Osteoporosis and Bone Health with Dr. Rosensweet - September 26, 2023

Key Timestamps

00:49 - I would love some views on osteoporosis. Are there any other things that can be done to help prevent osteoporosis? Do weighted vests help, or can they compress the spine, particularly in older women? Do you need a higher dose of HRT in women with premature menopause on HRT?

5:08 - What biomarkers measure bone loss, and which hormones are involved in bone building and breakdown?

6:24 - Besides hormones, what other factors are important for healthy bones, and how can we restore healthy bones?

10:41 - What about wearing a weighted jacket to improve bone health?

13:10 - We discussed the potential impact of long-term birth control use on bone health~ not having progesterone and low levels of testosterone over the long term.

17:34 - Do women who go through menopause early need higher than normal doses of HRT to replenish bones?

19:51 - I was watching a past Q&A where you talked about women with the BRCA gene who are at more risk for developing breast cancer than women without the BRCA gene. You mention that women who have the BRCA gene who use HRT are at less risk for developing breast cancer than women with the BRCA gene who do not use HRT. Two questions on this:

a. Is this in women who still have their ovaries or those who have had them removed?

b. If estrogen doesn’t cause cancer, then why is it still recommended that women with the BRCA gene have their ovaries removed? Why can’t they just keep their ovaries and wait to start using HRT when they go through perimenopause and menopause?

23:41 - Dr. Rosensweet discusses our genetic predisposition toward disease and the 5 factors that cause disease.

27:51 - Discussion about women with the BRCA gene and a message to all women, regardless of their genetic predisposition

35:18 - What are your thoughts on the new FDA-approved drug Veozah for hot flashes?

40:34 - My doctor advised me to use my oral progesterone vaginally. Is that the typical way to use a vaginal progesterone, or is there a specific formulation for vaginal progesterone?

// About Dr. Rosensweet, MD

Dr. Rosensweet’s website:

https://www.davedrosensweetmd.com/

Institute of Bioidentical Medicine (IOBIM):

https://iobim.org/

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Testosterone Replacement Therapy with Dr. Rosensweet - February 13, 2024

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Thyroid Questions with Dr. Rosensweet, MD - April 11, 2023