Recording

Session Notes
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During the meeting, Dr. Doug discussed the comparison of REMS and DEXA scans. He emphasized the importance of comparing both scans for a comprehensive understanding of bone health.

Dr. Doug also discussed the FRAX tool, which assesses fracture risk based on DEXA results and other risk factors. He demonstrated how to use FRAX by inputting hypothetical data, showing how the risk percentages change with different T-scores.
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As for supplements, Dr. Doug spoke about AlgaeCal. Their product, without strontium, showed an improvement in bone mineral density (BMD). Dr. Doug recommends AlgaeCal Plus and their Complete product as part of a supplement regimen for bone health. He also mentioned a multi-mineral supplement from Claire Labs and briefly discussed the benefits of BEAM minerals, particularly for cellular function and detoxification.
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Next week's meeting will feature guest speaker Ashley, who will discuss the use of continuous glucose monitors (CGM) and their role in understanding carbohydrate restriction for metabolic health.

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Transcript

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Doug Lucas: some supplement stuff. That was the biggest kind of

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Doug Lucas: inter zoom communication through the slack channel for those of you that are using it. So I want to talk about that. But we had. Let's see, is Kim here.

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Doug Lucas: Kimakima. Gimme Kim Kim Kim Kim

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Kim Bishop: Nope, I don't know if I'm the right Kim, though.

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Doug Lucas: We got yeah Kim Kim Albertson. Any relation to the grocery chain? Kim.

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Kim Bishop: No, I'm I'm I'm Kim Bishop. So oh, Hi, Kim, yeah, we have we have another Kim, too.

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Shelly’s iPad: Hmm!

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Doug Lucas: Sorry, Kim Albertson. Any relation to the the grocery chain?

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Kim Albertson: I am not natural. The Empire of Griffiths.

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Doug Lucas: So Kim recently got a rems. Where did you get your remstone Kim?

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Kim Albertson: Up at Wayne, New Jersey, at a place called Xbody.

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Yeah. Who's the doc that's there now.

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Kim Albertson: I did not get to see her. She's not in that day. Let me look at my message real quick.

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Doug Lucas: Well, if you can find it, that'd be great cause I believe I know her, but I can't think of her name off the head. So anyway, I have Kim's

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Doug Lucas: Rems and her Dexa. And she did them like within a couple of days of each other. Right? Yeah. So I think let's start there because that's gonna be a really great exercise in looking at both of these scans, and then we'll talk about supplements and actually have some.

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Doug Lucas: We've been updating our supplement list with some new content, too.

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Doug Lucas: So let me grab

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Doug Lucas: Marvellen. Sorry I had it pulled up.

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Doug Lucas: I'm writing this script for

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Doug Lucas: There we go.

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Doug Lucas: I'm writing this script for a video on Friday, on estrogen and breast cancer. And my desktop is filled with so so many studies.

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Shelly’s iPad: Let's see here.

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Doug Lucas: Julie.

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Doug Lucas: here's one.

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Doug Lucas: Oh, this is all that great Kim. I've got your rams.

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Doug Lucas: Oh, and your dexa! Oh, perfect! All right, let me download those

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Doug Lucas: alright

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Shelly’s iPad: alright, so we'll start here, and then I'll find

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Shelly’s iPad: Alright.

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Doug Lucas: Kim, all right. I'm going to share my screen on this. And, Kim, you give me authority to view your content

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Doug Lucas: in front of other people.

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Doug Lucas: Alright!

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Doug Lucas: Oh, and you can also see the Women's health initiative. There you go!

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Doug Lucas: Alright. So let me just orient everybody to those who aren't familiar with this type of study. So the Rems looks similar in some ways to a dexa. So actually, you know what? Let's start with Dexos.

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Doug Lucas: Everybody seen a dexa. So let's start with your dexa. So there's a lot of different dexa.

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Doug Lucas: lot of different dex of machines. Reports look different. They report on different things. In general. What you're gonna find is they're gonna talk about spine. And they're gonna talk about various versions of the hip. The measurement that we generally care about is the femoral neck, because the femoral neck is the thing that usually break. So they're not always. That's the most common fracture, and it's the fracture that has the most data on it as far as bad outcomes. So that's what we generally look. We'll look at when you look at a deck, so let me see what we got here. So

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Doug Lucas: you have your little report here. Here's the picture of your spine picture of your hips

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Doug Lucas: and your T-scores spine

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Doug Lucas: spine was actually a pretty good scan. They give you a lot of information. Sometimes they come back when they literally just like, here's your left hip. Here's your spine, that's all you get.

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Doug Lucas: Alright. So let's do this from the top down in a way that they probably intended. So what you look at here. And this is really important is the if you look at this graph on the left, let me blow this up so it's a little bit bigger.

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Doug Lucas: If you look at this graph on the left, it's a little bit confusing, but on the bottom axis you can see where it says age, and on the left side the vertical axis. You can see where it says, Bmd. you kind of have 2 vertical things. You have the Bmd. On this side, but then you also have the T score on the right side, usually the T. Scores on the left side, so this is a little bit different than normal.

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Doug Lucas: but where they drew these little black boxes they called them right and left. They're talking about your hips, so your right and left hips.

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Doug Lucas: and what they did in this image up here they sort of outlined the bony anatomy. So this is actually, I kind of like how they did this. So they tried to. You kind of outline your femoral head.

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Doug Lucas: The neck is probably this box here, or actually the neck, is probably this box here. I don't know if you can see my cursor or not. And then the trochanter is in this triangle out here. That's the other place where it commonly breaks, and then the total hip is probably the yellow

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Doug Lucas: outlines. This total thing. So that's kind of cool like that

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Doug Lucas: and then they put you on this graph. Now, what's important to notice about this graph is that the a black line in between the sort of diagonally sloping like a ski slope. Blue line. This is what would be considered a quote unquote, normal

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Doug Lucas: t-score as we age. So you can see that if you were 20, your T. Score should be up here, and that would be, you know, if you draw over somewhere around between 0 and one

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Doug Lucas: right? So this is

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Doug Lucas: average bone mineral density for a 20 year old of your ethnicity in gender, I think, is how they divide that out. And then over time there's expected bone loss. So you see, this black lines kind of slowly goes down, and then it really starts to pick up around menopause around 50. It starts to pick up, and then it continues to slope down. What's really important about this blue line? Both sides of it is that within what's one standard deviation. So statistical Bell Curve

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Doug Lucas: term. But one standard deviation captures most people within one standard deviation of this average.

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Most of us will lose bone and continue to lose bone even into the Osteoporosis range.

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Doug Lucas: So this is where, like I had a Instagram influencer message me, she just got a Dexa. She's I think she's 60, and she says I have osteopenia.

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Doug Lucas: and she's freaking out. But if you look at 60 and you go up here and you look at one, even one standard deviation below the normal, so still would be considered to be normal. Within normal range. If you draw this over, it's osteopenia. So osteopenia is between negative one and negative.

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Doug Lucas: I'm sorry. Negative one wrong negative, one and negative 2.5. That's right. So she has osteopenia. But that's actually normal.

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Doug Lucas: Now, is it optimal? No, we don't want that. But people freak out like they're at there an outlier, and that's not true. So anyway, Kim, you are sort of in this as kind of a funky, but you are below the statistical average, and you are probably around. I guess they said it here somewhere.

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Doug Lucas: So t score negative. 1, 7, negative, 1, 9 for your left and right right. So that is osteopenia, not osteoprocess, and we'll just keep going.

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Doug Lucas: So your spine.

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Doug Lucas: Okay, here, you want to look from a spine perspective. You want to look at all of the

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Doug Lucas: the one through 4 together. When you break down each individual vertebrae, you can get some weird numbers. So just look at the combined average there, and your T score is negative, 1, 3. So that puts you in that statistical one standard deviation below the average. So you actually are still quote, unquote, normal.

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Shelly’s iPad: That makes sense.

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Doug Lucas: That says the same thing.

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Doug Lucas: and then oh, they did a Tbs, so Tbs is what's called stands for a trabecular bone score. So trabecular bone score, I think. is not particularly valuable, and this is why. So, if you look at this, what does it say? It says your your Tbs is 1.2, and then usually they have like

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Doug Lucas: they'll have some kind of statement in here to say like, your bone quality is somewhat diminished or something like that, and it just doesn't really give me anything to go off of. I don't know what to do with that.

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Doug Lucas: I think I knew that it was somewhat diminished.

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So it it kinda looks cool, but it doesn't really help me.

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Doug Lucas: And then they give you all these numbers, which is fine.

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Doug Lucas: It's probably more data than you need. So alright. So the the outcome here for me is to say, Okay, well, you have osteopenia of your femoral neck and your spine. So let's compare that to Rems.

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Doug Lucas: Mary. right? So rams

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Doug Lucas: is gonna give you the same T score. So here's your not the same. It's gonna give you a T score. But then it's also gonna give you a fragility score. And that's really important. Alright, so we're gonna look at both of these things, the rems for those that aren't familiar with this. The Rems is an ultrasound study, and the rems is gonna give you both of those things. But it's also gonna do that without radiation. It should be more consistent from scan to scan, and it should show changes more frequently from scan to scan. If you're doing anything to improve or not improve your phones.

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Doug Lucas: So on this T score this is what a. A. T. Score and Bmd chart usually looks like. So usually there's green, yellow, red. So they were.

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Doug Lucas: they had all these other colors in there, which is confusing but negative, one and negative, 2.5 considered osteopenia less than negative. 2.5 osteoprocess. And again, here's that same black line. This was what was blue on the other one between here and here, and you get this gradual decline that steepens around the age of 50.

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Doug Lucas: So where you are, Kim is, you are smack, dab right at the the threshold of osteopenia, and you are smack dab in the middle of statistical average normal.

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Doug Lucas: That's cool, right? That's great.

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Doug Lucas: I would take that

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Doug Lucas: And then, when we look at your bone quality, your bone quality would show that. Let me just explain this for a second. So fragility score

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Doug Lucas: the way that they describe how they get these data is they looked at

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Doug Lucas: I don't know how many thousands of scans, but thousands of scans, and related them to subsequent fracture over time and looked at the kind of what the ultrasound picks up as the quality of the bone, so they could start to develop a scoring metric around it after thousands and thousands of studies, and how they were related to fracture, they were able to start putting together different. You know details of the bone, and how it relates to fracture. So now they can with pretty good

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Doug Lucas: predictive power, they can measure your likelihood of fracture over the next. I think they'll have to look at it. Is it? 5 years, 10 years. 10 years.

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Doug Lucas: 5 year, 5 year! Texas says 10 years.

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Doug Lucas: And so when you look at this. I mean what I tell people is green, good yellow concerning red, bad. Right? So just break it down. Make it easy. But really anything sort of low twenties and teens is really good. So, to give you an example, like I had one done recently, I think my my fragility score was 19.5. So right below yours, Kim.

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Doug Lucas: Now, I also have osteopenia actually worse than you. So there's that but this is a good number. So I'd be really happy with this. So I don't think you really have a bone concern at all.

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Doug Lucas: Your bone quality there looks great.

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Doug Lucas: your t-score here. Negative one again, right on the threshold. Phone quality looks great

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Doug Lucas: spine. You're above statistical average, right? We never see green spines. So congratulations, Kim, you have green spines.

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Doug Lucas: Looks like you're growing mold.

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Shelly’s iPad: he

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Doug Lucas: and again, fragility score? Not quite as good, but still good and you can see then your your 5 year risk of major Osteo product fracture, which in this case what they're talking about spine is less than, and it says it looks like it says 5%. But if you look at this, it's actually 5% with a and not behind it. And the way that they describe this

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Doug Lucas: it's yeah, it's it's written out here. This is so confusing. I don't know why they do this, but it's the risk of Major Aristotle project fracture per 1,000 subjects. So it's not 5%. It's point 5%.

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Doug Lucas: Does that make sense?

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Doug Lucas: That's I don't. I wish they didn't do that. That's confusing. So this is 0 point 5%. And this is

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Doug Lucas: 0 point 1%. Does that make sense? So this looks fantastic? Kim.

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Shelly’s iPad: what questions do we have about that

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Shelly’s iPad: so? This is Shelley. No.

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Shelly’s iPad: So in this case both her tests were pretty similar.

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Shelly’s iPad: Cause I know we talk about I think a lot of us are asked to process already. So congratulations, Kim. I'm jealous, but but we tend to feel that our rooms might be a little better than the dexa.

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Shelly’s iPad: So in this case it shows their

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Shelly’s iPad: they're pretty equal. So I don't know if there's a reason. Is it because osteoporosis is a

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Shelly’s iPad: you know, they show more and ask your process when you do the test, both, or I'm not. I'm just curious about that. Yeah. So I've seen it go both ways. I saw one recently where the

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Doug Lucas: she was like mad at me for telling her to get her rams, but so she had. She. She came in because her I think her T score and her spine was like negative 3, 5. And in her hips she had osteopenia like negative, you know, like one whatever. 4, something like that, right? So she was like, oh, well, I just need to worry about my spine. My hips are fine, but whenever I see that discrepancy between spine and hips. I always sort of

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Doug Lucas: question that because osteoporosis, unless you're a nonambulatory or you have some

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Doug Lucas: you know, some kind of disability where you're not loading a body part.

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Doug Lucas: then it should be more even than that to see a big discrepancy between regions doesn't make sense, because osteoporosis is a systemic problem. It's not an isolated problem. Again, unless you're not loading part of your body. So if I see somebody that's, you know, negative 3, 5 and negative 1 5. I'm concerned that one of those probably isn't accurate, but we don't know which one.

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Doug Lucas: So then she gets her rems, and her rems was like negative. 3, 5, negative, 3, 3, and negative. And so now, all of a sudden, she's like, Oh, no! I actually have asked your process of my hips, too. And I'm and now I'm I'm scared, which is fine. So her bone quality was really good. She was one of those. If this fits anybody in here pay attention. So this was oh, it's me! It's me. I wasn't mad. So aranta. Yeah, it was you. You're right.

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Doug Lucas: You didn't look happy. I'll put it that way.

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Doug Lucas: So she so maybe you can tell us your feelings. But

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Doug Lucas: you know. But, Aranta, you are a a very lean. Now, I'm not telling people about you, but you are a lean woman with can I tell them how much you weigh? Can I tell them about you?

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Doug Lucas: I wasn't gonna put your name on it.

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Doug Lucas: I'll see what she says. Anyway, she had the body habitus that I would expect to see.

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Doug Lucas: There you are. Oh, Hi! Nice to see you.

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Doug Lucas: Yeah. So this is Aranja, everybody. Aranta weighs about 100 pounds. And how tall are you. Aracha? 5. Barely

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Doug Lucas: 5, 2, 5, 2. So 100 pounds 5, 2. So very, you know, lean small skeleton. And I see very frequently that bone marrow density is gonna be lower in that patient population. And yet her fragility score was really good, wasn't it? Raunchy was in the nineties.

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Doug Lucas: Yeah, so it's really good cause, I better than mine. Good and

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Doug Lucas: So what we talked about is to say, well, look, you know, yeah, your bone density is low. We'd love to increase it. It'll reduce your risk of fracture over time. But let's not lose sleep over this right like. Let's let's get it better. But let's know that you're doing fine.

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Doug Lucas: So in that case it looked worse, but I think it was still it was still good to see, and I think it probably hopefully made you feel better, even though it's worse than you thought but then I've also seen it go the other way, too, you know. So people that have really bad on, on, on, Dexo will look good on rems so vice versa, I think rems is likely more accurate, but we don't know, because there's no other way to know

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Shelly’s iPad: score. Cause Dexa does not correct.

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Shelly’s iPad: Correct. Right? So that's important. There, then

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Doug Lucas: we think we think we hope.

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Shelly’s iPad: Yeah, yeah, Lorna.

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Lorna Nichols: Well, I think you've answered my question. I just I had a discrepancy between the 2 scans and and the rooms was worse.

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Lorna Nichols: and you know that made me want to go, Bo. Go back to believe it in the text, you know, I'm like, Oh, well, maybe Texas really good after all. So I guess there's just no answer there on which one is more cause they were taken within like a just.

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Lorna Nichols: maybe 2 months at the most apart. Yeah.

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Doug Lucas: yeah, I think we have to just recognize that we're comparing apples to oranges. They're different modalities. They're different technologies. They're looking up on a different way. But there's no tie breaker, you know, like we can't do a biopsy to to verify. We can't, you know. It's just.

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Doug Lucas: I wish there was some way that we could. Well, I guess that's not true in theory. We could then do a quantitative Ct.

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Doug Lucas: But there hasn't been enough studies to look at all 3 of them to know how that they correlate. So I don't really know what we would do with that. And then you're just exposing yourself to radiation. So

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Doug Lucas: I think the answer is, if it looks bad, we just make it better cause. Ultimately, when we do this, when we're improving people's bone. We're improving their health span, anyway.

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Doug Lucas: So what's the downside?

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Doug Lucas: Yes, Helen. Hi, Helen!

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Helen: Hi, there

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Helen: I just was curious. Kim looks like she's about 12, but I wondered if she, if she could tell us her age, if you don't mind, cause I'm curious, are you, Menopausal?

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Helen: That's the other thing.

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So I am 57

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Kim Albertson: believe I'm in menopause. I don't have all my parts to know

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Helen: I've had my ovaries since, and that's been 33, so I will say I stopped having hot flashes about 4 years ago.

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Kim Albertson: And I've been sleeping a little better since then.

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Kim Albertson: But I will say like I. So this is, I had a Texas scan done 2 years ago, and that one said

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Kim Albertson: negative point 2 5 in my right hip and ostapenia in the other hip and spine so. and and I've had recent fractures in my feet, which is part of what has driven me into this, and it may not be anything related now to Oscar Process. But

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Kim Albertson: 2 met 2 different doctors saying, like, you've got to take medication, you're in dire straits.

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Kim Albertson: so II am relieved now. Thank you, Dr. Lucas, for being out there on Youtube and providing so much information. And both doctors. When I said, I, I'm gonna try and reverse this. Naturally, they're like, yeah, you can't.

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Kim Albertson: So II can't thank you enough because I my husband thinks I'm crazy. Now. Yeah, I'm gonna show him this video later, when it pops up

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Doug Lucas: saying they've had about husbands. Then. Well, that's a great story. And that's a great example of why repeating tests is also important, you know, and indexes do change and sometimes they change dramatically like, that's a big shift.

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Kim Albertson: right? To go from negative 2, 5 to negative. Essentially one, right? Like, that's a that's a big shift. And I mean, I was literally despondent, because up until this past year, like I was lifting weights 3, 4, 5 times a week. I was, you know, jumping in my exercises. And now I've stopped all of that, because

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Doug Lucas: yeah, for sure.

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Doug Lucas: Well, great! Well, thank you for sharing that. I really appreciate that. Let's see here. A couple of questions in here on the chat.

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Doug Lucas: Oh, yeah. So Kim was. You just put in the name of the doctor?

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Doug Lucas: the interesting. That's not who I was thinking of. There is an orthopedic surgeon. It was funny that the orthopedic surgeon, who is a hand surgeon who was in the practice that had that rooms to begin with, they must have sold it. And this doctor picked it up.

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She was really into osteoporosis, and then she left that practice, and they they like.

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Doug Lucas: I think they non-competed her out of it, which is

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crazy.

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Doug Lucas: What you put in here, Don, about research.

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Doug Lucas: are you? There, Don? That might be somewhere. Oh, there she is.

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Dawn Aragón, PhD: Hi, so yeah, in all of my exploration with Ostia Strong and the

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Dawn Aragón, PhD: you look more study. I thought Dr. Jake wish would think this would be a win win study if we got randomized trial. 3 groups get around before and after group. One does the the 3, you know, deadlift back, squat overhead press, and then a both who to do the jumping, and then the other group does osteostrong, plus the both to jumping. And then another group does walking in Yoga.

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Dawn Aragón, PhD: That's the study I want to see for one year.

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Shelly’s iPad: Yeah.

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Doug Lucas: that'd be fun. That'd be pretty big study from a study perspective. We would need anybody have a million dollars who's got a million dollars?

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Doug Lucas: No one

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Doug Lucas: in the wrong audience. I think of these studies all the time. So that's a that's a great segue. Then. Let me just answer a couple of these questions. I'll talk about why, that's a great segue. So, David, yeah, you were asking about Dex and people that have smaller bone frames. And and yeah, they say that it's accurate. I don't believe them.

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Doug Lucas: Diane was asking about Frax. That's a great follow up question, too. So let's talk about Frax. So, Frax, who raise of physical hands, if your screen is on. Who wants to review Frax

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Shelly’s iPad: first.

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Doug Lucas: a few enough enough people. Okay, so let's review Frax. Let me pull it up here. So Frax, for those that aren't familiar with it. Some people might be like, what are you talking about?

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Doug Lucas: Frax is often

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Doug Lucas: assessed on decks a lot of times. They'll tell you what your Frax score is. But let me just walk you through an example. And actually, Kim, we can use you an example if you're okay with that.

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Doug Lucas: Hmm.

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here we go

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Doug Lucas: alright. So this is what Frax looks like. And if you just go, if you just Google, Frax, FRAX, you'll find it.

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Doug Lucas: and then you'd need to. Since we have an international audience, there is actually a way mine comes up automatically as being in the us, but it will change, based on what country you're in, just to make sure that you select the right country.

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Doug Lucas: I don't know how to do that somewhere in here.

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Doug Lucas: But anyway, you don't have to put your name in, and you just put in your age. So let's just do. Let's just do, Kim Kim, you're gonna have to tell us your weight, though, if you're okay with that.

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Doug Lucas: So age 57. Let's just give us a year cam what year are you born? I don't like to do math

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1966 got it.

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Doug Lucas: We can just make this up.

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Doug Lucas: You're female

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Doug Lucas: 176 pounds. How tall are you, Kim?

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Doug Lucas: Lift your paper up

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Doug Lucas: 68 inches great. So if you see what I'm doing over here, I'm putting them in the pounds to kilogram inches to centimeter conversion, and then it drops them into here.

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Doug Lucas: And then we can talk about so, Kim, when they say, Have you had a previous fracture your instinct would be to say, well, I had a foot fracture, so you say. Yes, but they actually mean fragility fracture. So they're talking about spine, hip, pelvis, upper arm, potentially wrist, depending on who you're talking about. So you technically have not had a previous fracture. According to this has your if you have a parental hip fracture.

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Doug Lucas: Nope, do you smoke

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Doug Lucas: not? Was that not a lot?

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Doug Lucas: No, we'll say no. Are you on chronic steroids for any reason, or have rheumatoid arthritis? No, and no great alright. And then the Bmd, so let's do it. Let's do an example of this. So in theory you're supposed to. Oh, let's just do t score.

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Doug Lucas: So let's do initially like you had a negative 2, 5, right? So that first one said you had a negative. 250, I forgot about these. Do you know, if you have secondary osteoprocess, most people don't know how to answer that. But unless you have a known reason for having osteoporosis, the answer should be no and then, if you drink more than 3 or more units of alcohol our day the answer should be, No, alright. So you put in your T score. You hit, calculate, and it kicks you out. This

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Doug Lucas: similar looking thing is what you saw in the rims. Right? So a risk of major osteoporotic fracture which is going to be spine again. Hip pelvis, upper arm potentially wrist of 4.3%. And this is per 10 years. This is different data. This is actually percent per 10 years. Hip fracture is 0

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Doug Lucas: and that's actually it's interesting that at negative 2, 5, your hip fracture risk is 0 and it's because all your secondary risk factors all look good and are protective. So that's great. So then let's adjust this. So now we say, T score of negative one, leave everything else the same.

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Doug Lucas: and we calculate that, and you see 1 one be weird.

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Doug Lucas: negative one. Did I do that backwards? Hold on!

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Doug Lucas: Oh, wait! Hold on! Hold on! Hold on! Negative. 2.5. Doctor. There we go.

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Doug Lucas: Okay, that makes more sense. Sorry everybody erase what you just saw for the last 60 s.

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Doug Lucas: Bye.

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Doug Lucas: So if I put the negative in front of T score, like I'm supposed to. Then major Osteo product fracture would be 11% in the next 10 years, and then hip fractures 2% in the next 10 years. That makes more sense alright. And then we change that to negative one, which is what you just got. And let's look particularly at this 11.

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Doug Lucas: And now it goes down to

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Doug Lucas: 6.6. So it kind of drops in half, and that 2 drops to 0 point 3 almost 0. Right? That's it. Such a huge shift in your fracture risk, so apparently. Don't forget to put that negative. That's a big deal.

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Doug Lucas: Does that make sense any questions on Frax Diane? Is that a question about frax or anything?

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Diane’s iPad: Hi,

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Diane’s iPad: The reason I inquire about fax is because I'm I'm in an area where there's no osteo strong. There's no RAM. There's no proper bone mark to mark or testing, so I'm relying on you, and it's been. It's been great. So but you know, of course, I get a bone density, and I get a frax.

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Diane’s iPad: and I don't. Actually, I think I'm 62, and I have a negative, 3.7 in my spine

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Diane’s iPad: and a negative 2.7 or 9 in my hip.

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Diane’s iPad: But I have a whole bunch of no's there. So I mean, I'm I'm really, and I'm one of those persons who's done all the weightlifting and stuff. But I'm also small, boned all those kinds of things, but regardless. So this fax is something that gets stuck in front of my face every time I go to a specialist. And you know, it's like you have no choice. You've got to do the drugs like you're gonna what's you know? I basically had the last fellow tell me

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Diane’s iPad: cause I told him I was on hormones. I was told what I was doing. I told my got my gut. I was getting my gut under control, and he looked at me and said, Would you rather. he said, Dude something to the effect of

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Diane’s iPad: you're you're risking breast cancer, for.

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Diane’s iPad: you know, doing the hormones at my age with

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Diane’s iPad: so so because he wanted me on a drug?

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Doug Lucas: Yeah, so I am.

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Diane’s iPad: Should I be putting much weight. I intend to eventually drive as far as necessary for rem, wherever it is I can find one. I can't find one in Washington. I'm in British Columbia. So II keep trying to find a rems. I can go out of Province, and I may do that. But

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Diane’s iPad: should I be putting any weight in the fract, because they definitely tell me.

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Diane’s iPad: with the 14 for a 10 for osteop, Major osteoporotic break, and 5.3 for a hip, and I get

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Doug Lucas: a lot of pressure, and I'm should I be putting much weight in it when I can't get other? It's a well studied tool. So the database that went into creating frax is is massive. So I think it's a it's a reliable tool. But you have to understand that it's using Dexa as one of its major determining factors. So really, you know how different is it than Dexa. It just looks at the data in a different way.

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Doug Lucas: You know, I would give you probably similar statistics, just knowing what your T. Scores are, but that's not the whole picture, and and what Frax doesn't take into account, or the other things so like fragility score that you could get on rems. So I think it would be worth it for you to find a way to get to one.

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Doug Lucas: would just help you to feel so much better about your decision-making. But even if let's say you couldn't get to one, or it's just not not meaningful. How long has it been

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Doug Lucas: since you've gone on this journey to improve your bone? Health

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Diane’s iPad: a year.

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Doug Lucas: And have you repeated? Have you been able to repeat a dexa in that timeframe?

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Diane’s iPad: I only get a

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Diane’s iPad: a private one.

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Diane’s iPad: I went in June of last year, and I'm I'll I'll do one in mid march again. Because so and actually, yes, I had an improvement

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Diane’s iPad: point 4 in the spine and point 2 in the hip, I think.

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Diane’s iPad: yeah, no, I actually. And I with it. When I went to that specialist that actually saw me after that said that that is the the within the room of error, error. So all they were willing to say is that it had stopped getting worse. And that's it's true, right? It is within it's it's within the margin of error.

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Doug Lucas: But if they both went up

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Doug Lucas: and I mean, that's promising right. And remember, too, that as a post menopausal woman, not losing one to 2% per year is also a win.

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Doug Lucas: Right? So if you actually had if you didn't, if you if you were neutral.

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Doug Lucas: And this is what most studies will do right? So most studies on osteoporosis, whether it be supplement drug or whatever they're gonna look at at the expected loss versus what the intervention did, and oftentimes, when the intervention was neutral, did nothing to the T score it still clinically and and statistically significant because the expected losses.

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Doug Lucas: one to 2% per year. So if you didn't lose, and you actually went up, even if it's within that margin that's still a win.

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Doug Lucas: So I would just OP, I would. Just, I just optimize what you're doing.

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Doug Lucas: And if you're continuing to improve. Then just tell your doctor, hey? Look! I'm getting better.

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Diane’s iPad: Stop pressuring me. And and that was June. So I've really optimized since being able to hook into all of this right? I mean, I was kind of on the right track by watching your videos. But I've got more involved with you. And again. II echo Kim like Thank you so much. I mean, I trip, I tribute. Yes, I have to put in the effort, but I attribute my my gains, and when I intend to be more gains to you, and and I don't know where any of us would be with Wi. Wh. Without

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Diane’s iPad: your expertise and support, and something like this is huge. I have one antidotal thing that I'm curious to know what you would say. So

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Diane’s iPad: within this time I was moderate, and then went to severe in a year, and within that time I had 2 falls because I wasn't paying any attention to moderate. I was busy with other things, and I had a fall when I where I was like cross country skiing, and I was kind of on a really icy thing, and I went down hard, and I went right down on my on my wrist, down into a hole, and I really for 2 months afterwards my thumb was still all messed up, but I didn't break my wrist.

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Diane’s iPad: and then in the summer I

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Diane’s iPad: took a fall off my bike like kind of small catapult. Not little. But I did plan. I bruised, but I didn't break anything, and I bruised my upper thigh, but I didn't break up. Anything

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Diane’s iPad: like is that? That is that a helpful thing like.

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Doug Lucas: yeah. And again, it's like

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Doug Lucas: fractures are funny, you know, practicing as an orthopedic surgeon.

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Doug Lucas: I see very what seems like very minimal impact, causing fractures of people that have seemingly good bound.

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Doug Lucas: But then I've seen major traumas, I mean, people do all kinds of stupid stuff, and they come in with no fracture. And it's just amazing, right? So bones are really funny. Where if you load them in the right way, they can take a tremendous amount of force, and if you load them the wrong way.

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Doug Lucas: fractures so easily. So it's hard to say what that really means. But it's good, right? So you don't have now a fractured tailbone wrist, and whatever else you know so and thank you for saying that it really means a lot. Actually, I appreciate that.

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Doug Lucas: Of course.

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Doug Lucas: Helen.

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Helen: yeah, I just wondered with Diane. So you went from a negative 4.1

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Helen: down to a negative 3.7 with your spine. Is that the negative?

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Diane’s iPad: Negative? 3.9 to negative

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Diane’s iPad: 3 point

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Helen: 5 Am. I spine? Oh, really cool

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Diane’s iPad: in a, in a in a 6 month span, and I wasn't as amped up on all the

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Diane’s iPad: different things that I could be doing. I was still working my protein out. I wasn't on hormone replacement therapy yet. Those kinds of things, and I went down a little bit in my hip.

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Helen: But my spine is the worst. What exercises were you doing?

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Diane’s iPad: Oh, II was doing the lift more without the jumping, although.

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Diane’s iPad: I the last

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Diane’s iPad: one of these. Dr. Doug said, to get back on the jumping. So I'm I'm I'm moving myself back in that direction. But I do the I do the deadlifes, the squats. I can't put the squat bar behind my neck. That's because I can't load my spine like that, so I hold it in front of me and the overhead press.

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Diane’s iPad: I have no like. I say, there's no way I'm getting near, and Austria strong it that stuff is out of. I'd have to totally relocate, and that's not gonna happen. I kinda like it over here. So. But having said that, I and and to say that, too, that's in on exactly the same Dex scan

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Doug Lucas: that I'd had the one that showed

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Diane’s iPad: the negative 3.9 the exact same machine, and then go obviously the exact same place.

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Diane’s iPad: and the person who gave me that scan. We did it because he saw that my positioning was slightly different from the first time I'd had it so I feel like he did everything he could to to, you know, to give it the quality scan for sure. So yeah. And and Diane. So say again she went from 3, 9 to 3, 4. Is that right?

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Diane’s iPad: I'm pretty positive I'd have to.

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Doug Lucas: I don't know why those numbers aren't imprinted in my head.

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Diane’s iPad: Yeah. Negative. 3, 9 to negative 3 to negative 3, 4 in this fine

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Doug Lucas: so or statistician. But when I do simple math on that. I think it's more than the it's outside of the margin of error, of improvement. To make sure I'm doing that right. But that looks like much more than one to 2% improvement.

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Diane’s iPad: This was a metabolic bone disease specialist specializing in osteoporosis. And I mean, he didn't even want to talk about got health or anything. Right it was, and I got it.

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Diane’s iPad: They were fearful. They were like I needed to be on an affinity, and I needed to be subsidized. And all this stuff.

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Doug Lucas: I think. Remember.

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Helen: thanks for saying telling me you're very inspiring to me, cause I have a similar

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Helen: school. Thanks a lot.

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Doug Lucas: Yeah, we can do it

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Diane’s iPad: for sure

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Doug Lucas: it can be done.

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Helen: Helen, did you have another question? No, I'm good, thank you.

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Doug Lucas: So let me then make a shift because I wanted to hit on supplement some today.

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Doug Lucas: So I've been. I don't know if I've talked about this in this

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Doug Lucas: a platform, but I've been talking with. The people at Alga Cal. Over the last couple of months. Have I talked about this at all?

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Diane’s iPad: Yes.

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Doug Lucas: okay. So I don't remember what I've said, in what? In what context. But I this all started when I did a talk for Osteo strong and we kind of did a series of talks, and the last one that I did was on supplements. Osteo, Strong and Alja have a a partnership. So they had somebody from Al jakol on the on the call.

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Doug Lucas: and it was a little awkward, because I literally have videos where I say, don't take algae. So it was uncomfortable.

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Doug Lucas: And so I chatted with the representative from Aljacal afterwards, and I and I just said, Look, this was my interpretation of the studies, and this these are my concerns, and she said I'd get that. Would you sit down and talk to our CEO?

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Doug Lucas: And I was like, sure no problem. So II sat down. I chatted with the his name's Dean Newell's really nice guy. I chatted with Dean and and I just told him straight out. I said, I you know. II feel like there's there's things in your studies that are inconsistent. I can't make

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Doug Lucas: sense of them, so I can't support using the products. And there are studies supporting, using Mchc. And oh, HD calcium and the benefit for bone. And he said, Huh! Let me look into that. And so he sent me this, follow up. He must have done nothing but research for like 3 days.

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Doug Lucas: Send me this really long follow up and explanation. And so we kinda got into this conversation around different forms of calcium, whole food versus supplements. Why they chose to go the route of Algae. And then, when I went through the studies with him. II probably the first person who's ever pointed this out, but I pointed out to him that in one of the studies the the

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Doug Lucas: graphs don't make sense. They actually don't align with what they say the the participants did.

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Doug Lucas: I pointed that out to them, and he was like, oh, my gosh!

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Doug Lucas: I forgot! I don't know if you actually forgot. But he said I forgot there was an error in the publication, and the journal wouldn't let themish, and wouldn't let them like write an article, or the editor, or anything.

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Doug Lucas: And so so it kind of went. sort of just flew under the radar. And

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Doug Lucas: but when you corrected the the study with what he told me was the way that it was actually done, and actually does make sense. So I'm happy to pull that up and show that to you. But the reason why this is important is you're gonna hear a video come out probably next week where I'm gonna change my recommendations on what calcium to use.

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Doug Lucas: And I want to explain it because I think it's really relevant.

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Shelly’s iPad: So

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Doug Lucas: this one.

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Doug Lucas: So this study I'm gonna show you. I'll share my screen in a sec.

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Doug Lucas: A.

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Doug Lucas: I don't know that I'll be able to get to the actual study from here. Let's see.

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Doug Lucas: I don't wanna buy this study. This is annoying. Actually, this is one of the reasons why I didn't support it. In the first place. Don't put studies behind paywalls drives me nuts.

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Doug Lucas: I can pull it up, though

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Doug Lucas: I've got Dean in slack.

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Doug Lucas: Give me just a second. This will. It'll be worth your weight, I promise.

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Doug Lucas: Nope, it's not. In fact.

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Doug Lucas: the

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Doug Lucas: summary is.

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I do. I like using

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Doug Lucas: alga, Cal. I'm sorry I like using calcium from a whole food source. So whether that be Mchc. Or Algine. And the reason why I was concerned about

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Doug Lucas: Algae, in the first place. was that there are some reports about

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Doug Lucas: how, where they're harvested from, and what is the What's the toxicity like? And so he also gave me some feedback on that, and how they monitor for that.

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Doug Lucas: They do a really good job of that.

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Doug Lucas: And then the flip side of that is when we're talking about Mchc. Or Ohc when it's coming from

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Doug Lucas: cows. We don't know what those cows are exposed to.

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Doug Lucas: So then we're also trusting we're saying, Hey, you know, may maybe these cows aren't exposed to anything bad, but we don't know.

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Doug Lucas: and so here we go. I got it.

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Doug Lucas: So we're kind of we're at the whim of of something.

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Doug Lucas: So then the other thing I did, too, is I went back and looked at the research that led me go to go down the pathway of Mchc. To begin with.

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Doug Lucas: And so I went back and looked at that. And the studies are all on this product, called Ohc, which stands for osi and hydroxyapite complex. which is basically ground up bones

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Doug Lucas: prepared in a way that it preserves some of the growth factors and proteins that are in the bones. And then they studied that, and there was a statistically significant improvement compared to the expected rate of loss, which, again, isn't much right. You can just do nothing, and it's better than the expected rate of loss.

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Doug Lucas: But the problem is that product is not available in the Us. It is available in Europe.

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Doug Lucas: Anybody here from in Europe. I don't know what time it is. And

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Doug Lucas: oh, Helen, where? Where are you, Helen Agarol Agarwal.

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Helen Agarwal: I'm in the Uk.

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Doug Lucas: In the evening. Yeah, order to 6 in the evening. Do you know, if you have, if there's a product there called Osteopan, I could look up some other names, but it's a ground up bone product. I don't know if it's available in the okay or not

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Helen Agarwal: never come across it. Yeah. So anyway.

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Doug Lucas: what I did is looked at the products that are available in the Us. There's one called stimucal, which is in an Mch kind of sounds like it's prepared in the same way. But again, we're making a leap to say that this is the same thing because we don't actually notice the same thing. The stimucal studies are basically bench studies. They look at what happens to cells in a petri dish. But there are no long term human studies.

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Doug Lucas: So then it made me think, well, hey? If these algae cow studies are actually legit, then maybe let's take a second look. I'm gonna share my screen. I'm gonna show this to you.

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Doug Lucas: So this, this is their second study. I'll make it bigger.

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Doug Lucas: So here's what here's what I think I'm again like the first person that ever figured this out. So here's what they say that they studied. This is a a 3 part study. So there are 3 interventions. Plan one, plan 2, and plan 3

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Doug Lucas: different amounts of calcium from algae and then different additives. So for example, different amounts of vitamin. D. One has mk, 2 is mk. 4. One has it as mk, 7,

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Doug Lucas: 2 of them have strontium, one of them doesn't, and then vitamin, C. Boron, etc. 2 of the groups used

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Doug Lucas: activity, stuff and nutrition information. Alright. So plan one had the most stuff plan 2. I'm sorry. Plan. One had the middle amount of stuff plan 2 had the most, and Plan 3 had the least right. Alright. So you go to the results. Load. Okay. So plan one had. Again, it was actually improvement, which is more than any other calcium can say that had improvement. Plan 2 had more, but then plan 3, which had the least amount of things, had the most amount of improvement.

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Doug Lucas: And I was like, I can't. That doesn't make sense to me.

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Doug Lucas: But here's what actually happened is that plan

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Doug Lucas: 3, which is calcium. Essentially the algae alone, plus a thousand I use of D,

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Doug Lucas: and that's it is actually plant one

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Doug Lucas: plan, one is plan 2, plan 2 is plan 3

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Doug Lucas: whoops.

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Doug Lucas: I can't imagine how frustrating it would be to pay for this study and then realize the publication was botched. But anyway, when you do that.

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Doug Lucas: you say? Okay? Well, plan one. Which was the algae-cal alone.

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Doug Lucas: Plan 2, was the aljacal, some lifestyle strontium and a little bit more stuff. And then plan 3 had boron k. 2, as MK. 7. Lifestyle, aljacal more d.

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Doug Lucas: Now this all makes sense.

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Doug Lucas: And then, if you compare this to any other bone health product, it really does stand out as the winner.

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Doug Lucas: So when I learned that I was like, Oh, well. maybe we should stand behind the company that actually put millions of dollars into research. And in building a product

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Doug Lucas: that actually does make sense. Yeah, Lorna.

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Lorna Nichols: it just seems to me, though, that strontium was the whole cause of the good results. Yeah. So I thought that, too.

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Doug Lucas: I love this population. You guys are so smart.

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So you're absolutely right, Lorna, that would make sense right. And, in fact, if you go to their first study.

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Doug Lucas: which compares 2 versions of algacal, both have strontium in it.

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Doug Lucas: But in this one.

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Doug Lucas: In this plan there is no strontium.

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Doug Lucas: so this is the only study that they have that shows that the the product by itself will improve vulnerable density. Otherwise, I was going to say, basically, what you're showing is that strong team approves BMD, which we already knew.

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Doug Lucas: But this is without strong team

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Doug Lucas: that make sense.

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Lorna Nichols: II thought, see, it's confusing that the mistake that they made.

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Shelly’s iPad: you know, because I thought Plan 3 was really plan one in the chart.

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Doug Lucas: right?

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Doug Lucas: So this is the one without strontium, without lifestyle. So this is the algebra alone.

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Doug Lucas: So if that's the key.

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Doug Lucas: yeah. So then this has strontium in it. So plan 2 has strontium, and it plant 3. Has strontium in it. Plan 3. Also had boron more magnesium, mk, 7 more vitamin d

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Doug Lucas: right? So that all makes sense. This is what I would kind of expect to see.

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Doug Lucas: That's actually that's a lot. But still it makes sense.

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Lorna Nichols: So there was Strong Tim, and Plan 3

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Doug Lucas: and plan 3. Yes, so again, go back here, and if you just move all these around, I wish I could like cut and paste.

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Doug Lucas: But if you move these around and you move what is listed as plan 3. To plan one. Plan, one to plan 2, and plan 2 to plan 3. So you do you do this?

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Doug Lucas: Then it all makes sense.

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Lorna Nichols: Okay, so do we. I mean, just regardless of all that. Can can you say that you feel like strong team? Isn't the deciding factor in all this in that one? I think we can say that now I did when I talked to Dean about this, the CEO I was like, Dean.

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Doug Lucas: this is a big problem like this is a big -oh

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Doug Lucas: And I said, you need, you guys need to do another study, and you need to show that that algebra by itself will consistently improve bomber density because there's some other

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Doug Lucas: errors in the study that I point out, not errors, but just poor quality.

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Doug Lucas: So he agreed that he would do it. I told him I'd design it. You're not gonna see it for 3 years, but I think it's coming.

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Doug Lucas: but I think that it is the only product that alone, without strontium has shown an improvement in Bmd. It's coming from a reliable source. We can access it. It's over the counter, from a company that really seems like they have their heart in the right place, even if their messaging feels a little aggressive. But I'm not a marketer.

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Lorna Nichols: so does that mean that, you know. I know they sell it both ways with and without strontium. Do you recommend the one without?

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Doug Lucas: Yeah. So here's what we're doing for our patients. you ready for the scoop.

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Shelly’s iPad: So here's what we're doing for our patients.

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Doug Lucas: almost everybody. It's still it's not. Everybody needs it. And so again, if you track your food

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Doug Lucas: and you. You're getting 1,200 milligrams of calcium through food. You don't need a calcium product. I would still take a multi mineral. But you don't need a calcium product.

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Doug Lucas: What they're selling the most of is this this Bum builder pack, which is algebra plus strontium. And the less you just what really wanna focus on Bmd. I don't think we need strontium.

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Doug Lucas: There's no evidence to say that strontium by itself is going to improve bone strength. It will improve bone density. That study shows that all their studies show that.

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Doug Lucas: That's why they have a money back guarantee.

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Doug Lucas: because it will improve bone density. But and and and we'll just take a step back when I use that would be in somebody who says, Well, look, my bone! Mortality is really low. It really scares me

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Doug Lucas: almost from a mental perspective, to allow them to do more, to lift, more, to train more. I would actually like to see their Bnb come up, even if it has nothing to do with their bone strength, because I know it's ultimately gonna help them.

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Doug Lucas: So I almost use it from that perspective alone.

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Doug Lucas: And then what we're recommending is algecal plus, because it is a good source of

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Doug Lucas: multi minerals. So you get the calcium. You get a little bit of Mag, they add more mag oxide, which that's the only potential downside is that it can cause diarrhea. Insensitive people.

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Doug Lucas: You get. Excuse me. you get a little bit of d. 3, not a lot. 1,600 IU, which is not too much.

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Doug Lucas: 100 micrograms of K. 2 is mk. 7, 3 milligrams of Boron, which is great sort of a

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mattering of vitamin c

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Doug Lucas: and then other trace minerals, which again, we're recommending for anybody, whether they're on calcium or not.

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Shelly’s iPad: And then we used to have people on. You've probably seen the video where I talk about protect plus.

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Doug Lucas: we're switching people from protect plus to this product. So this is their complete. It is only available from their website

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Doug Lucas: not on full script, which is why you want to see it on our list.

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Doug Lucas: but it adds another 1,000 iu of D. So it gets you to that 2,600 range. I'll talk about that in a minute. Why, I like that.

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Doug Lucas: but it gets you a nice dose of vitamin, a in the active form, in the retinal palmitate form. It gets you a spectrum of vitamin E, so you get to output to Cougherall, but also gamma to cougher all a mixed tocotrianols. So that's nice.

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Doug Lucas: You get vitamin K. Out K. 1,000 micrograms, and then K. 2, both as MK. 4 and MK. 7. So you're really hitting all of the fat, soluble vitamins in not too much D, and that's the problem that we've seen with

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Doug Lucas: with the Protect plus is that we're driving d up too high.

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Doug Lucas: Does that make sense.

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Shelly’s iPad: Those are the 2 that you recommended for me back in January that I'm yeah. I hope these are the ones but the one that the plus, I believe, is the one that has the calcium. But I monitor my food with the chronometer and calcium is pretty darn good, so I only take one of the calcum ones.

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Doug Lucas: So in that case, so the thing is. And this we run into this problem all the time. So I would still recommend, like a multi mineral to to give you all the other trace minerals cause I think that

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Doug Lucas: the if you don't need the calcium, it'd be good to have one or the other cause we're mostly deficient cause. Our food supply is deficient. It's just hard to get

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Doug Lucas: so there's a there are several different options out there. Lots of trace mineral options, and most of them are similar.

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Shelly’s iPad: Okay.

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Doug Lucas: yeah.

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Doug Lucas: I might only take one pill. I might only take the one pill for the calcium one.

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Doug Lucas: Right? Yeah. So. And and I think the dosing to get all of the other stuff in there. It's 2 twice a day, right?

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Shelly’s iPad: No, I thought it was just too daily.

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Doug Lucas: Is it 2 daily? I'll check it again. You might be right. Oh, I got I got. I got it right here.

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Doug Lucas: I don't take it. I don't know.

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Doug Lucas: I can tell you.

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Doug Lucas: It's

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Shelly’s iPad: 2 capsules twice a day. Yeah. So you're taking 4. Okay? So I'm only taking a quarter. Okay, I'll go. I'll fix that then. Alright.

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Shelly’s iPad: Yeah, thank you.

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Doug Lucas: Yeah, Lorna.

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Lorna Nichols: Oh, I left my hand up. But but could you

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Lorna Nichols: could you

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Doug Lucas: quickly? If not, that's fine, recommend a multimineral? I'm so afraid of getting something we have. We have a really long list of those, and I don't. I don't know what trying to

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Doug Lucas: Let me see if I can find

403

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Doug Lucas: cause we have. There's like, I don't know we have, like 10 on our list, and we have different reasons for doing different ones. But let me just search.

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Lorna Nichols: I'm taking Boron and silicon.

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Lorna Nichols: you know I'm not really focusing on any of the others.

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Doug Lucas: Here we go. Yep, this is so we kind of came up. This is the one I'll put it in the the chat. So Claire labs with a K. Don't auto correct me, please. Clara labs trace minerals.

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Doug Lucas: It's just a nice combo oops

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Doug Lucas: to everyone, not to Arantia

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Doug Lucas: using group chat. There we go.

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Doug Lucas: yeah. And so it has. Now this one has iodine in it, so that might not work for some people. There is a version without iodine, too.

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Doug Lucas: but it gives you the selenium a little bit of copper.

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Doug Lucas: The chromium molybdenum. It's got not enough, boron. So you need to add more boron silica vanadium

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Doug Lucas: all the little things.

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Doug Lucas: Right? So that's that part of the supplements. And then I think next time let's hit supplements. More cause I wanna dig into some of the other details. Other things that people are taking, because there's so much confusion here, and there's a million products. And so we have a list. We have a long list, you know, for those of you that have gone through it. You know Shelley's gone through it. Lorna's waiting so so patiently

415

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Doug Lucas: to go through it but we end up with a long list, you know. And it could be like 20 things. And so you need to figure out, okay, like, what are the what are the heaviest hitters? Because nobody can take that many things forever.

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Doug Lucas: So we got to figure out what the biggest, most important things are, and then go from there.

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Doug Lucas: Okay?

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Doug Lucas: Oh, yeah, Don, great question. So

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Doug Lucas: Oh, Susan, I meant we have an internal list of supplements. the so being don mentioned beam so beam. I did a a talk about beam. I forget what it's called on Youtube.

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Doug Lucas: But it's being minerals is

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Doug Lucas: a product called folvic and humic acid. And they're basically they are.

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Doug Lucas: It is a multi mineral. It's a really confusing scientific topic, but it's sort of like I consider it like an intracellular or multi mineral. I've been using it since I did that interview.

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Doug Lucas: I think it's a way to improve cellular function. It's also a way to detox, cause. It binds things that are intracellular and pulls them out. I think it's a really cool product, you know. Will it actually increase your mineral levels in theory?

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Doug Lucas: But there's not enough data to say that you could use that instead of an actual multimenar. So generally, we're gonna add that for people that are having a hard time absorbing things. If we do like say an Htma or heritage mineral analysis, and it looks terrible then we could add that to help them to get things into the cells but to do that instead, I don't. I don't know that we have enough data to say we can do that instead. But I like adding it to my water for sure.

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Doug Lucas: Alright guys. Yes. So next week I'm in California, so we'll have our first guest, and it's gonna be Ashley extraordinaire.

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Doug Lucas: and that is, yep, she's already listed on there. So Ashley is one of our Rds and nutritionist. She's amazing. She's gonna talk about Cgm. And the value of understanding what a continuous, glucose monitor can do for you. She worked for the company nutr sense for a long time. And so she brings that information to us.

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Doug Lucas: We do Cgm's on not a huge percentage of our population, but a fair number who have some kind of metabolic dysfunction on labs and are trying to figure out how restrictive on carbs they need to be. It's a really cool topic. So tune in for that one and then I'll be back the following week.

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Doug Lucas: No, Don, I haven't. Alright guys. I gotta run. Take care, bye.

‍

February 21: REMS vs DEXA; FRAX; AlgaeCal

Recording

Session Notes‍

Transcript

Session Notes
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