH FRACTURING ………..
FINALLY A FOUND A FUNCTIONAL DOCTOR WHO SAID WHEN I SHOWED HER I HAD A LUMP IN MY NECK ON VIRTURAL APPT..SHE SAID GET ANOTHER GP WHO DOESN’T GAS LIGHT YOU AND HAVE THEM DO A ULTRASOUND.
SO iI DID …….THEY FOUND FOLLICULAR CANCER OF THE LEFT THYROID GLAND THAT MISSED BREAKING THROUGH THEMARGINS BY 1CM , I HAVE 2.2 CM RIGHT THYROID GLAND THAT I WAS EITHER BORN WITH JUST A LEFT OR IT GOT SCHRUMK BY T-4………I FOUND A COMPANY CALLED PROVELL WHO MAKES DYE FREE .GLUTEN FREE T-4 IN GERMANY EUROPE BY THE WAY BANS RED DYE 40 IN FOOD OR DRUGS..
.I HAD A TT , FEELLING GREAT ON EUTHYROIX 100 MCQS AND OUT HERE WARNING OTHERS …..ALSO I READ WHERE TOO MUCH -T-4 SUPPRESSION OF THE THYROID GLAND MAYBE WHAT IS CAUSING NODULES ITS CUZ THEY THYROID GLAND IS SEARCHING FOR IODINE AND CREATING NODULES TO TRY TO FIND SOME.
What type of doctor should I go to to help reverse my osteoporosis? I don’t want to take the medications. I’m 70 and have arthritis in my back, hereditary. Otherwise, no health problems.
I think a lot of the comments were unnecessary just st bored people
It’s so annoying that the host is keeping interrupting the guest talking. It’s rude and makes me want to quit listening. Please be respectful to your guest doctor!
Is Seltzer water okay
To drink?
If the commentator would shut up and let the expert speak!!!