Full Transcript Introduction + overview of the approach 0:01 Hi, this is Marcy. 0:01 Hi, this is Marcy. Today we 0:02 Today we 0:02 Today we answer a 0:03 answer a 0:03 answer a question that I am 0:04 question that I am 0:04 question that I am asked all the time. Is it 0:05 asked all the time. Is it 0:05 asked all the time. Is it possible to reverse 0:06 possible to reverse 0:06 possible to reverse osteoporosis 0:07 osteoporosis 0:07 osteoporosis naturally? But 0:10 naturally? But 0:10 naturally? But before we get started, 0:11 before we get started, 0:11 before we get started, don't forget to grab my 0:12 don't forget to grab my 0:15 osteoporosis exercise guide. It 0:15 osteoporosis exercise guide. It has tons of 0:16 has tons of 0:16 has tons of exercise videos that 0:16 exercise videos that 0:16 exercise videos that will help strengthen 0:18 will help strengthen 0:18 will help strengthen bones, improve 0:19 bones, improve 0:19 bones, improve posture, and prevent 0:20 posture, and prevent 0:20 posture, and prevent falls and fractures. 0:21 falls and fractures. 0:21 falls and fractures. And it's completely 0:22 And it's completely 0:22 And it's completely free. Just 0:24 free. Just 0:24 free. Just follow the 0:26 follow the 0:26 follow the link 0:27 link 0:27 link tinyurl.com/osteoporosisexercises. I will 0:29 tinyurl.com/osteoporosisexercises. I will 0:29 tinyurl.com/osteoporosisexercises. I will also add this 0:30 also add this 0:30 also add this link in the description of the 0:32 link in the description of the 0:32 link in the description of the video. So, can 0:34 video. So, can 0:34 video. So, can 0:36 osteoporosis be cured 0:36 osteoporosis be cured naturally? Dr. 0:39 naturally? Dr. 0:39 naturally? Dr. Kim Millman and I 0:40 Kim Millman and I 0:40 Kim Millman and I will tell you exactly what 0:41 will tell you exactly what we have seen in 0:42 we have seen in 0:42 we have seen in clinical practice, 0:43 clinical practice, 0:43 clinical practice, what produces real 0:44 what produces real 0:44 what produces real results, and what you 0:45 results, and what you 0:45 results, and what you should realistically 0:46 should realistically 0:46 should realistically expect. But before 0:48 expect. But before 0:48 expect. But before we get to 0:49 we get to 0:49 we get to the point, I want 0:50 the point, I want 0:50 the point, I want to share something that is 0:51 to share something that is 0:51 to share something that is important to both of us. 0:52 important to both of us. 0:52 important to both of us. Dr. Millman and I 0:53 Dr. Millman and I 0:53 Dr. Millman and I are convinced that 0:54 are convinced that 0:54 are convinced that drug 0:54 drug 0:55 drug treatment has a 0:55 treatment has a 0:55 treatment has a real and important 0:56 real and important 0:56 real and important place in the treatment of 0:57 place in the treatment of 0:57 place in the treatment of osteoporosis. For 0:58 osteoporosis. For 0:58 osteoporosis. For some women and 0:59 some women and 0:59 some women and men, this is the 1:00 men, this is the 1:00 men, this is the right choice, and 1:01 right choice, and 1:01 right choice, and sometimes even 1:02 sometimes even 1:02 sometimes even necessary. This 1:03 necessary. This 1:03 necessary. This episode is not about 1:04 episode is not about 1:04 episode is not about being "for" or "against" 1:05 being "for" or "against" 1:06 being "for" or "against" medication. It's about what 1:07 medication. It's about what 1:09 research and our 1:09 research and our clinical experience show is 1:10 clinical experience show is 1:10 clinical experience show is possible 1:11 possible 1:11 possible with natural 1:12 with natural 1:12 with natural methods, whether 1:13 methods, whether 1:15 you use them 1:15 you use them alone or in conjunction with 1:16 alone or in conjunction with 1:16 alone or in conjunction with medication. So, 1:17 medication. So, 1:17 medication. So, let me 1:18 let me 1:18 let me tell you a little about 1:18 tell you a little about 1:18 tell you a little about Dr. Kim Millman 1:20 Dr. Kim Millman 1:20 Dr. Kim Millman for those who don't 1:21 for those who don't 1:21 for those who don't know her. She is an 1:21 know her. She is an 1:22 know her. She is an integrative 1:22 integrative 1:22 integrative medicine physician and research 1:23 medicine physician and research 1:23 medicine physician and research scientist who 1:24 scientist who 1:24 scientist who trained at 1:25 trained at 1:25 trained at Stanford, the 1:26 Stanford, the 1:26 Stanford, the 1:27 University of California, San Francisco, and 1:28 Francisco, and 1:28 Francisco, and the University of 1:29 the University of 1:29 the University of Southern California 1:30 Southern California , and 1:30 , and 1:30 , and has specialized in an 1:31 has specialized in an 1:31 has specialized in an integrative 1:32 integrative 1:32 integrative approach to 1:33 approach to 1:33 approach to osteoporosis treatment for 18 years. Together, 1:34 osteoporosis treatment for 18 years. Together, 1:34 osteoporosis treatment for 18 years. Together, Dr. Millman and I 1:35 Dr. Millman and I 1:36 Dr. Millman and I founded the 1:37 founded the 1:37 founded the Bone Health Academy and the 1:38 Bone Health Academy and the 1:38 Bone Health Academy and the 1:41 Integrative 1:41 Integrative Bone Health Practitioner Certification Program. 1:42 Bone Health Practitioner Certification Program. 1:42 Bone Health Practitioner Certification Program. So, this episode is 1:43 So, this episode is 1:43 So, this episode is full of great 1:45 full of great 1:45 full of great information. 1:45 information. 1:46 information. Stay with us. 1:47 Stay with us. 1:51 Welcome, 1:51 Welcome, Dr. Millman. I'm 1:54 Dr. Millman. I'm 1:54 Dr. Millman. I'm so glad you're here, and 1:56 so glad you're here, and 1:56 so glad you're here, and this is a topic I get 1:57 this is a topic I get 1:57 this is a topic I get asked about all the time. 1:58 asked about all the time. 2:02 So I'm excited that 2:02 So I'm excited that we're going to 2:02 we're going to 2:02 we're going to discuss this using 2:03 discuss this using 2:03 discuss this using real- 2:05 real- 2:05 real- life examples, what 2:06 life examples, what 2:06 life examples, what we've both seen, and what 2:07 we've both seen, and what you've observed 2:08 you've observed 2:09 you've observed in your 18 years of 2:09 in your 18 years of 2:10 in your 18 years of practice. This will really 2:12 practice. This will really 2:12 practice. This will really answer the 2:13 answer the 2:13 answer the question for 2:14 question for 2:14 question for anyone interested. So 2:16 anyone interested. So 2:16 anyone interested. So many people 2:17 many people 2:17 many people got confused. Do you know 2:20 got confused. Do you know 2:20 got confused. Do you know if I need medication 2:21 if I need medication , is it really possible to 2:22 , is it really possible to 2:22 , is it really possible to reverse osteoporosis 2:24 reverse osteoporosis 2:24 reverse osteoporosis ? So we're going to 2:26 ? So we're going to 2:26 ? So we're going to shed a lot of 2:27 shed a lot of 2:27 shed a lot of light on this, and I'm really 2:28 light on this, and I'm really 2:28 light on this, and I'm really glad you're 2:29 glad you're 2:29 glad you're joining me. 2:30 joining me. 2:30 joining me. So, congratulations. 2:32 So, congratulations. 2:32 So, congratulations. Thank you very much. I also 2:34 Thank you very much. I also 2:34 Thank you very much. I also think this is a great 2:35 think this is a great 2:35 think this is a great topic. Um, I want to 2:38 topic. Um, I want to 2:38 topic. Um, I want to really 2:39 really 2:39 really dive deep into this topic 2:40 dive deep into this topic 2:40 dive deep into this topic and provide as much 2:41 and provide as much 2:41 and provide as much information as possible so that people 2:43 information as possible so that people 2:43 information as possible so that people get a clear 2:43 get a clear 2:44 get a clear idea of what 2:45 idea of what 2:45 idea of what they can and can't 2:46 they can and can't 2:46 they can and can't do 2:47 do 2:47 do naturally. 2:48 naturally. 2:52 And I think that's very 2:52 And I think that's very important because you 2:53 important because you 2:53 important because you can read different things, 2:54 can read different things, 2:54 can read different things, and there's so much 2:55 and there's so much 2:55 and there's so much misinformation around. So, 2:58 misinformation around. So, 2:58 misinformation around. So, let's really 2:59 let's really 2:59 let's really talk about what 3:00 talk about what 3:00 talk about what we've seen all these years 3:02 we've seen all these years 3:02 we've seen all these years and what's possible. 3:03 and what's possible. 3:06 So I'll pass the word on to 3:06 So I'll pass the word on to you. I know you 3:08 you. I know you 3:08 you. I know you have prepared a 3:09 have prepared a slideshow with some 3:10 slideshow with some 3:10 slideshow with some information. So why don't 3:12 information. So why don't 3:12 information. So why don't you start now? 3:13 you start now? 3:14 you start now? So, the topic of our 3:15 So, the topic of our 3:15 So, the topic of our 3:17 discussion today is: can 3:20 osteoporosis really be cured 3:20 osteoporosis really be cured naturally? And the simple 3:22 naturally? And the simple 3:22 naturally? And the simple answer is—yes, in 3:23 answer is—yes, in 3:23 answer is—yes, in many cases it is 3:24 many cases it is 3:24 many cases it is possible. And from my 3:27 possible. And from my 3:27 possible. And from my perspective, it's important 3:28 perspective, it's important 3:28 perspective, it's important to have realistic 3:29 to have realistic 3:29 to have realistic expectations about 3:31 expectations about 3:31 expectations about what can and cannot be 3:32 what can and cannot be 3:32 what can and cannot be achieved 3:33 achieved 3:33 achieved with different 3:34 with different 3:34 with different types of natural 3:35 types of natural 3:35 types of natural therapies. It is also 3:37 therapies. It is also 3:37 therapies. It is also important to know the time 3:38 important to know the time 3:38 important to know the time frame. Um, so when do 3:40 frame. Um, so when do 3:43 results usually appear and how do I 3:43 results usually appear and how do I track them? So,
Extent, timeline, and monitoring results of various therapies 3:47 track them? So, 3:47 track them? So, let's delve 3:48 let's delve 3:49 let's delve into the timing and 3:49 into the timing and 3:49 into the timing and learn how 3:50 learn how 3:50 learn how to track 3:51 to track 3:51 to track improvement with 3:52 improvement with 3:52 improvement with natural therapy. At 3:56 natural therapy. At 3:56 natural therapy. At best, I 3:58 best, I 3:58 best, I usually see an 3:59 usually see an 3:59 usually see an achievable T 4:00 achievable T -score improvement of 0.8–1 4:02 -score improvement of 0.8–1 4:02 -score improvement of 0.8–1 standard 4:03 standard 4:03 standard deviation over 4:04 deviation over 4:04 deviation over about 3–4 years. 4:06 about 3–4 years. 4:09 Here are some examples of what 4:09 Here are some examples of what you might 4:10 you might 4:10 you might see. Is it possible 4:13 see. Is it possible 4:13 see. Is it possible to go from severe 4:14 to go from severe 4:14 to go from severe osteopenia to mild 4:16 osteopenia to mild 4:16 osteopenia to mild osteopenia? To 4:17 osteopenia? To 4:17 osteopenia? To give examples of T- 4:19 give examples of T- scores, this could 4:21 scores, this could 4:21 scores, this could look like -2.2 4:23 look like -2.2 4:23 look like -2.2 to -1.4. And as you can see, that's 4:25 to -1.4. And as you can see, that's 4:25 to -1.4. And as you can see, that's about the same difference 4:27 about the same difference 4:27 about the same difference of 0.8 standard 4:28 of 0.8 standard 4:28 of 0.8 standard deviations. Yes, you 4:30 deviations. Yes, you 4:30 deviations. Yes, you can observe this kind of 4:31 can observe this kind of 4:31 can observe this kind of regression. 4:33 regression. 4:33 regression. What about the transition from 4:35 What about the transition from 4:35 What about the transition from severe osteoporosis 4:36 severe osteoporosis 4:36 severe osteoporosis to mild 4:37 to mild 4:37 to mild osteoporosis? This could 4:39 osteoporosis? This could 4:39 osteoporosis? This could look like -3.7 4:42 look like -3.7 4:42 look like -3.7 to -2.9. In fact, 4:44 to -2.9. In fact, 4:44 to -2.9. In fact, I have a case of a 4:45 I have a case of a 4:45 I have a case of a patient who 4:46 patient who 4:46 patient who took bioidentical 4:47 took bioidentical 4:47 took bioidentical hormones and achieved exactly 4:48 hormones and achieved exactly 4:48 hormones and achieved exactly that. Is it possible 4:51 that. Is it possible 4:51 that. Is it possible to see an improvement 4:52 to see an improvement 4:52 to see an improvement from mild 4:53 from mild 4:53 from mild osteopenia to normal? 4:54 osteopenia to normal? 4:55 osteopenia to normal? With a T-criterion from -1.6 4:59 With a T-criterion from -1.6 4:59 With a T-criterion from -1.6 to -0.8. Yes, you can 5:01 to -0.8. Yes, you can 5:01 to -0.8. Yes, you can observe this kind of 5:02 observe this kind of 5:02 observe this kind of regression. Is it 5:04 regression. Is it 5:04 regression. Is it possible to see 5:05 possible to see 5:05 possible to see regression from severe 5:07 regression from severe 5:07 regression from severe osteoporosis to normal? 5:08 osteoporosis to normal? 5:09 osteoporosis to normal? Something like -3.7 5:13 Something like -3.7 5:13 Something like -3.7 to -0.9. This is 5:15 to -0.9. This is 5:15 to -0.9. This is unlikely because 5:16 unlikely because 5:16 unlikely because it is well beyond 5:18 it is well beyond 5:18 it is well beyond one 5:18 one 5:18 one standard 5:19 standard 5:19 standard deviation. From 5:22 deviation. From 5:22 deviation. From mild osteoporosis 5:23 mild osteoporosis 5:23 mild osteoporosis to normal. For example, 5:26 to normal. For example, 5:26 to normal. For example, from -2.9 to -0.9. Again 5:29 from -2.9 to -0.9. Again 5:29 from -2.9 to -0.9. Again , this is also 5:30 , this is also 5:30 , this is also unlikely. That's two 5:32 unlikely. That's two 5:32 unlikely. That's two standard 5:32 standard 5:32 standard deviations, and 5:33 deviations, and 5:33 deviations, and we don't usually see 5:34 we don't usually see 5:34 we don't usually see that kind of improvement 5:35 that kind of improvement 5:35 that kind of improvement with natural 5:36 with natural 5:36 with natural therapies. So, in 5:41 therapies. So, in 5:41 therapies. So, in percentage terms per year, I 5:42 percentage terms per year, I 5:42 percentage terms per year, I usually see 5:43 usually see 5:43 usually see an improvement of 3–5%, and 5:45 an improvement of 3–5%, and 5:45 an improvement of 3–5%, and sometimes 6–8% per year 5:47 sometimes 6–8% per year 5:47 sometimes 6–8% per year with the therapy that gives the 5:48 with the therapy that gives the 5:48 with the therapy that gives the greatest results 5:50 greatest results . And how do you 5:53 . And how do you 5:53 . And how do you track that? So, 5:55 track that? So, 5:58 you have to 5:58 you have to control everything that is used for therapy. 5:59 control everything that is used for therapy. 6:02 For example, you 6:02 For example, you look at 6:03 look at 6:03 look at hormone levels, or PTH, 6:04 hormone levels, or PTH, 6:04 hormone levels, or PTH, or whatever you're 6:05 or whatever you're 6:05 or whatever you're looking to 6:06 looking to 6:06 looking to monitor those 6:07 monitor those 6:07 monitor those numbers for during a 6:08 numbers for during a 6:08 numbers for during a particular therapy. 6:10 particular therapy. 6:13 Of course, you should 6:13 Of course, you should look at 6:15 look at 6:15 look at bone 6:15 bone 6:15 bone metabolism markers and 6:16 metabolism markers and 6:16 metabolism markers and do serial DEXA 6:18 do serial DEXA scans. Hi, 6:21 scans. Hi, 6:21 scans. Hi, this is Margie. 6:22 this is Margie. 6:22 this is Margie. High-quality supplements 6:23 High-quality supplements 6:23 High-quality supplements are an important part of a 6:25 are an important part of a 6:25 are an important part of a comprehensive 6:26 comprehensive 6:26 comprehensive 6:28 osteoporosis treatment program. To 6:28 osteoporosis treatment program. To help you out, I'm 6:29 help you out, I'm 6:29 help you out, I'm giving away a substantial discount every day 6:30 giving away a substantial discount every day 6:30 giving away a substantial discount every day in my 6:31 in my 6:31 in my supplement store 6:33 supplement store 6:33 supplement store through Fullscript. Fullscript has the 6:35 through Fullscript. Fullscript has the 6:35 through Fullscript. Fullscript has the most extensive catalog of 6:36 most extensive catalog of 6:36 most extensive catalog of professional supplements 6:37 professional supplements 6:37 professional supplements and 6:38 and 6:38 and health products I have ever 6:39 health products I have ever seen. So, 6:42 seen. So, 6:42 seen. So, all you need to 6:43 all you need to 6:43 all you need to do is go 6:45 do is go 6:45 do is go to tinyurl.com. This is t i n y u r 6:48 to tinyurl.com. This is t i n y u r 6:48 to tinyurl.com. This is t i n y u r l.com/supplementsforlife and it will 6:50 l.com/supplementsforlife and it will 6:50 l.com/supplementsforlife and it will take you to my 6:51 take you to my 6:52 take you to my Fullscript store. There you 6:56 Fullscript store. There you 6:56 Fullscript store. There you will see my 6:56 will see my 6:56 will see my favorite 6:58 favorite 6:58 favorite bone-strengthening supplements. So be 7:00 bone-strengthening supplements. So be 7:00 bone-strengthening supplements. So be sure to 7:01 sure to 7:01 sure to check it out, 7:02 check it out, 7:02 check it out, the link will also be 7:03 the link will also be 7:03 the link will also be in the release description. 7:05 in the release description. 7:05 in the release description. Now let's get back 7:06 Now let's get back 7:07 Now let's get back to the show. So, Dr. 7:10 to the show. So, Dr. 7:10 to the show. So, Dr. Melnik, let's 7:11 Melnik, let's 7:11 Melnik, let's figure out what 7:12 figure out what 7:12 figure out what really gives the 7:13 really gives the 7:13 really gives the greatest results 7:14 greatest results . 7:14 .
Three pillars of natural bone building therapies 7:19 Yes, of course. There are three 7:19 Yes, of course. There are three main categories of 7:20 main categories of 7:20 main categories of natural therapies 7:21 natural therapies 7:21 natural therapies that I believe 7:22 that I believe 7:22 that I believe significantly improve 7:24 significantly improve 7:26 bone mineral density to the extent 7:26 bone mineral density to the extent we just discussed 7:27 we just discussed . These include 7:30 . These include 7:32 bioidentical 7:32 bioidentical hormone replacement therapy. Hormones 7:35 hormone replacement therapy. Hormones are a real breakthrough 7:36 are a real breakthrough 7:36 are a real breakthrough for women, and it's worth 7:38 for women, and it's worth 7:38 for women, and it's worth knowing that all 7:38 knowing that all 7:38 knowing that all estradiol 7:39 estradiol 7:39 estradiol patches are FDA-approved 7:41 patches are FDA-approved 7:41 patches are FDA-approved for 7:42 for 7:42 for fracture prevention. The second is 7:45 fracture prevention. The second is 7:45 fracture prevention. The second is strength training, 7:46 strength training, 7:46 strength training, in particular the 7:48 in particular the 7:48 in particular the OsteoNero exercise program. With a 7:52 OsteoNero exercise program. With a 7:52 OsteoNero exercise program. With a caveat: to 7:53 caveat: to 7:53 caveat: to see progress, there 7:54 see progress, there 7:54 see progress, there must be 7:55 must be 7:55 must be enough protein in the diet. And 7:59 enough protein in the diet. And 7:59 enough protein in the diet. And third—diagnosis 8:00 third—diagnosis 8:00 third—diagnosis and treatment of 8:01 and treatment of 8:01 and treatment of hyperparathyroidism. 8:02 hyperparathyroidism. 8:04 Without treatment for 8:04 Without treatment for hyperparathyroidism, 8:05 hyperparathyroidism, 8:07 it is impossible to build bone tissue. 8:07 it is impossible to build bone tissue. And after surgery, the 8:08 And after surgery, the 8:08 And after surgery, the body 8:09 body 8:09 body recovers on 8:10 recovers on 8:10 recovers on its own. There are also 8:12 its own. There are also 8:12 its own. There are also less significant 8:13 less significant 8:13 less significant improvements, 8:14 improvements, 8:14 improvements, including 8:14 including 8:14 including stabilization, 8:15 stabilization, 8:15 stabilization, with basic 8:16 with basic 8:16 with basic therapy for the underlying causes. 8:18 therapy for the underlying causes. 8:21 Okay, I see that too. 8:24 I've worked with 8:24 I've worked with many women 8:25 many women 8:25 many women over the 8:26 over the 8:26 over the years, and it's great that we're 8:27 years, and it's great that we're 8:27 years, and it's great that we're discussing this and 8:28 discussing this and 8:28 discussing this and showing people what 8:29 showing people what 8:29 showing people what exactly gets 8:30 exactly gets 8:30 exactly gets results. Even 8:35 results. Even 8:35 results. Even if 8:35 if 8:36 if bone density does not increase, but 8:37 bone density does not increase, but 8:37 bone density does not increase, but simply 8:37 simply 8:37 simply stabilizes 8:38 stabilizes 8:38 stabilizes thanks to these methods, 8:39 thanks to these methods, it is already a victory. It's 8:44 it is already a victory. It's 8:44 it is already a victory. It's very inspiring that we 8:45 very inspiring that we 8:45 very inspiring that we both strive to give 8:46 both strive to give 8:46 both strive to give people actionable 8:47 people actionable 8:47 people actionable tools, and they 8:48 tools, and they 8:48 tools, and they really work. So 8:52 really work. So 8:52 really work. So why don't you 8:53 why don't you 8:53 why don't you share some 8:53 share some 8:54 practical examples?
Case study: hormone therapy and spine improvement 8:57 Yes, the first story is 8:58 Yes, the first story is about hormones. 8:59 about hormones. 9:03 Many of my 9:03 Many of my patients choose 9:04 patients choose 9:04 patients choose 9:05 bioidentical 9:05 bioidentical hormone therapy because 9:07 hormone therapy because 9:07 hormone therapy because it produces significant 9:08 it produces significant 9:08 it produces significant progress. This case is a 9:13 progress. This case is a 63-year-old woman who has 9:15 63-year-old woman who has 9:15 63-year-old woman who has been postmenopausal for over 10 years 9:16 been postmenopausal for over 10 years 9:16 been postmenopausal for over 10 years with 9:17 with 9:17 with severe osteoporosis of the 9:18 severe osteoporosis of the 9:19 severe osteoporosis of the lumbar spine 9:20 lumbar spine 9:20 lumbar spine and hips. 9:24 and hips. 9:24 and hips. She had a hereditary 9:25 She had a hereditary 9:25 She had a hereditary predisposition to 9:26 predisposition to 9:26 predisposition to osteoporosis. Her 9:27 osteoporosis. Her 9:27 osteoporosis. Her mother 9:29 mother 9:29 mother was diagnosed with osteoporosis at 9:30 was diagnosed with osteoporosis at 9:30 was diagnosed with osteoporosis at age 70, and during 9:31 age 70, and during 9:31 age 70, and during surgery at age 79, 9:32 surgery at age 79, 9:32 surgery at age 79, the surgeon said her 9:34 the surgeon said her 9:34 the surgeon said her bones were literally 9:35 bones were literally 9:35 bones were literally crumbling. Then, at 9:38 crumbling. Then, at 9:38 crumbling. Then, at age 94, her mother fell, 9:39 age 94, her mother fell, 9:39 age 94, her mother fell, ended up in a 9:41 ended up in a 9:41 ended up in a nursing home, and 9:42 nursing home, and 9:42 nursing home, and never 9:43 never 9:43 never left. So, of course, 9:45 left. So, of course, 9:45 left. So, of course, my patient was 9:46 my patient was 9:46 my patient was worried that the 9:47 worried that the 9:47 worried that the same fate awaited her 9:48 same fate awaited her 9:48 same fate awaited her . So she 9:50 . So she 9:50 . So she wanted to start 9:51 wanted to start 9:51 wanted to start hormone therapy, 9:52 hormone therapy, 9:52 hormone therapy, but very carefully and 9:53 but very carefully and 9:53 but very carefully and slowly. So this 9:58 slowly. So this 9:58 slowly. So this slide shows you what 9:59 slide shows you what 9:59 slide shows you what her path looked like. 10:01 her path looked like. 10:05 When I had my 10:05 When I had my saliva tested for hormones. We 10:08 saliva tested for hormones. We 10:08 saliva tested for hormones. We tested estradiol 10:09 tested estradiol , progesterone, DHEA, and 10:10 , progesterone, DHEA, and 10:10 , progesterone, DHEA, and testosterone. They 10:12 testosterone. They 10:12 testosterone. They were all at the very 10:13 were all at the very 10:13 were all at the very bottom of the 10:14 bottom of the 10:14 bottom of the postmenopausal 10:15 postmenopausal 10:15 postmenopausal range. You can see 10:17 range. You can see 10:17 range. You can see that she has severe 10:18 that she has severe 10:18 that she has severe osteoporosis of the 10:19 osteoporosis of the 10:19 osteoporosis of the lumbar 10:21 lumbar 10:21 lumbar spine—3.7, and the overall 10:23 spine—3.7, and the overall 10:23 spine—3.7, and the overall score of the left 10:24 score of the left 10:24 score of the left hip—2.3. So, this is 10:26 hip—2.3. So, this is 10:26 hip—2.3. So, this is osteopenia. And the 10:29 osteopenia. And the 10:29 osteopenia. And the left femoral neck was at 10:30 left femoral neck was at 10:31 left femoral neck was at -3.1, which 10:32 -3.1, which 10:32 -3.1, which corresponds to moderate 10:33 corresponds to moderate 10:33 corresponds to moderate osteoporosis. So in 10:37 osteoporosis. So in 10:37 osteoporosis. So in 2022 I prescribed her 10:39 2022 I prescribed her 10:39 2022 I prescribed her low doses of Biest. This is 10:42 low doses of Biest. This is 10:42 low doses of Biest. This is estrogen cream, 10:43 estrogen cream, 10:43 estrogen cream, progesterone, and DHEA. 10:44 progesterone, and DHEA. 10:47 This brought her 10:47 This brought her hormone levels into the mid- 10:49 hormone levels into the mid- 10:49 hormone levels into the mid- postmenopausal 10:50 postmenopausal 10:50 postmenopausal range according to 10:51 range according to 10:51 range according to saliva analysis. And you 10:54 saliva analysis. And you 10:54 saliva analysis. And you see, it was a 10:55 see, it was a 10:55 see, it was a year later. You see a 10:59 year later. You see a 10:59 year later. You see a 3.3% increase in the 11:01 3.3% increase in the 11:01 3.3% increase in the lumbar spine 11:03 lumbar spine 11:03 lumbar spine , and her hips 11:04 , and her hips 11:04 , and her hips are stabilizing. They 11:06 are stabilizing. They 11:06 are stabilizing. They don't change very much 11:07 don't change very much 11:07 don't change very much , but they 11:08 , but they 11:08 , but they stabilize. I am 11:11 stabilize. I am 11:11 stabilize. I am increasing hormones, this is the 11:13 increasing hormones, this is the 11:13 increasing hormones, this is the period from 2021 to 2023, 11:14 period from 2021 to 2023, 11:14 period from 2021 to 2023, so we are 11:16 so we are 11:16 so we are increasing the dosage very slowly 11:18 increasing the dosage very slowly . Right now, I'm 11:22 . Right now, I'm 11:22 . Right now, I'm checking my hormones in my 11:23 checking my hormones in my 11:23 checking my hormones in my blood, and my 11:24 blood, and my 11:24 blood, and my estradiol level is 11:26 estradiol level is 11:26 estradiol level is 12. You really need to 11:30 12. You really need to 11:30 12. You really need to get to 11:31 get to 11:31 get to about 15 to start 11:32 about 15 to start 11:32 about 15 to start seeing a bone- 11:33 seeing a bone- specific 11:34 specific 11:34 specific estradiol target, where you really see 11:35 estradiol target, where you really see 11:35 estradiol target, where you really see improvements in 11:37 improvements in 11:37 improvements in bone health. So she was a little short 11:39 bone health. So she was a little short 11:39 bone health. So she was a little short of that 11:41 of that 11:41 of that level. You can see that 11:42 level. You can see that 11:42 level. You can see that her CTX was 552, and the 11:44 her CTX was 552, and the 11:44 her CTX was 552, and the optimal level is 11:46 optimal level is between 250 and 350, so her CTX 11:48 between 250 and 350, so her CTX 11:48 between 250 and 350, so her CTX was high. This is a 11:50 was high. This is a 11:50 was high. This is a marker of 11:51 marker of 11:51 marker of bone destruction. 11:52 bone destruction. 11:54 Estradiol is an 11:54 Estradiol is an antiresorptive 11:55 antiresorptive 11:55 antiresorptive hormone. It helps 11:58 hormone. It helps 11:58 hormone. It helps reduce 11:59 reduce 11:59 reduce bone destruction. So, due to 12:01 bone destruction. So, due to 12:01 bone destruction. So, due to low 12:02 low 12:02 low estradiol levels, she 12:03 estradiol levels, she 12:03 estradiol levels, she was experiencing 12:04 was experiencing 12:04 was experiencing intense 12:04 intense 12:04 intense bone destruction. 12:05 bone destruction. 12:10 But even though my 12:10 But even though my estradiol levels 12:11 estradiol levels 12:11 estradiol levels weren't quite what 12:13 weren't quite what 12:13 weren't quite what I wanted, my 12:14 I wanted, my 12:14 I wanted, my 12:16 spine densitometry results 12:16 spine densitometry results improved by another 4.4%, 12:18 improved by another 4.4%, 12:18 improved by another 4.4%, and once again, my 12:19 and once again, my 12:19 and once again, my hips 12:20 hips 12:20 hips stabilized. At 12:23 stabilized. At 12:23 stabilized. At this point, we did a 12:25 this point, we did a 12:25 this point, we did a TBS and it fell 12:26 TBS and it fell 12:26 TBS and it fell into the 12:27 into the 12:27 into the partial degradation category 12:29 partial degradation category , which is actually a bit 12:30 , which is actually a bit 12:30 , which is actually a bit better than the 12:32 better than the 12:32 better than the -3.3 score suggested. So in 12:36 -3.3 score suggested. So in 12:36 -3.3 score suggested. So in 2024, I 12:38 2024, I 12:38 2024, I increased my 12:39 increased my 12:39 increased my hormone dose a little again. Her 12:43 hormone dose a little again. Her 12:43 hormone dose a little again. Her CTX dropped to 332. A little 12:48 CTX dropped to 332. A little 12:48 CTX dropped to 332. A little later, I don't even 12:49 later, I don't even 12:49 later, I don't even know why this happened, 12:50 know why this happened, 12:51 know why this happened, but her estradiol levels 12:51 but her estradiol levels 12:56 dropped significantly. We thought 12:56 dropped significantly. We thought maybe it was the 12:58 maybe it was the 12:58 maybe it was the absorption of the cream and 12:59 absorption of the cream and 12:59 absorption of the cream and her CTX went up again. You 13:01 her CTX went up again. You 13:01 her CTX went up again. You can see this 13:03 can see this 13:03 can see this direct relationship 13:04 direct relationship 13:04 direct relationship between CTX and 13:05 between CTX and 13:05 between CTX and estradiol levels. Then, um, 13:08 estradiol levels. Then, um, 13:08 estradiol levels. Then, um, we, um, her 13:09 we, um, her 13:09 we, um, her estradiol levels improved a little bit 13:10 estradiol levels improved a little bit 13:10 estradiol levels improved a little bit , but not 13:12 , but not 13:12 , but not to the range that 13:13 to the range that 13:13 to the range that I was 13:14 I was 13:14 I was hoping for 13:15 hoping for 13:15 hoping for her to see the 13:16 her to see the 13:16 her to see the best results. 13:17 best results. 13:21 So, in 2024, I 13:21 So, in 2024, I switched her to the patch 13:23 switched her to the patch 13:23 switched her to the patch instead of the cream, and her 13:25 instead of the cream, and her 13:25 instead of the cream, and her CTX level was, uh, 309. 13:27 CTX level was, uh, 309. 13:27 CTX level was, uh, 309. So that was a great 13:29 So that was a great 13:29 So that was a great number. A little 13:30 number. A little 13:30 number. A little later, we saw 13:31 later, we saw 13:31 later, we saw that her estradiol levels 13:33 that her estradiol levels 13:33 that her estradiol levels were in a great 13:34 were in a great 13:34 were in a great range for her. 13:35 range for her. 13:38 My target 13:38 My target range for 13:39 range for 13:39 range for older women, um, to be 13:40 older women, um, to be 13:41 older women, um, to be safe 13:42 safe 13:42 safe because of the timing hypothesis 13:43 because of the timing hypothesis 13:43 because of the timing hypothesis and the Elite study, 13:45 and the Elite study, is an estradiol level 13:46 is an estradiol level 13:46 is an estradiol level of 20 to 35. And here she is at 13:50 of 20 to 35. And here she is at 13:50 of 20 to 35. And here she is at 31.9. She has fully 13:52 31.9. She has fully 13:52 31.9. She has fully achieved her goal. 13:53 achieved her goal. 13:53 achieved her goal. We completely 13:54 We completely 13:54 We completely regulated her 13:55 regulated her 13:55 regulated her hormones. We went 13:57 hormones. We went 13:57 hormones. We went very slowly, and we 13:58 very slowly, and we 13:58 very slowly, and we just got her 13:59 just got her 13:59 just got her exactly where she, um, 14:01 exactly where she, um, 14:01 exactly where she, um, needed to be. And she 14:04 needed to be. And she 14:04 needed to be. And she got another 5.3% 14:05 got another 5.3% improvement in her 14:06 improvement in her 14:06 improvement in her lumbar spine 14:08 lumbar spine 14:08 lumbar spine . Again, 14:11 . Again, 14:11 . Again, her hips are quite 14:12 her hips are quite 14:12 her hips are quite stable and her TBS score 14:14 stable and her TBS score 14:17 has partially deteriorated. So, over 14:17 has partially deteriorated. So, over this 4-year period, her 14:19 this 4-year period, her 14:19 this 4-year period, her lumbar 14:20 lumbar 14:20 lumbar spine strengthened by 13%. 14:22 spine strengthened by 13%. 14:24 And we were simultaneously 14:24 And we were simultaneously working on the 14:25 working on the 14:25 working on the fundamental 14:26 fundamental 14:26 fundamental root causes. So 14:28 root causes. So 14:28 root causes. So her symptoms of constipation and 14:29 her symptoms of constipation and 14:29 her symptoms of constipation and dizziness 14:30 dizziness 14:30 dizziness decreased. And we 14:32 decreased. And we 14:32 decreased. And we worked on her 14:33 worked on her 14:33 worked on her high 14:34 high 14:34 high stress levels, elevated 14:35 stress levels, elevated 14:35 stress levels, elevated homocysteine, 14:36 homocysteine, 14:36 homocysteine, food sensitivities, 14:37 food sensitivities, 14:37 food sensitivities, and prediabetes. All 14:39 and prediabetes. All 14:39 and prediabetes. All these issues 14:40 these issues 14:40 these issues were resolved 14:41 were resolved 14:41 were resolved in parallel with 14:42 in parallel with 14:42 in parallel with taking hormones. And 14:45 taking hormones. And 14:45 taking hormones. And what I want to 14:46 what I want to 14:46 what I want to emphasize here is that 14:47 emphasize here is that 14:47 emphasize here is that an improvement in 14:49 an improvement in 14:49 an improvement in CTX, or C- 14:50 CTX, or C- telopeptide, in 14:51 telopeptide, in 14:51 telopeptide, in the range of 200 to 350 is 14:53 the range of 200 to 350 is something I consistently 14:54 something I consistently 14:54 something I consistently see when 14:55 see when 14:55 see when taking hormones. And 15:01 taking hormones. And 15:01 taking hormones. And sometimes when I've done a 15:02 sometimes when I've done a 15:02 sometimes when I've done a lot of work with 15:03 lot of work with 15:03 lot of work with someone at the root 15:04 someone at the root 15:04 someone at the root cause level, we've 15:05 cause level, we've 15:05 cause level, we've worked with their 15:06 worked with their 15:06 worked with their gut, with their 15:08 gut, with their 15:08 gut, with their blood sugar, with their 15:09 blood sugar, with their 15:09 blood sugar, with their inflammation, and they're 15:10 inflammation, and they're 15:10 inflammation, and they're feeling pretty 15:11 feeling pretty 15:11 feeling pretty good, sleeping well, and 15:12 good, sleeping well, and 15:12 good, sleeping well, and someone's CTX level is still 15:14 someone's CTX level is still 15:14 someone's CTX level is still around 500-600, and they're 15:15 around 500-600, and they're 15:15 around 500-600, and they're not taking hormones, 15:17 not taking hormones, 15:17 not taking hormones, I can almost always 15:18 I can almost always 15:18 I can almost always tell that it's the 15:19 tell that it's the 15:19 tell that it's the hormones that are lacking. Not everyone 15:25 hormones that are lacking. Not everyone 15:25 hormones that are lacking. Not everyone wants to 15:26 wants to 15:26 wants to use 15:27 use 15:27 use hormone therapy, 15:28 hormone therapy, 15:28 hormone therapy, but since I know 15:30 but since I know 15:30 but since I know that 15:31 that 15:31 that hormones alone can 15:32 hormones alone can 15:32 hormones alone can raise CTX to the 15:32 raise CTX to the 15:33 raise CTX to the 500-600 range, I can 15:34 500-600 range, I can 15:34 500-600 range, I can confidently tell 15:35 confidently tell 15:35 confidently tell the patient that it's 15:36 the patient that it's 15:36 the patient that it's probably 15:37 probably 15:37 probably just the 15:38 just the 15:38 just the hormones that are causing it. And I think I 15:44 hormones that are causing it. And I think I 15:44 hormones that are causing it. And I think I would also like to 15:45 would also like to 15:45 would also like to point out that even 15:47 point out that even 15:47 point out that even those low 15:48 those low 15:48 those low estradiol levels, 9 and 12, 15:49 estradiol levels, 9 and 12, 15:49 estradiol levels, 9 and 12, still produced results. 15:51 still produced results. 15:54 And she was able to 15:54 And she was able to move very 15:55 move very 15:55 move very slowly and 15:55 slowly and 15:55 slowly and get steady 15:56 get steady 15:56 get steady improvement. And, um, here's something else 16:00 improvement. And, um, here's something else 16:00 improvement. And, um, here's something else I'm seeing: I'm 16:01 I'm seeing: I'm 16:01 I'm seeing: I'm mostly seeing 16:02 mostly seeing 16:02 mostly seeing improvement in the 16:03 improvement in the 16:03 improvement in the lumbar spine 16:04 lumbar spine 16:04 lumbar spine on the 16:05 on the 16:05 on the DEXA, and I'm 16:06 DEXA, and I'm 16:06 DEXA, and I'm only seeing 16:08 only seeing 16:08 only seeing stabilization in the hips. But, um, 16:11 stabilization in the hips. But, um, 16:11 stabilization in the hips. But, um, I actually believe that 16:13 I actually believe that 16:13 I actually believe that the quality of the hip bones, 16:15 the quality of the hip bones, 16:15 the quality of the hip bones, um, has improved, 16:16 um, has improved, 16:16 um, has improved, we just don't see 16:17 we just don't see 16:17 we just don't see it on DEXA. 16:18 it on DEXA. 16:21 You know, before you 16:21 You know, before you go on, I think 16:22 go on, I think 16:22 go on, I think it's so fascinating that, you 16:23 it's so fascinating that, you 16:23 it's so fascinating that, you know, when we 16:24 know, when we 16:24 know, when we work with 16:25 work with 16:25 work with root causes, which 16:26 root causes, which 16:26 root causes, which I see is so often 16:28 I see is so often 16:28 I see is so often lacking in conventional 16:29 lacking in conventional 16:29 lacking in conventional medicine, so many 16:30 medicine, so many 16:30 medicine, so many other things get 16:31 other things get 16:32 other things get better. So your 16:32 better. So your 16:33 better. So your bone density 16:33 bone density 16:33 bone density improves, but 16:34 improves, but 16:34 improves, but all these other things that 16:35 all these other things that 16:37 people think they have to 16:37 people think they have to live with also get better. 16:38 live with also get better. 16:38 live with also get better. I just wanted you to 16:39 I just wanted you to 16:40 I just wanted you to explain because I don't think 16:41 explain because I don't think 16:41 explain because I don't think everyone knows what 16:42 everyone knows what 16:42 everyone knows what TBS, trabecular 16:43 TBS, trabecular 16:43 TBS, trabecular bone index, is. So 16:44 bone index, is. So 16:44 bone index, is. So briefly tell 16:45 briefly tell 16:45 briefly tell people what it is, just in 16:46 people what it is, just in 16:47 people what it is, just in case 16:48 case 16:48 case they are not familiar with 16:49 they are not familiar with 16:49 they are not familiar with this terminology.
Trabecular bone score (bone quality vs density) 16:50 this terminology. 16:50 this terminology. Yes. So, 16:51 Yes. So, 16:51 Yes. So, trabecular 16:52 trabecular 16:52 trabecular bone index is 16:53 bone index is 16:53 bone index is actually a 16:54 actually a 16:54 actually a statistical analysis 16:55 statistical analysis 16:55 statistical analysis performed on 16:56 performed on 16:56 performed on DEXA data. TBS 16:59 DEXA data. TBS is a quality indicator. And 17:02 is a quality indicator. And 17:02 is a quality indicator. And that's why you are classified into 17:03 that's why you are classified into 17:03 that's why you are classified into three different 17:04 three different 17:04 three different categories: normal, 17:05 categories: normal, 17:05 categories: normal, partially reduced, and 17:06 partially reduced, and 17:06 partially reduced, and reduced. And so, um, I 17:11 reduced. And so, um, I 17:12 reduced. And so, um, I always take 17:13 always take 17:13 always take normal as the equivalent of a 17:14 normal as the equivalent of a 17:14 normal as the equivalent of a normal DEXA, a 17:15 normal DEXA, a 17:15 normal DEXA, a normal T- 17:16 normal T- score, partially 17:17 score, partially 17:17 score, partially depressed as the equivalent of 17:18 depressed as the equivalent of 17:18 depressed as the equivalent of osteopenia by T- 17:19 osteopenia by T- score, and 17:20 score, and 17:20 score, and completely depressed 17:22 completely depressed as the equivalent of 17:22 as the equivalent of 17:22 as the equivalent of osteoporosis. This is just a 17:30 osteoporosis. This is just a 17:30 osteoporosis. This is just a rough 17:30 rough 17:30 rough classification, um, but that's how 17:32 classification, um, but that's how 17:32 classification, um, but that's how I perceive 17:33 I perceive 17:33 I perceive TBS scores. 17:34 TBS scores. 17:38 Thank you. Yes, and it's 17:38 Thank you. Yes, and it's just really helpful 17:39 just really helpful 17:39 just really helpful because we get 17:40 because we get 17:40 because we get a lot more 17:41 a lot more 17:41 a lot more information. So, 17:42 information. So, 17:42 information. So, thank you. Okay, you 17:44 thank you. Okay, you 17:44 thank you. Okay, you can continue 17:45 can continue 17:45 can continue with all these wonderful 17:46 with all these wonderful 17:46 with all these wonderful cases.
Case study: weight training + hormone synergy 17:47 cases. 17:49 So the second case is a woman, um, who is 17:51 is a woman, um, who is 17:51 is a woman, um, who is basically, um, she's a 17:52 basically, um, she's a 17:52 basically, um, she's a 66-year-old woman who's 17:53 66-year-old woman who's 17:53 66-year-old woman who's been 17:54 been 17:54 been postmenopausal for over 17:56 postmenopausal for over 17:56 postmenopausal for over 10 years, who started 17:57 10 years, who started 17:57 10 years, who started strength training with the 17:59 strength training with the 17:59 strength training with the OsteoNero exercise program 18:00 OsteoNero exercise program . She started this in 18:03 . She started this in 18:03 . She started this in April 2025 and 18:05 April 2025 and 18:05 April 2025 and then started 18:06 then started 18:06 then started taking hormones in 18:08 taking hormones in 18:08 taking hormones in July 2025. So I'd 18:11 July 2025. So I'd 18:11 July 2025. So I'd like to show you 18:12 like to show you how her bone 18:13 how her bone 18:13 how her bone turnover markers 18:14 turnover markers 18:14 turnover markers , 18:15 , 18:15 , hormone levels, and bone 18:16 hormone levels, and bone 18:16 hormone levels, and bone mineral density changed 18:17 mineral density changed 18:17 mineral density changed in just one year. This is 18:20 in just one year. This is 18:20 in just one year. This is right after 18:21 right after 18:21 right after she started strength 18:23 she started strength 18:23 she started strength training, and before she 18:24 training, and before she 18:24 training, and before she started taking 18:25 started taking 18:25 started taking hormones, her 18:27 hormones, her 18:27 hormones, her bone destruction marker CTX 18:28 bone destruction marker CTX 18:28 bone destruction marker CTX was 634. So 18:30 was 634. So 18:30 was 634. So remember, this is a 18:31 remember, this is a 18:31 remember, this is a high number, and 18:32 high number, and 18:32 high number, and we haven't even talked about P1NP yet 18:33 we haven't even talked about P1NP yet 18:33 we haven't even talked about P1NP yet . So, this is 18:35 . So, this is 18:35 . So, this is bone formation. 18:37 bone formation. 18:37 bone formation. It should be 18:39 It should be 18:39 It should be at least 1/10 of CTX. 18:40 at least 1/10 of CTX. 18:41 at least 1/10 of CTX. So in this case 18:43 So in this case 18:43 So in this case it should be 63 or 18:45 it should be 63 or 18:45 it should be 63 or higher and you see it's 18:47 higher and you see it's 18:47 higher and you see it's only 49.2. So her 18:49 only 49.2. So her 18:49 only 49.2. So her osteoblasts are 18:50 osteoblasts are 18:50 osteoblasts are not really 18:51 not really 18:51 not really keeping up with her 18:52 keeping up with her 18:52 keeping up with her osteoclasts. She 18:56 osteoclasts. She 18:56 osteoclasts. She starts 18:57 starts 18:57 starts hormones in July 18:59 hormones in July 18:59 hormones in July 2025 and in January 2026 her 19:00 2025 and in January 2026 her 19:03 estradiol level is 19:03 estradiol level is almost 15. So I was 19:08 almost 15. So I was 19:09 almost 15. So I was pretty happy with 19:10 pretty happy with 19:10 pretty happy with that as a start and that's 19:11 that as a start and that's 19:11 that as a start and that's about 5-6 19:13 about 5-6 19:13 about 5-6 months away. Her CTX 19:18 months away. Her CTX 19:18 months away. Her CTX has dropped almost, um, 19:20 has dropped almost, um, 19:20 has dropped almost, um, halved to 295. 19:23 halved to 295. 19:24 halved to 295. So, it's been a year and 3 19:25 So, it's been a year and 3 19:25 So, it's been a year and 3 months since starting 19:26 months since starting 19:26 months since starting hormone therapy 19:27 hormone therapy . Take a look at the 19:29 . Take a look at the 19:29 . Take a look at the difference between CTX and P1NP. 19:31 difference between CTX and P1NP. 19:31 difference between CTX and P1NP. All this time, she 19:32 All this time, she 19:32 All this time, she was also doing 19:33 was also doing 19:33 was also doing strength 19:34 strength 19:34 strength training. So, 19:35 training. So, 19:35 training. So, this P1NP should have 19:37 this P1NP should have 19:37 this P1NP should have been higher than 29.5, and 19:39 been higher than 29.5, and 19:39 been higher than 29.5, and now it is. 19:40 now it is. 19:40 now it is. In fact, even 19:42 In fact, even 19:42 In fact, even better. Because strength 19:44 better. Because strength 19:44 better. Because strength training and exercises 19:45 training and exercises 19:45 training and exercises help increase 19:46 help increase 19:46 help increase bone formation 19:47 bone formation 19:48 bone formation . Hormones, in 19:50 . Hormones, in 19:50 . Hormones, in turn, reduce 19:52 turn, reduce 19:52 turn, reduce the level of CTX. So we can already 19:55 the level of CTX. So we can already 19:55 the level of CTX. So we can already see that this 19:56 see that this 19:56 see that this ratio has 19:57 ratio has 19:57 ratio has shifted significantly 19:58 shifted significantly 19:58 shifted significantly towards anabolism. 20:03 towards anabolism. 20:03 towards anabolism. Additionally, we checked 20:05 Additionally, we checked 20:05 Additionally, we checked her estradiol levels 20:06 her estradiol levels 20:06 her estradiol levels in June. And here 20:09 in June. And here 20:09 in June. And here her estradiol level 20:10 her estradiol level 20:10 her estradiol level is 33. This is exactly the 20:12 is 33. This is exactly the 20:12 is 33. This is exactly the target 20:13 target 20:13 target I was 20:14 I was 20:14 I was aiming for. I wanted it to be 20:15 aiming for. I wanted it to be 20:15 aiming for. I wanted it to be between 20–35 20:17 between 20–35 pg/ml. In addition, 20:19 pg/ml. In addition, 20:19 pg/ml. In addition, she began to 20:20 she began to 20:20 she began to sleep much better, and 20:21 sleep much better, and 20:21 sleep much better, and hot flashes disappeared after 20:22 hot flashes disappeared after 20:22 hot flashes disappeared after starting 20:22 starting 20:22 starting hormone therapy 20:23 hormone therapy 20:23 hormone therapy . We also 20:26 . We also 20:26 . We also worked on 20:27 worked on 20:27 worked on her sleep quality with 20:28 her sleep quality with 20:28 her sleep quality with Cortisol Relief and 20:30 Cortisol Relief and 20:30 Cortisol Relief and 20:32 Herba Tonin herbal melatonin, 20:32 Herba Tonin herbal melatonin, so she sleeps 20:33 so she sleeps 20:33 so she sleeps much better. This is against 20:36 much better. This is against 20:36 much better. This is against the background of using a 20:37 the background of using a 20:37 the background of using a patch with 20:38 patch with 20:38 patch with estradiol 0.05 mg and 20:40 estradiol 0.05 mg and 20:40 estradiol 0.05 mg and progesterone 200 mg. 20:42 progesterone 200 mg. 20:42 progesterone 200 mg. According to the 20:43 According to the 20:43 According to the DEXA results, 20:44 DEXA results, 20:44 DEXA results, it was about 7 and 20:45 it was about 7 and 20:45 it was about 7 and a half months 20:46 a half months 20:46 a half months after starting Onero and 20:47 after starting Onero and 20:47 after starting Onero and only 4 and a half 20:49 only 4 and a half 20:49 only 4 and a half months after starting 20:50 months after starting 20:50 months after starting hormones. It 20:51 hormones. It 20:53 usually 20:54 usually takes a few 20:54 takes a few 20:54 takes a few months for hormones to 20:55 months for hormones to 20:55 months for hormones to stabilize, so I 20:56 stabilize, so I 20:56 stabilize, so I believe that the biggest 20:58 believe that the biggest 20:58 believe that the biggest impact here is due to 20:59 impact here is due to 20:59 impact here is due to strength 21:00 strength 21:00 strength training. I don't 21:03 training. I don't 21:03 training. I don't think the hormones have had 21:04 think the hormones have had 21:04 think the hormones have had enough time to work 21:05 enough time to work 21:05 enough time to work to significantly 21:06 to significantly 21:06 to significantly increase bone 21:08 increase bone 21:08 increase bone tissue. But 21:09 tissue. But 21:09 tissue. But the results are very 21:10 the results are very 21:10 the results are very impressive. This was 21:13 impressive. This was 21:13 impressive. This was shortly after 21:14 shortly after 21:14 shortly after starting both types of 21:15 starting both types of 21:15 starting both types of therapy. In the 21:18 therapy. In the 21:18 therapy. In the lumbar spine, 21:20 lumbar spine, 21:20 lumbar spine, she 21:22 she 21:22 she improved her performance 21:24 improved her performance 21:24 improved her performance by 5.6%, and in the left hip 21:26 by 5.6%, and in the left hip by 1.5%. The right hip 21:30 by 1.5%. The right hip 21:30 by 1.5%. The right hip improved by 21:31 improved by 21:31 improved by about one 21:32 about one 21:32 about one percent. And the left 21:34 percent. And the left 21:34 percent. And the left forearm—almost 21:36 forearm—almost 21:36 forearm—almost 3%. I also want to 21:41 3%. I also want to 21:41 3%. I also want to point out that certain 21:42 point out that certain 21:42 point out that certain changes are not 21:43 changes are not 21:43 changes are not statistically 21:43 statistically 21:43 statistically significant, while 21:45 significant, while 21:45 significant, while others are. Typically, 21:49 others are. Typically, 21:52 changes of 3% or 21:52 changes of 3% or more are considered significant. So we can 21:55 more are considered significant. So we can 21:55 more are considered significant. So we can consider the 21:56 consider the 21:56 consider the left and right 21:57 left and right 21:57 left and right hip indicators to be stable. 21:58 hip indicators to be stable. 22:04 This is my specialty, 22:04 This is my specialty, I see this all the time. 22:05 I see this all the time. 22:08 I have been using the 22:08 I have been using the Onero program for two 22:09 Onero program for two 22:09 Onero program for two years now, and everyone has seen 22:10 years now, and everyone has seen 22:10 years now, and everyone has seen improvements. And it's not 22:13 improvements. And it's not 22:13 improvements. And it's not just thanks to Onero, but 22:14 just thanks to Onero, but 22:14 just thanks to Onero, but it proves that 22:15 it proves that 22:15 it proves that exercises like strength 22:16 exercises like strength 22:16 exercises like strength training and 22:18 training and 22:18 training and full- 22:19 full- 22:19 full- body resistance work produce 22:19 body resistance work produce 22:19 body resistance work produce incredible 22:20 incredible 22:20 incredible results. Dr. 22:23 results. Dr. 22:23 results. Dr. Claudia Thomas was the 22:24 Claudia Thomas was the 22:24 Claudia Thomas was the first person in the 22:25 first person in the 22:25 first person in the United States to 22:26 United States to 22:26 United States to start 22:27 start 22:27 start using Onero. 22:28 using Onero. 22:28 using Onero. She is one of the 22:29 She is one of the 22:29 She is one of the practicing 22:30 practicing 22:30 practicing specialists in our 22:31 specialists in our 22:31 specialists in our program, she is 22:32 program, she is 22:32 program, she is a physical therapist. She is 22:34 a physical therapist. She is 22:34 a physical therapist. She is also a nurse. 22:35 also a nurse. 22:35 also a nurse. She did so many 22:37 She did so many 22:37 She did so many wonderful things. But, 22:38 wonderful things. But, 22:38 wonderful things. But, in the end, I talked 22:39 in the end, I talked 22:39 in the end, I talked to Claudia and really 22:40 to Claudia and really 22:40 to Claudia and really wanted to know what 22:41 wanted to know what 22:41 wanted to know what she was seeing, because 22:43 she was seeing, because 22:43 she was seeing, because , you know, she asks 22:44 , you know, she asks 22:44 , you know, she asks everyone to bring in their 22:45 everyone to bring in their 22:45 everyone to bring in their results, and she 22:46 results, and she 22:46 results, and she keeps track of the tests, 22:47 keeps track of the tests, 22:47 keeps track of the tests, because she's been doing this 22:49 because she's been doing this 22:49 because she's been doing this Onero program for 22:50 Onero program for 22:50 Onero program for several years. And she 22:51 several years. And she 22:51 several years. And she said that usually, 22:53 said that usually, 22:53 said that usually, just thanks to Onero, 22:54 just thanks to Onero, 22:54 just thanks to Onero, she sees a 22:56 she sees a 22:56 she sees a 5 to 10% increase in both her hips 22:57 5 to 10% increase in both her hips and back. You know 22:59 and back. You know , every person is 23:00 , every person is different. So, she 23:01 different. So, she 23:02 different. So, she was telling us that 23:03 was telling us that 23:03 was telling us that her very first 23:04 her very first 23:04 her very first patient had an 23:05 patient had an 23:05 patient had an 8.7% increase in her hips and 23:06 8.7% increase in her hips and 23:06 8.7% increase in her hips and spine, and that was...oh, in 23:07 spine, and that was...oh, in 23:07 spine, and that was...oh, in her hips, and her back 23:09 her hips, and her back 23:09 her hips, and her back remained the same 23:10 remained the same 23:10 remained the same . And before meeting 23:11 . And before meeting 23:11 . And before meeting her, she was constantly 23:12 her, she was constantly 23:12 her, she was constantly losing bone 23:13 losing bone 23:13 losing bone mass. She told 23:15 mass. She told 23:15 mass. She told me about another person 23:16 me about another person 23:16 me about another person who has been doing it for 3 23:17 who has been doing it for 3 23:17 who has been doing it for 3 years, and the first year 23:18 years, and the first year 23:18 years, and the first year she took AlgaeCal and her 23:19 she took AlgaeCal and her 23:19 she took AlgaeCal and her condition just 23:20 condition just 23:20 condition just stabilized. She 23:22 stabilized. She 23:22 stabilized. She gained 3% 23:23 gained 3% 23:23 gained 3% in the second year and 5% in the 23:25 in the second year and 5% in the 23:25 in the second year and 5% in the spine in the third year, 23:26 spine in the third year, 23:26 spine in the third year, but her hips 23:28 but her hips 23:28 but her hips remained stable 23:29 remained stable . And she did 23:32 . And she did 23:32 . And she did say that people who 23:34 say that people who 23:34 say that people who take hormones 23:35 take hormones 23:35 take hormones get even higher 23:36 get even higher 23:36 get even higher DEXA readings, similar 23:38 DEXA readings, similar 23:38 DEXA readings, similar to what you see, 23:39 to what you see, 23:39 to what you see, Dr. Millman. Now 23:41 Dr. Millman. Now , interestingly, someone in 23:43 , interestingly, someone in 23:43 , interestingly, someone in my class who is 57 23:44 my class who is 57 23:44 my class who is 57 years old recently gave 23:46 years old recently gave 23:46 years old recently gave me her 23:47 me her 23:48 me her DEXA results, and her spine 23:49 DEXA results, and her spine 23:49 DEXA results, and her spine was originally minus 2.8 23:50 was originally minus 2.8 23:51 was originally minus 2.8 and her total 23:52 and her total 23:52 and her total hip score was minus 2.1. This 23:54 hip score was minus 2.1. This 23:54 hip score was minus 2.1. This was in November 1923 23:56 was in November 1923 23:56 was in November 1923 . And then in December 23:59 . And then in December 23:59 . And then in December 19...26th, no, not 1923, but 24:02 19...26th, no, not 1923, but 24:03 19...26th, no, not 1923, but 2023. Uh, yeah, so 24:05 2023. Uh, yeah, so 24:05 2023. Uh, yeah, so it's already 3 years later. 24:07 it's already 3 years later. 24:07 it's already 3 years later. Her spine is minus 2.2. 24:10 Her spine is minus 2.2. 24:14 So, it was an 24:14 So, it was an 8.6% increase, and, you know, 24:15 8.6% increase, and, you know, 24:16 8.6% increase, and, you know, in the end, she was 24:17 in the end, she was 24:17 in the end, she was very happy. 24:19 very happy. 24:23 Now it's interesting that the condition of 24:23 Now it's interesting that the condition of the hips has hardly 24:24 the hips has hardly 24:24 the hips has hardly changed. But when I 24:26 changed. But when I 24:26 changed. But when I interviewed 24:27 interviewed 24:27 interviewed Dr. Belinda Beck, 24:28 Dr. Belinda Beck, 24:28 Dr. Belinda Beck, who led the 24:29 who led the 24:29 who led the Lift More study and 24:30 Lift More study and 24:30 Lift More study and actually created the 24:31 actually created the 24:31 actually created the Osteo program, she 24:33 Osteo program, she 24:33 Osteo program, she shared why -- because 24:34 shared why -- because 24:34 shared why -- because she wondered why 24:35 she wondered why 24:38 hip bone density often 24:38 hip bone density often doesn't have that much of an 24:39 doesn't have that much of an 24:39 doesn't have that much of an increase. And 24:41 increase. And 24:41 increase. And she saw it on a 24:42 she saw it on a 24:42 she saw it on a regular basis. And 24:44 regular basis. And 24:44 regular basis. And she said that when 24:45 she said that when 24:45 she said that when we do a 24:46 we do a 24:46 we do a bone density scan, 24:47 bone density scan, 24:47 bone density scan, what's missing is... 24:48 what's missing is... you know, mineral 24:50 you know, mineral 24:50 you know, mineral composition—that's 24:50 composition—that's 24:50 composition—that's mostly calcium, 24:51 mostly calcium, 24:51 mostly calcium, but there's one thing that it 24:53 but there's one thing that it 24:53 but there's one thing that it doesn't measure is the overall 24:54 doesn't measure is the overall 24:54 doesn't measure is the overall strength of the bone. But 24:56 strength of the bone. But 24:56 strength of the bone. But what it measures is 24:57 what it measures is 24:57 what it measures is strength, but what it 24:58 strength, but what it 24:58 strength, but what it lacks is 24:59 lacks is 24:59 lacks is form. And she made 25:01 form. And she made 25:01 form. And she made an analogy, it's like a 25:02 an analogy, it's like a 25:02 an analogy, it's like a stick. If one 25:04 stick. If one 25:04 stick. If one is wider than the other and the weight is 25:05 is wider than the other and the weight is 25:05 is wider than the other and the weight is the same, the narrower one 25:06 the same, the narrower one 25:06 the same, the narrower one will bend easier. It's the 25:09 will bend easier. It's the 25:10 will bend easier. It's the same with bone: a 25:11 same with bone: a 25:11 same with bone: a narrow femoral neck 25:12 narrow femoral neck is the area 25:13 is the area 25:13 is the area most prone to 25:14 most prone to 25:14 most prone to fractures, it's at the 25:15 fractures, it's at the 25:15 fractures, it's at the greatest risk, and 25:16 greatest risk, and 25:16 greatest risk, and it will bend or 25:18 it will bend or 25:18 it will bend or break more easily than a 25:19 break more easily than a 25:19 break more easily than a wider one. So what they 25:21 wider one. So what they 25:21 wider one. So what they saw in the 25:22 saw in the 25:22 saw in the Liftmore study—an 25:23 Liftmore study—an 25:23 Liftmore study—an increase in 25:24 increase in 25:24 increase in spine density but little 25:25 spine density but little 25:25 spine density but little change in the 25:26 change in the 25:26 change in the hip region—was pretty 25:27 hip region—was pretty 25:27 hip region—was pretty puzzling. But 25:28 puzzling. But 25:28 puzzling. But then they 25:28 then they 25:28 then they used a 25:30 used a 25:30 used a 3D analysis program of the hip 25:31 3D analysis program of the hip 25:31 3D analysis program of the hip joint, and everything became 25:32 joint, and everything became 25:32 joint, and everything became clear. Because what 25:33 clear. Because what 25:33 clear. Because what they saw was that the 25:34 they saw was that the 25:34 they saw was that the cortical layer, the 25:36 cortical layer, the 25:36 cortical layer, the outer wall of the femoral 25:37 outer wall of the femoral 25:37 outer wall of the femoral neck, 25:37 neck, 25:37 neck, actually 25:38 actually 25:38 actually thickened. So, 25:39 thickened. So, 25:39 thickened. So, the architecture 25:40 the architecture 25:40 the architecture has changed, and this is exactly the 25:41 has changed, and this is exactly the 25:41 has changed, and this is exactly the part where the 25:42 part where the 25:42 part where the 25:43 most fractures occur. 25:44 most fractures occur. According to Belinda 25:45 According to Belinda 25:45 According to Belinda Beck, she became 30% 25:47 Beck, she became 30% thicker. It turns out 25:49 thicker. It turns out 25:49 thicker. It turns out that the body is strengthening 25:50 that the body is strengthening 25:50 that the body is strengthening the hip, but it just 25:52 the hip, but it just 25:52 the hip, but it just doesn't show up on the 25:53 doesn't show up on the 25:53 doesn't show up on the DEXA 25:54 DEXA scan results. So I 25:55 scan results. So I 25:55 scan results. So I thought that was very 25:56 thought that was very 25:56 thought that was very interesting, and it explains 25:58 interesting, and it explains 25:58 interesting, and it explains why some people 25:59 why some people 26:01 didn't have 26:01 didn't have significant progress in the 26:02 significant progress in the 26:02 significant progress in the hip area even during the study. 26:03 hip area even during the study. 26:03 hip area even during the study. Anyway, I'm 26:04 Anyway, I'm 26:04 Anyway, I'm constantly 26:05 constantly 26:05 constantly watching this, and when I 26:06 watching this, and when I 26:08 interviewed Belinda recently, 26:08 interviewed Belinda recently, she said that 26:09 she said that 26:09 she said that people's numbers 26:10 people's numbers 26:10 people's numbers continued to 26:11 continued to 26:11 continued to increase. So, 26:12 increase. So, 26:12 increase. So, even those who 26:13 even those who 26:13 even those who only exercised on the 26:14 only exercised on the 26:14 only exercised on the Onero program, 26:15 Onero program, 26:15 Onero program, instead of 26:16 instead of 26:16 instead of losing bone 26:17 losing bone 26:17 losing bone mass as 26:18 mass as 26:18 mass as the trajectory predicted, 26:19 the trajectory predicted, 26:19 the trajectory predicted, continued to 26:20 continued to 26:20 continued to gain it. That's why I 26:22 gain it. That's why I 26:22 gain it. That's why I believe that strength 26:23 believe that strength 26:23 believe that strength training, the 26:24 training, the 26:24 training, the exercises that involve strength and 26:26 exercises that involve strength and 26:26 exercises that involve strength and load, are very 26:27 load, are very 26:27 load, are very important. Again 26:29 important. Again 26:29 important. Again , it doesn't have to 26:30 , it doesn't have to 26:30 , it doesn't have to be 26:31 be 26:31 be Onero, there are many ways 26:32 Onero, there are many ways 26:32 Onero, there are many ways to achieve the result, and 26:34 to achieve the result, and 26:34 to achieve the result, and even for people who 26:35 even for people who 26:35 even for people who can't work with 26:36 can't work with 26:36 can't work with heavy weights, there is a 26:37 heavy weights, there is a 26:37 heavy weights, there is a method of restricting 26:38 method of restricting 26:38 method of restricting blood flow that 26:39 blood flow that 26:39 blood flow that you can talk to 26:41 you can talk to 26:41 you can talk to a physiotherapist about; 26:42 a physiotherapist about; 26:42 a physiotherapist about; There are various 26:42 There are various 26:43 There are various ways to improve 26:44 ways to improve 26:44 ways to improve bone density 26:45 bone density 26:45 bone density through exercise. 26:46 through exercise. 26:48 Okay, let's 26:48 Okay, let's continue with the 26:49 continue with the 26:49 continue with the cases. 26:50 cases. 26:50 cases. Yes, and I'll just say 26:52 Yes, and I'll just say 26:52 Yes, and I'll just say that, in my suspicion, this 26:53 that, in my suspicion, this 26:53 that, in my suspicion, this also happens with 26:54 also happens with 26:54 also happens with hormone therapy 26:56 hormone therapy . I consistently see 26:59 . I consistently see 26:59 . I consistently see improvements in my 26:59 improvements in my 26:59 improvements in my lumbar spine 27:01 lumbar spine 27:01 lumbar spine and 27:01 and 27:01 and hip stabilization, 27:03 hip stabilization, 27:03 hip stabilization, and while my 27:04 and while my 27:04 and while my hip bone density is 27:05 hip bone density is 27:05 hip bone density is not significantly increasing, I 27:06 not significantly increasing, I 27:06 not significantly increasing, I suspect that the 27:07 suspect that the 27:07 suspect that the bone quality in 27:08 bone quality in 27:08 bone quality in this area is 27:09 this area is 27:09 this area is actually 27:10 actually 27:10 actually improving. With 27:12 improving. With 27:12 improving. With hormones too. So
Hyperparathyroidism: a hidden driver of bone loss 27:18 hormones too. So our third case 27:19 our third case is a 66-year-old woman 27:21 is a 66-year-old woman 27:21 is a 66-year-old woman who had severe 27:22 who had severe 27:22 who had severe hyperparathyroidism, and 27:24 hyperparathyroidism, and 27:24 hyperparathyroidism, and she had an elevated 27:25 she had an elevated 27:25 she had an elevated calcium level, you 27:26 calcium level, you 27:27 calcium level, you can see here, 10.6 27:28 can see here, 10.6 . This is 27:35 . This is 27:35 . This is 27:37 Virgo Boone's hyperparathyroidism calculator, and I would 27:37 Virgo Boone's hyperparathyroidism calculator, and I would recommend it to 27:38 recommend it to 27:38 recommend it to anyone who wants to 27:39 anyone who wants to 27:39 anyone who wants to check their own 27:40 check their own 27:40 check their own readings and 27:41 readings and 27:41 readings and understand if 27:42 understand if 27:42 understand if they might have a problem with their 27:43 they might have a problem with their 27:43 they might have a problem with their parathyroid 27:44 parathyroid 27:44 parathyroid gland. So, she 27:49 gland. So, she 27:49 gland. So, she had a high 27:51 had a high 27:51 had a high calcium level—10.6. Her 27:53 calcium level—10.6. Her 27:53 calcium level—10.6. Her PTH level was at 27:55 PTH level was at 27:55 PTH level was at the upper limit of normal—67 27:56 the upper limit of normal—67 . Her CTX, a measure of 27:58 . Her CTX, a measure of 27:58 . Her CTX, a measure of bone destruction, 28:00 bone destruction, 28:00 bone destruction, was 985. This is very 28:02 was 985. This is very 28:02 was 985. This is very abnormal. 28:03 abnormal. 28:03 abnormal. Remember, 350 is 28:05 Remember, 350 is 28:05 Remember, 350 is optimal. P1NP, i.e. 28:08 optimal. P1NP, i.e. 28:08 optimal. P1NP, i.e. your P1NP, should be in a 28:10 your P1NP, should be in a 28:10 your P1NP, should be in a natural 28:11 natural 28:11 natural ratio of 10:1 to 28:13 ratio of 10:1 to 28:13 ratio of 10:1 to CTX. So, the 28:17 CTX. So, the 28:17 CTX. So, the calcium level in the 24-hour 28:19 calcium level in the 24-hour 28:19 calcium level in the 24-hour urine was 462. Anything 28:22 urine was 462. Anything above 250 28:24 above 250 28:24 above 250 is, um, abnormal. 28:26 is, um, abnormal. 28:28 So that's almost twice the amount of 28:29 So that's almost twice the amount of calcium 28:30 calcium 28:30 calcium excreted in the urine. 28:31 excreted in the urine. 28:36 This is because 28:36 This is because so 28:37 so 28:37 so much calcium is leached from the bones due to the 28:38 much calcium is leached from the bones due to the 28:38 much calcium is leached from the bones due to the activity of 28:39 activity of 28:39 activity of overactive 28:40 overactive 28:40 overactive parathyroid 28:41 parathyroid 28:41 parathyroid glands. So, calcium 28:44 glands. So, calcium 28:45 glands. So, calcium enters the blood. There is 28:46 enters the blood. There is 28:48 so much of it there 28:49 so much of it there that the kidneys simply 28:49 that the kidneys simply 28:49 that the kidneys simply excrete it without 28:51 excrete it without 28:51 excrete it without reabsorbing it. So, 28:55 reabsorbing it. So, 28:55 reabsorbing it. So, here are some of its 28:56 here are some of its 28:56 here are some of its indicators. As we can see 28:58 indicators. As we can see , her CTX scores were 28:59 , her CTX scores were 28:59 , her CTX scores were constantly increasing. 29:01 constantly increasing. 29:09 Here are 651, 884, and 1087. At that 29:09 Here are 651, 884, and 1087. At that time, she 29:09 time, she 29:09 time, she was being monitored by 29:10 was being monitored by 29:10 was being monitored by a rheumatologist, and they 29:12 a rheumatologist, and they 29:12 a rheumatologist, and they simply told her, " 29:12 simply told her, " You know, you just have to 29:14 You know, you just have to 29:14 You know, you just have to wait and 29:14 wait and 29:14 wait and see." 29:15 see." 29:18 Like, your PTH isn't that 29:18 Like, your PTH isn't that high. And 29:21 high. And 29:21 high. And I'm not sure why 29:23 I'm not sure why 29:23 I'm not sure why they ignored the 29:24 they ignored the 29:24 they ignored the calcium level of 10.6, which 29:25 calcium level of 10.6, which 29:25 calcium level of 10.6, which is very abnormal to me 29:27 is very abnormal to me 29:27 is very abnormal to me . The 29:30 . The 29:30 . The PTH level was very abnormal for me 29:31 PTH level was very abnormal for me 29:31 PTH level was very abnormal for me because 29:32 because 29:32 because with such high 29:34 with such high 29:34 with such high calcium levels, the 29:34 calcium levels, the 29:34 calcium levels, the natural activity of 29:36 natural activity of 29:36 natural activity of PTH should be significantly 29:36 PTH should be significantly 29:37 PTH should be significantly reduced. 29:37 reduced. 29:40 Because the 29:40 Because the parathyroid 29:41 parathyroid 29:41 parathyroid glands are 29:42 glands are 29:42 glands are calcium sensors, they don't 29:43 calcium sensors, they don't 29:43 calcium sensors, they don't want to over- 29:44 want to over- 29:44 want to over- saturate the blood with 29:45 saturate the blood with 29:45 saturate the blood with calcium. They are very 29:46 calcium. They are very 29:46 calcium. They are very depressed. So, 29:48 depressed. So, 29:48 depressed. So, the combination of high 29:49 the combination of high 29:49 the combination of high PTH with high 29:50 PTH with high 29:50 PTH with high calcium levels is exactly what 29:52 calcium levels is exactly what 29:52 calcium levels is exactly what we look for 29:53 we look for 29:53 we look for in 29:53 in 29:53 in hyperparathyroidism. You 29:57 hyperparathyroidism. You 29:57 hyperparathyroidism. You also look at 29:58 also look at 29:58 also look at vitamin D levels, but 29:59 vitamin D levels, but 29:59 vitamin D levels, but just low 30:00 just low 30:00 just low vitamin D levels can 30:01 vitamin D levels can 30:01 vitamin D levels can cause 30:02 cause 30:02 cause elevated PTH. 30:03 elevated PTH. 30:06 High 30:06 High vitamin D levels could 30:07 vitamin D levels could 30:07 vitamin D levels could cause high 30:08 cause high 30:08 cause high calcium levels, but 30:09 calcium levels, but 30:09 calcium levels, but this would result in 30:10 this would result in 30:10 this would result in low PTH levels. 30:12 low PTH levels. 30:16 So, this is the only model 30:16 So, this is the only model that explains 30:17 that explains 30:17 that explains our results. And that 30:21 our results. And that 30:21 our results. And that was obvious when 30:22 was obvious when 30:22 was obvious when you looked at CTX in 30:23 you looked at CTX in 30:23 you looked at CTX in addition to calcium and 30:25 addition to calcium and 30:25 addition to calcium and PTH. And when you 30:27 PTH. And when you 30:27 PTH. And when you looked at the 30:28 looked at the 30:28 looked at the calcium levels in the daily 30:29 calcium levels in the daily 30:29 calcium levels in the daily urine, the diagnosis was 30:30 urine, the diagnosis was 30:30 urine, the diagnosis was pretty 30:31 pretty 30:31 pretty easy. So I advised 30:34 easy. So I advised 30:34 easy. So I advised her to go to the 30:35 her to go to the 30:35 her to go to the 30:38 Norman Parathyroid Center in 30:38 Norman Parathyroid Center in Tampa. They have 30:41 Tampa. They have 30:41 Tampa. They have vast experience. 30:42 vast experience. 30:45 She went there. In 30:45 She went there. In April 2024, she 30:46 April 2024, she 30:46 April 2024, she underwent surgery on her 30:48 underwent surgery on her 30:48 underwent surgery on her parathyroid 30:49 parathyroid 30:49 parathyroid gland. And by July, 30:52 gland. And by July, 30:52 gland. And by July, her CTX had normalized. 30:53 her CTX had normalized. 30:54 her CTX had normalized. So, she has normal 30:55 So, she has normal 30:55 So, she has normal markers of 30:56 markers of 30:56 markers of bone metabolism. I 30:58 bone metabolism. I 30:58 bone metabolism. I didn't show it, but her 30:59 didn't show it, but her 30:59 didn't show it, but her PTH returned to normal and her 31:00 PTH returned to normal and her 31:00 PTH returned to normal and her calcium also 31:01 calcium also 31:01 calcium also returned to normal. She 31:04 returned to normal. She 31:04 returned to normal. She had a very good 31:05 had a very good 31:05 had a very good treatment outcome. 31:06 treatment outcome. 31:09 So, these were her 31:09 So, these were her DEXA results in 31:11 DEXA results in 31:11 DEXA results in 2023 before her parathyroid surgery 31:14 2023 before her parathyroid surgery 31:18 : she lost 31:18 : she lost 1.5% in her lumbar 31:20 1.5% in her lumbar 31:20 1.5% in her lumbar spine, -7.4% in her 31:22 spine, -7.4% in her 31:22 spine, -7.4% in her left hip, and -6.7% in her 31:24 left hip, and -6.7% in her 31:25 left hip, and -6.7% in her right hip. Then 31:28 right hip. Then 31:28 right hip. Then in April she had 31:29 in April she had 31:29 in April she had surgery on her 31:30 surgery on her 31:30 surgery on her parathyroid 31:31 parathyroid 31:31 parathyroid gland, and about a 31:32 gland, and about a 31:32 gland, and about a year later, a little 31:33 year later, a little 31:33 year later, a little over a year later, 31:35 over a year later, 31:35 over a year later, her bone mass 31:36 her bone mass 31:36 her bone mass started 31:36 started 31:36 started to recover, which is a 31:37 to recover, which is a 31:37 to recover, which is a wonderful result. 31:39 wonderful result. 31:41 So, in the lumbar 31:41 So, in the lumbar spine, it has 31:42 spine, it has 31:43 spine, it has completely recovered 31:44 completely recovered . She even 31:46 . She even 31:46 . She even made back a little 31:47 made back a little 31:47 made back a little more than she lost. 31:48 more than she lost. 31:53 In the left hip, it 31:53 In the left hip, it almost completely 31:54 almost completely 31:54 almost completely recovered with a good 31:55 recovered with a good 31:55 recovered with a good gain of 6.4%, and in the 31:57 gain of 6.4%, and in the 31:57 gain of 6.4%, and in the right hip, the same thing 31:58 right hip, the same thing 31:58 right hip, the same thing happened. It 32:01 happened. It 32:01 happened. It had a very good 32:03 had a very good 32:03 had a very good gain of 5.3%, which 32:04 gain of 5.3%, which 32:04 gain of 5.3%, which meant an almost complete 32:06 meant an almost complete 32:06 meant an almost complete recovery. So you 32:10 recovery. So you 32:10 recovery. So you see how this 32:11 see how this 32:12 parathyroid surgery 32:13 parathyroid surgery can truly 32:14 can truly 32:14 can truly change lives and 32:15 change lives and 32:15 change lives and reverse the effects of 32:16 reverse the effects of 32:16 reverse the effects of hyperparathyroidism. 32:17 hyperparathyroidism. 32:21 That's why it's so important that 32:21 That's why it's so important that people get the 32:22 people get the 32:22 people get the correct diagnosis. And 32:24 correct diagnosis. And 32:24 correct diagnosis. And I know, Margie, you have a 32:26 I know, Margie, you have a 32:26 I know, Margie, you have a case where, in my 32:27 case where, in my 32:27 case where, in my opinion, it was 32:28 opinion, it was 32:28 opinion, it was quite 32:30 quite 32:30 quite difficult to diagnose. 32:30 difficult to diagnose. 32:31 difficult to diagnose. This case is a 56-year-old 32:32 This case is a 56-year-old 32:32 This case is a 56-year-old woman who 32:34 woman who 32:34 woman who experienced early menopause at 32:36 experienced early menopause at 32:36 experienced early menopause at age 44. She 32:36 age 44. She 32:36 age 44. She was seen by 32:37 was seen by 32:37 was seen by an endocrinologist, and 32:38 an endocrinologist, and 32:38 an endocrinologist, and previously she already had 32:39 previously she already had 32:39 previously she already had elevated 32:40 elevated 32:40 elevated blood calcium levels. And 32:43 blood calcium levels. And 32:43 blood calcium levels. And then the endocrinologist, 32:44 then the endocrinologist, 32:44 then the endocrinologist, during a 4-minute 32:45 during a 4-minute 32:45 during a 4-minute appointment, told her, " 32:47 appointment, told her, " I want you to start 32:48 I want you to start 32:48 I want you to start taking Prolia." This 32:51 taking Prolia." This 32:51 taking Prolia." This was someone who 32:52 was someone who 32:52 was someone who was in my 32:53 was in my 32:53 was in my community, had learned a lot, 32:54 community, had learned a lot, 32:54 community, had learned a lot, and 32:55 and 32:55 and had read a 300- 32:56 had read a 300- page book by 32:57 page book by 32:57 page book by Dr. Keith 32:57 Dr. Keith 32:57 Dr. Keith McCormick. So, 32:59 McCormick. So, 32:59 McCormick. So, she was very 32:59 she was very 32:59 she was very knowledgeable. She also 33:01 knowledgeable. She also 33:01 knowledgeable. She also played sports and, 33:02 played sports and, 33:02 played sports and, by the way, is a patient of 33:03 by the way, is a patient of 33:03 by the way, is a patient of my husband. So 33:04 my husband. So 33:04 my husband. So she came to my 33:05 she came to my 33:05 she came to my husband and told him 33:06 husband and told him 33:06 husband and told him about the situation, 33:07 about the situation, 33:07 about the situation, noting that she 33:08 noting that she 33:08 noting that she was very surprised by 33:09 was very surprised by 33:09 was very surprised by this decision. When 33:10 this decision. When 33:10 this decision. When he looked at her 33:12 he looked at her 33:12 he looked at her numbers, he said, 33:13 numbers, he said, 33:13 numbers, he said, "Why don't you get 33:15 "Why don't you get 33:15 "Why don't you get tested for CTX and P1NP?" 33:16 tested for CTX and P1NP?" 33:17 tested for CTX and P1NP?" When she 33:17 When she 33:17 When she returned to 33:18 returned to 33:18 returned to the endocrinologist, she 33:20 the endocrinologist, she 33:20 the endocrinologist, she said, “I don’t believe in 33:21 said, “I don’t believe in 33:21 said, “I don’t believe in P1NP, but I’ll order a 33:22 P1NP, but I’ll order a 33:22 P1NP, but I’ll order a CTX test.” During the 33:24 CTX test.” During the 33:24 CTX test.” During the last visit, the 33:25 last visit, the 33:26 last visit, the calcium level prescribed by 33:27 calcium level prescribed by 33:27 calcium level prescribed by 33:29 the endocrinologist 33:29 the endocrinologist was 10.3, and PTH was 20. 33:31 was 10.3, and PTH was 20. 33:32 was 10.3, and PTH was 20. And her CTX level was 936. And 33:35 And her CTX level was 936. And 33:35 And her CTX level was 936. And essentially, the endocrinologist 33:36 essentially, the endocrinologist 33:36 essentially, the endocrinologist insisted again, "You 33:37 insisted again, "You 33:38 insisted again, "You have to start 33:38 have to start 33:38 have to start taking Prolia." At that 33:40 taking Prolia." At that 33:40 taking Prolia." At that point, my husband, 33:41 point, my husband, 33:41 point, my husband, who was also working with 33:43 who was also working with 33:43 who was also working with her, said, "You 33:44 her, said, "You 33:44 her, said, "You have to understand, this 33:45 have to understand, this 33:45 have to understand, this looks like..." He 33:46 looks like..." He 33:46 looks like..." He entered the data into 33:47 entered the data into 33:47 entered the data into Dr. 33:48 Dr. 33:48 Dr. Deva Bone's calculator, and it did 33:49 Deva Bone's calculator, and it did 33:49 Deva Bone's calculator, and it did indeed look like 33:50 indeed look like 33:51 indeed look like hyperparathyroidism. 33:52 hyperparathyroidism. 33:54 So, she actually 33:54 So, she actually went to 33:55 went to 33:55 went to Dr. Deva Bone in 33:56 Dr. Deva Bone in 33:56 Dr. Deva Bone in Arizona, and 33:58 Arizona, and 33:58 Arizona, and she actually had a large 33:59 she actually had a large 33:59 she actually had a large tumor. So then 34:02 tumor. So then 34:02 tumor. So then she had 34:03 she had 34:08 parathyroid surgery on 7/23/25. Now 34:08 parathyroid surgery on 7/23/25. Now let's take a look. 34:09 let's take a look. 34:09 let's take a look. It's only, you know, 34:10 It's only, you know, 34:10 It's only, you know, a few months 34:11 a few months 34:11 a few months later. So now her 34:14 later. So now her 34:14 later. So now her calcium level is 34:15 calcium level is 34:15 calcium level is normal, 9.1. Her 34:17 normal, 9.1. Her 34:18 normal, 9.1. Her CTX score has dropped significantly, to 34:20 CTX score has dropped significantly, to 34:20 CTX score has dropped significantly, to 192. And her P level, MP, has 34:21 192. And her P level, MP, has 34:21 192. And her P level, MP, has gone up a lot, 34:22 gone up a lot, 34:22 gone up a lot, showing that 34:24 showing that 34:24 showing that she is really 34:24 she is really 34:25 she is really working hard 34:26 working hard 34:26 working hard on 34:27 on 34:27 on bone repair, 73.5. So after 34:29 bone repair, 73.5. So after 34:29 bone repair, 73.5. So after the surgery, there were 34:30 the surgery, there were 34:30 the surgery, there were huge changes. And 34:32 huge changes. And 34:32 huge changes. And one more thing that 34:33 one more thing that 34:33 one more thing that happens immediately 34:34 happens immediately 34:34 happens immediately after the surgery. She 34:35 after the surgery. She 34:37 suffered for many years from fatigue 34:37 suffered for many years from fatigue and many other 34:38 and many other 34:38 and many other symptoms that everyone 34:39 symptoms that everyone 34:39 symptoms that everyone simply attributed to 34:41 simply attributed to 34:41 simply attributed to aging. You know, 34:42 aging. You know, 34:42 aging. You know, people just 34:42 people just 34:42 people just ignore these 34:43 ignore these 34:43 ignore these symptoms. So she 34:44 symptoms. So she 34:44 symptoms. So she never felt 34:45 never felt 34:45 never felt better. Now let 34:46 better. Now let 34:46 better. Now let 's look at 34:47 's look at 34:47 's look at her bone density. 34:48 her bone density. 34:48 her bone density. You know, her 34:50 You know, her 34:50 You know, her bone density. Her 34:51 bone density. Her 34:52 bone density. Her bone density, okay. So, 34:53 bone density, okay. So, 34:54 bone density, okay. So, if we go back 34:56 if we go back 34:56 if we go back to April 20, the indicator was 34:58 to April 20, the indicator was 34:58 to April 20, the indicator was minus 2.5. We have little 34:59 minus 2.5. We have little 35:00 minus 2.5. We have little data because she 35:01 data because she 35:01 data because she was not 35:02 was not 35:02 was not my husband's patient all 35:03 my husband's patient all 35:03 my husband's patient all this time, so he was 35:04 this time, so he was 35:04 this time, so he was only able to get the 35:05 only able to get the 35:05 only able to get the values that were in the 35:06 values that were in the 35:06 values that were in the chart. But then it 35:08 chart. But then it 35:08 chart. But then it dropped significantly on 04/28/25, 35:10 dropped significantly on 04/28/25, 35:10 dropped significantly on 04/28/25, this was before the surgery, minus 35:13 this was before the surgery, minus 35:13 this was before the surgery, minus 3.2. And now, a year 35:15 3.2. And now, a year 35:15 3.2. And now, a year after the surgery, 35:16 after the surgery, 35:16 after the surgery, look at this. By 35:17 look at this. By 35:18 look at this. By the way, one more thing, did 35:19 the way, one more thing, did 35:19 the way, one more thing, did n't he tell you? My 35:21 n't he tell you? My 35:21 n't he tell you? My husband also 35:21 husband also 35:22 husband also prescribed her hormones. 35:23 prescribed her hormones. 35:23 prescribed her hormones. So, after the surgery, 35:24 So, after the surgery, 35:24 So, after the surgery, she also started 35:25 she also started 35:25 she also started taking 35:26 taking 35:26 taking bioidentical hormones 35:27 bioidentical hormones . And thanks to this 35:28 . And thanks to this 35:28 . And thanks to this combination, the indicator 35:30 combination, the indicator 35:30 combination, the indicator increased to minus 2.3, which 35:31 increased to minus 2.3, which 35:31 increased to minus 2.3, which is an increase 35:33 is an increase 35:33 is an increase of 14.8% in the lumbar 35:34 of 14.8% in the lumbar 35:34 of 14.8% in the lumbar spine. And in the 35:36 spine. And in the 35:36 spine. And in the left hip 35:38 left hip 35:38 left hip bone, the indicator 35:39 bone, the indicator 35:39 bone, the indicator reached minus 1.5, 35:41 reached minus 1.5, 35:41 reached minus 1.5, an increase of 4.5%. I 35:43 an increase of 4.5%. I 35:43 an increase of 4.5%. I think this is very 35:44 think this is very 35:44 think this is very important because it is often 35:46 important because it is often 35:46 important because it is often overlooked. This is 35:48 overlooked. This is 35:48 overlooked. This is too often 35:49 too often 35:49 too often overlooked, and I've 35:50 overlooked, and I've 35:50 overlooked, and I've seen at every 35:51 seen at every 35:51 seen at every summit I've attended where 35:52 summit I've attended where 35:52 summit I've attended where Dr. 35:53 Dr. 35:53 Dr. Diva Bone has spoken, people 35:54 Diva Bone has spoken, people 35:54 Diva Bone has spoken, people learn about the 35:55 learn about the 35:55 learn about the parathyroid 35:56 parathyroid 35:56 parathyroid gland and the need to 35:58 gland and the need to 35:58 gland and the need to monitor 35:59 monitor 35:59 monitor their 36:00 their 36:00 their calcium levels. And every time 20 36:01 calcium levels. And every time 20 36:01 calcium levels. And every time 20 people said, "Oh, 36:02 people said, "Oh, 36:02 people said, "Oh, wait, my 36:04 wait, my 36:04 wait, my calcium level is high." 36:05 calcium level is high." 36:05 calcium level is high." "We need to check this out 36:06 "We need to check this out ." This is something that makes a 36:08 ." This is something that makes a 36:08 ." This is something that makes a world of difference 36:10 world of difference 36:10 world of difference , and the good 36:11 , and the good 36:11 , and the good news is that it is 36:12 news is that it is 36:12 news is that it is treatable, bone density does 36:13 treatable, bone density does 36:15 improve, and it is a 36:15 improve, and it is a real cure 36:17 real cure . So this is something you 36:19 . So this is something you 36:19 . So this is something you can't miss, because no matter what 36:20 can't miss, because no matter what 36:20 can't miss, because no matter what you do—this 36:22 you do—this 36:22 you do—this woman was 36:23 woman was 36:23 woman was exercising, 36:24 exercising, 36:24 exercising, eating right. 36:24 eating right. 36:25 eating right. No matter 36:26 No matter 36:26 No matter what you do, if 36:27 what you do, if 36:27 what you do, if you have a tumor, you know, and 36:28 you have a tumor, you know, and 36:28 you have a tumor, you know, and your parathyroid 36:29 your parathyroid 36:29 your parathyroid gland is working at its limit 36:30 gland is working at its limit , and you have this 36:31 , and you have this 36:31 , and you have this problem, you're going to 36:32 problem, you're going to 36:32 problem, you're going to lose bone 36:33 lose bone 36:33 lose bone tissue. We've seen this 36:35 tissue. We've seen this 36:35 tissue. We've seen this in the community: people 36:35 in the community: people 36:35 in the community: people are doing everything 36:36 are doing everything 36:36 are doing everything right, but they still 36:37 right, but they still 36:37 right, but they still continue to 36:38 continue to 36:38 continue to lose bone 36:39 lose bone 36:39 lose bone mass. That's why it's so 36:40 mass. That's why it's so 36:40 mass. That's why it's so important to get your 36:41 important to get your 36:41 important to get your calcium levels checked, and 36:42 calcium levels checked, and 36:42 calcium levels checked, and if you're seeing a 36:43 if you're seeing a 36:46 parathyroid surgeon 36:47 parathyroid surgeon like Dr. 36:48 like Dr. 36:48 like Dr. Deva Boone or 36:49 Deva Boone or 36:49 Deva Boone or Norman Parathyroid Specialists, or 36:50 Norman Parathyroid Specialists, or 36:50 Norman Parathyroid Specialists, or other doctors in 36:51 other doctors in 36:51 other doctors in your area, it 36:52 your area, it 36:52 your area, it should be someone who 36:53 should be someone who 36:53 should be someone who specializes in this area 36:54 specializes in this area . So, that's all I 36:56 . So, that's all I 36:56 . So, that's all I wanted to share 36:57 wanted to share 36:57 wanted to share about this case. I 37:00 about this case. I 37:00 about this case. I just want to point out
Root causes of bone loss 37:02 just want to point out 37:02 just want to point out that in all the cases 37:03 that in all the cases 37:03 that in all the cases I 37:03 I 37:03 I have demonstrated, and I am 37:05 have demonstrated, and I am 37:05 have demonstrated, and I am sure in 37:06 sure in 37:06 sure in Margie's cases as well. We 37:10 Margie's cases as well. We 37:10 Margie's cases as well. We have also done significant 37:11 have also done significant 37:11 have also done significant work to 37:12 work to 37:12 work to stabilize the 37:12 stabilize the 37:12 stabilize the root causes. In addition to 37:18 root causes. In addition to 37:18 root causes. In addition to working with hormones and 37:19 working with hormones and 37:19 working with hormones and exercise, 37:21 exercise, 37:21 exercise, we look at 37:22 we look at 37:22 we look at inflammation and 37:22 inflammation and 37:22 inflammation and toxicity, 37:23 toxicity, 37:23 toxicity, gut dysbiosis and 37:24 gut dysbiosis and 37:24 gut dysbiosis and leaky 37:25 leaky 37:25 leaky gut syndrome, high 37:27 gut syndrome, high 37:27 gut syndrome, high cortisol levels and 37:28 cortisol levels and 37:28 cortisol levels and sleep disturbances, 37:29 sleep disturbances, 37:29 sleep disturbances, poor 37:30 poor 37:30 poor blood sugar control, 37:31 blood sugar control, 37:31 blood sugar control, nutrient deficiencies 37:32 nutrient deficiencies 37:32 nutrient deficiencies , acidic foods 37:33 , acidic foods that cause the kidneys to 37:34 that cause the kidneys to 37:34 that cause the kidneys to excrete excess 37:35 excrete excess 37:35 excrete excess calcium, food 37:36 calcium, food 37:36 calcium, food sensitivities, and an 37:37 sensitivities, and an 37:37 sensitivities, and an unhealthy diet. 37:38 unhealthy diet. 37:45 Working on these 37:45 Working on these causes helps 37:47 causes helps 37:47 causes helps stabilize 37:48 stabilize 37:48 stabilize the environment in which 37:49 the environment in which 37:49 the environment in which your bones are located 37:50 your bones are located 37:50 your bones are located . This is 37:54 . This is 37:54 . This is fundamental 37:55 fundamental 37:55 fundamental work, and it 37:56 work, and it 37:56 work, and it definitely contributes to 37:57 definitely contributes to 37:57 definitely contributes to the improvement and 37:57 the improvement and 37:57 the improvement and stability of 37:58 stability of 37:58 stability of 38:03 bone mineral density. In 38:03 bone mineral density. In our common opinion, 38:04 our common opinion, 38:04 our common opinion, these factors cannot be 38:05 these factors cannot be 38:05 these factors cannot be neglected under any 38:06 neglected under any 38:06 neglected under any circumstances. There are
When medication becomes necessary in an integrative plan 38:10 circumstances. There are 38:10 circumstances. There are situations when bones 38:12 situations when bones 38:12 situations when bones become so 38:13 become so 38:13 become so fragile that a person 38:14 fragile that a person 38:14 fragile that a person really needs 38:15 really needs 38:15 really needs drug 38:16 drug 38:16 drug therapy. These 38:18 therapy. These 38:18 therapy. These include cases of 38:19 include cases of 38:19 include cases of severe osteoporosis, 38:21 severe osteoporosis, 38:21 severe osteoporosis, where T-scores are 38:22 where T-scores are very low. 38:23 very low. 38:25 When markers of 38:25 When markers of bone turnover, 38:26 bone turnover, 38:26 bone turnover, especially markers of 38:27 especially markers of 38:27 especially markers of bone destruction, 38:29 bone destruction, 38:29 bone destruction, CTX, have particularly 38:30 CTX, have particularly 38:30 CTX, have particularly high values. When there 38:34 high values. When there 38:34 high values. When there is a history of fractures 38:35 is a history of fractures , or when 38:36 , or when 38:36 , or when 38:38 pathological conditions have been diagnosed, such as the 38:40 hyperparathyroidism we have presented , as well as renal 38:41 , as well as renal 38:41 , as well as renal calcium loss, 38:43 calcium loss, 38:43 calcium loss, which we have not yet 38:43 which we have not yet 38:43 which we have not yet mentioned. The advantage is 38:50 mentioned. The advantage is 38:50 mentioned. The advantage is that anabolic 38:51 that anabolic 38:51 that anabolic drugs can 38:52 drugs can 38:52 drugs can increase bone 38:53 increase bone 38:54 increase bone mass by one 38:54 mass by one 38:54 mass by one standard 38:55 standard 38:55 standard deviation at the 38:56 deviation at the 38:56 deviation at the lumbar spine 38:57 lumbar spine 38:57 lumbar spine and, depending on 38:58 and, depending on 38:58 and, depending on the drug, by about 38:59 the drug, by about 38:59 the drug, by about a quarter to 39:00 a quarter to 39:00 a quarter to half a 39:01 half a 39:01 half a standard 39:01 standard 39:01 standard deviation at the 39:03 deviation at the 39:03 deviation at the hips in just one 39:04 hips in just one 39:04 hips in just one year. In most 39:09 year. In most 39:09 year. In most cases, this may 39:11 cases, this may 39:11 cases, this may be enough for the 39:12 be enough for the 39:12 be enough for the patient's condition 39:13 patient's condition 39:13 patient's condition to improve significantly and 39:14 to improve significantly and 39:14 to improve significantly and avoid a serious 39:15 avoid a serious 39:15 avoid a serious fracture. Another 39:18 fracture. Another 39:18 fracture. Another advantage is that 39:19 advantage is that 39:19 advantage is that we 39:20 we 39:20 we view medication as a 39:21 view medication as a 39:21 view medication as a short-term " 39:22 short-term " bridge." This may be a 39:24 bridge." This may be a 39:24 bridge." This may be a short course of 39:25 short course of 39:25 short course of anabolic 39:26 anabolic 39:26 anabolic drugs 39:27 drugs 39:27 drugs followed by 39:28 followed by 39:28 followed by another remedy that 39:29 another remedy that 39:29 another remedy that will help consolidate the 39:30 will help consolidate the 39:30 will help consolidate the results 39:31 results 39:31 results and prevent the 39:32 and prevent the 39:32 and prevent the opposite effect. 39:33 opposite effect. 39:37 So, it can last 39:37 So, it can last from 2 to 2.5–3 years, and 39:39 from 2 to 2.5–3 years, and 39:39 from 2 to 2.5–3 years, and it is absolutely not for 39:41 it is absolutely not for 39:41 it is absolutely not for life. And the fact that it's 39:44 life. And the fact that it's 39:44 life. And the fact that it's not lifelong 39:45 not lifelong 39:45 not lifelong is explained by the fact that 39:47 is explained by the fact that 39:47 is explained by the fact that you 39:48 you 39:48 you are simultaneously working on 39:48 are simultaneously working on 39:48 are simultaneously working on eliminating 39:49 eliminating 39:49 eliminating the root causes. So 39:51 the root causes. So 39:51 the root causes. So after finishing 39:52 after finishing 39:52 after finishing the medication, the condition of the 39:53 the medication, the condition of the 39:53 the medication, the condition of the bones should be 39:54 bones should be 39:54 bones should be quite stable. 39:55 quite stable. 39:56 quite stable. A person can 39:57 A person can 39:57 A person can continue to 39:58 continue to 39:58 continue to exercise, 39:59 exercise, 39:59 exercise, 40:00 eat right, and 40:00 eat right, and keep underlying causes under 40:01 keep underlying causes under 40:01 keep underlying causes under control 40:01 control 40:01 control to 40:03 to 40:03 to keep bones 40:04 keep bones 40:04 keep bones strong. This prevents a 40:07 strong. This prevents a 40:07 strong. This prevents a spiral 40:08 spiral 40:08 spiral of inactivity, so 40:09 of inactivity, so 40:09 of inactivity, so the person can 40:10 the person can 40:10 the person can stay active 40:11 stay active 40:11 stay active and do what they love 40:12 and do what they love . Therefore, I fully 40:16 . Therefore, I fully 40:16 . Therefore, I fully support 40:17 support 40:17 support medical 40:18 medical 40:18 medical treatment when it is 40:19 treatment when it is 40:19 treatment when it is truly necessary. 40:20 truly necessary. 40:26 And I want to add something, 40:26 And I want to add something, because many people say: "I 40:28 because many people say: "I 40:30 will not take medication under any circumstances. " And then they—well, 40:33 " And then they—well, 40:33 " And then they—well, they never 40:34 they never 40:34 they never break bones. So there 40:35 break bones. So there 40:35 break bones. So there really is a place for this 40:37 really is a place for this 40:37 really is a place for this , and the great thing is that 40:38 , and the great thing is that 40:38 , and the great thing is that these anabolics are 40:39 these anabolics are 40:39 these anabolics are actually building 40:40 actually building 40:40 actually building bone tissue now. 40:41 bone tissue now. 40:41 bone tissue now. They don't just 40:42 They don't just 40:42 They don't just stop 40:43 stop 40:43 stop bone loss. It 40:44 bone loss. It 40:44 bone loss. It puts people in a 40:45 puts people in a 40:45 puts people in a completely different 40:46 completely different 40:46 completely different position, and as you 40:47 position, and as you 40:47 position, and as you said, the main thing—and I 40:48 said, the main thing—and I 40:48 said, the main thing—and I often hear, "Oh, I'll 40:49 often hear, "Oh, I'll 40:49 often hear, "Oh, I'll just start 40:50 just start 40:50 just start taking medication." This doesn't 40:52 taking medication." This doesn't 40:52 taking medication." This doesn't mean you can 40:53 mean you can 40:54 mean you can do this and forget 40:55 do this and forget 40:55 do this and forget about everything else. You 40:56 about everything else. You 40:56 about everything else. You still need to do 40:57 still need to do 40:57 still need to do everything you can to 40:58 everything you can to 40:58 everything you can to address 40:59 address 40:59 address the root causes if you 41:00 the root causes if you 41:00 the root causes if you want to improve 41:01 want to improve 41:01 want to improve your situation in the 41:01 your situation in the 41:02 your situation in the long 41:02 long 41:02 long run. In 41:04 run. In 41:04 run. In short, we both believe 41:05 short, we both believe 41:05 short, we both believe that there is a 41:07 that there is a 41:07 that there is a time and 41:08 time and 41:08 time and place for this in an integrative approach. But 41:11 place for this in an integrative approach. But 41:11 place for this in an integrative approach. But this doesn't have to last 41:12 this doesn't have to last 41:12 this doesn't have to last forever, and you need to 41:13 forever, and you need to 41:13 forever, and you need to follow all the 41:14 follow all the 41:14 follow all the steps without exception. You 41:16 steps without exception. You 41:16 steps without exception. You mentioned that you have 41:17 mentioned that you have 41:17 mentioned that you have good results with 41:18 good results with 41:18 good results with patients, right, 41:19 patients, right, 41:19 patients, right, Dr. Milman, with 41:20 Dr. Milman, with 41:20 Dr. Milman, with people who... 41:21 people who... 41:21 people who... Great results. 41:23 Great results. 41:23 Great results. I had absolutely 41:24 I had absolutely 41:24 I had absolutely fantastic 41:25 fantastic 41:25 fantastic results with Evenity. 41:26 results with Evenity. 41:30 My last patient 41:30 My last patient had an 41:31 had an 41:31 had an 18% improvement in a year, which was 41:33 18% improvement in a year, which was 41:33 18% improvement in a year, which was simply incredible. 41:34 simply incredible. 41:38 Typically, with Evenity, I 41:38 Typically, with Evenity, I see results in the 41:39 see results in the 41:40 see results in the range of 13–15% in the 41:40 range of 13–15% in the 41:40 range of 13–15% in the lumbar spine 41:42 lumbar spine 41:42 lumbar spine . In the thighs, 41:44 . In the thighs, 41:44 . In the thighs, the results are not as 41:45 the results are not as 41:45 the results are not as significant. It is usually 41:48 significant. It is usually 41:48 significant. It is usually somewhere between a quarter and 0.3 41:49 somewhere between a quarter and 0.3 41:49 somewhere between a quarter and 0.3 standard 41:50 standard 41:50 standard deviations in the hips. 41:52 deviations in the hips. 41:55 There were a few 41:55 There were a few patients on Evenit 41:56 patients on Evenit 41:56 patients on Evenit who 41:58 who 41:58 who only had an 8% rate, and they were 42:00 only had an 8% rate, and they were 42:00 only had an 8% rate, and they were a little disappointed with 42:01 a little disappointed with 42:01 a little disappointed with that 8%. As for 42:05 that 8%. As for 42:05 that 8%. As for Timlos, he's not 42:06 Timlos, he's not 42:06 Timlos, he's not that powerful. 42:07 that powerful. 42:14 Typically, with Timlos in the 42:14 Typically, with Timlos in the lumbar spine, it 42:16 lumbar spine, it 42:16 lumbar spine, it comes out to be somewhere between 42:17 comes out to be somewhere between 42:17 comes out to be somewhere between 8–12%. So, yes, I 42:24 8–12%. So, yes, I 42:24 8–12%. So, yes, I got really 42:25 got really 42:25 got really good feedback, but I 42:27 good feedback, but I 42:27 good feedback, but I think you can't 42:28 think you can't 42:28 think you can't underestimate the 42:29 underestimate the 42:29 underestimate the fact that it's not a 42:30 fact that it's not a 42:30 fact that it's not a life sentence. That's 42:34 life sentence. That's 42:34 life sentence. That's why we call it 42:35 why we call it 42:35 why we call it short-term, 42:36 short-term, 42:36 short-term, but the only reason it's 42:37 but the only reason it's 42:39 short-term is 42:39 short-term is because it 42:40 because it 42:40 because it takes 42:40 takes 42:40 takes root causes and 42:41 root causes and 42:41 root causes and lifestyle elements into account 42:42 lifestyle elements into account 42:42 lifestyle elements into account . Because without it, the 42:44 . Because without it, the 42:44 . Because without it, the bones have nothing to 42:46 bones have nothing to 42:46 bones have nothing to hold on to, right? 42:47 hold on to, right? 42:50 So you're constantly, you're 42:50 So you're constantly, you're constantly, um, 42:51 constantly, um, 42:51 constantly, um, struggling with the 42:52 struggling with the 42:52 struggling with the blood sugar problem. You are 42:54 blood sugar problem. You are 42:54 blood sugar problem. You are constantly fighting 42:55 constantly fighting 42:55 constantly fighting inflammation that 42:56 inflammation that 42:56 inflammation that has reached a fever pitch 42:57 has reached a fever pitch 42:57 has reached a fever pitch . And this is the 43:00 . And this is the 43:00 . And this is the most important point 43:01 most important point , which is why we 43:02 , which is why we 43:02 , which is why we value the integrated 43:03 value the integrated 43:03 value the integrated approach so much. Um, because 43:07 approach so much. Um, because 43:07 approach so much. Um, because it's so powerful. 43:08 it's so powerful. 43:13 You know, we really 43:13 You know, we really believe in an 43:14 believe in an 43:14 believe in an individual plan 43:15 individual plan 43:15 individual plan for each person 43:16 for each person 43:16 for each person that looks at their 43:17 that looks at their 43:17 that looks at their root causes and 43:18 root causes and 43:18 root causes and takes into account their current 43:19 takes into account their current 43:19 takes into account their current state. They, um, they 43:24 state. They, um, they 43:24 state. They, um, they choose 43:25 choose 43:25 choose lifestyle elements. They either 43:27 lifestyle elements. They either 43:27 lifestyle elements. They either take 43:28 take 43:28 take hormones or they don't. Um 43:31 hormones or they don't. Um , they, um, you know, we 43:33 , they, um, you know, we 43:36 we encourage everyone to 43:36 we encourage everyone to exercise, but there are 43:37 exercise, but there are 43:37 exercise, but there are people who really, you 43:39 people who really, you 43:39 people who really, you know, may be in a 43:40 know, may be in a 43:40 know, may be in a situation where they 43:41 situation where they 43:41 situation where they can't 43:42 can't 43:42 can't exercise much. But we 43:45 exercise much. But we 43:46 exercise much. But we combine it, and we 43:47 combine it, and we 43:47 combine it, and we recommend, um, 43:48 recommend, um, 43:48 recommend, um, medication, and that's not in 43:49 medication, and that's not in 43:49 medication, and that's not in most cases. 43:50 most cases. 43:53 In fact, it's 43:53 In fact, it's usually a very 43:54 usually a very 43:54 usually a very small percentage of 43:55 small percentage of 43:55 small percentage of cases, but we 43:56 cases, but we 43:56 cases, but we recommend them when 43:57 recommend them when 43:57 recommend them when we feel that a person 43:59 we feel that a person 43:59 we feel that a person is at such a 44:00 is at such a 44:00 is at such a high risk of 44:01 high risk of 44:01 high risk of fracture that we don't 44:02 fracture that we don't 44:02 fracture that we don't want it to 44:03 want it to 44:03 want it to happen to them. 44:04 happen to them. 44:07 Yeah, and if it's about you, 44:07 Yeah, and if it's about you, sometimes people, you know, it's 44:08 sometimes people, you know, it's 44:08 sometimes people, you know, it's really normal. You 44:10 really normal. You 44:10 really normal. You use them 44:11 use them 44:12 use them to not...because the point 44:13 to not...because the point 44:13 to not...because the point here is not to have all 44:14 here is not to have all 44:14 here is not to have all your 44:15 your 44:15 your bone density increase. 44:16 bone density increase. 44:17 bone density increase. The main thing is that you don't have a 44:18 The main thing is that you don't have a 44:18 The main thing is that you don't have a fracture. And if 44:21 fracture. And if 44:21 fracture. And if it helps, that's the 44:22 it helps, that's the 44:22 it helps, that's the most important thing, because we 44:23 most important thing, because we 44:23 most important thing, because we all want to live a 44:24 all want to live a 44:24 all want to live a full life. We 44:26 full life. We 44:26 full life. We want to have life 44:27 want to have life 44:27 want to have life energy. We want to 44:28 energy. We want to 44:28 energy. We want to be able to 44:29 be able to 44:29 be able to do different things. 44:30 do different things. 44:30 do different things. So, 44:31 So, 44:31 So, there are certainly situations 44:32 there are certainly situations 44:32 there are certainly situations where medication can be 44:33 where medication can be 44:33 where medication can be very helpful, as you 44:35 very helpful, as you 44:35 very helpful, as you said. 44:35 said. 44:36 said. Yes, in parallel. 44:37 Yes, in parallel. 44:38 Yes, in parallel. In parallel with 44:39 In parallel with 44:39 In parallel with lifestyle and 44:40 lifestyle and 44:40 lifestyle and root cause analysis 44:41 root cause analysis . I completely agree. 44:43 . I completely agree. 44:45 And why don't you 44:45 And why don't you tell everyone about 44:46 tell everyone about 44:46 tell everyone about your R and R course, because it's 44:48 your R and R course, because it's 44:48 your R and R course, because it's really 44:48 really 44:48 really unusual and you 44:49 unusual and you 44:49 unusual and you really give people 44:50 really give people 44:50 really give people the opportunity 44:51 the opportunity 44:51 the opportunity to look at all these 44:52 to look at all these 44:52 to look at all these root causes and 44:53 root causes and 44:53 root causes and work with you in a way that 44:54 work with you in a way that 44:54 work with you in a way that they really 44:55 they really 44:55 they really can. So, why don't 44:57 can. So, why don't 44:57 can. So, why don't you tell 44:58 you tell 44:58 you tell everyone about it? 44:59 everyone about it?
Restore & Rebuild program and practical next steps 45:03 Yes, I have a private 45:03 Yes, I have a private practice in Los Gatos 45:04 practice in Los Gatos , California, and I can 45:06 , California, and I can 45:06 , California, and I can only work with 45:07 only work with 45:07 only work with people from California, 45:08 people from California, 45:08 people from California, and the waiting list for me 45:09 and the waiting list for me 45:09 and the waiting list for me is about 6 45:10 is about 6 45:10 is about 6 months. And so, Margie 45:14 months. And so, Margie 45:14 months. And so, Margie asked, actually, I 45:16 asked, actually, I 45:16 asked, actually, I don't know, it was about 45:17 don't know, it was about 45:17 don't know, it was about 4 years ago, right, Margie? 45:19 4 years ago, right, Margie? 45:21 Yeah, I was the one who said, 45:22 Yeah, I was the one who said, you know, after the summit, 45:23 you know, after the summit, 45:23 you know, after the summit, everyone who heard you 45:24 everyone who heard you 45:24 everyone who heard you asked, "How do I get to see 45:25 asked, "How do I get to see 45:25 asked, "How do I get to see her 45:27 her 45:27 her ?" And as you know, 45:29 ?" And as you know, 45:29 ?" And as you know, she couldn't 45:30 she couldn't 45:30 she couldn't accept them. It 45:31 accept them. It 45:31 accept them. It only accepts people in 45:32 only accepts people in 45:32 only accepts people in California. So I 45:33 California. So I 45:34 California. So I said, "We 45:34 said, "We 45:34 said, "We need 45:35 need 45:35 need ten more like you, but 45:36 ten more like you, but 45:37 ten more like you, but I have an idea. 45:38 I have an idea. 45:38 I have an idea. Could you create an online 45:40 Could you create an online program and 45:41 program and 45:41 program and help people with 45:42 help people with 45:42 help people with this method?" That's 45:44 this method?" That's 45:44 this method?" That's it. 45:44 it. 45:56 Yes, I really 45:56 Yes, I really couldn't say no to 45:57 couldn't say no to 45:57 couldn't say no to Margie, and obviously there 45:58 Margie, and obviously there 45:58 Margie, and obviously there was a need and a demand 45:59 was a need and a demand , and it was hard for me too, 46:00 , and it was hard for me too, 46:00 , and it was hard for me too, because I knew 46:01 because I knew 46:01 because I knew that a lot of people 46:02 that a lot of people 46:02 that a lot of people really needed 46:03 really needed 46:04 really needed this approach, and I 46:05 this approach, and I 46:05 this approach, and I knew that there weren't 46:05 knew that there weren't 46:05 knew that there weren't many of us who 46:06 many of us who 46:06 many of us who specialized in 46:08 specialized in 46:08 specialized in bone loss 46:09 bone loss 46:09 bone loss and had such a 46:10 and had such a 46:10 and had such a subtle approach to 46:11 subtle approach to 46:11 subtle approach to treatment. So I 46:22 treatment. So I 46:22 treatment. So I created the program " 46:23 created the program " Recovery: 100 Days 46:24 Recovery: 100 Days 46:25 Recovery: 100 Days to Healthier Bones 46:26 to Healthier Bones ." This is a 14-week 46:28 ." This is a 14-week 46:28 ." This is a 14-week program. It 46:34 program. It 46:34 program. It consists of a 46:34 consists of a 46:34 consists of a curriculum 46:36 curriculum 46:36 curriculum that includes 11 weeks of 46:37 that includes 11 weeks of 46:37 that includes 11 weeks of pre- 46:38 pre- 46:38 pre- recorded content, 46:39 recorded content, 46:39 recorded content, and then there are three or 46:40 and then there are three or 46:40 and then there are three or four weeks 46:41 four weeks 46:41 four weeks of integration, when 46:42 of integration, when 46:42 of integration, when you have time to 46:43 you have time to 46:43 you have time to catch up on the material 46:44 catch up on the material 46:44 catch up on the material or just relax 46:46 or just relax 46:46 or just relax if you wish. 46:47 if you wish. 46:52 We are hosting live 46:52 We are hosting live question and 46:53 question and 46:53 question and answer sessions for 11 weeks 46:54 answer sessions for 11 weeks 46:54 answer sessions for 11 weeks . Honestly, 47:04 . Honestly, 47:04 . Honestly, we get asked very 47:05 we get asked very 47:05 we get asked very difficult questions, we 47:06 difficult questions, we 47:06 difficult questions, we dive deep 47:08 dive deep 47:08 dive deep into topics, and I answer 47:09 into topics, and I answer 47:09 into topics, and I answer your questions 47:10 your questions 47:10 your questions that interest you. These are, 47:21 that interest you. These are, 47:21 that interest you. These are, in fact, truly 47:22 in fact, truly 47:22 in fact, truly epic sessions. We not 47:27 epic sessions. We not 47:27 epic sessions. We not only get 47:28 only get 47:28 only get answers to your 47:29 answers to your 47:29 answers to your questions, but we also 47:30 questions, but we also 47:30 questions, but we also build a community where 47:31 build a community where 47:31 build a community where we hear about 47:32 we hear about 47:32 we hear about other people's struggles. We hear 47:38 other people's struggles. We hear 47:38 other people's struggles. We hear about people's fears, 47:39 about people's fears, 47:39 about people's fears, their disappointments, and 47:40 their disappointments, and 47:40 their disappointments, and also their 47:41 also their 47:41 also their victories. So this is a 47:43 victories. So this is a 47:43 victories. So this is a really great time. 47:45 really great time. 47:47 We always have the best 47:47 We always have the best community and no one 47:48 community and no one 47:48 community and no one ever wants to leave. I 47:50 ever wants to leave. I 47:50 ever wants to leave. I have to say this. 47:53 have to say this. 47:53 have to say this. My last group 47:55 My last group 47:55 My last group had 75 graduates, and it is a 47:56 had 75 graduates, and it is a 47:56 had 75 graduates, and it is a great honor 47:57 great honor 47:57 great honor to support people 47:59 to support people 47:59 to support people for a long 48:00 for a long 48:00 for a long time. There are people who have been 48:03 time. There are people who have been 48:03 time. There are people who have been with me all these 4 years. 48:05 with me all these 4 years. 48:05 with me all these 4 years. And it is a great honor for me to 48:06 And it is a great honor for me to 48:06 And it is a great honor for me to do this. There are 48:08 do this. There are 48:08 do this. There are handouts 48:10 handouts , self-assessments, and 48:11 , self-assessments, and 48:11 , self-assessments, and progress trackers. 48:12 progress trackers. 48:12 progress trackers. We have interactive 48:13 We have interactive 48:13 We have interactive lab 48:14 lab 48:14 lab tools. You have 48:15 tools. You have 48:15 tools. You have 48:21 protocol generators. This 48:21 protocol generators. This essentially takes my 48:22 essentially takes my 48:22 essentially takes my root cause analysis and 48:23 root cause analysis and 48:23 root cause analysis and breaks it down into 48:24 breaks it down into 48:24 breaks it down into chunks, topics that are 48:26 chunks, topics that are 48:26 chunks, topics that are easy to digest. So 48:33 easy to digest. So 48:33 easy to digest. So you get a 48:34 you get a 48:34 you get a curriculum, 48:35 curriculum, 48:35 curriculum, then self-assessments, 48:36 then self-assessments, 48:36 then self-assessments, then you learn how 48:37 then you learn how 48:37 then you learn how to test, and what 48:38 to test, and what 48:38 to test, and what supplements to 48:39 supplements to 48:39 supplements to use to 48:40 use to 48:40 use to reduce these 48:41 reduce these 48:41 reduce these risk factors. If someone has 48:48 risk factors. If someone has 48:48 risk factors. If someone has problems with their 48:49 problems with their 48:49 problems with their blood sugar levels, they 48:51 blood sugar levels, they 48:51 blood sugar levels, they check their glucose, 48:52 check their glucose, 48:52 check their glucose, insulin, and 48:53 insulin, and 48:53 insulin, and glycated 48:53 glycated 48:53 glycated hemoglobin, and I give them 48:54 hemoglobin, and I give them 48:55 hemoglobin, and I give them optimal ranges 48:56 optimal ranges ; if the indicators 48:57 ; if the indicators 48:57 ; if the indicators are out of their range, 48:58 are out of their range, 48:58 are out of their range, they know that I 48:59 they know that I 48:59 they know that I will talk about 49:00 will talk about 49:00 will talk about minerals: zinc, 49:01 minerals: zinc, 49:01 minerals: zinc, magnesium, chromium, gymnema 49:02 magnesium, chromium, gymnema 49:03 magnesium, chromium, gymnema and other natural 49:04 and other natural 49:04 and other natural ways to maintain 49:05 ways to maintain 49:05 ways to maintain sugar levels, CGM, 49:06 sugar levels, CGM, 49:06 sugar levels, CGM, eating fiber 49:07 eating fiber 49:07 eating fiber and other life hacks. 49:08 and other life hacks. 49:13 So, it's all included. 49:14 So, it's all included. This is a complete system. And I 49:17 This is a complete system. And I 49:17 This is a complete system. And I help you 49:18 help you 49:18 help you every step of the way, being there 49:20 every step of the way, being there 49:20 every step of the way, being there during 49:21 during 49:21 during question and 49:22 question and 49:22 question and answer sessions. Our new 49:25 answer sessions. Our new 49:25 answer sessions. Our new group starts 49:26 group starts 49:26 group starts training on August 15th. I 49:28 training on August 15th. I 49:31 want you to know: 49:31 want you to know: you have lifetime access 49:32 you have lifetime access 49:32 you have lifetime access to the materials. So 49:35 to the materials. So 49:35 to the materials. So even if you 49:36 even if you 49:36 even if you fall behind, you can 49:37 fall behind, you can 49:37 fall behind, you can go back and 49:38 go back and 49:38 go back and watch everything again 49:39 watch everything again 49:39 watch everything again or for the first time. Our 49:43 or for the first time. Our 49:43 or for the first time. Our Q& 49:44 Q& 49:44 Q& A sessions are held 49:46 A sessions are held 49:46 A sessions are held on Thursdays at 3:00 PM 49:47 on Thursdays at 3:00 PM 49:47 on Thursdays at 3:00 PM Pacific Time 49:49 Pacific Time . Link to 49:55 . Link to 49:55 . Link to learn 49:56 learn 49:56 learn more: themilmanclinic.com/rnr. 49:58 more: themilmanclinic.com/rnr. 50:04 There is a special 50:04 There is a special offer: 50:05 offer: 50:06 offer: $797 until August 1, 50:07 $797 until August 1, 50:07 $797 until August 1, after which the price 50:08 after which the price 50:09 after which the price will increase. Especially 50:15 will increase. Especially 50:15 will increase. Especially for Margie's community 50:16 for Margie's community 50:16 for Margie's community and this podcast, we 50:18 and this podcast, we 50:18 and this podcast, we have a 50:19 have a 50:19 have a $100 off coupon—happyf26100. 50:21 $100 off coupon—happyf26100. 50:25 I hope you 50:25 I hope you will join us. 50:26 will join us. 50:29 We have a really warm and 50:29 We have a really warm and friendly atmosphere. 50:30 friendly atmosphere. 50:36 People give me such 50:36 People give me such great feedback 50:37 great feedback 50:37 great feedback at the end. Everyone really 50:42 at the end. Everyone really 50:42 at the end. Everyone really likes to 50:43 likes to 50:43 likes to communicate with each 50:44 communicate with each 50:44 communicate with each other. It's a really 50:46 other. It's a really 50:46 other. It's a really warm and supportive 50:47 warm and supportive 50:47 warm and supportive atmosphere that I 50:48 atmosphere that I 50:48 atmosphere that I think you'll 50:49 think you'll 50:49 think you'll enjoy. And I 50:51 enjoy. And I 50:51 enjoy. And I think you'll 50:51 think you'll 50:51 think you'll enjoy this 50:52 enjoy this 50:52 enjoy this course. And if not, there is a 30- 50:54 course. And if not, there is a 30- day 50:55 day 50:55 day money-back guarantee, 50:56 money-back guarantee, 50:56 money-back guarantee, although most people 50:58 although most people 50:58 although most people don't take advantage of it. 50:59 don't take advantage of it. 51:02 As I always say: 51:02 As I always say: knowledge is power. So 51:04 knowledge is power. So 51:04 knowledge is power. So you will become truly 51:06 you will become truly 51:06 you will become truly knowledgeable. I 51:08 knowledgeable. I 51:08 knowledgeable. I mean, people are becoming 51:10 mean, people are becoming 51:10 mean, people are becoming more knowledgeable about 51:11 more knowledgeable about 51:11 more knowledgeable about their doctors, and that's a 51:12 their doctors, and that's a 51:12 their doctors, and that's a good thing, because then you 51:13 good thing, because then you 51:13 good thing, because then you can make 51:14 can make 51:14 can make informed decisions 51:15 informed decisions 51:15 informed decisions based on a 51:16 based on a 51:16 based on a true 51:17 true 51:17 true understanding of the situation. 51:18 understanding of the situation. 51:19 understanding of the situation. That's when people 51:19 That's when people 51:19 That's when people achieve the best 51:21 achieve the best 51:21 achieve the best results in 51:21 results in 51:21 results in bone health—that's what 51:23 bone health—that's what 51:23 bone health—that's what I've seen. By 51:24 I've seen. By 51:24 I've seen. By the way, I teach two of 51:25 the way, I teach two of 51:25 the way, I teach two of these courses. I teach a 51:26 these courses. I teach a 51:26 these courses. I teach a module on 51:27 module on 51:28 module on exercise, and my 51:28 exercise, and my 51:28 exercise, and my favorite is the module 51:29 favorite is the module 51:30 favorite is the module on stress, happiness, and 51:31 on stress, happiness, and 51:31 on stress, happiness, and bone health. So, 51:34 bone health. So, 51:34 bone health. So, thank you for always 51:35 thank you for always 51:35 thank you for always giving everyone a discount, 51:37 giving everyone a discount, 51:37 giving everyone a discount, we'll add it to the 51:38 we'll add it to the 51:38 we'll add it to the release notes as well. 51:39 release notes as well. 51:43 Maybe we should stop the 51:43 Maybe we should stop the slide show now? 51:44 slide show now? 51:45 slide show now? Dr. Milan, this 51:46 Dr. Milan, this 51:46 Dr. Milan, this was extremely 51:47 was extremely 51:47 was extremely helpful, and it's very 51:48 helpful, and it's very 51:48 helpful, and it's very inspiring that people 51:49 inspiring that people 51:49 inspiring that people can 51:50 can 51:50 can do so much for their 51:51 do so much for their 51:51 do so much for their health while seeing 51:52 health while seeing 51:52 health while seeing real results. 51:53 real results. 51:53 real results. This is truly fascinating. Is 51:54 This is truly fascinating. Is 51:54 This is truly fascinating. Is there anything else you 51:55 there anything else you 51:55 there anything else you would like to share 51:57 would like to share 51:57 would like to share before we wrap up? 51:58 before we wrap up? 51:59 before we wrap up? Yes, I want people to 52:00 Yes, I want people to 52:00 Yes, I want people to feel confident 52:01 feel confident 52:01 feel confident in their abilities after 52:02 in their abilities after 52:02 in their abilities after this conversation. You 52:04 this conversation. You 52:04 this conversation. You can really 52:04 can really 52:05 can really do a lot. 52:06 do a lot. 52:07 do a lot. Just take one 52:08 Just take one 52:08 Just take one small step and 52:09 small step and 52:09 small step and build your success 52:10 build your success 52:10 build your success further. And then 52:12 further. And then 52:12 further. And then see where 52:14 see where 52:14 see where it leads you. 52:15 it leads you. 52:18 Margie and I are always here to 52:19 support you. 52:22 Certainly. That's exactly what 52:22 Certainly. That's exactly what works. You know, you 52:23 works. You know, you 52:23 works. You know, you shouldn't try to 52:24 shouldn't try to 52:24 shouldn't try to do everything at once, 52:25 do everything at once, 52:25 do everything at once, because that can make you 52:25 because that can make you 52:26 because that can make you confused and 52:26 confused and 52:26 confused and stop. One step 52:27 stop. One step , the next step—and 52:29 , the next step—and 52:29 , the next step—and suddenly you see that you 52:30 suddenly you see that you 52:30 suddenly you see that you 've changed your lifestyle, 52:31 've changed your lifestyle, 52:31 've changed your lifestyle, your bones have become 52:32 your bones have become 52:32 your bones have become stronger, everything 52:33 stronger, everything 52:33 stronger, everything has improved, and this 52:35 has improved, and this 52:35 has improved, and this diagnosis has turned out to be 52:36 diagnosis has turned out to be 52:36 diagnosis has turned out to be a blessing. 52:39 a blessing. 52:39 a blessing. Thank you very much for joining 52:40 Thank you very much for joining 52:40 Thank you very much for joining me today and 52:41 me today and 52:41 me today and answering this very, 52:43 answering this very, 52:43 answering this very, very important question. 52:44 very important question. 52:47 I know I see 52:47 I know I see you all the time. 52:50 you all the time. 52:50 you all the time. See you soon. 52:51 See you soon. 52:51 See you soon. That was nice. 52:52 That was nice. 52:53 That was nice. I hope you 52:54 I hope you 52:54 I hope you enjoyed my 52:55 enjoyed my 52:55 enjoyed my interview with Dr. 52:56 interview with Dr. 52:56 interview with Dr. Melman as much as 52:57 Melman as much as 52:57 Melman as much as I did, and now you have a better 52:59 I did, and now you have a better 52:59 I did, and now you have a better understanding of your 53:00 understanding of your 53:00 understanding of your options. All of the 53:01 options. All of the 53:01 options. All of the links 53:02 links 53:02 links Dr. 53:03 Dr. 53:03 Dr. Melman mentioned will be in the 53:04 Melman mentioned will be in the 53:04 Melman mentioned will be in the release notes, 53:05 release notes, 53:05 release notes, including a link 53:06 including a link 53:06 including a link to her R&R program and 53:08 to her R&R program and 53:08 to her R&R program and our 53:08 our 53:08 our specialist directory. Thanks 53:10 specialist directory. Thanks 53:10 specialist directory. Thanks for joining us, and I 53:11 for joining us, and I 53:11 for joining us, and I look forward to seeing you 53:13 look forward to seeing you 53:13 look forward to seeing you in the next 53:14 in the next 53:14 in the next episode.
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