This information is amazing. Thank you so much Margaret for making it available to us. Finding a good doctor who deals with osteoporosis is extremely difficult so videos like this are so helpful and appreciated.
Thanks so much. Dr Ott is a much needed voice in this space. This is much needed information for making an informed decision about how to manage our bone health.
Very informative interview, thank you. It's scary that doctors don't seem to know or care about the damage rather than help they're giving when they prescribe these bone-altering drugs. The permanent damage to bones from use of these drugs has been spelled out very well by Dr Ott, but I wish other harms were also mentioned, like kidney damage, gastric damage & heart effects. And why do we call them "side" effects when they are so directly caused, permanent & harmful?
Thank You very much. I agree that there is a lot of ignorance as many doctors do not keep up to date with the literature and they just blindly tell you to continue without any logical reason as to why you should continue taking these medications and even less information about the long term problems.
I am 65 and was diagnosed with osteoporosis in my late 50"s. I rejected the drugs after researching them with the a-typical fractures. Over the last few years I have begun to reverse my osteoporosis through supplements, walking, and use of a vibration plate. It's slow, but my goal was to at least not let it get worse. Thank you for this video.
Thanks for sharing. I am 71 and also researching after an arm fracture and subsequent Osteoporosis diagnosis. Would love to know what supplements you take.
I am 82 years old. I took nothing at menopause and for years after. I was advised to take Provera and refused because, at that time, it was supposedly linked to breast cancer. I have been taking Raloxifene for years although my endocrinologist prefers me to stop. I have been diagnosed with osteopenia and borderline osteoporosis. I am in a Bone Builders class. Honestly, I don’t want to take anything! Haven’t had any falls, breaks, etc., but I probably am on borrowed time. At this stage of life, I don’t want to deal with side effects.
Elderly women in non-industrial cultures who consume a traditional plant-based diet tend to have lower rates of bone fractures compared to women in industrialized societies. Several factors contribute to this, including: Dietary Composition: Traditional plant-based diets are rich in whole foods, including vegetables, legumes, whole grains, and fruits, which provide an abundance of vitamins and minerals, particularly magnesium, potassium, vitamin K, and phytonutrients that support bone health. These diets also tend to include calcium from plant sources, such as leafy greens, nuts, and seeds. Low Animal Protein and Acid Load: High intakes of animal protein can create an acidic environment in the body, potentially leading to calcium being leached from the bones to buffer the acidity. Plant-based diets generally result in a lower dietary acid load, which can preserve bone density. Physical Activity: Women in non-industrial cultures often engage in more physical labor and weight-bearing activities, which help maintain bone strength. Activities like farming, walking, and carrying loads stimulate bone remodeling and improve bone density. Hormonal Balance: Traditional lifestyles may contribute to better hormonal health, including higher levels of estrogen during reproductive years, which supports bone density. Additionally, less chronic stress and better sleep patterns may positively influence bone health. Lower Osteoporosis Diagnosis Rates: In non-industrial cultures, osteoporosis is less frequently diagnosed, partly due to lower exposure to the medical diagnostic framework (e.g., DEXA scans). However, this does not mean these populations are free from bone density issues-it might also reflect their resilience to fractures despite thinner bones. Bone Strength vs. Density: Bone strength and fracture risk do not solely depend on density. Studies suggest that individuals in some traditional cultures may have thinner but more resilient bones, possibly due to diet and lifestyle factors. Research Findings: Studies like those on rural Chinese, African, and Indian populations suggest that fracture rates are lower despite these populations having lower bone density scores than Westerners. This indicates that bone quality, not just density, plays a significant role in fracture resistance. That said, these observations vary depending on specific cultural practices, access to nutrients, and overall health. While traditional diets and lifestyles are protective, extreme poverty or malnutrition in some non-industrial regions can increase fracture risk.
I was diagnosed with osteoporosis in my hips but my chances or getting a hip fracture is about 5% and the doctor wanted me to go on prolia but I told him I will rather take my chances on the hip fracture than talking the injection. I started taking HRT again after 20 years. I am 66 and been post menopausal for a couple of years now.
My husband got 5 compression fractures when he missed a dose of Prolia. He was given an infusion of Reclast then got the jaw issue. It's all been a nightmare.
What is her recommendation then for those recently diagnosed with osteoporosis and trying to decide medicine or no medicine? Estrogen should be started? Alendrnate? A combination of? Or just supplements and weight wearing exercise and the right foods containing magnesium and calcium and k2 and C?
My sister was on Fosamax for 10 years. She suffered ATypical fractures in both femurs. She was only walking through the house each time when the bone fractured. Had to have rods placed from her knee to her hip to stabilize. I believe it’s now recommended to only take it for five years without a break.
Thanks for the video, but I was confused about the bisphosphonates action. If they are effective or not so much as seems to apear some craks in out bones. I´m taking bisphosphonates, that´s why I would like to make sure I´m in the right direction.
I wish I had heard this interview years ago. I have had three doctors prescribe Prolia and I have been on it for 12 years. When I got my last shot several weeks ago, I asked the endocronologist if there were options. She confidently replied that I was on the best possible course of treatment. I wish I had just proceeded with estrogen replacement and a good exercise and dietary program. I would probably be better off at this point. I'm curious if there are any medical trials for someone like me.
I wish more had been said about estrogen and progesterone I found it a bit confusing. Maybe you could have someone on who's very knowledgeable about hormone replacement and is it advisable even if you are postmenopausal more than 10 years. There are so many side effects to all these bone drugs I really don't want to take them. I have had two fractures in my thoracic spine and my bone density is a -4.7 I know it's really bad and I'm only 69 years old with a lot of digestive issues that contribute to my bone loss. I really don't want to take these drugs though. This is all very scary I'm confusing.
Thanks so much for bringing this to us and all you do but I'm a bit confused with how Dr. Ott is explaining the charts around 39 min in. (and similar one before that) re the Alendronate study. She will mention the Placebo takers as one group implying they had NO DRUG AT ALL ie NO bisphosphonates and that they had the same results as the others but I feel like this is not what she or the study meant ie I don't think they were looking at any paricipants that had zero Alendronate. If they truly didn't take any drug then none of us should as their results were the same as those who did take the drug. I don't think this is the case though. When I look at the chart, they key seems to imply that some of the participants had the Alendronate plus a Placebo (this maybe is what she means when she refers to the Placebo group?), group 2 had Alendronate with and additional 5mg of Alendronate, and group 3 had Alendronate plus 10mg more of the Alendronate. ie I think they ALL had Alendronate (no one had just a Placebo and no drug whatsoever) and the bottom line of the conclusions is that the Alendronate worked but it didn't work any better for those who had more of the drug and it didn't work better for those who stayed on the drug for longer. Is this true? Do I have that right? ie ALL the participants had Alendronate. No group had no Alendronate at all. Thanks for any clarification you can provide here either way. It seems important. Thank you again for all the fabulous info you provide us 🙏🏼❤
I am exactly in this position. I have been on Prolia for 6 years. I had an extraction due to a failed four tooth bridge, meaning I have three teeth that are missing. My oral surgeon attempted to install 2 implants 4 months after my last Prolia shot, but they failed, and the beginnings of osteonecrosis of the jaw was observed, so he removed the two implants and I'm now in the process of healing. The bone health specialists wanted to put me on reclast to wean me off of Prolia, but after the issue with my teeth, she is recommending Evista. My question is if I opt to not have implants (and just get a partial) and my jaw is healed completely, can I try reclast, which may have better results in transitioning off Prolia? I am due for my next Prolia shot and of December, early January so I need a plan asap 😢
@@dianac9355 yes I understand should have said discussing with my doctor at next my next visit and will be telling him I don't want it anymore. But thank you.
If you were 70+ years, I don’t suppose you can take estrogen now? I have heard that it must be done before menopause and if you start taking it after 70 or maybe even after 65 it increases the risk of heart problems.
I take 1 gm of estradiol and used a maridyne for 2 years. Guilty of not exercising other than Linedance clsss 1-1/2 hrs 3 times a week. All my numbers improved except h hip so I will start Margarit’s squats with weights. I highly recommend the Maridyne. It was expensive but I decided it was an investment in my health. I’m 81 and still osteopenia. I want to get a REMS scan but can’t find a source. Any other suggestions?
I just had an appointment with an NP at obgyn office and she explained why there are cardiac risks if you haven't used estrogen therapy and are more than 10 years out in menopause. Your doctor should be able to explain it to you.
My friend took oestrogen for years to prevent osteoporosis…. She ended up with breast cancer and fractures in her cervical (neck) vertebrae. Came off everything. Was told that alcohol and caffeine depletes bones as well.
@@maggienowland2065 I've heard that about alcohol but didn't know about coffee. I’ve just listened to @jillritchielongevity video ‘How to Reverse Osteoporosis (women over 50) Her focus is on fall prevention, strength and muscle building. What she said really resonated with me.
I was on daily forteo injections for two years. That’s all the time you can stay on it. Very expensive ( I had a high deductible health insurance plan) I had. Bone scan the month I stopped and my bone scan showed no bone loss but no bone growth either. It’s been two years of no meds for me now, I will get another bone scan next month ( doc wanted me to do it last year but because I had one the year before the radiologist place would not do it, I am on Medicare with a Medicare supplement, from what I read if you were diagnosed with osteoporosis you could get one more then every two years ( I decided not to, I am looking forward to next month to see what it says) I’ve just started watching this video and will finish it now, but 8 years ago or so I was sent up to the University of Washington and I was suppose to see Dr. Susan Ott but i ended up seeing one of the learning doctors I believe. I was an expensive visit that I paid for and I really didn’t learn anything….. crossing fingers it hasn’t gotten worse yet ( I am 66 1/2) I had no side effects from the two years being on forteo. ( give it a chance if you are handling it ok, and glad your insurance is paying for it)
Thanks for the info. I am a male 61 years old in Australia and have recent spinal compression fractures. Waiting for bone density scan results. Dr thinks it is probably going to be Osteoporosis, talked rather flippantly about Prolia treatment. From I just learnt she has no clue how the drug even works! Think I wont be taking that if recommended.
This is great. I have tried to get into see Dr. Ott for many years, always told no. I am a UW patient. I did Tymlos for 2 years and a few weeks ago got a Reclast infusion. ER ran so many tests for a terrible rare side effect one red swollen eye very painful. Not sure what it will be next. Ophthalmologist thought I probably should not do Reclast again.
So is the Tymlos a no no? After watching the video I'm not sure which one of the meds the Dr was speaking of is Tymlos. I have been prescribed Tymlos. Haven't started
It does not seem logic that nature makes us get weak bones after menopause since we are meant to live until 120 years old. You say it even happens in healthy women. What is healthy? Are they eating enough protein? Many older women eat too little protein. Bone is made of protein. After menopause the adrenals and the subcutanous fat is supposed to take over estrogen production and doing so we should not get bad menopause symptoms. Are bad symptoms caused by bad diet? Like eating too little meat and too much carbs and seed oils and maybe also taking statins?
This information is amazing. Thank you so much Margaret for making it available to us. Finding a good doctor who deals with osteoporosis is extremely difficult so videos like this are so helpful and appreciated.
By far the most comprehensive info I’ve seen on the topic. Greatly appreciate this segment!
Thanks so much. Dr Ott is a much needed voice in this space. This is much needed information for making an informed decision about how to manage our bone health.
Very informative interview, thank you. It's scary that doctors don't seem to know or care about the damage rather than help they're giving when they prescribe these bone-altering drugs. The permanent damage to bones from use of these drugs has been spelled out very well by Dr Ott, but I wish other harms were also mentioned, like kidney damage, gastric damage & heart effects. And why do we call them "side" effects when they are so directly caused, permanent & harmful?
Well I am not starting any drugs after listening to this! Great interview thank you
Me either! Although the Estrogen did not come out so badly.
Thank You very much. I agree that there is a lot of ignorance as many doctors do not keep up to date with the literature and they just blindly tell you to continue without any logical reason as to why you should continue taking these medications and even less information about the long term problems.
I am 65 and was diagnosed with osteoporosis in my late 50"s. I rejected the drugs after researching them with the a-typical fractures. Over the last few years I have begun to reverse my osteoporosis through supplements, walking, and use of a vibration plate. It's slow, but my goal was to at least not let it get worse. Thank you for this video.
Did you also take Estrogen?
What supplements do you take please
Thanks for sharing. I am 71 and also researching after an arm fracture and subsequent Osteoporosis diagnosis. Would love to know what supplements you take.
It's keeping your muscles so that we don't fall over
What supplements did you use and what’s the brand of vibration plate please?
I am 82 years old. I took nothing at menopause and for years after. I was advised to take Provera and refused because, at that time, it was supposedly linked to breast cancer. I have been taking Raloxifene for years although my endocrinologist prefers me to stop. I have been diagnosed with osteopenia and borderline osteoporosis. I am in a Bone Builders class. Honestly, I don’t want to take anything! Haven’t had any falls, breaks, etc., but I probably am on borrowed time. At this stage of life, I don’t want to deal with side effects.
God bless
Elderly women in non-industrial cultures who consume a traditional plant-based diet tend to have lower rates of bone fractures compared to women in industrialized societies. Several factors contribute to this, including:
Dietary Composition:
Traditional plant-based diets are rich in whole foods, including vegetables, legumes, whole grains, and fruits, which provide an abundance of vitamins and minerals, particularly magnesium, potassium, vitamin K, and phytonutrients that support bone health. These diets also tend to include calcium from plant sources, such as leafy greens, nuts, and seeds.
Low Animal Protein and Acid Load:
High intakes of animal protein can create an acidic environment in the body, potentially leading to calcium being leached from the bones to buffer the acidity. Plant-based diets generally result in a lower dietary acid load, which can preserve bone density.
Physical Activity:
Women in non-industrial cultures often engage in more physical labor and weight-bearing activities, which help maintain bone strength. Activities like farming, walking, and carrying loads stimulate bone remodeling and improve bone density.
Hormonal Balance:
Traditional lifestyles may contribute to better hormonal health, including higher levels of estrogen during reproductive years, which supports bone density. Additionally, less chronic stress and better sleep patterns may positively influence bone health.
Lower Osteoporosis Diagnosis Rates:
In non-industrial cultures, osteoporosis is less frequently diagnosed, partly due to lower exposure to the medical diagnostic framework (e.g., DEXA scans). However, this does not mean these populations are free from bone density issues-it might also reflect their resilience to fractures despite thinner bones.
Bone Strength vs. Density:
Bone strength and fracture risk do not solely depend on density. Studies suggest that individuals in some traditional cultures may have thinner but more resilient bones, possibly due to diet and lifestyle factors.
Research Findings:
Studies like those on rural Chinese, African, and Indian populations suggest that fracture rates are lower despite these populations having lower bone density scores than Westerners. This indicates that bone quality, not just density, plays a significant role in fracture resistance.
That said, these observations vary depending on specific cultural practices, access to nutrients, and overall health. While traditional diets and lifestyles are protective, extreme poverty or malnutrition in some non-industrial regions can increase fracture risk.
Thank you both for such an in-depth and still layperson friendly explanation of the drugs and long-term bone health.
I was diagnosed with osteoporosis in my hips but my chances or getting a hip fracture is about 5% and the doctor wanted me to go on prolia but I told him I will rather take my chances on the hip fracture than talking the injection. I started taking HRT again after 20 years. I am 66 and been post menopausal for a couple of years now.
My husband got 5 compression fractures when he missed a dose of Prolia. He was given an infusion of Reclast then got the jaw issue. It's all been a nightmare.
So sorry to hear that. It must be really hard on you both.
@@monicabouchard8964 oh my that’s terrible. So sorry. What is Reclast…?
So would you suggest taking estrogen with the progestin or without? And is there a certain dosage that you do with your patients? Thanks
What is her recommendation then for those recently diagnosed with osteoporosis and trying to decide medicine or no medicine? Estrogen should be started? Alendrnate? A combination of? Or just supplements and weight wearing exercise and the right foods containing magnesium and calcium and k2 and C?
I would like to know this answer as well?!
Thank you for sharing this valuable information.
My sister was on Fosamax for 10 years. She suffered ATypical fractures in both femurs. She was only walking through the house each time when the bone fractured. Had to have rods placed from her knee to her hip to stabilize. I believe it’s now recommended to only take it for five years without a break.
Outstanding presentation.
Have there been studies comparing these drugs to diet, exercise, and
supplement modifications?
Thanks for the video, but I was confused about the bisphosphonates action. If they are effective or not so much as seems to apear some craks in out bones. I´m taking bisphosphonates, that´s why I would like to make sure I´m in the right direction.
I wish I had heard this interview years ago. I have had three doctors prescribe Prolia and I have been on it for 12 years. When I got my last shot several weeks ago, I asked the endocronologist if there were options. She confidently replied that I was on the best possible course of treatment. I wish I had just proceeded with estrogen replacement and a good exercise and dietary program. I would probably be better off at this point. I'm curious if there are any medical trials for someone like me.
I wish more had been said about estrogen and progesterone I found it a bit confusing. Maybe you could have someone on who's very knowledgeable about hormone replacement and is it advisable even if you are postmenopausal more than 10 years. There are so many side effects to all these bone drugs I really don't want to take them. I have had two fractures in my thoracic spine and my bone density is a -4.7 I know it's really bad and I'm only 69 years old with a lot of digestive issues that contribute to my bone loss. I really don't want to take these drugs though. This is all very scary I'm confusing.
Very informative video - thank you!
Thanks so much for bringing this to us and all you do but I'm a bit confused with how Dr. Ott is explaining the charts around 39 min in. (and similar one before that) re the Alendronate study. She will mention the Placebo takers as one group implying they had NO DRUG AT ALL ie NO bisphosphonates and that they had the same results as the others but I feel like this is not what she or the study meant ie I don't think they were looking at any paricipants that had zero Alendronate. If they truly didn't take any drug then none of us should as their results were the same as those who did take the drug. I don't think this is the case though. When I look at the chart, they key seems to imply that some of the participants had the Alendronate plus a Placebo (this maybe is what she means when she refers to the Placebo group?), group 2 had Alendronate with and additional 5mg of Alendronate, and group 3 had Alendronate plus 10mg more of the Alendronate. ie I think they ALL had Alendronate (no one had just a Placebo and no drug whatsoever) and the bottom line of the conclusions is that the Alendronate worked but it didn't work any better for those who had more of the drug and it didn't work better for those who stayed on the drug for longer. Is this true? Do I have that right? ie ALL the participants had Alendronate. No group had no Alendronate at all. Thanks for any clarification you can provide here either way. It seems important. Thank you again for all the fabulous info you provide us 🙏🏼❤
Thank you - very informative!
I am exactly in this position. I have been on Prolia for 6 years. I had an extraction due to a failed four tooth bridge, meaning I have three teeth that are missing. My oral surgeon attempted to install 2 implants 4 months after my last Prolia shot, but they failed, and the beginnings of osteonecrosis of the jaw was observed, so he removed the two implants and I'm now in the process of healing. The bone health specialists wanted to put me on reclast to wean me off of Prolia, but after the issue with my teeth, she is recommending Evista. My question is if I opt to not have implants (and just get a partial) and my jaw is healed completely, can I try reclast, which may have better results in transitioning off Prolia? I am due for my next Prolia shot and of December, early January so I need a plan asap 😢
Ask your doctor
For forteo injection
Thank you so much for this information!
Thank you for this very enlightening vídeo.
This is devastating. I'm on Prolia, been about 3 years now. Next dose due in 3 weeks. Don't know what to do 😢
Me too. Thinking of stopping
There is a group of FB Prolia side affects, they explain how to stop Prolia, you have to relay off it, you can't just stop!!
Apparently it isn’t advised to simply stop. Check with your Dr first.
Me too I want to get off Prolia but not sure what the next step should be…
@@dianac9355 yes I understand should have said discussing with my doctor at next my next visit and will be telling him I don't want it anymore. But thank you.
If you were 70+ years, I don’t suppose you can take estrogen now? I have heard that it must be done before menopause and if you start taking it after 70 or maybe even after 65 it increases the risk of heart problems.
Take a look into Dr Mary Claire Haver's latest book called the New menopause, it's very very informative.
@@belindaleegmeiner4437 Thanks for the recommendation.
Never too late.
@@marleenmurphy6661 yes I agree see . I’m 74 and have started hrt with compounded estrogen (Bi EST) and progesterone in pill form
Is there a time limit for using estrogen after menopause? Menopause in ago 50+ now I’m age 77.
I am on letrozole and been told I need to take fosamax due to osteoporosis but I’m very undecided after researching fosamax
I take 1 gm of estradiol and used a maridyne for 2 years. Guilty of not exercising other than Linedance clsss 1-1/2 hrs 3 times a week. All my numbers improved except h hip so I will start Margarit’s squats with weights. I highly recommend the Maridyne. It was expensive but I decided it was an investment in my health. I’m 81 and still osteopenia. I want to get a REMS scan but can’t find a source. Any other suggestions?
May I ask how current this interview is? Just wondering if there is any new information out there concerning these medications. Thanks
3 days ago. it says just next to the number of views. 19th November 2024
Question: out of how many patients are there 4 with the jaw problem? I have also heard that it's "rare". Thank you.
So happy I am against pharmaceuticals, exercise and food is the way to go.
Do you take calcium supplements?
@@francescag6889 no
Im 70 with an osteoporosis diagnosis and don't want medications. I heard estrogen is bad at my age because of heart issues. is this true?
I'm 71 and feel the same. I'd like an answer to the estrogen risk too.
I just had an appointment with an NP at obgyn office and she explained why there are cardiac risks if you haven't used estrogen therapy and are more than 10 years out in menopause. Your doctor should be able to explain it to you.
@@AnnetteOlivier-Wolfe Thanks. I will ask my doctor next week.
My friend took oestrogen for years to prevent osteoporosis…. She ended up with breast cancer and fractures in her cervical (neck) vertebrae. Came off everything. Was told that alcohol and caffeine depletes bones as well.
@@maggienowland2065 I've heard that about alcohol but didn't know about coffee. I’ve just listened to @jillritchielongevity video ‘How to Reverse Osteoporosis (women over 50) Her focus is on fall prevention, strength and muscle building. What she said really resonated with me.
I am scared to death to take these drugs. My doctor wants me to take Forteo. I've been on it for 2 months and ready to stop.
I was on daily forteo injections for two years. That’s all the time you can stay on it. Very expensive ( I had a high deductible health insurance plan) I had. Bone scan the month I stopped and my bone scan showed no bone loss but no bone growth either. It’s been two years of no meds for me now, I will get another bone scan next month ( doc wanted me to do it last year but because I had one the year before the radiologist place would not do it, I am on Medicare with a Medicare supplement, from what I read if you were diagnosed with osteoporosis you could get one more then every two years ( I decided not to, I am looking forward to next month to see what it says) I’ve just started watching this video and will finish it now, but 8 years ago or so I was sent up to the University of Washington and I was suppose to see Dr. Susan Ott but i ended up seeing one of the learning doctors I believe. I was an expensive visit that I paid for and I really didn’t learn anything….. crossing fingers it hasn’t gotten worse yet ( I am 66 1/2) I had no side effects from the two years being on forteo. ( give it a chance if you are handling it ok, and glad your insurance is paying for it)
Very confusing. Are you saying these are okay to use or...?
Thanks for the info. I am a male 61 years old in Australia and have recent spinal compression fractures. Waiting for bone density scan results. Dr thinks it is probably going to be Osteoporosis, talked rather flippantly about Prolia treatment. From I just learnt she has no clue how the drug even works! Think I wont be taking that if recommended.
This is great. I have tried to get into see Dr. Ott for many years, always told no. I am a UW patient. I did Tymlos for 2 years and a few weeks ago got a Reclast infusion. ER ran so many tests for a terrible rare side effect one red swollen eye very painful. Not sure what it will be next. Ophthalmologist thought I probably should not do Reclast again.
So is the Tymlos a no no? After watching the video I'm not sure which one of the meds the Dr was speaking of is Tymlos. I have been prescribed Tymlos. Haven't started
It does not seem logic that nature makes us get weak bones after menopause since we are meant to live until 120 years old. You say it even happens in healthy women. What is healthy? Are they eating enough protein? Many older women eat too little protein. Bone is made of protein. After menopause the adrenals and the subcutanous fat is supposed to take over estrogen production and doing so we should not get bad menopause symptoms. Are bad symptoms caused by bad diet? Like eating too little meat and too much carbs and seed oils and maybe also taking statins?
Great information- thank you
Thank you so much for this amazing information.