The Dr. Doug Show

Dr. Doug Lucas reveals why DEXA scans may not accurately reflect changes in bone density, explaining how measurement errors, least significant change (LSC), and inconsistent testing can affect osteoporosis and osteopenia results. He compares DEXA vs. REMS bone scans, shares his own reported 20% bone density improvement, and explains how bone turnover markers and long-term testing trends can help p...

Dr. Doug Lucas sits down with Dr. Tyna Moore to discuss how hormone replacement therapy (HRT), perimenopause, and menopause affect bone density, joint pain, muscle health, and osteoporosis prevention. They also explore GLP-1 medications like Ozempic and semaglutide, the potential risks of muscle and bone loss during weight loss, GLP-1 microdosing, and why strength training and metabolic health are...

Dr. Doug reveals five common fall prevention mistakes that could increase fall and fracture risk in older adults, especially those with osteoporosis or osteopenia. He examines the research behind high-dose vitamin D, bifocals, sleep medications, fear of falling, and whole-body vibration therapy while explaining how balance training and safer daily habits can help prevent falls and support healthy...

Dr. Doug breaks down the five most effective ways to prevent falls and reduce fracture risk, especially for adults with osteoporosis or osteopenia. He covers balance testing, home fall hazards, vision and foot health, resistance training, and evidence-based balance exercises that can help people stay strong, mobile, and independent as they age.🔗 Bone Foundations Masterclass: https://www.osteocoll...

Dr. Doug sits down with Dr. Tony Keaveny to explore biomechanical CT (BCT), an emerging bone imaging tool that uses CT scans and finite element analysis to measure bone density, bone strength, and fracture risk beyond what a DEXA scan can show. They compare BCT vs. DEXA and FRAX, discuss radiation exposure and new Medicare coverage, and explain who may benefit from BCT when evaluating osteoporosis...

Dr. Doug breaks down five important tests to consider after an osteoporosis diagnosis, including vitamin D, calcium and parathyroid hormone, TSH, 24-hour urine calcium, and bone turnover markers. He explains how these osteoporosis tests can help uncover potential secondary causes of bone loss and establish a baseline for tracking bone density, bone metabolism, and long-term progress.🔗 Is Your Thy...

Dr. Doug sits down with exercise physiologist Dr. Jason Conviser to break down the science of whole-body vibration for bone density, balance, fall prevention, flexibility, and healthy aging. They discuss Power Plate settings and protocols, P1NP and bone-building research, vibration after joint replacement, and how to safely incorporate whole-body vibration into an osteoporosis and exercise program...

Dr. Doug takes a closer look at OsteoBoost and the research behind its claim to reduce bone loss, including the NIH-funded clinical trial, FDA clearance, and what the data actually shows for women with osteopenia and osteoporosis. He also compares targeted vibration to whole-body vibration, discusses using OsteoBoost alongside osteoporosis medications and hormone therapy, and explains who may bene...

Why are so many women noticing ADHD symptoms for the first time in midlife? In this episode, Dr. Doug Lucas sits down with Dr. Jolene Brighten to explore how perimenopause, shifting hormones, brain energy, and inflammation can affect focus, mood, motivation, and executive function. They also discuss hormone therapy, testosterone, progesterone sensitivity, ADHD medications, SSRIs, and the role exer...

Can you safely have sex with osteoporosis? In this episode, Dr. Doug Lucas explores what the research says about osteoporosis, intimacy and fracture risk. Learn how spine positioning, body mechanics and communication can help you feel more confident navigating intimacy after an osteoporosis diagnosis. We also look beyond physical safety to the role fear, trust and feeling safe in your body can pla...

Dr. Doug sits down with neurologist and bestselling author, Dr. David Perlmutter, to explore the surprising overlap between brain health and bone health. They discuss how nutrition, metabolic health, exercise, sleep, inflammation, and muscle all influence long-term cognitive and skeletal health. Dr. Perlmutter also shares why protecting your brain starts long before cognitive decline appears, and...

Depo-Provera is an injectable birth control linked to measurable bone loss, particularly at the hip. In this video, Dr. Doug breaks down what the research shows, whether bone density recovers after stopping Depo, and what women should know about other hormonal contraceptives. Study Links https://pubmed.ncbi.nlm.nih.gov/18222431/ https://pubmed.ncbi.nlm.nih.gov/18827121/ https://pubmed.ncbi.nlm.nih...

GLP-1 medications can support significant weight loss, but some of that loss may come from lean mass, including muscle and bone. In this episode, Dr. Doug breaks down the current research on semaglutide, tirzepatide, bone turnover, and bone density. He also explains why baseline screening, adequate protein, resistance training, and ongoing body composition monitoring matter when balancing weight-l...

In this video, Dr. Doug Lucas explains what it means when a DEXA scan shows osteoporosis at the wrist, but not at the hip or spine. He breaks down when the one-third radius should be measured and why an isolated wrist T-score may require more investigation. You’ll also learn how bone density at different scan sites relates to fracture risk and what information to consider before making treatment d...

In this episode, Dr. Doug explores the latest research and practical insights on whole body vibration as an alternative to impact training for bone health. He discusses device types, optimal parameters, and how to incorporate vibration into fitness routines safely and effectively. Study Links https://pubmed.ncbi.nlm.nih.gov/18710630/https://www.frontiersin.org/journals/cell-and-developmental-biolo...

Dr. Doug explores the role of genetics in osteoporosis and emphasizes the power of lifestyle choices in influencing bone health. Challenging the notion that genetics predetermine bone outcomes, he highlights research showing the impact of environment, nutrition, and exercise. Study Linkshttps://pubmed.ncbi.nlm.nih.gov/18319743/https://pubmed.ncbi.nlm.nih.gov/16157825/https://www.nature.com/article...

In this episode, Dr. Doug explores the effectiveness and safety of jumping as a bone health intervention, especially for postmenopausal women. He reviews research, discusses impact forces, hormone effects, and offers practical advice for safe, effective bone health strategies. Study Links https://pubmed.ncbi.nlm.nih.gov/41752870/ https://pubmed.ncbi.nlm.nih.gov/28975661/ https://pubmed.ncbi.nlm.ni...

In this video, Dr. Doug Lucas reviews whether collagen can actually support bone health, looking at the limited human research, why Fortibone has the strongest data, and why results may depend on a person’s starting bone turnover markers. He also explains why collagen sourcing and third-party testing matter, since contaminants can accumulate in collagen products. Study Links https://pubmed.ncbi.nl...

In this video, Dr. Doug Lucas breaks down why animal protein is generally more bioavailable than plant protein for bone and muscle health. He also explains how anti-nutrients in some plant foods can interfere with protein digestion and shares ways to improve absorption if you rely on plant-based protein. Study Links: https://doi.org/10.1017/S0007114512002371https://doi.org/10.2527/1995.731118xhttp...

In this video, Dr. Doug breaks down a brand-new 2026 study on weighted vests vs. whole body vibration for bone density, osteoporosis, and osteopenia. He explains why the headline claim that weighted vests improve bone density is misleading, what the data really shows about fall risk and functional outcomes, and how Power Plate and whole body vibration actually support bone health. Study Links http...

In this video, Dr. Doug explains how estrogen dose, estradiol levels, and bone turnover markers can help show whether HRT is truly supporting bone health. He breaks down why DEXA and REMS can take 12 to 24 months to reflect change, while markers like CTX and P1NP can offer earlier insight. The key takeaway: bone health care should be individualized, tested, and optimized rather than based on a one...

In this episode, Dr. Doug explores the validity of REMs as a bone imaging technology, analyzing recent studies and expert opinions to determine its reliability compared to DEXA. It provides insights into the science behind bone density measurement and the ongoing research shaping the future of osteoporosis assessment. Dr. Doug's review of the 2025 Bobelyak study: https://youtu.be/oAsXX6Fwxho I...

In this episode, Dr. Doug Lucas breaks down the latest thinking on calcium supplements for bone health, including the fear around calcium and heart attack risk. He explains why most people don’t need 1,200 mg of calcium from supplements alone and why food intake should come first. He also compares calcium carbonate, calcium citrate, algae-based calcium, and bone-based calcium through the lens of a...

Explore how environmental toxins may impact overall health, inflammation, oxidative stress, and bone health with Michele Scarlet, FDN-P. In this conversation, Dr. Doug and Michele discuss common sources of toxic overload, from food, cookware, personal care products, plastics, mold, alcohol, and even chronic stress. You’ll learn practical, non-overwhelming ways to reduce exposure, support detox pat...

This video from Douglas Lucas breaks down how osteoporosis medications should be used strategically, not just prescribed in isolation. He explains that drug sequencing matters, with evidence showing the best results come from starting with anabolic (bone-building) drugs before transitioning to other therapies. He also highlights how bone turnover markers (P1NP and CTX) can guide treatment decision...