Full Transcript Introduction: Osteoporosis in men 0:02 Hey, Marie here. When we talk about 0:02 Hey, Marie here. When we talk about osteoporosis, we usually think about 0:04 osteoporosis, we usually think about 0:04 osteoporosis, we usually think about women, but men also get osteoporosis. 0:08 women, but men also get osteoporosis. 0:08 women, but men also get osteoporosis. And unfortunately, it often goes 0:11 And unfortunately, it often goes 0:11 And unfortunately, it often goes undiagnosed until a fracture occurs. 0:14 undiagnosed until a fracture occurs. 0:14 undiagnosed until a fracture occurs. Today, we're shining a light on this 0:16 Today, we're shining a light on this 0:16 Today, we're shining a light on this overlooked area of bone health. My 0:19 overlooked area of bone health. My 0:19 overlooked area of bone health. My special guest is Dr. Tom Forfea, a 0:22 special guest is Dr. Tom Forfea, a 0:22 special guest is Dr. Tom Forfea, a medical doctor who also has a very 0:25 medical doctor who also has a very 0:25 medical doctor who also has a very personal connection to this topic. Dr. 0:28 personal connection to this topic. Dr. 0:28 personal connection to this topic. Dr. For was diagnosed with osteoporosis at a 0:30 For was diagnosed with osteoporosis at a 0:30 For was diagnosed with osteoporosis at a young age after experiencing multiple 0:33 young age after experiencing multiple 0:33 young age after experiencing multiple fractures. His own experience led him to 0:36 fractures. His own experience led him to 0:36 fractures. His own experience led him to focus on understanding osteoporosis 0:39 focus on understanding osteoporosis 0:39 focus on understanding osteoporosis particularly in men and the role of 0:41 particularly in men and the role of 0:41 particularly in men and the role of exercise, nutrition, lifestyle, and 0:44 exercise, nutrition, lifestyle, and 0:44 exercise, nutrition, lifestyle, and medical treatment. In this talk, we'll 0:46 medical treatment. In this talk, we'll 0:46 medical treatment. In this talk, we'll discuss why osteoporosis in men is so 0:49 discuss why osteoporosis in men is so 0:50 discuss why osteoporosis in men is so often missed, who's at risk, and what 0:53 often missed, who's at risk, and what 0:53 often missed, who's at risk, and what men can do to protect their bones as 0:55 men can do to protect their bones as 0:55 men can do to protect their bones as they age. So, this is full of lots of 0:58 they age. So, this is full of lots of 0:58 they age. So, this is full of lots of good information if this is for you or 1:01 good information if this is for you or 1:01 good information if this is for you or the men in your life. So, stay tuned. 1:10 Welcome, Tom. So happy to have you here 1:10 Welcome, Tom. So happy to have you here on the [music] podcast. This is such an 1:13 on the [music] podcast. This is such an 1:13 on the [music] podcast. This is such an important topic, but yet so few people 1:17 important topic, but yet so few people 1:17 important topic, but yet so few people talk about it. you know, the women are 1:19 talk about it. you know, the women are 1:20 talk about it. you know, the women are doing all these amazing things for their 1:22 doing all these amazing things for their 1:22 doing all these amazing things for their bones and seeing so many great results, 1:24 bones and seeing so many great results, 1:24 bones and seeing so many great results, but the men have sort of been overlooked 1:26 but the men have sort of been overlooked 1:26 but the men have sort of been overlooked in this and I think it's really 1:29 in this and I think it's really 1:29 in this and I think it's really unfortunate. 1:30 unfortunate. 1:30 unfortunate. So, welcome. 1:31 So, welcome. 1:31 So, welcome. >> Thanks for having me, Margie. I'm really 1:33 >> Thanks for having me, Margie. I'm really 1:33 >> Thanks for having me, Margie. I'm really excited to be here talking to to your 1:36 excited to be here talking to to your 1:36 excited to be here talking to to your audience and uh and hopefully helping 1:38 audience and uh and hopefully helping 1:38 audience and uh and hopefully helping some men with their bone density. you 1:40 some men with their bone density. you 1:40 some men with their bone density. you know, why don't you share you were you 1:42 know, why don't you share you were you 1:42 know, why don't you share you were you personally were diagnosed with early 1:44 personally were diagnosed with early 1:44 personally were diagnosed with early onset osteoporosis in your 30s. I mean, 1:48 onset osteoporosis in your 30s. I mean, 1:48 onset osteoporosis in your 30s. I mean, tell us your story because I think that 1:50 tell us your story because I think that 1:50 tell us your story because I think that will explain why you're so passionate 1:53 will explain why you're so passionate 1:53 will explain why you're so passionate about all the work you do. But why don't 1:55 about all the work you do. But why don't 1:55 about all the work you do. But why don't why don't you just share how you got 1:57 why don't you just share how you got 1:58 why don't you just share how you got even into this area. 2:00 even into this area. 2:00 even into this area. >> Yeah. So, I I had 13 fractures in 10
Dr. Tom Forfau2019s 13-fracture osteoporosis story 2:03 >> Yeah. So, I I had 13 fractures in 10 2:04 >> Yeah. So, I I had 13 fractures in 10 years before anyone connected the dots. 2:06 years before anyone connected the dots. 2:06 years before anyone connected the dots. And even I didn't realize, I think my 2:08 And even I didn't realize, I think my 2:08 And even I didn't realize, I think my wife had had enough at one point. I I I 2:10 wife had had enough at one point. I I I 2:10 wife had had enough at one point. I I I I'd fallen off a bicycle. It was nothing 2:13 I'd fallen off a bicycle. It was nothing 2:13 I'd fallen off a bicycle. It was nothing major. I shouldn't have broken a bone, 2:14 major. I shouldn't have broken a bone, 2:14 major. I shouldn't have broken a bone, but I broke my wrist. She was like, 2:16 but I broke my wrist. She was like, 2:16 but I broke my wrist. She was like, "Tom, that's enough. You've got to get 2:18 "Tom, that's enough. You've got to get 2:18 "Tom, that's enough. You've got to get your bones scanned." And sure enough, I 2:20 your bones scanned." And sure enough, I 2:20 your bones scanned." And sure enough, I had osteoporosis in my lower back with 2:23 had osteoporosis in my lower back with 2:23 had osteoporosis in my lower back with two additional crush fractures, 2:25 two additional crush fractures, 2:25 two additional crush fractures, osteopenia in my hip. And that w that 2:29 osteopenia in my hip. And that w that 2:29 osteopenia in my hip. And that w that kind of was was a bit of a shock to the 2:31 kind of was was a bit of a shock to the 2:31 kind of was was a bit of a shock to the system for me cuz I was 37 otherwise 2:34 system for me cuz I was 37 otherwise 2:34 system for me cuz I was 37 otherwise healthy and I was told that I had the 2:36 healthy and I was told that I had the 2:36 healthy and I was told that I had the the bones of a healthy 85year-old man. 2:39 the bones of a healthy 85year-old man. 2:39 the bones of a healthy 85year-old man. And so and and I was confused and I was 2:42 And so and and I was confused and I was 2:42 And so and and I was confused and I was frightened. I I was wondering, you know, 2:44 frightened. I I was wondering, you know, 2:44 frightened. I I was wondering, you know, what what did this mean for me? Was I 2:46 what what did this mean for me? Was I 2:46 what what did this mean for me? Was I going to keep breaking bones? Was I 2:48 going to keep breaking bones? Was I 2:48 going to keep breaking bones? Was I going to break my back? And I think a 2:50 going to break my back? And I think a 2:50 going to break my back? And I think a lot of people experience that. And 2:53 lot of people experience that. And 2:53 lot of people experience that. And that's one of the one of the things that 2:54 that's one of the one of the things that 2:54 that's one of the one of the things that that that kind of sat with me when I 2:57 that that kind of sat with me when I 2:57 that that kind of sat with me when I left the doctor's clinic was I had a 3:00 left the doctor's clinic was I had a 3:00 left the doctor's clinic was I had a DEXA scan and a prescription and my head 3:03 DEXA scan and a prescription and my head 3:03 DEXA scan and a prescription and my head was spinning. I was wondering what was 3:04 was spinning. I was wondering what was 3:04 was spinning. I was wondering what was happening and I had a medical degree and 3:07 happening and I had a medical degree and 3:07 happening and I had a medical degree and uh so I only imagine what it's like for 3:10 uh so I only imagine what it's like for 3:10 uh so I only imagine what it's like for everybody else. So I am a doctor by 3:13 everybody else. So I am a doctor by 3:13 everybody else. So I am a doctor by training. I I left clinical practice to 3:15 training. I I left clinical practice to 3:15 training. I I left clinical practice to to pursue research and and education. 3:19 to pursue research and and education. 3:19 to pursue research and and education. But then having been diagnosed with 3:20 But then having been diagnosed with 3:20 But then having been diagnosed with osteoporosis kind of pulled me back into 3:22 osteoporosis kind of pulled me back into 3:22 osteoporosis kind of pulled me back into it because I thought you know what is 3:24 it because I thought you know what is 3:24 it because I thought you know what is going on here. I thought this was a 3:27 going on here. I thought this was a 3:27 going on here. I thought this was a condition for women and probably older 3:29 condition for women and probably older 3:29 condition for women and probably older women and here I am as a young man 3:31 women and here I am as a young man 3:31 women and here I am as a young man getting this. So I started I thought you 3:33 getting this. So I started I thought you 3:33 getting this. So I started I thought you know what I'm going to figure this thing 3:34 know what I'm going to figure this thing 3:34 know what I'm going to figure this thing out. And so I went into back into the 3:36 out. And so I went into back into the 3:36 out. And so I went into back into the textbooks into the studies. I used my 3:39 textbooks into the studies. I used my 3:39 textbooks into the studies. I used my medical training to try and understand 3:41 medical training to try and understand 3:41 medical training to try and understand what was going on here. We couldn't find 3:43 what was going on here. We couldn't find 3:43 what was going on here. We couldn't find any particular reason for my 3:45 any particular reason for my 3:45 any particular reason for my osteoporosis. There are a few different 3:47 osteoporosis. There are a few different 3:47 osteoporosis. There are a few different potential factors that they all kind of 3:49 potential factors that they all kind of 3:50 potential factors that they all kind of combined into into the perfect storm, so 3:53 combined into into the perfect storm, so 3:53 combined into into the perfect storm, so to say. But I was able to start turning 3:56 to say. But I was able to start turning 3:56 to say. But I was able to start turning my bone density around very quickly by 3:59 my bone density around very quickly by 3:59 my bone density around very quickly by understanding what's going on with the 4:01 understanding what's going on with the 4:01 understanding what's going on with the bones, what actually works for men and 4:03 bones, what actually works for men and 4:03 bones, what actually works for men and and what I can start start implementing 4:06 and what I can start start implementing 4:06 and what I can start start implementing right away. And so within 6 months, I 4:08 right away. And so within 6 months, I 4:08 right away. And so within 6 months, I was able to start turning that around 4:10 was able to start turning that around 4:10 was able to start turning that around and I've been able to continue that. 4:11 and I've been able to continue that. 4:11 and I've been able to continue that. It's been a up and down path. you know, 4:13 It's been a up and down path. you know, 4:14 It's been a up and down path. you know, hasn't always been smooth sailing, but 4:15 hasn't always been smooth sailing, but 4:15 hasn't always been smooth sailing, but I've been able to go from breaking 13 4:18 I've been able to go from breaking 13 4:18 I've been able to go from breaking 13 bones in 10 years to now powerlifting 4:21 bones in 10 years to now powerlifting 4:21 bones in 10 years to now powerlifting and no broken bones. And I started 4:24 and no broken bones. And I started 4:24 and no broken bones. And I started sharing that story with people and they 4:25 sharing that story with people and they 4:25 sharing that story with people and they they said, you know, Tom, how did you do 4:27 they said, you know, Tom, how did you do 4:27 they said, you know, Tom, how did you do it? How have you done this? And so I 4:28 it? How have you done this? And so I 4:28 it? How have you done this? And so I started to to to to show I felt like 4:31 started to to to to show I felt like 4:31 started to to to to show I felt like there was a gap for for men because a 4:33 there was a gap for for men because a 4:33 there was a gap for for men because a lot of the focus that I saw, 4:35 lot of the focus that I saw, 4:35 lot of the focus that I saw, understandably so, the studies and and 4:38 understandably so, the studies and and 4:38 understandably so, the studies and and all the treatments were were for women. 4:40 all the treatments were were for women. 4:40 all the treatments were were for women. But then there was this group of men who 4:41 But then there was this group of men who 4:41 But then there was this group of men who were who were just like myself confused, 4:44 were who were just like myself confused, 4:44 were who were just like myself confused, frightened, wondering what's going on 4:46 frightened, wondering what's going on 4:46 frightened, wondering what's going on and no one was really speaking to them. 4:48 and no one was really speaking to them. 4:48 and no one was really speaking to them. So I thought, you know what, let me let 4:49 So I thought, you know what, let me let 4:49 So I thought, you know what, let me let me help the fellas and and help them 4:51 me help the fellas and and help them 4:52 me help the fellas and and help them understand what's going on here and what 4:53 understand what's going on here and what 4:53 understand what's going on here and what might be the path forward for them. 4:55 might be the path forward for them. 4:55 might be the path forward for them. >> I love that. Would you share what some 4:57 >> I love that. Would you share what some 4:57 >> I love that. Would you share what some of your root causes were because that's 4:59 of your root causes were because that's 4:59 of your root causes were because that's what I see really missing in 5:02 what I see really missing in 5:02 what I see really missing in osteoporosis treatment. you know, you 5:04 osteoporosis treatment. you know, you 5:04 osteoporosis treatment. you know, you have the DAX as you say and then you get 5:06 have the DAX as you say and then you get 5:06 have the DAX as you say and then you get a prescription, but the root causes 5:09 a prescription, but the root causes 5:09 a prescription, but the root causes oftentimes are missed. So, what have you
Why osteoporosis develops differently in men 5:11 oftentimes are missed. So, what have you 5:11 oftentimes are missed. So, what have you found, especially early on with men's? 5:13 found, especially early on with men's? 5:13 found, especially early on with men's? What were some of the what were your 5:15 What were some of the what were your 5:15 What were some of the what were your root causes if you don't if if it's okay 5:17 root causes if you don't if if it's okay 5:17 root causes if you don't if if it's okay to share those? 5:17 to share those? 5:18 to share those? >> Yeah. Yeah, I'm happy to share that. So, 5:19 >> Yeah. Yeah, I'm happy to share that. So, 5:19 >> Yeah. Yeah, I'm happy to share that. So, for me, like I said, there was no 5:20 for me, like I said, there was no 5:20 for me, like I said, there was no specific kind of one thing we could I 5:23 specific kind of one thing we could I 5:23 specific kind of one thing we could I could hang my hat on. It was a 5:24 could hang my hat on. It was a 5:24 could hang my hat on. It was a combination of factors. So, my 5:26 combination of factors. So, my 5:26 combination of factors. So, my testosterone levels are kind of not low, 5:29 testosterone levels are kind of not low, 5:29 testosterone levels are kind of not low, but bottom line, like bouncing over the 5:31 but bottom line, like bouncing over the 5:31 but bottom line, like bouncing over the the bouncing on the bottom line of of 5:34 the bouncing on the bottom line of of 5:34 the bouncing on the bottom line of of low. And we can speak about that more in 5:36 low. And we can speak about that more in 5:36 low. And we can speak about that more in a second, but testosterone is a big one 5:38 a second, but testosterone is a big one 5:38 a second, but testosterone is a big one for men with with with bone strength. I 5:40 for men with with with bone strength. I 5:40 for men with with with bone strength. I was also intolerant to gluten, not 5:43 was also intolerant to gluten, not 5:43 was also intolerant to gluten, not celiac, you know, no no no major 5:45 celiac, you know, no no no major 5:45 celiac, you know, no no no major malabsorption problems, but just 5:47 malabsorption problems, but just 5:47 malabsorption problems, but just intolerant. So, I would inflame and 5:49 intolerant. So, I would inflame and 5:49 intolerant. So, I would inflame and probably that would affect my absorption 5:51 probably that would affect my absorption 5:51 probably that would affect my absorption of nutrients over a long period of time. 5:53 of nutrients over a long period of time. 5:53 of nutrients over a long period of time. as well as I I was I didn't consume much 5:56 as well as I I was I didn't consume much 5:56 as well as I I was I didn't consume much calcium in my 20s and 30s. I was kind of 5:58 calcium in my 20s and 30s. I was kind of 5:58 calcium in my 20s and 30s. I was kind of anti-dairy for whatever reason and and 6:01 anti-dairy for whatever reason and and 6:01 anti-dairy for whatever reason and and so I wasn't consuming much of that. So 6:03 so I wasn't consuming much of that. So 6:03 so I wasn't consuming much of that. So those kind of but also a lot of stress 6:05 those kind of but also a lot of stress 6:05 those kind of but also a lot of stress and and lack of as much of the right 6:08 and and lack of as much of the right 6:08 and and lack of as much of the right activities as I was going through my 6:10 activities as I was going through my 6:10 activities as I was going through my medical degree and my medical training. 6:12 medical degree and my medical training. 6:12 medical degree and my medical training. And I think all those factors kind of 6:14 And I think all those factors kind of 6:14 And I think all those factors kind of played in together. There's no family 6:16 played in together. There's no family 6:16 played in together. There's no family history in my family. My my my mom likes 6:19 history in my family. My my my mom likes 6:19 history in my family. My my my mom likes to tease me about how strong her bones 6:21 to tease me about how strong her bones 6:22 to tease me about how strong her bones actually are, whereas mine are not or 6:25 actually are, whereas mine are not or 6:25 actually are, whereas mine are not or were not. And so those are kind of the 6:27 were not. And so those are kind of the 6:27 were not. And so those are kind of the the factors for myself. But if we we 6:29 the factors for myself. But if we we 6:29 the factors for myself. But if we we speak generally for men, it that there 6:33 speak generally for men, it that there 6:33 speak generally for men, it that there kind of contributing causes. And that's 6:35 kind of contributing causes. And that's 6:35 kind of contributing causes. And that's the big difference between women and 6:37 the big difference between women and 6:37 the big difference between women and men's osteoporosis is is often the 6:40 men's osteoporosis is is often the 6:40 men's osteoporosis is is often the context in which it happens. So, so for 6:42 context in which it happens. So, so for 6:42 context in which it happens. So, so for women, as your audience knows, it it's 6:44 women, as your audience knows, it it's 6:44 women, as your audience knows, it it's it's menopause that that that causes the 6:46 it's menopause that that that causes the 6:46 it's menopause that that that causes the drop in estrogen, the drop in bone 6:48 drop in estrogen, the drop in bone 6:48 drop in estrogen, the drop in bone density. For men, there isn't that kind 6:50 density. For men, there isn't that kind 6:50 density. For men, there isn't that kind of a intense period of of bone loss. It 6:53 of a intense period of of bone loss. It 6:53 of a intense period of of bone loss. It can tends to be more gradual or there's 6:55 can tends to be more gradual or there's 6:55 can tends to be more gradual or there's the the for the vast majority, there's 6:58 the the for the vast majority, there's 6:58 the the for the vast majority, there's an underlying medical condition or a 7:00 an underlying medical condition or a 7:00 an underlying medical condition or a medication that's causing it. And so, 7:04 medication that's causing it. And so, 7:04 medication that's causing it. And so, and that is often often underlooked as 7:06 and that is often often underlooked as 7:06 and that is often often underlooked as you've mentioned there, Margie. Yeah, 7:08 you've mentioned there, Margie. Yeah, 7:08 you've mentioned there, Margie. Yeah, it's so interesting because in this 7:10 it's so interesting because in this 7:10 it's so interesting because in this community, you know, not celiac, but 7:13 community, you know, not celiac, but 7:13 community, you know, not celiac, but gluten sensitivity is such a big deal 7:17 gluten sensitivity is such a big deal 7:17 gluten sensitivity is such a big deal and that's not picked up, you know, they 7:19 and that's not picked up, you know, they 7:19 and that's not picked up, you know, they every almost every doctor who's working 7:21 every almost every doctor who's working 7:21 every almost every doctor who's working with osteoporosis will check for celiac 7:23 with osteoporosis will check for celiac 7:23 with osteoporosis will check for celiac because that's a known risk factor, but 7:26 because that's a known risk factor, but 7:26 because that's a known risk factor, but it's this gluten sensitivity, the 7:28 it's this gluten sensitivity, the 7:28 it's this gluten sensitivity, the nonseliac that's so prevalent and can 7:31 nonseliac that's so prevalent and can 7:31 nonseliac that's so prevalent and can cause so much inflammation. So, it's 7:34 cause so much inflammation. So, it's 7:34 cause so much inflammation. So, it's really interesting. I do see that a lot 7:36 really interesting. I do see that a lot 7:36 really interesting. I do see that a lot with younger people and you know that's 7:39 with younger people and you know that's 7:39 with younger people and you know that's the few again I don't work most of my 7:41 the few again I don't work most of my 7:41 the few again I don't work most of my community are women but with the men 7:42 community are women but with the men 7:42 community are women but with the men that who are in the air in the community 7:45 that who are in the air in the community 7:45 that who are in the air in the community that's is a very big deal this either 7:48 that's is a very big deal this either 7:48 that's is a very big deal this either it's celiac 7:49 it's celiac 7:49 it's celiac >> yeah definitely that malabsorption is is 7:51 >> yeah definitely that malabsorption is is 7:51 >> yeah definitely that malabsorption is is a big one the the the the going back to
Major osteoporosis risk factors for men 7:54 a big one the the the the going back to 7:54 a big one the the the the going back to the testosterone 7:56 the testosterone 7:56 the testosterone >> low testosterone hypogonatism as it's 7:59 >> low testosterone hypogonatism as it's 7:59 >> low testosterone hypogonatism as it's referred to is one of the major causes 8:01 referred to is one of the major causes 8:01 referred to is one of the major causes and that could be you know due to just 8:04 and that could be you know due to just 8:04 and that could be you know due to just uh natural drop over time or it could be 8:07 uh natural drop over time or it could be 8:07 uh natural drop over time or it could be secondary to something like a cancer 8:09 secondary to something like a cancer 8:09 secondary to something like a cancer treatment. So for example for prostate 8:11 treatment. So for example for prostate 8:11 treatment. So for example for prostate cancer often men are treated with 8:13 cancer often men are treated with 8:13 cancer often men are treated with androgen deprivation therapy which 8:15 androgen deprivation therapy which 8:15 androgen deprivation therapy which forcefully drops the testosterone levels 8:17 forcefully drops the testosterone levels 8:18 forcefully drops the testosterone levels and the natural kind of flow on effect 8:19 and the natural kind of flow on effect 8:19 and the natural kind of flow on effect of that is osteoporosis. So for any of 8:23 of that is osteoporosis. So for any of 8:23 of that is osteoporosis. So for any of the the the gentlemen who might be 8:24 the the the gentlemen who might be 8:24 the the the gentlemen who might be listening or or or the wives of them, if 8:27 listening or or or the wives of them, if 8:27 listening or or or the wives of them, if if if you've been on prostate cancer 8:30 if if you've been on prostate cancer 8:30 if if you've been on prostate cancer treatment, your testosterone's dropped, 8:31 treatment, your testosterone's dropped, 8:31 treatment, your testosterone's dropped, that could be a warning sign or it could 8:34 that could be a warning sign or it could 8:34 that could be a warning sign or it could be one of the causes as well. So low 8:36 be one of the causes as well. So low 8:36 be one of the causes as well. So low testosterone, as you said, malabsorption 8:38 testosterone, as you said, malabsorption 8:38 testosterone, as you said, malabsorption problems are a big one. But specifically 8:41 problems are a big one. But specifically 8:41 problems are a big one. But specifically for men, it would be also large amounts 8:44 for men, it would be also large amounts 8:44 for men, it would be also large amounts of alcohol consumption because that 8:46 of alcohol consumption because that 8:46 of alcohol consumption because that tends to be more prevalent in men. but 8:48 tends to be more prevalent in men. but 8:48 tends to be more prevalent in men. but also long-term glucocorticoid use. So 8:52 also long-term glucocorticoid use. So 8:52 also long-term glucocorticoid use. So for long-term steroid use is another one 8:55 for long-term steroid use is another one 8:55 for long-term steroid use is another one that that we see a lot in men. Those top 8:57 that that we see a lot in men. Those top 8:58 that that we see a lot in men. Those top those are the kind of the top four. And 9:00 those are the kind of the top four. And 9:00 those are the kind of the top four. And then we move into the similar ones as as 9:02 then we move into the similar ones as as 9:02 then we move into the similar ones as as with women like par hyperarathyroidism, 9:05 with women like par hyperarathyroidism, 9:05 with women like par hyperarathyroidism, hypothyroidism, Cushing syndrome, those 9:08 hypothyroidism, Cushing syndrome, those 9:08 hypothyroidism, Cushing syndrome, those kinds of conditions. But yeah, for for 9:10 kinds of conditions. But yeah, for for 9:10 kinds of conditions. But yeah, for for men that what we find is that because 9:13 men that what we find is that because 9:13 men that what we find is that because it's seen as a understandably a women's 9:17 it's seen as a understandably a women's 9:17 it's seen as a understandably a women's condition, 95% of all cases of 9:18 condition, 95% of all cases of 9:18 condition, 95% of all cases of osteoporosis are in women. If a if a man 9:21 osteoporosis are in women. If a if a man 9:21 osteoporosis are in women. If a if a man has the risk factors, we kind of just 9:23 has the risk factors, we kind of just 9:23 has the risk factors, we kind of just brush it off as something else. So if 9:25 brush it off as something else. So if 9:25 brush it off as something else. So if he's fallen over and broken something, 9:27 he's fallen over and broken something, 9:27 he's fallen over and broken something, well, that's just bad luck and we kind 9:29 well, that's just bad luck and we kind 9:29 well, that's just bad luck and we kind of tend to to brush it off, but it could 9:31 of tend to to brush it off, but it could 9:31 of tend to to brush it off, but it could be a early warning sign that there is 9:33 be a early warning sign that there is 9:33 be a early warning sign that there is something going on with the bones. if if 9:35 something going on with the bones. if if 9:36 something going on with the bones. if if they've kind of shrunk a little bit over 9:37 they've kind of shrunk a little bit over 9:37 they've kind of shrunk a little bit over the years, that could be another warning 9:40 the years, that could be another warning 9:40 the years, that could be another warning sign for men as well. But once men get 9:43 sign for men as well. But once men get 9:43 sign for men as well. But once men get osteoporosis, 9:45 osteoporosis, 9:45 osteoporosis, they tend to really kind of suffer from 9:47 they tend to really kind of suffer from 9:47 they tend to really kind of suffer from it. So they break more frequently. So 9:50 it. So they break more frequently. So 9:50 it. So they break more frequently. So 50% of men with osteoporosis will 9:52 50% of men with osteoporosis will 9:52 50% of men with osteoporosis will actually break a bone and they're twice 9:53 actually break a bone and they're twice 9:53 actually break a bone and they're twice as likely as women to then refraracture 9:55 as likely as women to then refraracture 9:56 as likely as women to then refraracture after that. And if they unfortunately 9:58 after that. And if they unfortunately 9:58 after that. And if they unfortunately break a hip, they're more likely to pass 10:00 break a hip, they're more likely to pass 10:00 break a hip, they're more likely to pass away within the first 12 months and less 10:03 away within the first 12 months and less 10:03 away within the first 12 months and less likely to recover due to the other kind 10:05 likely to recover due to the other kind 10:05 likely to recover due to the other kind of conditions and comorbidities that 10:07 of conditions and comorbidities that 10:07 of conditions and comorbidities that they that they have. So they tend to 10:09 they that they have. So they tend to 10:09 they that they have. So they tend to kind of be already deconditioned to 10:12 kind of be already deconditioned to 10:12 kind of be already deconditioned to certain degree and then when the 10:14 certain degree and then when the 10:14 certain degree and then when the osteoporosis hits it, it can be a 10:17 osteoporosis hits it, it can be a 10:17 osteoporosis hits it, it can be a cascade effect from there. 10:19 cascade effect from there. 10:19 cascade effect from there. >> Now given those statistics, those are 10:21 >> Now given those statistics, those are 10:21 >> Now given those statistics, those are horrible. It's unbelievable 10:24 horrible. It's unbelievable 10:24 horrible. It's unbelievable that this isn't out there more than it 10:27 that this isn't out there more than it 10:27 that this isn't out there more than it is. Now, it's interesting because when a 10:29 is. Now, it's interesting because when a 10:29 is. Now, it's interesting because when a woman is put on like an aromatase 10:32 woman is put on like an aromatase 10:32 woman is put on like an aromatase inhibitor or with cancer treatment, the 10:33 inhibitor or with cancer treatment, the 10:34 inhibitor or with cancer treatment, the doctor knows about the ramifications on 10:37 doctor knows about the ramifications on 10:37 doctor knows about the ramifications on her bones. Is that not the case? Because 10:39 her bones. Is that not the case? Because 10:39 her bones. Is that not the case? Because so many men unfortunately do have 10:41 so many men unfortunately do have 10:41 so many men unfortunately do have prostate cancer as they get older. I 10:43 prostate cancer as they get older. I 10:43 prostate cancer as they get older. I mean, it's not something that is is a 10:46 mean, it's not something that is is a 10:46 mean, it's not something that is is a few amount. You know, there can be 10:48 few amount. You know, there can be 10:48 few amount. You know, there can be significant people. Do have you found 10:50 significant people. Do have you found 10:50 significant people. Do have you found that the doctors will make sure about 10:53 that the doctors will make sure about 10:53 that the doctors will make sure about their bones or is it not even looked 10:55 their bones or is it not even looked 10:55 their bones or is it not even looked into? 10:56 into? 10:56 into? >> It's generally overlooked to be honest. 10:58 >> It's generally overlooked to be honest. 10:58 >> It's generally overlooked to be honest. It's uh it's not something that it's 11:01 It's uh it's not something that it's 11:01 It's uh it's not something that it's front of mind because it is the 11:04 front of mind because it is the 11:04 front of mind because it is the misconception is that it is a women's 11:06 misconception is that it is a women's 11:06 misconception is that it is a women's condition. So, oh, we don't need to 11:07 condition. So, oh, we don't need to 11:08 condition. So, oh, we don't need to think about it for this guy. We've got 11:09 think about it for this guy. We've got 11:09 think about it for this guy. We've got other things to worry about until he 11:11 other things to worry about until he 11:11 other things to worry about until he starts breaking bones and then it might 11:14 starts breaking bones and then it might 11:14 starts breaking bones and then it might come up in conversation with wi with 11:16 come up in conversation with wi with 11:16 come up in conversation with wi with with the doctor. And that's why I've 11:18 with the doctor. And that's why I've 11:18 with the doctor. And that's why I've been trying to, you know, spread the 11:19 been trying to, you know, spread the 11:19 been trying to, you know, spread the message. 11:21 message. 11:21 message. >> Hey, Margie here. As a physical 11:23 >> Hey, Margie here. As a physical 11:23 >> Hey, Margie here. As a physical therapist, I know firsthand how 11:25 therapist, I know firsthand how 11:25 therapist, I know firsthand how important exercise is [music] for our 11:27 important exercise is [music] for our 11:27 important exercise is [music] for our bones, overall health, and happiness. 11:30 bones, overall health, and happiness. 11:30 bones, overall health, and happiness. And unfortunately, there's a lot of 11:32 And unfortunately, there's a lot of 11:32 And unfortunately, there's a lot of confusion [music] on what exercises are 11:35 confusion [music] on what exercises are 11:35 confusion [music] on what exercises are safe and effective for people with 11:37 safe and effective for people with 11:37 safe and effective for people with osteoporosis. [music] 11:38 osteoporosis. [music] 11:38 osteoporosis. [music] That's why I created this handout that 11:40 That's why I created this handout that 11:40 That's why I created this handout that contains a 30 minute video where [music] 11:43 contains a 30 minute video where [music] 11:43 contains a 30 minute video where [music] I explain the concepts so you understand 11:45 I explain the concepts so you understand 11:46 I explain the concepts so you understand the dos and don'ts [music] when it comes 11:47 the dos and don'ts [music] when it comes 11:48 the dos and don'ts [music] when it comes to exercise. And this is important 11:50 to exercise. And this is important 11:50 to exercise. And this is important because this way you can go into any 11:52 because this way you can go into any 11:52 because this way you can go into any class [music] and know what you should 11:54 class [music] and know what you should 11:54 class [music] and know what you should be doing and what you should avoid 11:57 be doing and what you should avoid 11:57 be doing and what you should avoid because too many people are doing 11:59 because too many people are doing 11:59 because too many people are doing [music] exercises that actually increase 12:01 [music] exercises that actually increase 12:01 [music] exercises that actually increase their risk of spinal fractures. I also 12:04 their risk of spinal fractures. I also 12:04 their risk of spinal fractures. I also included videos of me demonstrating 12:07 included videos of me demonstrating 12:07 included videos of me demonstrating effective balance, posture, and 12:09 effective balance, posture, and 12:09 effective balance, posture, and weightbearing exercises you can put into 12:12 weightbearing exercises you can put into 12:12 weightbearing exercises you can put into your day right away. So, all you need to 12:15 your day right away. So, all you need to 12:15 your day right away. So, all you need to do to access this handout, it's free, is 12:18 do to access this handout, it's free, is 12:18 do to access this handout, it's free, is go to tinyurl.com/steoporosis 12:28 exercises. So it's t i nyurl.com 12:28 exercises. So it's t i nyurl.com again [music] 12:33 exercises or you can click the link in 12:33 exercises or you can click the link in the show notes. Now back to the show. 12:37 the show notes. Now back to the show. 12:37 the show notes. Now back to the show. Wow. So this really needs to get out 12:39 Wow. So this really needs to get out 12:39 Wow. So this really needs to get out there. I mean I know many people you 12:43 there. I mean I know many people you 12:43 there. I mean I know many people you know fortunately it's something with 12:45 know fortunately it's something with 12:45 know fortunately it's something with prostate cancer that people do okay with 12:48 prostate cancer that people do okay with 12:48 prostate cancer that people do okay with and that can happen at a younger age. I 12:50 and that can happen at a younger age. I 12:50 and that can happen at a younger age. I mean now the treat good when caught 12:51 mean now the treat good when caught 12:52 mean now the treat good when caught early and they're being monitored. I 12:54 early and they're being monitored. I 12:54 early and they're being monitored. I think that has gotten quite good with 12:55 think that has gotten quite good with 12:56 think that has gotten quite good with the surgeries and different treatments. 12:58 the surgeries and different treatments. 12:58 the surgeries and different treatments. However, I really that's that's so 13:00 However, I really that's that's so 13:00 However, I really that's that's so interesting that there's not the 13:02 interesting that there's not the 13:02 interesting that there's not the followup with their bones. Why do you 13:04 followup with their bones. Why do you 13:04 followup with their bones. Why do you think that is? 13:05 think that is? 13:05 think that is? >> Yeah. Well, I think it depends on the 13:07 >> Yeah. Well, I think it depends on the 13:07 >> Yeah. Well, I think it depends on the doctor 13:08 doctor 13:08 doctor >> and it depends on on the on the 13:09 >> and it depends on on the on the 13:10 >> and it depends on on the on the clinician and if the patient kind of 13:11 clinician and if the patient kind of 13:11 clinician and if the patient kind of knows to to mention it as well. 13:14 knows to to mention it as well. 13:14 knows to to mention it as well. >> I think everyone's good intentioned, but 13:16 >> I think everyone's good intentioned, but 13:16 >> I think everyone's good intentioned, but it's just not front of mind in that 13:18 it's just not front of mind in that 13:18 it's just not front of mind in that moment. It's more you know let let's get 13:20 moment. It's more you know let let's get 13:20 moment. It's more you know let let's get this prostate cancer treated and you 13:23 this prostate cancer treated and you 13:23 this prostate cancer treated and you know to to their credit many doctors do 13:25 know to to their credit many doctors do 13:25 know to to their credit many doctors do think about osteoporosis and they will 13:29 think about osteoporosis and they will 13:29 think about osteoporosis and they will in that case the gentleman will be put 13:30 in that case the gentleman will be put 13:30 in that case the gentleman will be put on a treatment at much higher doses than 13:34 on a treatment at much higher doses than 13:34 on a treatment at much higher doses than than usual which then can be a bit scary 13:36 than usual which then can be a bit scary 13:36 than usual which then can be a bit scary for some people as well they come to me 13:38 for some people as well they come to me 13:38 for some people as well they come to me say Tom I've been put on these huge huge 13:40 say Tom I've been put on these huge huge 13:40 say Tom I've been put on these huge huge doses what I'm kind of concerned about 13:43 doses what I'm kind of concerned about 13:43 doses what I'm kind of concerned about potential side effects which is which is 13:44 potential side effects which is which is 13:44 potential side effects which is which is a legitimate concern 13:46 a legitimate concern 13:46 a legitimate concern >> if they testosterone then they'll put 13:48 >> if they testosterone then they'll put 13:48 >> if they testosterone then they'll put them is What the treatment? What is what 13:50 them is What the treatment? What is what 13:50 them is What the treatment? What is what exactly is the treatment? So someone or 13:52 exactly is the treatment? So someone or 13:52 exactly is the treatment? So someone or the prevention someone so someone has 13:55 the prevention someone so someone has 13:55 the prevention someone so someone has prostate what would be ideal in your in 13:58 prostate what would be ideal in your in 13:58 prostate what would be ideal in your in your world if if everything 14:00 your world if if everything 14:00 your world if if everything >> I ide Oh yeah I ideal would be a a
Exercise, nutrition, and medication for bone health 14:03 >> I ide Oh yeah I ideal would be a a 14:03 >> I ide Oh yeah I ideal would be a a combination of exercise, nutrition and 14:06 combination of exercise, nutrition and 14:06 combination of exercise, nutrition and potentially medication as well depending 14:08 potentially medication as well depending 14:08 potentially medication as well depending on the individual and what they're what 14:10 on the individual and what they're what 14:10 on the individual and what they're what they're able and willing to do. I'm a 14:12 they're able and willing to do. I'm a 14:12 they're able and willing to do. I'm a big I'm not pro medications. I'm not 14:15 big I'm not pro medications. I'm not 14:15 big I'm not pro medications. I'm not anti- medications. I'm anti-b breaking 14:17 anti- medications. I'm anti-b breaking 14:17 anti- medications. I'm anti-b breaking bones. So if someone can do it without 14:20 bones. So if someone can do it without 14:20 bones. So if someone can do it without medications, great. If if it's if they 14:22 medications, great. If if it's if they 14:22 medications, great. If if it's if they will help, then I'm all for that. So if 14:24 will help, then I'm all for that. So if 14:24 will help, then I'm all for that. So if a gentleman is on prostate cancer 14:26 a gentleman is on prostate cancer 14:26 a gentleman is on prostate cancer treatment, if they can be physically 14:27 treatment, if they can be physically 14:27 treatment, if they can be physically active, if they can do the the the the 14:30 active, if they can do the the the the 14:30 active, if they can do the the the the weightbearing exercises, the the impact 14:32 weightbearing exercises, the the impact 14:32 weightbearing exercises, the the impact exercises, fantastic. If they can get 14:34 exercises, fantastic. If they can get 14:34 exercises, fantastic. If they can get the protein and the calcium and the 14:36 the protein and the calcium and the 14:36 the protein and the calcium and the vitamin D, fantastic. And the the in 14:39 vitamin D, fantastic. And the the in 14:39 vitamin D, fantastic. And the the in terms of the medications, it's about 14:41 terms of the medications, it's about 14:41 terms of the medications, it's about anti-resorptive therapy. So with 14:42 anti-resorptive therapy. So with 14:42 anti-resorptive therapy. So with bisphosphinates, that would that's 14:44 bisphosphinates, that would that's 14:44 bisphosphinates, that would that's generally what the studies recommend. 14:47 generally what the studies recommend. 14:47 generally what the studies recommend. and the endocrinologist or or or your 14:49 and the endocrinologist or or or your 14:49 and the endocrinologist or or or your cancer doctor will will will walk you 14:52 cancer doctor will will will walk you 14:52 cancer doctor will will will walk you through that about how to dose that and 14:55 through that about how to dose that and 14:55 through that about how to dose that and how to how to how to best move forward 14:57 how to how to how to best move forward 14:57 how to how to how to best move forward wi with that. 14:58 wi with that. 14:58 wi with that. >> So while they're on the prostate 15:00 >> So while they're on the prostate 15:00 >> So while they're on the prostate medication is after the surgery. Is that 15:02 medication is after the surgery. Is that 15:02 medication is after the surgery. Is that what you're saying? While they 15:04 what you're saying? While they 15:04 what you're saying? While they >> Yeah. Yeah. So they wouldn't be giving 15:05 >> Yeah. Yeah. So they wouldn't be giving 15:05 >> Yeah. Yeah. So they wouldn't be giving them testosterone because the aim is to 15:07 them testosterone because the aim is to 15:07 them testosterone because the aim is to drop the testosterone, 15:08 drop the testosterone, 15:08 drop the testosterone, >> right? So that it will be more about the 15:10 >> right? So that it will be more about the 15:10 >> right? So that it will be more about the anti-resorptive therapy, the 15:12 anti-resorptive therapy, the 15:12 anti-resorptive therapy, the medications, the bisphosphinates during 15:14 medications, the bisphosphinates during 15:14 medications, the bisphosphinates during the and after the prostate cancer 15:17 the and after the prostate cancer 15:18 the and after the prostate cancer treatment. 15:18 treatment. 15:18 treatment. >> Got it. And then how long do they need 15:20 >> Got it. And then how long do they need 15:20 >> Got it. And then how long do they need to is there is is this just like for a 15:23 to is there is is this just like for a 15:23 to is there is is this just like for a short term or is this something you know
Medical treatments and testing 15:26 short term or is this something you know 15:26 short term or is this something you know what? 15:26 what? 15:26 what? >> Well, this is the big question about 15:28 >> Well, this is the big question about 15:28 >> Well, this is the big question about osteoporosis medications, right? Is can 15:30 osteoporosis medications, right? Is can 15:30 osteoporosis medications, right? Is can we do it for a short term or is it 15:32 we do it for a short term or is it 15:32 we do it for a short term or is it lifelong? So it'll really depend on a on 15:34 lifelong? So it'll really depend on a on 15:34 lifelong? So it'll really depend on a on the patient and their bone density. 15:36 the patient and their bone density. 15:36 the patient and their bone density. That's the really important thing is to 15:38 That's the really important thing is to 15:38 That's the really important thing is to is to track that the the the bone 15:40 is to track that the the the bone 15:40 is to track that the the the bone density to say, you know, is it 15:41 density to say, you know, is it 15:41 density to say, you know, is it dropping, is it increasing, is it 15:43 dropping, is it increasing, is it 15:43 dropping, is it increasing, is it where's it is it staying staying put and 15:45 where's it is it staying staying put and 15:45 where's it is it staying staying put and how's that aligning with the prostate 15:47 how's that aligning with the prostate 15:47 how's that aligning with the prostate cancer treatment. So, it really is a 15:49 cancer treatment. So, it really is a 15:49 cancer treatment. So, it really is a case by case basis. It might be 15:51 case by case basis. It might be 15:51 case by case basis. It might be worthwhile then going on to the the bone 15:53 worthwhile then going on to the the bone 15:53 worthwhile then going on to the the bone building medications. Again, it just 15:55 building medications. Again, it just 15:55 building medications. Again, it just depends on the patient, their insurance, 15:58 depends on the patient, their insurance, 15:58 depends on the patient, their insurance, the doctor, the the condition, and 16:00 the doctor, the the condition, and 16:00 the doctor, the the condition, and what's best for them. 16:02 what's best for them. 16:02 what's best for them. >> There are a number of there are so many 16:04 >> There are a number of there are so many 16:04 >> There are a number of there are so many options. There are so many options. It 16:06 options. There are so many options. It 16:06 options. There are so many options. It is there's so much that we can do 16:08 is there's so much that we can do 16:08 is there's so much that we can do >> but it is these days it's it's it's not 16:10 >> but it is these days it's it's it's not 16:10 >> but it is these days it's it's it's not a limitation. It it's an opportunity to 16:13 a limitation. It it's an opportunity to 16:13 a limitation. It it's an opportunity to to change one's life the way that I that 16:15 to change one's life the way that I that 16:15 to change one's life the way that I that that I look at it. 16:16 that I look at it. 16:16 that I look at it. >> Yeah. Absolutely. So I the key thing is 16:19 >> Yeah. Absolutely. So I the key thing is 16:19 >> Yeah. Absolutely. So I the key thing is then get so so you recommend getting the 16:21 then get so so you recommend getting the 16:21 then get so so you recommend getting the testosterone levels then afterwards and 16:24 testosterone levels then afterwards and 16:24 testosterone levels then afterwards and seeing where where they're at. 16:25 seeing where where they're at. 16:25 seeing where where they're at. >> Yeah. Testosterone levels definitely 16:28 >> Yeah. Testosterone levels definitely 16:28 >> Yeah. Testosterone levels definitely your bone density as well is going to be 16:30 your bone density as well is going to be 16:30 your bone density as well is going to be key to track that as you go. Now, your 16:32 key to track that as you go. Now, your 16:32 key to track that as you go. Now, your your testosterone levels will be 16:34 your testosterone levels will be 16:34 your testosterone levels will be something that's part of your your 16:36 something that's part of your your 16:36 something that's part of your your treatment that that will be tested by 16:38 treatment that that will be tested by 16:38 treatment that that will be tested by the doctor. But then if you're concerned 16:40 the doctor. But then if you're concerned 16:40 the doctor. But then if you're concerned about osteoporosis or if you end up 16:43 about osteoporosis or if you end up 16:43 about osteoporosis or if you end up getting it, then a long-term checking of 16:46 getting it, then a long-term checking of 16:46 getting it, then a long-term checking of that would be would be key. It might be 16:48 that would be would be key. It might be 16:48 that would be would be key. It might be worthwhile talking once the the the 16:51 worthwhile talking once the the the 16:51 worthwhile talking once the the the cancer is cleared. It would be 16:53 cancer is cleared. It would be 16:53 cancer is cleared. It would be worthwhile having a conversation with 16:54 worthwhile having a conversation with 16:54 worthwhile having a conversation with your doctor about testosterone if you 16:56 your doctor about testosterone if you 16:56 your doctor about testosterone if you are low on that because you will 16:58 are low on that because you will 16:58 are low on that because you will continue to drive your your your bone 17:00 continue to drive your your your bone 17:00 continue to drive your your your bone density low. Now, there have been some 17:02 density low. Now, there have been some 17:02 density low. Now, there have been some interesting studies done on testosterone 17:04 interesting studies done on testosterone 17:04 interesting studies done on testosterone where uh many uh men who may not have 17:07 where uh many uh men who may not have 17:07 where uh many uh men who may not have had cancer treatments but just have low 17:09 had cancer treatments but just have low 17:09 had cancer treatments but just have low testosterone for whatever reason, 17:10 testosterone for whatever reason, 17:10 testosterone for whatever reason, they're like, "Well, tell me if I just 17:12 they're like, "Well, tell me if I just 17:12 they're like, "Well, tell me if I just bump up that testosterone, will that fix 17:14 bump up that testosterone, will that fix 17:14 bump up that testosterone, will that fix my bones?" And it's not. I It can to a 17:17 my bones?" And it's not. I It can to a 17:17 my bones?" And it's not. I It can to a certain extent, but there's a recent 17:18 certain extent, but there's a recent 17:18 certain extent, but there's a recent study that has found that it might 17:20 study that has found that it might 17:20 study that has found that it might increase your likelihood of breaking a 17:22 increase your likelihood of breaking a 17:22 increase your likelihood of breaking a bone if we start to pump, we jump up 17:25 bone if we start to pump, we jump up 17:25 bone if we start to pump, we jump up that testosterone too quick because what 17:26 that testosterone too quick because what 17:26 that testosterone too quick because what it does is it gives men energy. It may 17:29 it does is it gives men energy. It may 17:29 it does is it gives men energy. It may make gives them enthusiasm, gets them 17:31 make gives them enthusiasm, gets them 17:31 make gives them enthusiasm, gets them jumping out, being being, you know, 17:33 jumping out, being being, you know, 17:33 jumping out, being being, you know, having that zest for life and wanting to 17:35 having that zest for life and wanting to 17:35 having that zest for life and wanting to do things, but their body might not keep 17:37 do things, but their body might not keep 17:37 do things, but their body might not keep up. You know, their balance might not be 17:39 up. You know, their balance might not be 17:39 up. You know, their balance might not be there, their coordination might not be 17:41 there, their coordination might not be 17:41 there, their coordination might not be there, and their bone strength might not 17:42 there, and their bone strength might not 17:42 there, and their bone strength might not be there. So that that that might break 17:44 be there. So that that that might break 17:44 be there. So that that that might break a few more bones. But getting that 17:46 a few more bones. But getting that 17:46 a few more bones. But getting that testosterone above into the normal, then 17:49 testosterone above into the normal, then 17:49 testosterone above into the normal, then what it does, the way that I think about 17:50 what it does, the way that I think about 17:50 what it does, the way that I think about it, it's like a triangle. And we kind of 17:52 it, it's like a triangle. And we kind of 17:52 it, it's like a triangle. And we kind of touched on this already where the what 17:55 touched on this already where the what 17:55 touched on this already where the what the bottom kind of part of it is we need 17:57 the bottom kind of part of it is we need 17:57 the bottom kind of part of it is we need to address any medical conditions or 18:00 to address any medical conditions or 18:00 to address any medical conditions or medications that might be preventing us 18:02 medications that might be preventing us 18:02 medications that might be preventing us from strengthening our bones because if 18:04 from strengthening our bones because if 18:04 from strengthening our bones because if we don't it's like having a a bucket 18:07 we don't it's like having a a bucket 18:07 we don't it's like having a a bucket with holes in it. We can be pouring in 18:09 with holes in it. We can be pouring in 18:09 with holes in it. We can be pouring in the water or pouring in bone density but 18:10 the water or pouring in bone density but 18:10 the water or pouring in bone density but it's just pouring out the bottom. So if 18:12 it's just pouring out the bottom. So if 18:12 it's just pouring out the bottom. So if that test those testosterone levels are 18:14 that test those testosterone levels are 18:14 that test those testosterone levels are too low, we could be doing all the right 18:16 too low, we could be doing all the right 18:16 too low, we could be doing all the right activities, the exercise, the nutrition, 18:18 activities, the exercise, the nutrition, 18:18 activities, the exercise, the nutrition, the supplementation, but still be not 18:21 the supplementation, but still be not 18:21 the supplementation, but still be not make the progress we want because we 18:23 make the progress we want because we 18:23 make the progress we want because we just keep losing it through that low 18:25 just keep losing it through that low 18:25 just keep losing it through that low testosterone. So we want to get it up 18:26 testosterone. So we want to get it up 18:26 testosterone. So we want to get it up and then start doing the right 18:28 and then start doing the right 18:28 and then start doing the right activities. So as you know your 18:30 activities. So as you know your 18:30 activities. So as you know your community would know, it's the exercise, 18:32 community would know, it's the exercise, 18:32 community would know, it's the exercise, it's the nutrition, and the 18:33 it's the nutrition, and the 18:33 it's the nutrition, and the supplementation to start strengthening 18:35 supplementation to start strengthening 18:35 supplementation to start strengthening those bones. So testosterone is 18:38 those bones. So testosterone is 18:38 those bones. So testosterone is important. It's not a kind of a magic 18:40 important. It's not a kind of a magic 18:40 important. It's not a kind of a magic solution for men, but it's one of the 18:43 solution for men, but it's one of the 18:43 solution for men, but it's one of the medical components that we need to 18:45 medical components that we need to 18:45 medical components that we need to address in order to start turning the 18:47 address in order to start turning the 18:47 address in order to start turning the bone density around. 18:49 bone density around. 18:49 bone density around. >> Oh, so important. So interesting. I know 18:51 >> Oh, so important. So interesting. I know 18:52 >> Oh, so important. So interesting. I know with women, you know, a big deal is the 18:54 with women, you know, a big deal is the 18:54 with women, you know, a big deal is the bone turnover markers and we use those 18:56 bone turnover markers and we use those 18:56 bone turnover markers and we use those so much to see how they've responded to 18:58 so much to see how they've responded to 18:58 so much to see how they've responded to different treatments and things. Is that 19:00 different treatments and things. Is that 19:00 different treatments and things. Is that something that you've seen incredibly 19:02 something that you've seen incredibly 19:02 something that you've seen incredibly helpful with the men as well, the CTX 19:04 helpful with the men as well, the CTX 19:04 helpful with the men as well, the CTX and the P1MP? 19:05 and the P1MP? 19:05 and the P1MP? >> Yeah, they are fantastic. depending on 19:07 >> Yeah, they are fantastic. depending on 19:07 >> Yeah, they are fantastic. depending on your the treatment that you're on and 19:09 your the treatment that you're on and 19:09 your the treatment that you're on and whether your doctor will prescribe those 19:11 whether your doctor will prescribe those 19:11 whether your doctor will prescribe those because here in Australia, if you see 19:14 because here in Australia, if you see 19:14 because here in Australia, if you see your doctor, you have to convince them 19:15 your doctor, you have to convince them 19:16 your doctor, you have to convince them to to prescribe it, unless you go and 19:18 to to prescribe it, unless you go and 19:18 to to prescribe it, unless you go and and order it privately and then you have 19:19 and order it privately and then you have 19:19 and order it privately and then you have to pay out of pocket for it. But if your 19:21 to pay out of pocket for it. But if your 19:21 to pay out of pocket for it. But if your doctor knows how to read them, if you 19:23 doctor knows how to read them, if you 19:23 doctor knows how to read them, if you know how to read them, then they're then 19:24 know how to read them, then they're then 19:24 know how to read them, then they're then they're very useful as you you your 19:26 they're very useful as you you your 19:26 they're very useful as you you your community would know that they help you 19:28 community would know that they help you 19:28 community would know that they help you to understand if you're on the right 19:29 to understand if you're on the right 19:29 to understand if you're on the right path with your with your with your 19:31 path with your with your with your 19:31 path with your with your with your treatments. And it's far more useful 19:34 treatments. And it's far more useful 19:34 treatments. And it's far more useful with if you're on medications. Without 19:36 with if you're on medications. Without 19:36 with if you're on medications. Without medications, it can be a little hard to 19:38 medications, it can be a little hard to 19:38 medications, it can be a little hard to read unless you are trained in doing so. 19:41 read unless you are trained in doing so. 19:41 read unless you are trained in doing so. >> Yeah. We're we're so big into educating 19:43 >> Yeah. We're we're so big into educating 19:43 >> Yeah. We're we're so big into educating people so that when they go to their 19:45 people so that when they go to their 19:45 people so that when they go to their doctor, they can just like you, they can 19:47 doctor, they can just like you, they can 19:47 doctor, they can just like you, they can have a conversation and they're talking 19:50 have a conversation and they're talking 19:50 have a conversation and they're talking from knowledge because knowledge is I my 19:52 from knowledge because knowledge is I my 19:52 from knowledge because knowledge is I my big saying is always knowledge is power. 19:54 big saying is always knowledge is power. 19:54 big saying is always knowledge is power. And that's that's my goal, I know, and 19:57 And that's that's my goal, I know, and 19:57 And that's that's my goal, I know, and that's your goal as well to really 19:59 that's your goal as well to really 19:59 that's your goal as well to really >> Yeah. Exactly. so people can advocate 20:00 >> Yeah. Exactly. so people can advocate 20:00 >> Yeah. Exactly. so people can advocate for themselves and and have that 20:03 for themselves and and have that 20:03 for themselves and and have that fruitful conversation. 20:04 fruitful conversation. 20:04 fruitful conversation. >> There's a I don't know about your 20:06 >> There's a I don't know about your 20:06 >> There's a I don't know about your experience, Margie, but many many 20:07 experience, Margie, but many many 20:07 experience, Margie, but many many doctors that they they they'll they kind 20:08 doctors that they they they'll they kind 20:08 doctors that they they they'll they kind of have their go-to treatments and 20:11 of have their go-to treatments and 20:11 of have their go-to treatments and answers that haven't really been thought 20:14 answers that haven't really been thought 20:14 answers that haven't really been thought out through into much depth. And so, but 20:17 out through into much depth. And so, but 20:17 out through into much depth. And so, but if you can go there with the knowledge, 20:19 if you can go there with the knowledge, 20:19 if you can go there with the knowledge, with the information, with understanding 20:21 with the information, with understanding 20:21 with the information, with understanding where what you what your preferences are 20:25 where what you what your preferences are 20:25 where what you what your preferences are and what's important to you, then you 20:27 and what's important to you, then you 20:27 and what's important to you, then you can have a far better outcome on that 20:30 can have a far better outcome on that 20:30 can have a far better outcome on that topic. Like so once so so once I had 20:33 topic. Like so once so so once I had 20:33 topic. Like so once so so once I had started to coach men around their bone 20:37 started to coach men around their bone 20:37 started to coach men around their bone health I started seeing a gap between 20:40 health I started seeing a gap between 20:40 health I started seeing a gap between what patients were experiencing and what 20:42 what patients were experiencing and what 20:42 what patients were experiencing and what the clinicians and the researchers were 20:45 the clinicians and the researchers were 20:45 the clinicians and the researchers were looking at. I was going to these 20:46 looking at. I was going to these 20:46 looking at. I was going to these conferences these big conferences where 20:48 conferences these big conferences where 20:48 conferences these big conferences where they were talking about the latest 20:49 they were talking about the latest 20:49 they were talking about the latest research and the medications and the 20:51 research and the medications and the 20:51 research and the medications and the treatments and all these interesting 20:53 treatments and all these interesting 20:53 treatments and all these interesting things and how hard people were working 20:55 things and how hard people were working 20:55 things and how hard people were working on on on helping people with this. And 20:58 on on on helping people with this. And 20:58 on on on helping people with this. And then I was talking to men and women were 21:00 then I was talking to men and women were 21:00 then I was talking to men and women were approaching me saying, "Tom, have you 21:02 approaching me saying, "Tom, have you 21:02 approaching me saying, "Tom, have you got something for us?" And what they 21:03 got something for us?" And what they 21:03 got something for us?" And what they were struggling with and there was this 21:04 were struggling with and there was this 21:04 were struggling with and there was this big gap between particularly when it 21:07 big gap between particularly when it 21:07 big gap between particularly when it came to the treatments and and what 21:08 came to the treatments and and what 21:08 came to the treatments and and what people were experiencing. And so I 21:10 people were experiencing. And so I 21:10 people were experiencing. And so I thought, you know, I want to run a study 21:12 thought, you know, I want to run a study 21:12 thought, you know, I want to run a study to understand what people like and don't 21:14 to understand what people like and don't 21:14 to understand what people like and don't like about their osteoporosis 21:16 like about their osteoporosis 21:16 like about their osteoporosis treatments. As you've probably heard, 21:18 treatments. As you've probably heard, 21:18 treatments. As you've probably heard, you know, up to 50% of people drop off 21:20 you know, up to 50% of people drop off 21:20 you know, up to 50% of people drop off their osteoporosis medications within 12 21:23 their osteoporosis medications within 12 21:23 their osteoporosis medications within 12 months. Again, not pro medications or or 21:25 months. Again, not pro medications or or 21:25 months. Again, not pro medications or or or anti-medications, but there is a 21:27 or anti-medications, but there is a 21:27 or anti-medications, but there is a large proportion of people who will need 21:29 large proportion of people who will need 21:29 large proportion of people who will need to take them and understandably so. And 21:32 to take them and understandably so. And 21:32 to take them and understandably so. And so I thought, you know, what is going on 21:34 so I thought, you know, what is going on 21:34 so I thought, you know, what is going on here? What's what's the missing link 21:36 here? What's what's the missing link 21:36 here? What's what's the missing link between clinicians and researchers and 21:38 between clinicians and researchers and 21:38 between clinicians and researchers and patients? And so I ran a study of over 21:41 patients? And so I ran a study of over 21:41 patients? And so I ran a study of over 400 osteoporosis patients, one of the 21:43 400 osteoporosis patients, one of the 21:43 400 osteoporosis patients, one of the largest of its kind. And there were two 21:45 largest of its kind. And there were two 21:45 largest of its kind. And there were two outcomes that we're trying to achieve. 21:47 outcomes that we're trying to achieve. 21:47 outcomes that we're trying to achieve. Firstly is understanding what people 21:49 Firstly is understanding what people 21:49 Firstly is understanding what people like and don't like about a treatment. 21:51 like and don't like about a treatment. 21:51 like and don't like about a treatment. And secondly, to create a data set that 21:54 And secondly, to create a data set that 21:54 And secondly, to create a data set that we can create, so we can put it into a 21:56 we can create, so we can put it into a 21:56 we can create, so we can put it into a decision support tool to help clinicians 21:59 decision support tool to help clinicians 21:59 decision support tool to help clinicians and patients better understand their 22:01 and patients better understand their 22:01 and patients better understand their options and better choose their 22:02 options and better choose their 22:02 options and better choose their treatments. And so what we found on the 22:05 treatments. And so what we found on the 22:05 treatments. And so what we found on the topic of preferences is that depending 22:07 topic of preferences is that depending 22:07 topic of preferences is that depending on what kind of treatment that that so 22:10 on what kind of treatment that that so 22:10 on what kind of treatment that that so speaking specifically about medications 22:12 speaking specifically about medications 22:12 speaking specifically about medications what types of what what what are the 22:15 what types of what what what are the 22:15 what types of what what what are the features of that treatment how often 22:16 features of that treatment how often 22:16 features of that treatment how often it's taken how it's taken can you see 22:20 it's taken how it's taken can you see 22:20 it's taken how it's taken can you see the the progress that you're making and 22:22 the the progress that you're making and 22:22 the the progress that you're making and this comes back to the the bone turnover 22:24 this comes back to the the bone turnover 22:24 this comes back to the the bone turnover markers you were mentioning Margie where 22:26 markers you were mentioning Margie where 22:26 markers you were mentioning Margie where often times with osteoporosis you don't 22:27 often times with osteoporosis you don't 22:27 often times with osteoporosis you don't we don't know if you can't see your 22:29 we don't know if you can't see your 22:29 we don't know if you can't see your bones right it's a it's a silent disease 22:31 bones right it's a it's a silent disease 22:31 bones right it's a it's a silent disease so are we making progress I don't know. 22:34 so are we making progress I don't know. 22:34 so are we making progress I don't know. You hard to tell unless you you're 22:36 You hard to tell unless you you're 22:36 You hard to tell unless you you're looking. And DEXA scans are once every 22:38 looking. And DEXA scans are once every 22:38 looking. And DEXA scans are once every two years. Love them or hate them. 22:40 two years. Love them or hate them. 22:40 two years. Love them or hate them. That's the gold standard, right? And 22:41 That's the gold standard, right? And 22:42 That's the gold standard, right? And then with the bone turnover markers, we 22:43 then with the bone turnover markers, we 22:43 then with the bone turnover markers, we can do more frequently. So that's kind 22:45 can do more frequently. So that's kind 22:45 can do more frequently. So that's kind of the the thing I love about them is 22:47 of the the thing I love about them is 22:47 of the the thing I love about them is that you can do them more frequently and 22:49 that you can do them more frequently and 22:49 that you can do them more frequently and and be able to get a better judgment of 22:51 and be able to get a better judgment of 22:51 and be able to get a better judgment of your progress. And that allows people to 22:54 your progress. And that allows people to 22:54 your progress. And that allows people to stay on treatment longer. Whether what 22:56 stay on treatment longer. Whether what 22:56 stay on treatment longer. Whether what whatever it is, if it's working, 22:59 whatever it is, if it's working, 22:59 whatever it is, if it's working, fantastic. We're not breaking bones. 23:00 fantastic. We're not breaking bones. 23:00 fantastic. We're not breaking bones. we're less likely to break bones. And 23:03 we're less likely to break bones. And 23:03 we're less likely to break bones. And so, yeah, I I I totally agree with you 23:05 so, yeah, I I I totally agree with you 23:05 so, yeah, I I I totally agree with you on the burn turnover markers. They are 23:06 on the burn turnover markers. They are 23:06 on the burn turnover markers. They are really important to be to be to 23:08 really important to be to be to 23:08 really important to be to be to understand and to be looking at if you 23:11 understand and to be looking at if you 23:11 understand and to be looking at if you want to know if you're on the right 23:12 want to know if you're on the right 23:12 want to know if you're on the right path. 23:13 path. 23:13 path. >> You know, what have you found in terms 23:15 >> You know, what have you found in terms 23:15 >> You know, what have you found in terms of the men? I mean, there's so many 23:17 of the men? I mean, there's so many 23:17 of the men? I mean, there's so many misconceptions. 23:18 misconceptions. 23:18 misconceptions. What have you found that when you're 23:20 What have you found that when you're 23:20 What have you found that when you're working with these men, the 23:21 working with these men, the 23:21 working with these men, the misconceptions that they have about 23:23 misconceptions that they have about 23:24 misconceptions that they have about their bones and you know, what gets in 23:26 their bones and you know, what gets in 23:26 their bones and you know, what gets in the way here?
Misconceptions and patient mindsets 23:27 the way here? 23:27 the way here? >> Yeah. So the the misconception generally 23:29 >> Yeah. So the the misconception generally 23:29 >> Yeah. So the the misconception generally is that you know this shouldn't be 23:32 is that you know this shouldn't be 23:32 is that you know this shouldn't be happening to me. Why why did I get this 23:35 happening to me. Why why did I get this 23:35 happening to me. Why why did I get this or or this this is something that I my 23:37 or or this this is something that I my 23:37 or or this this is something that I my my wife has or my grandmother had but 23:41 my wife has or my grandmother had but 23:41 my wife has or my grandmother had but now I've got it. What's what's wrong 23:43 now I've got it. What's what's wrong 23:43 now I've got it. What's what's wrong with me? And is it is it I don't have 23:45 with me? And is it is it I don't have 23:45 with me? And is it is it I don't have estrog you know they they they think 23:47 estrog you know they they they think 23:48 estrog you know they they they think it's an estrogen thing. Men do have 23:49 it's an estrogen thing. Men do have 23:49 it's an estrogen thing. Men do have estrogen not to the same extent but 23:51 estrogen not to the same extent but 23:51 estrogen not to the same extent but they're like hey what's going on here? 23:53 they're like hey what's going on here? 23:53 they're like hey what's going on here? And so it's about understanding what is 23:56 And so it's about understanding what is 23:56 And so it's about understanding what is going on for the for for the for the 23:58 going on for the for for the for the 23:58 going on for the for for the for the men. What is the underlying cause and 24:00 men. What is the underlying cause and 24:00 men. What is the underlying cause and get uncovering that often times we can't 24:02 get uncovering that often times we can't 24:02 get uncovering that often times we can't even find the cause. It's idiopathic or 24:05 even find the cause. It's idiopathic or 24:05 even find the cause. It's idiopathic or as my one of my medical school 24:07 as my one of my medical school 24:07 as my one of my medical school professors said that idiopathic means 24:09 professors said that idiopathic means 24:09 professors said that idiopathic means idiots don't know the pathology. So we 24:11 idiots don't know the pathology. So we 24:11 idiots don't know the pathology. So we we just don't know what caused it. And 24:13 we just don't know what caused it. And 24:13 we just don't know what caused it. And then in that case it's like okay what do 24:15 then in that case it's like okay what do 24:15 then in that case it's like okay what do we do? What do we where do we go to from 24:17 we do? What do we where do we go to from 24:17 we do? What do we where do we go to from here? And a lot of them the so it's 24:19 here? And a lot of them the so it's 24:19 here? And a lot of them the so it's either medications, non-medications or 24:21 either medications, non-medications or 24:21 either medications, non-medications or or combination. The the frustration for 24:23 or combination. The the frustration for 24:23 or combination. The the frustration for a lot of men is that the research and 24:25 a lot of men is that the research and 24:25 a lot of men is that the research and the the treatments have been studied on 24:28 the the treatments have been studied on 24:28 the the treatments have been studied on majority for for women. And when I was 24:30 majority for for women. And when I was 24:30 majority for for women. And when I was diagnosed, it was like, "Hey Tom, this 24:32 diagnosed, it was like, "Hey Tom, this 24:32 diagnosed, it was like, "Hey Tom, this is a treatment works great for 24:34 is a treatment works great for 24:34 is a treatment works great for post-menopausal Japanese women. You 24:36 post-menopausal Japanese women. You 24:36 post-menopausal Japanese women. You should give it a go." And I thought 24:38 should give it a go." And I thought 24:38 should give it a go." And I thought [laughter] I thought, you know, that 24:39 [laughter] I thought, you know, that 24:39 [laughter] I thought, you know, that doesn't quite sit well with me. Let me 24:41 doesn't quite sit well with me. Let me 24:41 doesn't quite sit well with me. Let me try and figure this out. But yeah, it's 24:43 try and figure this out. But yeah, it's 24:44 try and figure this out. But yeah, it's shifted in the last, you know, five 24:46 shifted in the last, you know, five 24:46 shifted in the last, you know, five years or so. there is a lot more 24:48 years or so. there is a lot more 24:48 years or so. there is a lot more research done on men, but they are kind 24:50 research done on men, but they are kind 24:50 research done on men, but they are kind of the afterthought in this in this 24:52 of the afterthought in this in this 24:52 of the afterthought in this in this situation and that's kind of the the 24:53 situation and that's kind of the the 24:53 situation and that's kind of the the frustration that men are having. It's 24:55 frustration that men are having. It's 24:55 frustration that men are having. It's like what can I do because I don't have 24:57 like what can I do because I don't have 24:57 like what can I do because I don't have estrogen. I'm not, you know, 24:59 estrogen. I'm not, you know, 24:59 estrogen. I'm not, you know, postmenopausal. What's going on here? So 25:02 postmenopausal. What's going on here? So 25:02 postmenopausal. What's going on here? So understanding that has been one of the 25:04 understanding that has been one of the 25:04 understanding that has been one of the the the big big factors for the men that 25:06 the the big big factors for the men that 25:06 the the big big factors for the men that I speak to and and around overcoming 25:08 I speak to and and around overcoming 25:08 I speak to and and around overcoming those misconceptions and and really the 25:11 those misconceptions and and really the 25:11 those misconceptions and and really the scary thing is that as we mentioned 25:12 scary thing is that as we mentioned 25:12 scary thing is that as we mentioned earlier that men tend to have a lot more 25:15 earlier that men tend to have a lot more 25:15 earlier that men tend to have a lot more other things going on in terms of their 25:17 other things going on in terms of their 25:17 other things going on in terms of their health. And so when they get 25:19 health. And so when they get 25:19 health. And so when they get osteoporosis it can hit hard and it can 25:21 osteoporosis it can hit hard and it can 25:22 osteoporosis it can hit hard and it can they end up breaking a lot of bones, end 25:23 they end up breaking a lot of bones, end 25:24 they end up breaking a lot of bones, end up suffering from them a lot more. But 25:26 up suffering from them a lot more. But 25:26 up suffering from them a lot more. But one of the frustrations that I 25:28 one of the frustrations that I 25:28 one of the frustrations that I experienced working with w with the 25:30 experienced working with w with the 25:30 experienced working with w with the fellas is that you know when when you 25:33 fellas is that you know when when you 25:33 fellas is that you know when when you speak to to women with osteoporosis as 25:35 speak to to women with osteoporosis as 25:35 speak to to women with osteoporosis as you've seen in your community Margie 25:36 you've seen in your community Margie 25:36 you've seen in your community Margie they're very proactive they're 25:38 they're very proactive they're 25:38 they're very proactive they're enthusiastic that let's go out and let's 25:40 enthusiastic that let's go out and let's 25:40 enthusiastic that let's go out and let's let's do the exercises let's eat the 25:42 let's do the exercises let's eat the 25:42 let's do the exercises let's eat the food let's make a community let's do 25:43 food let's make a community let's do 25:43 food let's make a community let's do this the guys are like wow you know 25:45 this the guys are like wow you know 25:45 this the guys are like wow you know they're they're a bit more hesitant to 25:48 they're they're a bit more hesitant to 25:48 they're they're a bit more hesitant to to get involved not all of them and I'm 25:49 to get involved not all of them and I'm 25:49 to get involved not all of them and I'm generalizing here there are a lot of 25:51 generalizing here there are a lot of 25:51 generalizing here there are a lot of very proactive gentlemen out there but 25:53 very proactive gentlemen out there but 25:53 very proactive gentlemen out there but oftentimes they're they're a bit like 25:55 oftentimes they're they're a bit like 25:55 oftentimes they're they're a bit like wow you know what? I'm just going to 25:56 wow you know what? I'm just going to 25:56 wow you know what? I'm just going to keep doing what I'm doing. Or or when it 25:58 keep doing what I'm doing. Or or when it 25:58 keep doing what I'm doing. Or or when it comes to the uh the food, they're like 26:00 comes to the uh the food, they're like 26:00 comes to the uh the food, they're like they're they're of the generation where 26:01 they're they're of the generation where 26:01 they're they're of the generation where well, my wife kind of cooks and she 26:03 well, my wife kind of cooks and she 26:03 well, my wife kind of cooks and she makes the decisions there. And I'm like, 26:05 makes the decisions there. And I'm like, 26:05 makes the decisions there. And I'm like, well, it's they're the your bones. 26:07 well, it's they're the your bones. 26:07 well, it's they're the your bones. They're your your bones. You're eating 26:09 They're your your bones. You're eating 26:09 They're your your bones. You're eating these things. Let's be proactive. And 26:12 these things. Let's be proactive. And 26:12 these things. Let's be proactive. And so, it it's a lot of the work that I I 26:15 so, it it's a lot of the work that I I 26:15 so, it it's a lot of the work that I I was doing with them was about 26:16 was doing with them was about 26:16 was doing with them was about understanding, okay, you need to be onto 26:19 understanding, okay, you need to be onto 26:19 understanding, okay, you need to be onto the on board with this first and then if 26:21 the on board with this first and then if 26:21 the on board with this first and then if you need to get your wife on board, you 26:23 you need to get your wife on board, you 26:23 you need to get your wife on board, you can, too. But I I'm I'm I'm sure that 26:27 can, too. But I I'm I'm I'm sure that 26:27 can, too. But I I'm I'm I'm sure that there are a lot of listeners here who 26:28 there are a lot of listeners here who 26:28 there are a lot of listeners here who probably resonate with that that they 26:30 probably resonate with that that they 26:30 probably resonate with that that they may have experienced this. But one of 26:32 may have experienced this. But one of 26:32 may have experienced this. But one of the things that if if there if there are 26:34 the things that if if there if there are 26:34 the things that if if there if there are men listening to this, I would encourage 26:35 men listening to this, I would encourage 26:35 men listening to this, I would encourage them to be proactive with their health, 26:37 them to be proactive with their health, 26:38 them to be proactive with their health, with with their nutrition, with their 26:40 with with their nutrition, with their 26:40 with with their nutrition, with their exercise, and you don't have to be in 26:43 exercise, and you don't have to be in 26:43 exercise, and you don't have to be in the gym lifting weights all the time. It 26:45 the gym lifting weights all the time. It 26:45 the gym lifting weights all the time. It could be all right, I want to work and 26:47 could be all right, I want to work and 26:47 could be all right, I want to work and work towards being able to play tennis 26:48 work towards being able to play tennis 26:48 work towards being able to play tennis or pickle ball. Something that puts that 26:51 or pickle ball. Something that puts that 26:51 or pickle ball. Something that puts that pressure on the bones that that can be 26:53 pressure on the bones that that can be 26:53 pressure on the bones that that can be healthy for you that you can enjoy doing 26:56 healthy for you that you can enjoy doing 26:56 healthy for you that you can enjoy doing as well because that that was one of the 26:58 as well because that that was one of the 26:58 as well because that that was one of the resistance points that I that I found 27:00 resistance points that I that I found 27:00 resistance points that I that I found was I'm I love powerlifting. I ended up 27:02 was I'm I love powerlifting. I ended up 27:02 was I'm I love powerlifting. I ended up really enjoying that. You know, as as a 27:04 really enjoying that. You know, as as a 27:04 really enjoying that. You know, as as a physiootherapist, M, you know that you 27:06 physiootherapist, M, you know that you 27:06 physiootherapist, M, you know that you you start off with osteoporosis. You got 27:08 you start off with osteoporosis. You got 27:08 you start off with osteoporosis. You got to start slow, start rehabbing the the 27:11 to start slow, start rehabbing the the 27:11 to start slow, start rehabbing the the injuries, start being able to build the 27:13 injuries, start being able to build the 27:13 injuries, start being able to build the core so you can start lifting heavy 27:14 core so you can start lifting heavy 27:14 core so you can start lifting heavy things and jumping. And I kept 27:16 things and jumping. And I kept 27:16 things and jumping. And I kept challenging myself and kept doing that 27:18 challenging myself and kept doing that 27:18 challenging myself and kept doing that progressive overload to the point where 27:20 progressive overload to the point where 27:20 progressive overload to the point where the next level was, you know, being 27:23 the next level was, you know, being 27:23 the next level was, you know, being competitive. And so I ended up doing 27:24 competitive. And so I ended up doing 27:24 competitive. And so I ended up doing competitive powerlifting. I'm not 27:26 competitive powerlifting. I'm not 27:26 competitive powerlifting. I'm not winning any awards for it, let me tell 27:29 winning any awards for it, let me tell 27:29 winning any awards for it, let me tell you that one. But I just enjoy the 27:31 you that one. But I just enjoy the 27:31 you that one. But I just enjoy the process of it. But a lot of men are 27:32 process of it. But a lot of men are 27:32 process of it. But a lot of men are like, "Well, you know what? I don't want 27:33 like, "Well, you know what? I don't want 27:33 like, "Well, you know what? I don't want to be powerlifting, Tom. I don't like 27:35 to be powerlifting, Tom. I don't like 27:35 to be powerlifting, Tom. I don't like the gym." Great. We can do other 27:36 the gym." Great. We can do other 27:36 the gym." Great. We can do other activities that are very helpful for the 27:39 activities that are very helpful for the 27:39 activities that are very helpful for the bones that you do enjoy that you can do 27:41 bones that you do enjoy that you can do 27:41 bones that you do enjoy that you can do on an ongoing basis. And so, it was kind 27:44 on an ongoing basis. And so, it was kind 27:44 on an ongoing basis. And so, it was kind of customizing 27:46 of customizing 27:46 of customizing the approach to the individual to to to 27:50 the approach to the individual to to to 27:50 the approach to the individual to to to the to to the man to to what they like 27:52 the to to the man to to what they like 27:52 the to to the man to to what they like and what they don't like and how their 27:54 and what they don't like and how their 27:54 and what they don't like and how their kind of lifestyle works. Are they 27:56 kind of lifestyle works. Are they 27:56 kind of lifestyle works. Are they cooking for themselves? Is there someone 27:57 cooking for themselves? Is there someone 27:57 cooking for themselves? Is there someone else helping them with that? Are they 27:59 else helping them with that? Are they 27:59 else helping them with that? Are they proactive? Can we get them being more 28:01 proactive? Can we get them being more 28:01 proactive? Can we get them being more proactive? And if that so and and if not 28:04 proactive? And if that so and and if not 28:04 proactive? And if that so and and if not then okay what else can we do to help 28:07 then okay what else can we do to help 28:07 then okay what else can we do to help you stop breaking bones or or prevent 28:09 you stop breaking bones or or prevent 28:09 you stop breaking bones or or prevent that from happening and go down that 28:10 that from happening and go down that 28:10 that from happening and go down that path as well. So in terms for the women 28:13 path as well. So in terms for the women 28:14 path as well. So in terms for the women the exercise and being a physical 28:15 the exercise and being a physical 28:15 the exercise and being a physical therapist and doing major you know I've 28:17 therapist and doing major you know I've 28:17 therapist and doing major you know I've been doing the ONERO program for I guess 28:19 been doing the ONERO program for I guess 28:19 been doing the ONERO program for I guess three years now and I've seen I mean 28:21 three years now and I've seen I mean 28:21 three years now and I've seen I mean I've gotten in I I always have done 28:23 I've gotten in I I always have done 28:23 I've gotten in I I always have done resistance training but this took it to 28:24 resistance training but this took it to 28:24 resistance training but this took it to another level but I've been seeing 28:26 another level but I've been seeing 28:26 another level but I've been seeing firsthand people who've been in the 28:28 firsthand people who've been in the 28:28 firsthand people who've been in the program as well as so many people in my 28:30 program as well as so many people in my 28:30 program as well as so many people in my community you're really getting strong 28:32 community you're really getting strong 28:32 community you're really getting strong and it's so empowering and this 28:34 and it's so empowering and this 28:34 and it's so empowering and this diagnosis was a catalyst for this and 28:37 diagnosis was a catalyst for this and 28:37 diagnosis was a catalyst for this and are do you see that with the men though 28:38 are do you see that with the men though 28:38 are do you see that with the men though the men who do embark because that is 28:40 the men who do embark because that is 28:40 the men who do embark because that is one of the studies. I mean, they studied 28:42 one of the studies. I mean, they studied 28:42 one of the studies. I mean, they studied donero in men and they gained bone. You 28:44 donero in men and they gained bone. You 28:44 donero in men and they gained bone. You know, we know we know this works. So, 28:47 know, we know we know this works. So, 28:47 know, we know we know this works. So, has you seen the men who have embarked 28:49 has you seen the men who have embarked 28:49 has you seen the men who have embarked on these exercise programs really making 28:52 on these exercise programs really making 28:52 on these exercise programs really making transformations and look back and think 28:54 transformations and look back and think 28:54 transformations and look back and think this was a good thing? 28:55 this was a good thing? 28:56 this was a good thing? >> Yes. The ones that do have that result. 28:59 >> Yes. The ones that do have that result. 28:59 >> Yes. The ones that do have that result. So, that is similar for men and women is 29:01 So, that is similar for men and women is 29:01 So, that is similar for men and women is the exercise bit. 29:02 the exercise bit. 29:02 the exercise bit. >> Yeah. 29:03 >> Yeah. 29:03 >> Yeah. >> Right. It's the same approach. It's the 29:05 >> Right. It's the same approach. It's the 29:05 >> Right. It's the same approach. It's the same exercise. Onro like you mentioned, 29:07 same exercise. Onro like you mentioned, 29:07 same exercise. Onro like you mentioned, fantastic. been studied on men and it 29:09 fantastic. been studied on men and it 29:09 fantastic. been studied on men and it works with them as well. The nutrition 29:11 works with them as well. The nutrition 29:12 works with them as well. The nutrition as well, just different quantities that 29:14 as well, just different quantities that 29:14 as well, just different quantities that works for them. And if they do engage 29:15 works for them. And if they do engage 29:15 works for them. And if they do engage with it, they get great results, 29:17 with it, they get great results, 29:18 with it, they get great results, fantastic results. I've seen gentlemen 29:20 fantastic results. I've seen gentlemen 29:20 fantastic results. I've seen gentlemen who who go from severe osteoporosis to 29:23 who who go from severe osteoporosis to 29:24 who who go from severe osteoporosis to osteopenia 29:25 osteopenia 29:25 osteopenia to to normal bone density over a long 29:27 to to normal bone density over a long 29:28 to to normal bone density over a long period of time. that is but through that 29:29 period of time. that is but through that 29:29 period of time. that is but through that exercise and through really engaging 29:31 exercise and through really engaging 29:31 exercise and through really engaging with it. It's just a matter of 29:33 with it. It's just a matter of 29:33 with it. It's just a matter of engagement with [laughter] getting 29:35 engagement with [laughter] getting 29:35 engagement with [laughter] getting people to to want to do that and also 29:37 people to to want to do that and also 29:37 people to to want to do that and also being able to do it physically cuz not 29:40 being able to do it physically cuz not 29:40 being able to do it physically cuz not everyone I found that there are some 29:42 everyone I found that there are some 29:42 everyone I found that there are some limitations for some some some some of 29:44 limitations for some some some some of 29:44 limitations for some some some some of the gents that I've spoken to where you 29:46 the gents that I've spoken to where you 29:46 the gents that I've spoken to where you know they're working hard but they've 29:47 know they're working hard but they've 29:47 know they're working hard but they've had some injuries the back lower back is 29:51 had some injuries the back lower back is 29:51 had some injuries the back lower back is is a problem or the knee or an old 29:53 is a problem or the knee or an old 29:53 is a problem or the knee or an old injury and that's my approach is that 29:56 injury and that's my approach is that 29:56 injury and that's my approach is that that that should be our focus in that 29:58 that that should be our focus in that 29:58 that that should be our focus in that case. if there is that injury, let's fix 30:01 case. if there is that injury, let's fix 30:01 case. if there is that injury, let's fix that first. So, for example, in my case, 30:03 that first. So, for example, in my case, 30:03 that first. So, for example, in my case, I had a the the the the precipitating 30:07 I had a the the the the precipitating 30:07 I had a the the the the precipitating injury was a was a was a broken wrist. 30:10 injury was a was a was a broken wrist. 30:10 injury was a was a was a broken wrist. And so, I went to my I had an exercise 30:12 And so, I went to my I had an exercise 30:12 And so, I went to my I had an exercise physiologist and I went to them for to 30:15 physiologist and I went to them for to 30:15 physiologist and I went to them for to to rehab my wrist. So, we started with 30:17 to rehab my wrist. So, we started with 30:17 to rehab my wrist. So, we started with that because I couldn't be bench 30:19 that because I couldn't be bench 30:19 that because I couldn't be bench pressing or deadlifting with a broken 30:21 pressing or deadlifting with a broken 30:21 pressing or deadlifting with a broken wrist or or or or not recent rehabbed. 30:25 wrist or or or or not recent rehabbed. 30:25 wrist or or or or not recent rehabbed. But in that process, we also realized 30:27 But in that process, we also realized 30:27 But in that process, we also realized that my ankles were terrible and they 30:29 that my ankles were terrible and they 30:29 that my ankles were terrible and they were throwing off my knees and my hips 30:31 were throwing off my knees and my hips 30:31 were throwing off my knees and my hips because I'd broken both ankles 30:33 because I'd broken both ankles 30:33 because I'd broken both ankles previously and never rehabed them. So I 30:35 previously and never rehabed them. So I 30:35 previously and never rehabed them. So I had to rehab those and then that kind of 30:37 had to rehab those and then that kind of 30:37 had to rehab those and then that kind of led to the to to the rehabbing the hips. 30:39 led to the to to the rehabbing the hips. 30:39 led to the to to the rehabbing the hips. And so it's kind of like this cascading 30:41 And so it's kind of like this cascading 30:41 And so it's kind of like this cascading effect. But as a result, I was able to 30:44 effect. But as a result, I was able to 30:44 effect. But as a result, I was able to start lifting, start lifting heavier, 30:46 start lifting, start lifting heavier, 30:46 start lifting, start lifting heavier, start doing the activities that I I 30:48 start doing the activities that I I 30:48 start doing the activities that I I hated walking because I'd get sore knees 30:51 hated walking because I'd get sore knees 30:51 hated walking because I'd get sore knees and sore hips. But turns out that wasn't 30:53 and sore hips. But turns out that wasn't 30:53 and sore hips. But turns out that wasn't because I just didn't like walking. it's 30:54 because I just didn't like walking. it's 30:54 because I just didn't like walking. it's cuz I hadn't rehabbed my ankles. And so 30:57 cuz I hadn't rehabbed my ankles. And so 30:57 cuz I hadn't rehabbed my ankles. And so we don't want to we want to focus on 30:59 we don't want to we want to focus on 30:59 we don't want to we want to focus on those injuries, on those problem areas, 31:01 those injuries, on those problem areas, 31:01 those injuries, on those problem areas, and so that we can overcome those 31:02 and so that we can overcome those 31:02 and so that we can overcome those barriers and be able to start doing 31:04 barriers and be able to start doing 31:04 barriers and be able to start doing these activities, the the resistance 31:06 these activities, the the resistance 31:06 these activities, the the resistance training. And if it's only for a even if 31:09 training. And if it's only for a even if 31:09 training. And if it's only for a even if we don't like it, if it's for a short 31:10 we don't like it, if it's for a short 31:10 we don't like it, if it's for a short period of time where I kind of think of 31:12 period of time where I kind of think of 31:12 period of time where I kind of think of it as like this acute period of intense 31:16 it as like this acute period of intense 31:16 it as like this acute period of intense or relatively intense training and focus 31:20 or relatively intense training and focus 31:20 or relatively intense training and focus on your bone health and then to to get 31:22 on your bone health and then to to get 31:22 on your bone health and then to to get the body functioning really well and 31:23 the body functioning really well and 31:23 the body functioning really well and then we can look at transitioning to to 31:26 then we can look at transitioning to to 31:26 then we can look at transitioning to to sports and activities that we really 31:27 sports and activities that we really 31:27 sports and activities that we really enjoy long term so that people can kind 31:29 enjoy long term so that people can kind 31:30 enjoy long term so that people can kind of incorporate this into their 31:31 of incorporate this into their 31:31 of incorporate this into their lifestyle. I've I think I've been 31:33 lifestyle. I've I think I've been 31:33 lifestyle. I've I think I've been successful with this because I do enjoy 31:36 successful with this because I do enjoy 31:36 successful with this because I do enjoy powerlifting, I can and and the way I 31:38 powerlifting, I can and and the way I 31:38 powerlifting, I can and and the way I that I approach it is if I'm going to 31:40 that I approach it is if I'm going to 31:40 that I approach it is if I'm going to implement a particular regime or 31:43 implement a particular regime or 31:43 implement a particular regime or protocol for my bone health, it has to 31:45 protocol for my bone health, it has to 31:45 protocol for my bone health, it has to be a lifelong. I have to be able to do 31:47 be a lifelong. I have to be able to do 31:47 be a lifelong. I have to be able to do it for the rest of my life. And so if 31:48 it for the rest of my life. And so if 31:48 it for the rest of my life. And so if it's I can only do it for a month, h you 31:51 it's I can only do it for a month, h you 31:51 it's I can only do it for a month, h you know what, I have to kind of prepare for 31:53 know what, I have to kind of prepare for 31:53 know what, I have to kind of prepare for that that I'm not going to be doing it 31:54 that that I'm not going to be doing it 31:54 that that I'm not going to be doing it later on. And what's the replacement for 31:55 later on. And what's the replacement for 31:55 later on. And what's the replacement for it? Or can I start off with something 31:58 it? Or can I start off with something 31:58 it? Or can I start off with something that I can just do for the rest of my 31:59 that I can just do for the rest of my 31:59 that I can just do for the rest of my life? And so kind of have to have that 32:01 life? And so kind of have to have that 32:01 life? And so kind of have to have that mindset about how we approach 32:03 mindset about how we approach 32:04 mindset about how we approach strengthening our bones as men and most 32:06 strengthening our bones as men and most 32:06 strengthening our bones as men and most likely as women as well. You know, I 32:08 likely as women as well. You know, I 32:08 likely as women as well. You know, I think what you said is so important and 32:10 think what you said is so important and 32:10 think what you said is so important and I think it's not I I think a lot of 32:13 I think it's not I I think a lot of 32:13 I think it's not I I think a lot of times first of all, people have injuries 32:15 times first of all, people have injuries 32:15 times first of all, people have injuries whether they have a shoulder or back or 32:17 whether they have a shoulder or back or 32:17 whether they have a shoulder or back or a knee and they just think, "Oh, that's 32:18 a knee and they just think, "Oh, that's 32:18 a knee and they just think, "Oh, that's age. I have to live with that." And 32:21 age. I have to live with that." And 32:21 age. I have to live with that." And that's what can be so really be a 32:23 that's what can be so really be a 32:24 that's what can be so really be a problem when you're like decide, oh, 32:25 problem when you're like decide, oh, 32:25 problem when you're like decide, oh, I'll just do some online program or I'll 32:27 I'll just do some online program or I'll 32:27 I'll just do some online program or I'll just, you know, start lifting and doing 32:30 just, you know, start lifting and doing 32:30 just, you know, start lifting and doing this something I saw that helped, you 32:31 this something I saw that helped, you 32:31 this something I saw that helped, you know, or they read the article. Oh, let 32:33 know, or they read the article. Oh, let 32:33 know, or they read the article. Oh, let me do those exercises. You can't and 32:36 me do those exercises. You can't and 32:36 me do those exercises. You can't and that's not safe. you need to just 32:38 that's not safe. you need to just 32:38 that's not safe. you need to just exactly what you said, you need to rehab 32:40 exactly what you said, you need to rehab 32:40 exactly what you said, you need to rehab that. And as a physical therapist, I 32:42 that. And as a physical therapist, I 32:42 that. And as a physical therapist, I really think people don't don't do that. 32:45 really think people don't don't do that. 32:45 really think people don't don't do that. They don't realize that things can 32:47 They don't realize that things can 32:47 They don't realize that things can improve. Just because they're a certain 32:48 improve. Just because they're a certain 32:48 improve. Just because they're a certain age doesn't mean they have to live with 32:50 age doesn't mean they have to live with 32:50 age doesn't mean they have to live with it. And so when you do, just like what 32:52 it. And so when you do, just like what 32:52 it. And so when you do, just like what happened in your story, 32:53 happened in your story, 32:53 happened in your story, >> it really makes a difference. And when 32:56 >> it really makes a difference. And when 32:56 >> it really makes a difference. And when someone can look at you and evaluate you 32:58 someone can look at you and evaluate you 32:58 someone can look at you and evaluate you and say, "Oh, yes, your ankle or your 33:00 and say, "Oh, yes, your ankle or your 33:00 and say, "Oh, yes, your ankle or your knee, there's just so much that can be 33:02 knee, there's just so much that can be 33:02 knee, there's just so much that can be done." That's when you fix that. And and 33:05 done." That's when you fix that. And and 33:05 done." That's when you fix that. And and there's not one sizefits-all with 33:07 there's not one sizefits-all with 33:07 there's not one sizefits-all with exercise and then you build on it and 33:09 exercise and then you build on it and 33:10 exercise and then you build on it and then all of a sudden 33:11 then all of a sudden 33:11 then all of a sudden >> Exactly. 33:12 >> Exactly. 33:12 >> Exactly. >> Like when I fixed my ankle, like when I 33:14 >> Like when I fixed my ankle, like when I 33:14 >> Like when I fixed my ankle, like when I did the physiootherapy on my ankles, it 33:16 did the physiootherapy on my ankles, it 33:16 did the physiootherapy on my ankles, it felt like I had brand new ankles. Like 33:18 felt like I had brand new ankles. Like 33:18 felt like I had brand new ankles. Like it was day and night difference. And it 33:21 it was day and night difference. And it 33:21 it was day and night difference. And it was just the physical therapy exercises 33:22 was just the physical therapy exercises 33:22 was just the physical therapy exercises that made all the diff. It wasn't a like 33:24 that made all the diff. It wasn't a like 33:24 that made all the diff. It wasn't a like an ankle reconstruction or replacement 33:26 an ankle reconstruction or replacement 33:26 an ankle reconstruction or replacement or anything like that. It was the right 33:28 or anything like that. It was the right 33:28 or anything like that. It was the right exercises that were customized to me. 33:31 exercises that were customized to me. 33:31 exercises that were customized to me. And I could walk. I could run without 33:33 And I could walk. I could run without 33:33 And I could walk. I could run without any pain in my ankles, hips or knees and 33:36 any pain in my ankles, hips or knees and 33:36 any pain in my ankles, hips or knees and it was it was incredible. So, I'm always 33:39 it was it was incredible. So, I'm always 33:39 it was it was incredible. So, I'm always amazed at how much progress we can make 33:42 amazed at how much progress we can make 33:42 amazed at how much progress we can make when we do the right exercises. It it is 33:46 when we do the right exercises. It it is 33:46 when we do the right exercises. It it is phenomenal. 33:47 phenomenal. 33:47 phenomenal. >> And what's interesting, I don't know 33:48 >> And what's interesting, I don't know 33:48 >> And what's interesting, I don't know about Australia, but in the United 33:50 about Australia, but in the United 33:50 about Australia, but in the United States, physical therapy is covered by 33:53 States, physical therapy is covered by 33:53 States, physical therapy is covered by insurance. You know, when there's 33:55 insurance. You know, when there's 33:55 insurance. You know, when there's issues, it it's usually covered. 33:56 issues, it it's usually covered. 33:56 issues, it it's usually covered. Medicare, it's covered. And um you know 34:00 Medicare, it's covered. And um you know 34:00 Medicare, it's covered. And um you know so it's it's something that just for 34:02 so it's it's something that just for 34:02 so it's it's something that just for some reason the doctors not not 34:04 some reason the doctors not not 34:04 some reason the doctors not not everybody but it's just people and let 34:06 everybody but it's just people and let 34:06 everybody but it's just people and let so ask your doctor you know I've been 34:08 so ask your doctor you know I've been 34:08 so ask your doctor you know I've been having issues with my shoulder could I 34:10 having issues with my shoulder could I 34:10 having issues with my shoulder could I get a referral for physical therapy or I 34:12 get a referral for physical therapy or I 34:12 get a referral for physical therapy or I mean a lot of times you don't even 34:13 mean a lot of times you don't even 34:13 mean a lot of times you don't even depending where you live but I agree but 34:16 depending where you live but I agree but 34:16 depending where you live but I agree but I I just think what you said was so so 34:18 I I just think what you said was so so 34:18 I I just think what you said was so so important deal with that first and then 34:22 important deal with that first and then 34:22 important deal with that first and then move on and and the results are 34:24 move on and and the results are 34:24 move on and and the results are incredible and but it's interesting you 34:26 incredible and but it's interesting you 34:26 incredible and but it's interesting you know the people listening are probably, 34:29 know the people listening are probably, 34:29 know the people listening are probably, you know, there's a lot of women in this 34:30 you know, there's a lot of women in this 34:30 you know, there's a lot of women in this community. So for the women in this 34:32 community. So for the women in this 34:32 community. So for the women in this community thinking about their husbands 34:34 community thinking about their husbands 34:34 community thinking about their husbands like here, they're doing all these 34:36 like here, they're doing all these 34:36 like here, they're doing all these amazing things. So hopefully the cooking 34:38 amazing things. So hopefully the cooking 34:38 amazing things. So hopefully the cooking and the food they're eating, they're 34:40 and the food they're eating, they're 34:40 and the food they're eating, they're also sharing with with their husbands if 34:43 also sharing with with their husbands if 34:43 also sharing with with their husbands if they're living, you know, if they have 34:44 they're living, you know, if they have 34:44 they're living, you know, if they have another person or another relative who's 34:46 another person or another relative who's 34:46 another person or another relative who's a man. But at what age do you recommend
When should men get a DEXA scan? 34:49 a man. But at what age do you recommend 34:49 a man. But at what age do you recommend that people, you know, just, you know, 34:51 that people, you know, just, you know, 34:51 that people, you know, just, you know, as a routine to see where you're at? Is 34:53 as a routine to see where you're at? Is 34:53 as a routine to see where you're at? Is there an age that you recommend for men 34:56 there an age that you recommend for men 34:56 there an age that you recommend for men to get tested, get the DEXA, or just see 34:58 to get tested, get the DEXA, or just see 34:58 to get tested, get the DEXA, or just see where they're at? 34:59 where they're at? 34:59 where they're at? >> Yeah, definitely. So, currently it's 35:01 >> Yeah, definitely. So, currently it's 35:01 >> Yeah, definitely. So, currently it's around the age of 70, but I think that's 35:04 around the age of 70, but I think that's 35:04 around the age of 70, but I think that's probably too late, particularly if you 35:06 probably too late, particularly if you 35:06 probably too late, particularly if you have some of these risk factors. I would 35:08 have some of these risk factors. I would 35:08 have some of these risk factors. I would recommend if you've if you've fallen 35:10 recommend if you've if you've fallen 35:10 recommend if you've if you've fallen over and broken something, that's a 35:12 over and broken something, that's a 35:12 over and broken something, that's a that's your first stop. If you're over 35:14 that's your first stop. If you're over 35:14 that's your first stop. If you're over 40 and you've done that, you if you've 35:16 40 and you've done that, you if you've 35:16 40 and you've done that, you if you've fallen from a standing height, it's not 35:18 fallen from a standing height, it's not 35:18 fallen from a standing height, it's not bad luck. It's it's a it's a warning 35:20 bad luck. It's it's a it's a warning 35:20 bad luck. It's it's a it's a warning sign. So, talk to your doctor about your 35:22 sign. So, talk to your doctor about your 35:22 sign. So, talk to your doctor about your bones. Then if you've shrunken a little 35:24 bones. Then if you've shrunken a little 35:24 bones. Then if you've shrunken a little bit over the years, that's another one. 35:26 bit over the years, that's another one. 35:26 bit over the years, that's another one. If you've got a family history of it, if 35:28 If you've got a family history of it, if 35:28 If you've got a family history of it, if you're on some of those medications that 35:29 you're on some of those medications that 35:29 you're on some of those medications that we've spoke about like the like the 35:31 we've spoke about like the like the 35:31 we've spoke about like the like the steroids, the gluccocorticoids on the 35:34 steroids, the gluccocorticoids on the 35:34 steroids, the gluccocorticoids on the proton pump inhibitor, so ant acids can 35:36 proton pump inhibitor, so ant acids can 35:36 proton pump inhibitor, so ant acids can be a risk factor for that and a lot of 35:38 be a risk factor for that and a lot of 35:38 be a risk factor for that and a lot of older gentlemen are on that. If you've 35:40 older gentlemen are on that. If you've 35:40 older gentlemen are on that. If you've had the prostate cancer treatment, 35:42 had the prostate cancer treatment, 35:42 had the prostate cancer treatment, testosterone deprivation therapy for 35:44 testosterone deprivation therapy for 35:44 testosterone deprivation therapy for example, some of anti-depressants can be 35:47 example, some of anti-depressants can be 35:47 example, some of anti-depressants can be a risk factor as well. So there's a 35:48 a risk factor as well. So there's a 35:48 a risk factor as well. So there's a there's a number of them and the 35:50 there's a number of them and the 35:50 there's a number of them and the conditions that we mentioned earlier as 35:51 conditions that we mentioned earlier as 35:51 conditions that we mentioned earlier as well. So, if you've got any of those, 35:53 well. So, if you've got any of those, 35:53 well. So, if you've got any of those, I'd be talking to your to and you're 35:55 I'd be talking to your to and you're 35:55 I'd be talking to your to and you're over 40, I'd be talking to your to your 35:57 over 40, I'd be talking to your to your 35:58 over 40, I'd be talking to your to your doctor about that to to to start that 36:00 doctor about that to to to start that 36:00 doctor about that to to to start that conversation early. And a DEXA scan is 36:04 conversation early. And a DEXA scan is 36:04 conversation early. And a DEXA scan is depending on which part of the world 36:05 depending on which part of the world 36:05 depending on which part of the world you're in. They're very accessible, easy 36:07 you're in. They're very accessible, easy 36:07 you're in. They're very accessible, easy to do, and relatively cheap as well and 36:10 to do, and relatively cheap as well and 36:10 to do, and relatively cheap as well and often covered by by Medicare. So that 36:13 often covered by by Medicare. So that 36:13 often covered by by Medicare. So that that's that's yeah that that's what I 36:14 that's that's yeah that that's what I 36:14 that's that's yeah that that's what I would recommend for for the gentleman is 36:16 would recommend for for the gentleman is 36:16 would recommend for for the gentleman is yeah it's hard to to I wouldn't say a 36:18 yeah it's hard to to I wouldn't say a 36:18 yeah it's hard to to I wouldn't say a strict age because then we're missing a 36:21 strict age because then we're missing a 36:21 strict age because then we're missing a lot of people. So I kind of think about 36:23 lot of people. So I kind of think about 36:23 lot of people. So I kind of think about it, 36:23 it, 36:24 it, >> right? Risk factor 36:26 >> right? Risk factor 36:26 >> right? Risk factor tested, right? Cuz you were so young. 36:28 tested, right? Cuz you were so young. 36:28 tested, right? Cuz you were so young. Look how young you were when you found 36:30 Look how young you were when you found 36:30 Look how young you were when you found out. And when people have those 36:32 out. And when people have those 36:32 out. And when people have those underlying root causes, they could be 36:33 underlying root causes, they could be 36:33 underlying root causes, they could be quite young and have no idea that 36:36 quite young and have no idea that 36:36 quite young and have no idea that they're 36:36 they're 36:36 they're >> Exactly. And for me, it was the the 36:38 >> Exactly. And for me, it was the the 36:38 >> Exactly. And for me, it was the the breaking the bones, the 13 fractures, 36:40 breaking the bones, the 13 fractures, 36:40 breaking the bones, the 13 fractures, you know, 10 years that I I didn't 36:43 you know, 10 years that I I didn't 36:43 you know, 10 years that I I didn't connect the dots. I just thought it was, 36:45 connect the dots. I just thought it was, 36:45 connect the dots. I just thought it was, hey, you know, bad luck. But that was 36:46 hey, you know, bad luck. But that was 36:46 hey, you know, bad luck. But that was the lesson I had to learn. And I'm 36:48 the lesson I had to learn. And I'm 36:48 the lesson I had to learn. And I'm hoping to share that with others now. 36:51 hoping to share that with others now. 36:51 hoping to share that with others now. >> Yeah. No. And and you are you're doing 36:53 >> Yeah. No. And and you are you're doing 36:53 >> Yeah. No. And and you are you're doing so many great things in terms you know 36:56 so many great things in terms you know 36:56 so many great things in terms you know just in terms of everything. So it's 36:58 just in terms of everything. So it's 36:58 just in terms of everything. So it's interesting you know here you went from 37:00 interesting you know here you went from 37:00 interesting you know here you went from you went you started your powerlifting 37:03 you went you started your powerlifting 37:03 you went you started your powerlifting snowboarding after your diagnosis like 37:05 snowboarding after your diagnosis like 37:05 snowboarding after your diagnosis like what do you want men to take from this 37:08 what do you want men to take from this 37:08 what do you want men to take from this you what is your message but yeah
An osteoporosis diagnosis can be a positive turning point 37:11 you what is your message but yeah 37:11 you what is your message but yeah >> the big message that I want people to 37:12 >> the big message that I want people to 37:12 >> the big message that I want people to take out of this is that it's a 37:14 take out of this is that it's a 37:14 take out of this is that it's a potential turning point in your life for 37:17 potential turning point in your life for 37:17 potential turning point in your life for for better or for worse. Right. 37:18 for better or for worse. Right. 37:18 for better or for worse. Right. [laughter] I think we have to be clear 37:20 [laughter] I think we have to be clear 37:20 [laughter] I think we have to be clear about that because if we don't do 37:21 about that because if we don't do 37:21 about that because if we don't do anything about it, it can get worse. If 37:22 anything about it, it can get worse. If 37:22 anything about it, it can get worse. If we do do something about it, it can lead 37:25 we do do something about it, it can lead 37:25 we do do something about it, it can lead to better quality of life, better 37:28 to better quality of life, better 37:28 to better quality of life, better lifestyle, better health, and feeling 37:31 lifestyle, better health, and feeling 37:31 lifestyle, better health, and feeling great. So, for myself, I was probably on 37:33 great. So, for myself, I was probably on 37:33 great. So, for myself, I was probably on a downward trajectory with with my 37:35 a downward trajectory with with my 37:36 a downward trajectory with with my health when I was diagnosed, but I was 37:37 health when I was diagnosed, but I was 37:37 health when I was diagnosed, but I was able to turn it around. As you 37:39 able to turn it around. As you 37:39 able to turn it around. As you mentioned, powerlifting, snowboarding, 37:41 mentioned, powerlifting, snowboarding, 37:41 mentioned, powerlifting, snowboarding, that's that's a sport I I've loved for 37:43 that's that's a sport I I've loved for 37:43 that's that's a sport I I've loved for many years, but I've broken a number of 37:45 many years, but I've broken a number of 37:45 many years, but I've broken a number of bones as a result of it. ribs and a and 37:49 bones as a result of it. ribs and a and 37:49 bones as a result of it. ribs and a and wrist a couple of times. So, it's not 37:52 wrist a couple of times. So, it's not 37:52 wrist a couple of times. So, it's not about holding being afraid and and and 37:55 about holding being afraid and and and 37:55 about holding being afraid and and and never doing the activities you love 37:57 never doing the activities you love 37:57 never doing the activities you love again. It's about going, okay, I need to 37:59 again. It's about going, okay, I need to 37:59 again. It's about going, okay, I need to understand what's going on here, take 38:01 understand what's going on here, take 38:01 understand what's going on here, take the right actions, and start turning 38:04 the right actions, and start turning 38:04 the right actions, and start turning around my bone strength and my health 38:07 around my bone strength and my health 38:07 around my bone strength and my health and start going in the direction where I 38:09 and start going in the direction where I 38:09 and start going in the direction where I am actually being far more active, far 38:11 am actually being far more active, far 38:11 am actually being far more active, far more engaged in my health and more 38:13 more engaged in my health and more 38:13 more engaged in my health and more proactive so that your life actually is 38:16 proactive so that your life actually is 38:16 proactive so that your life actually is better as a result. So, I'm I've I was 38:19 better as a result. So, I'm I've I was 38:19 better as a result. So, I'm I've I was never powerlifting before. I'm 38:20 never powerlifting before. I'm 38:20 never powerlifting before. I'm powerlifting. I'm in the best shape of 38:21 powerlifting. I'm in the best shape of 38:21 powerlifting. I'm in the best shape of my life. But now I'm older obviously 38:23 my life. But now I'm older obviously 38:23 my life. But now I'm older obviously than I've ever been before. But and and 38:25 than I've ever been before. But and and 38:26 than I've ever been before. But and and and it's it was a turning point. So if I 38:28 and it's it was a turning point. So if I 38:28 and it's it was a turning point. So if I can inspire men to do anything is to 38:31 can inspire men to do anything is to 38:31 can inspire men to do anything is to take advantage of this opportunity to 38:34 take advantage of this opportunity to 38:34 take advantage of this opportunity to use the momentum of this to use the the 38:37 use the momentum of this to use the the 38:37 use the momentum of this to use the the support that you can get, use the 38:39 support that you can get, use the 38:39 support that you can get, use the information that you have to to take the 38:42 information that you have to to take the 38:42 information that you have to to take the right actions and head in a positive 38:44 right actions and head in a positive 38:44 right actions and head in a positive direction and have a better life as a as 38:46 direction and have a better life as a as 38:46 direction and have a better life as a as a result of it. Oh, I love what you said 38:49 a result of it. Oh, I love what you said 38:49 a result of it. Oh, I love what you said and and it and it's doable. That's the 38:51 and and it and it's doable. That's the 38:51 and and it and it's doable. That's the exciting thing. 38:53 exciting thing. 38:53 exciting thing. We both see this every single day and 38:57 We both see this every single day and 38:57 We both see this every single day and that's what keeps me going in this 38:59 that's what keeps me going in this 38:59 that's what keeps me going in this because you know when you take those 39:01 because you know when you take those 39:01 because you know when you take those actions really life just becomes so much 39:04 actions really life just becomes so much 39:04 actions really life just becomes so much more miraculous in so many ways. I I 39:07 more miraculous in so many ways. I I 39:07 more miraculous in so many ways. I I just think that's great. So tell us 39:09 just think that's great. So tell us 39:09 just think that's great. So tell us because you've done something amazing. 39:11 because you've done something amazing. 39:11 because you've done something amazing. You had a couple things but you have a 39:13 You had a couple things but you have a 39:13 You had a couple things but you have a men's program. tell us how you started 39:15 men's program. tell us how you started 39:15 men's program. tell us how you started your men's what your men's program is 39:16 your men's what your men's program is 39:16 your men's what your men's program is and how people can actually still access 39:19 and how people can actually still access 39:19 and how people can actually still access that. 39:20 that. 39:20 that. >> Absolutely. Definitely. So, as I was 39:21 >> Absolutely. Definitely. So, as I was 39:22 >> Absolutely. Definitely. So, as I was saying earlier, so people were asking 39:23 saying earlier, so people were asking 39:23 saying earlier, so people were asking me, Tom, how did you do it? And I 39:25 me, Tom, how did you do it? And I 39:25 me, Tom, how did you do it? And I thought there was a big gaff for men. No 39:27 thought there was a big gaff for men. No 39:27 thought there was a big gaff for men. No one was really talking to them. And so, 39:29 one was really talking to them. And so, 39:29 one was really talking to them. And so, I thought I'm going to talk it felt more 39:31 I thought I'm going to talk it felt more 39:31 I thought I'm going to talk it felt more congruent for me to talk to men and show 39:33 congruent for me to talk to men and show 39:33 congruent for me to talk to men and show them how to do what I've done. And I 39:35 them how to do what I've done. And I 39:35 them how to do what I've done. And I started to do lifestyle and health 39:37 started to do lifestyle and health 39:37 started to do lifestyle and health coaching for them. I used to charge for 39:39 coaching for them. I used to charge for 39:39 coaching for them. I used to charge for it. I don't do that anymore. I give it 39:41 it. I don't do that anymore. I give it 39:41 it. I don't do that anymore. I give it away for free now. So you can go to bone 39:43 away for free now. So you can go to bone 39:43 away for free now. So you can go to bone densityed education.com 39:45 densityed education.com 39:45 densityed education.com and get that for free and and use that 39:48 and get that for free and and use that 39:48 and get that for free and and use that for yourself or for someone that you 39:49 for yourself or for someone that you 39:49 for yourself or for someone that you know because that kind of my journey has 39:52 know because that kind of my journey has 39:52 know because that kind of my journey has been steps forward and and and so step 39:55 been steps forward and and and so step 39:55 been steps forward and and and so step first step was being diagnosed then 39:57 first step was being diagnosed then 39:57 first step was being diagnosed then treating my own situation sharing it 40:00 treating my own situation sharing it 40:00 treating my own situation sharing it with men understanding that there's a 40:02 with men understanding that there's a 40:02 with men understanding that there's a big gap not just for men but for for for 40:04 big gap not just for men but for for for 40:04 big gap not just for men but for for for for women and for with between the the 40:08 for women and for with between the the 40:08 for women and for with between the the treatments that are out there the 40:09 treatments that are out there the 40:09 treatments that are out there the research and and the way that it's 40:11 research and and the way that it's 40:12 research and and the way that it's discussed in the clinical setting. And 40:15 discussed in the clinical setting. And 40:15 discussed in the clinical setting. And that's kind of where it's led me to now 40:17 that's kind of where it's led me to now 40:17 that's kind of where it's led me to now where one of the big kind of the the 40:19 where one of the big kind of the the 40:19 where one of the big kind of the the frustrations that I'm trying to overcome 40:21 frustrations that I'm trying to overcome 40:21 frustrations that I'm trying to overcome and help people with is when we're 40:23 and help people with is when we're 40:23 and help people with is when we're initially diagnosed. I don't know about 40:25 initially diagnosed. I don't know about 40:25 initially diagnosed. I don't know about anybody else's experience, but for 40:27 anybody else's experience, but for 40:27 anybody else's experience, but for myself, I I was confused. I was 40:30 myself, I I was confused. I was 40:30 myself, I I was confused. I was frightened and I didn't know what what 40:32 frightened and I didn't know what what 40:32 frightened and I didn't know what what to do going forward cuz the consultation 40:34 to do going forward cuz the consultation 40:34 to do going forward cuz the consultation with the doctor was very short. I had 40:36 with the doctor was very short. I had 40:36 with the doctor was very short. I had the DEXA scan and I had the prescription 40:38 the DEXA scan and I had the prescription 40:38 the DEXA scan and I had the prescription and I was like, what do I do now? And 40:41 and I was like, what do I do now? And 40:41 and I was like, what do I do now? And and so I wanted to create something that 40:44 and so I wanted to create something that 40:44 and so I wanted to create something that would help people in that point of being 40:46 would help people in that point of being 40:46 would help people in that point of being newly diagnosed. And so I I turned the 40:50 newly diagnosed. And so I I turned the 40:50 newly diagnosed. And so I I turned the research that I've done into a into an 40:52 research that I've done into a into an 40:52 research that I've done into a into an app that people can get at that point, 40:55 app that people can get at that point, 40:55 app that people can get at that point, which helps you to understand your DEXA 40:57 which helps you to understand your DEXA 40:57 which helps you to understand your DEXA scan, helps you to understand 40:58 scan, helps you to understand 40:58 scan, helps you to understand osteoporosis, what your treatment 41:00 osteoporosis, what your treatment 41:00 osteoporosis, what your treatment options are. We're adding some really 41:02 options are. We're adding some really 41:02 options are. We're adding some really cool features there where you can take a 41:03 cool features there where you can take a 41:03 cool features there where you can take a photo of your food and it will show you 41:05 photo of your food and it will show you 41:05 photo of your food and it will show you how much protein and calcium's in there 41:07 how much protein and calcium's in there 41:07 how much protein and calcium's in there and so you can track it and and see if 41:09 and so you can track it and and see if 41:09 and so you can track it and and see if you're you're hitting the targets. And 41:11 you're you're hitting the targets. And 41:11 you're you're hitting the targets. And so the idea is that we help to shorten 41:14 so the idea is that we help to shorten 41:14 so the idea is that we help to shorten that period of confusion to hopefully as 41:17 that period of confusion to hopefully as 41:17 that period of confusion to hopefully as little as possible and so expose people 41:19 little as possible and so expose people 41:19 little as possible and so expose people to as much of the good things that that 41:21 to as much of the good things that that 41:22 to as much of the good things that that will help them along their journey as 41:24 will help them along their journey as 41:24 will help them along their journey as possible. It's a free app. You can 41:25 possible. It's a free app. You can 41:26 possible. It's a free app. You can download it. It's called Lenari and it's 41:28 download it. It's called Lenari and it's 41:28 download it. It's called Lenari and it's in the app stores now. Oh, well that's 41:30 in the app stores now. Oh, well that's 41:30 in the app stores now. Oh, well that's great and it's so I love everything that 41:33 great and it's so I love everything that 41:33 great and it's so I love everything that you've done and you've just helped so 41:35 you've done and you've just helped so 41:35 you've done and you've just helped so many people and is there any you've said 41:38 many people and is there any you've said 41:38 many people and is there any you've said so much but is there any last minute 41:39 so much but is there any last minute 41:39 so much but is there any last minute things that you want to share and I just 41:41 things that you want to share and I just 41:41 things that you want to share and I just hope everybody my goal for this is to 41:44 hope everybody my goal for this is to 41:44 hope everybody my goal for this is to bring the awareness to the men we do so 41:46 bring the awareness to the men we do so 41:46 bring the awareness to the men we do so much and this community is incredible 41:49 much and this community is incredible 41:49 much and this community is incredible because I know all the people listening 41:52 because I know all the people listening 41:52 because I know all the people listening are proactive and they're taking action 41:54 are proactive and they're taking action 41:54 are proactive and they're taking action and they're improving their life and 41:56 and they're improving their life and 41:56 and they're improving their life and getting the information so they can lead 41:58 getting the information so they can lead 41:58 getting the information so they can lead their best lives. But we don't want the 41:59 their best lives. But we don't want the 42:00 their best lives. But we don't want the men not to because as you said it really 42:02 men not to because as you said it really 42:02 men not to because as you said it really is overlooked. And so I really hope you 42:05 is overlooked. And so I really hope you 42:06 is overlooked. And so I really hope you take this information to any of the men 42:08 take this information to any of the men 42:08 take this information to any of the men in your life or you know just help help. 42:11 in your life or you know just help help. 42:11 in your life or you know just help help. >> Yeah. If I could say add one last 42:13 >> Yeah. If I could say add one last 42:13 >> Yeah. If I could say add one last message is is to the men listening to 42:15 message is is to the men listening to 42:15 message is is to the men listening to this or if you have a man in your life 42:17 this or if you have a man in your life 42:17 this or if you have a man in your life with osteopenia osteoporosis is to 42:20 with osteopenia osteoporosis is to 42:20 with osteopenia osteoporosis is to >> not to panic and but not to ignore it as 42:22 >> not to panic and but not to ignore it as 42:22 >> not to panic and but not to ignore it as well and to ask your doctor why. Start 42:26 well and to ask your doctor why. Start 42:26 well and to ask your doctor why. Start with the why question. why did this 42:28 with the why question. why did this 42:28 with the why question. why did this happen to me? Because the majority of 42:30 happen to me? Because the majority of 42:30 happen to me? Because the majority of men have an underlying cause that should 42:33 men have an underlying cause that should 42:33 men have an underlying cause that should be addressed and then go from there. 42:35 be addressed and then go from there. 42:35 be addressed and then go from there. That would be the the main the main 42:37 That would be the the main the main 42:37 That would be the the main the main message. 42:37 message. 42:37 message. >> Oh, that's so great. Well, thank you so 42:40 >> Oh, that's so great. Well, thank you so 42:40 >> Oh, that's so great. Well, thank you so much. It's been such a pleasure and I'm 42:44 much. It's been such a pleasure and I'm 42:44 much. It's been such a pleasure and I'm so glad that I was introduced to you and 42:46 so glad that I was introduced to you and 42:46 so glad that I was introduced to you and that we're able to spread all this 42:48 that we're able to spread all this 42:48 that we're able to spread all this really important information. So, thanks 42:50 really important information. So, thanks 42:50 really important information. So, thanks so much for joining me today. 42:52 so much for joining me today. 42:52 so much for joining me today. >> Thank you for having me. This has been 42:53 >> Thank you for having me. This has been 42:53 >> Thank you for having me. This has been great and I hope I can help as many 42:55 great and I hope I can help as many 42:55 great and I hope I can help as many people as I can. Thank you. 42:58 people as I can. Thank you. 42:58 people as I can. Thank you. I hope you enjoyed this interview with 43:00 I hope you enjoyed this interview with 43:00 I hope you enjoyed this interview with Dr. Forfea as much as I did and now have 43:03 Dr. Forfea as much as I did and now have 43:03 Dr. Forfea as much as I did and now have a better understanding of men and 43:05 a better understanding of men and 43:05 a better understanding of men and osteoporosis. 43:07 osteoporosis. 43:07 osteoporosis. So, please share this with anyone that 43:09 So, please share this with anyone that 43:09 So, please share this with anyone that can benefit the men in your life because 43:11 can benefit the men in your life because 43:11 can benefit the men in your life because unfortunately, as you've heard, they've 43:13 unfortunately, as you've heard, they've 43:13 unfortunately, as you've heard, they've been overlooked and there's so much that 43:16 been overlooked and there's so much that 43:16 been overlooked and there's so much that can be done to both prevent and improve 43:19 can be done to both prevent and improve 43:19 can be done to both prevent and improve their bone health. So, all the links 43:21 their bone health. So, all the links 43:21 their bone health. So, all the links that Dr. for talked about will be in the 43:24 that Dr. for talked about will be in the 43:24 that Dr. for talked about will be in the show notes and make sure also to 43:26 show notes and make sure also to 43:26 show notes and make sure also to download my osteoporosis exercises to 43:29 download my osteoporosis exercises to 43:29 download my osteoporosis exercises to strengthen your bones and prevent 43:30 strengthen your bones and prevent 43:30 strengthen your bones and prevent fractures. So, thank you so much for 43:33 fractures. So, thank you so much for 43:33 fractures. So, thank you so much for tuning [music] in and I look forward to 43:35 tuning [music] in and I look forward to 43:35 tuning [music] in and I look forward to seeing you on the next episode.
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