In this video, Dr. Doug Lucas explores the effectiveness of supplements in improving bone health and hormone balance. He emphasizes the importance of relying on evidence-based tools and products. The discussion focuses on the potential benefits of phytoestrogens, specifically genistein, in promoting bone health. He reviews research studies that demonstrate the positive effects of genistein supplements on bone mineral density. He also highlights the potential risks and interactions associated with these supplements, particularly for individuals with estrogen-related complications.
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ABOUT DR. DOUG LUCAS ======================== Dr. Doug Lucas: Owner/founder of Optimal Bone Health and Optimal Human Health. My team and I work together to create custom bone optimization plans for individuals based around supplements, hormone optimization, peptides and more in order to increase bone health and longevity!
have you heard of some supplements that
claim to be able to improve bone health
but also fix women's hormones I use that
last part in quotes because those are
not my words those are theirs but I've
heard these claims too and there might
be some truth behind them but I want to
take a deep look into the details of
some of these products because one of
the biggest errors I see when people are
building their own bone health program
is that they put too much faith into
these products that are maybe unlikely
to help them as much as they claim they
are one of the challenges I see here is
that if you're using dexa as your
primary tool to measure Improvement then
it can take one or two years to show a
difference so if you're only verifying
your plan is working every two years
then it's really important to make good
decisions around the tools that you're
using there is a big difference between
some tools that are reported to improve
bone health but only slow down bone loss
versus tools that are actually going to
show through research that they can
build bone not only compared to Placebo
because we know that's bone loss but
compared to Baseline so it's really
important that we look deep at the
literature really look at the results to
show are we actually building bone from
Baseline are we building bone compared
to Placebo or are we actually just
preserving bone compared to Placebo
because those are three very different
things so before we get into this I'm
curious what do you think is the
strongest tool in your toolbox for your
bone if you're on YouTube please leave
that in the comments because I would
love to hear what you think the best
tool is that you're using right now so a
few weeks ago I did a video on the
potential benefit benefits of these
things called phytoestrogens now
phytoestrogens are these hormonik
products that are in soy and other foods
and you can see that video I believe
over here one of the takeaways from that
video was that while soy and other foods
do have these things called
phytoestrogens in them and that they can
benefit bone health and Hormone Health
because of the potential negatives of
soy particularly for some individuals
getting all that active ingredient of
soy in a supplement might actually be
better than getting it from soy it's
self but the big question is this how
effective is it so I'm going to show you
exactly how we use one of these products
with patients but first let me give you
a little background so soy and other
similar foods like flax seeds have these
again phytoestrogens now phytoestrogens
are compounds that again have similar
structure to estradiol which is the
dominant estrogen in both women and men
and these phytoestrogens can activate
estrad receptors in the body resulting
in potentially some of the benefits
which is pretty cool some of that active
ingredients in these compounds are
called isoflavones and this is where
like things get challenging but again
we're going to talk about these
isoflavones in my last video we talked
about the most potent isoflavone in soy
which is called genestin supplement
manufacturers have capitalized on this a
little bit I think there's still room
for growth here actually in the industry
but they've capitalized on this a little
bit in this particular isoflavone so now
there are products that are marketed
specifically for bone health also for
hot flashes and other symptoms of
menopause but they are specific
specifically with this compound and then
combined again with a couple of other
things and we'll talk about that in some
of the supplements at the end and some
of the things that we have found and are
potentially recommending but whenever
We're translating this uh idea of taking
a compound from a whole food source and
putting it in a supplement we do need to
take that next step and find out
actually does it work so if we take this
one thing out of food and we use it in
an isolated supplement is it the same or
is it less or is it better more
effective than using it from the food
itself because some times there's
synergistic compounds and whole foods
that are going to help something to work
better rather than that compound itself
so fortunately there is some research
that we can look at specifically on
genesin as a supplement and we can also
get a sense of dosing and then we can
translate that into what kind of
products are available on the market all
right so let's look at this first study
so this is a 2013 review paper which is
always a good place to start because
you're going to basically learn what
other researchers have learned about
these things by reading a whole bunch of
studies so basically this one is on
genes and one other isoflavone but very
specifically genesin they talk about it
having dual functions on bone cells it's
basically able to both inhibit bone
resorption of of osteoclast and then
also stimulate osteogenic or bone
building cells differentiation and
maturation so it's cool you're working
on both sides of the equation of bone
metabolism which we is what we want to
do uh in most natural products too so
they go on to describe genesin and its
selectivity for estrogen receptors as a
little bit balanced so it has a greater
affinity for estrogen receptor beta
rather than Alpha and there's some
potential negatives there because now
we're going to be imbalanced in
stimulating these estrogen receptors if
you look at natural hormones like estrad
it actually stimulates them equally um
so this is going to be a little bit
different and there's some potential
negatives with that but also some
potential positives and then the second
study I pulled actually looks at genes
in a very specific dose so this is a 54
milligram dose and that'll become
important later when we start looking at
products but a 54 milligram dose and
then they talk about the impact again on
both bone building and on bone breakdown
so again natural products working on
both sides of the equation and that's
pretty cool so we do also have some
randomized control trials to go through
and so that RCT data I'm going to show
you but before I do if you're having a
hard time putting together all of the
potential uh tools and information that
there's available on bone health you may
want to consider coming to our free
master class that Master Class we run
every 1 to two weeks I run it myself we
spend about 45 minutes going through how
we build a program then we have about 15
minutes for questions so if you haven't
done that yet strongly encourage you to
do it totally free look for the link in
the description on YouTube or if you're
listening to this on a podcast go to
Optimal human health.com and you can
access the link there okay so this
randomized control trial that I want to
show you is a pretty good trial this is
back from 2009 and it has 183 women
again using the same dose of 54
milligrams per day so this is sort of
the kind of standard dose that we see in
the human studies and now what's
interesting about this study is they
used a quantitative ultrasound so if
you've heard me talk about Rams this is
kind of kind of like a Rams idea but not
the same device and then they did also
fortunately look at bone mineral density
of the spine and the hip and they tested
bone both at one and two years of
treatment so we have two years of data
which is pretty awesome U then they also
looked at ultrasound parameters of
improvement and so what they found is
that the uh the ultrasound did show
improvements uh from you know these
different variables of of bone uh and
what it looks like under ultrasound
which is a little bit hard for me to
interpret but most importantly the bone
mineral density did improve compared to
Placebo now the statistics are a little
bit confusing but when you look at this
at one year in the femoral neck which is
the hip the intervention group was up
2.32% which is pretty cool the spine was
up at
2.68% compared to- 1.63% in the hip and
- 2.12% in the spine so those are pretty
dramatic differences and then continue
to follow that at the 2-year Mark you
have in the intervention
4.54% versus -
3.92% so now we're talking about a 7%
swing between Placebo and intervention
and that swing is even bigger in the
spine so you have uh positive 5.25% in
spine versus negative
3.74% so those are really big changes
now it's a little unclear from a
statistics perspective how they actually
got those numbers and I think they're
comparing um I think they're comparing
comparing the Improvement to Placebo and
vice versa so I think it's going to
cause them to look bigger than they
really are but still that's pretty good
and you know this is a relatively
natural product so pretty low risk so
something certainly worth considering So
speaking of that risk you might be
asking well I'm a little concerned about
this the estrogen receptor thing so what
if you know is this the same thing as
estrogen like does it does it have the
same risks as estrogen so I'm not going
to talk about all the potential risks
and benefits of estrogen here um I have
other videos on that
but the challenge here is that yes it
they do interact with estrogen receptors
so anybody that is at risk of having a
complication of estrogen may want to
talk to their doctor before uh starting
this in fact of course anybody should
talk to their medical team before
starting anything I talk about on
YouTube um but for example somebody who
either has breast cancer who's being
treated for breast cancer has a history
of breast cancer and has been told that
they need to stay away from estrogen
they need to essentially block all
estrogen that's something to consider
any estrogen um sensitive cancer would
be relative in this space to be
something to be concerned about there
may also be some concerns around
premenopausal women param menopausal
women if you're still making estrogen
this could actually drive your levels up
and if you're imbalanced this could
cause some hormone imbalance so I'm
talking about this most specifically in
my my postmenopausal uh Patient Group
because we don't have to worry because
they're not making any estrogen or at
least very very little so we're not
going to have any issues with estrogen
overload with a product like a
phytoestrogen so plenty of women are
taking this in the premenopausal status
um and they find benefit from it but you
might also see some negative impact on
potentially fertility also cycle
dysfunction you say may see some
dysfunction of of menstrual cycles
actually potentially worsening of
symptoms around your cycle so again this
is something to be used with caution um
in that age group there's also some
concern around some interaction with
hormonal birth control which I strongly
advise against anyone way uh but another
reason not to take hormonal birth
control there are some other medications
this might interact with so again
because it's working through hormone
receptors and hormones are very powerful
there's a lot of things to consider here
so you may want to check or at least you
definitely should check if you're on
medications with your doctor about
potential interactions other things that
people have noticed when they take these
specific types of supplements is that
there might be some gii discomfort you
remember to that this is a specific
compound that we're getting out of a
natural product right so we're taking a
a isoflavone out of soy we're condensing
it we're putting it in a capsule and
then we're putting it in your body so
while it is natural it is in an
unnatural form because you're not going
to get that much genestin out of soy
unless you eat a whole lot of soy not
actually that much but still more than
certainly taking a capsule there's also
some concern of an increased risk of
cancer because of the imbalance of
estrogen receptor beta over Alpha I
don't know that I believe that um
there's no clear evidence on that so
take that for what it is men should also
be careful here because if we are
overstimulating estrogen receptors in
men and we don't have enough Androgen or
testosterone stimulation to balance it
then you might also uh run into some
issues potentially you know the estrogen
sensitive things like actually breast
inness swelling potentially changes in
mood Etc so where do you get this kind
of product so I looked at a few
different options here and the one that
really stood out to me was actually a
designs for health product called
femguard now this is probably not going
to be exciting for my male audience but
uh there's a product called femguard
which is combined with a couple other
things and they all check out as far as
something that is reasonable to take for
a postmenopausal woman who's not on
estrogen so I think that's probably the
sweet spot for this group um but again
there are all these potential
considerations so this is the one that
we're looking at as a product for our
patient population now most of our
patients are going to be on estrogen so
we're not going to end up recommending
this product um and I have no Financial
relationship with designs for health um
however our HSN members do get a
discount from our full script dispensary
so if that's something that you're
looking for it's something that you
could consider so that's it for this
product if you would like to look at
other supplement uh videos that we have
out right now that are recent we have
this video called raw milk in a capsule
and so this is all about lacto Farin
which is a really cool supplement to
talk about and then we also have our
best supplement for osteoporosis in 2024
in that video is here as well so
remember that osteoporosis as a
diagnosis is not the end but deciding to
reverse it is a beginning I'll see you
in the next video