Hello and welcome to "Health for a Lifetime" 00:00:51.71\00:00:53.56 I'm your host Don Mackintosh 00:00:53.59\00:00:55.10 and today we're going to be talking about 00:00:55.13\00:00:56.46 women's health issues. 00:00:56.49\00:00:58.04 One of the big concerns with women is osteoporosis, 00:00:58.07\00:01:01.75 and talking with us today about this important subject 00:01:01.78\00:01:04.50 is Dr. Eric Shadle and we're glad you're with us doctor. 00:01:04.53\00:01:08.29 You practice obstetrics and gynecology which means 00:01:08.32\00:01:11.63 you deal with women and women's health issues all day every day. 00:01:11.66\00:01:15.48 That's right, that's right. 00:01:15.51\00:01:16.71 This issue of osteoporosis, is it a big problem? 00:01:16.74\00:01:20.63 Is it a big concern for women? 00:01:20.66\00:01:21.83 It's a very big problem. 00:01:21.86\00:01:23.87 It's a problem that affects very many women every year. 00:01:23.90\00:01:31.82 It affects men too but much more commonly in women. 00:01:31.85\00:01:35.48 What exactly is osteoporosis? 00:01:35.51\00:01:39.29 Well the easy answer is that it is bone thinning. 00:01:39.32\00:01:42.78 The bone starts becoming thinner and thinner. 00:01:42.81\00:01:46.20 We lose bone mass with age. 00:01:46.23\00:01:49.52 And so we actually find at age 35 00:01:49.55\00:01:53.79 that we have the peak bone mass that we're going to have 00:01:53.82\00:01:58.26 in our entire lives and after that, on average at least, 00:01:58.29\00:02:01.76 we start losing some bone mass. 00:02:01.79\00:02:04.38 So if we could look inside the bone and we were going to look 00:02:04.41\00:02:06.72 at it and see exactly what was happening, 00:02:06.75\00:02:09.58 you know, what kind of things would we be seeing? 00:02:09.61\00:02:13.73 Well, the bone that is normally mineralized, 00:02:13.76\00:02:20.33 and here we have a graphic showing the bone volume 00:02:20.36\00:02:25.63 tissue and that's an example 00:02:25.66\00:02:28.86 of what bone is supposed to look like. 00:02:28.89\00:02:30.89 I think we have another graphic that will show us 00:02:30.92\00:02:33.73 how the bone is thinner and that is what osteoporosis is. 00:02:33.76\00:02:40.16 This would be an example, we see with prednisone, 00:02:40.19\00:02:43.51 that is a medication that is a steroid that actually will 00:02:43.54\00:02:49.84 cause bone thinning. 00:02:49.87\00:02:52.23 The architecture of the bone is changed so that there are 00:02:52.26\00:02:55.98 fewer bony spicules. 00:02:56.01\00:02:58.20 You see in this picture there that there are these dark lines 00:02:58.23\00:03:03.57 that are kind of going up and down, 00:03:03.60\00:03:06.15 and then the ones that are going horizontally across the screen, 00:03:06.18\00:03:11.78 there's not too many of those, 00:03:11.81\00:03:13.13 and they are kind of breaking off. 00:03:13.16\00:03:14.91 And I think there is one more graphic that will show that 00:03:14.94\00:03:18.01 even more - that there are big holes in what we'd call 00:03:18.04\00:03:24.04 these horizontal struts and that makes the bone very weak. 00:03:24.07\00:03:28.34 Just like in skyscrapers, you have the external structure, 00:03:28.37\00:03:33.20 and then you have these struts which are actually 00:03:33.23\00:03:37.37 floors can act as a strut across horizontally 00:03:37.40\00:03:43.42 that gives the structure much more strength, 00:03:43.45\00:03:47.12 and the same is with our bones. 00:03:47.15\00:03:48.38 So if we lose those horizontal struts, 00:03:48.41\00:03:50.17 then the bone fractures much more easily, 00:03:50.20\00:03:53.16 and that's really the problem with osteoporosis. 00:03:53.19\00:03:56.54 So the significance of the problem you said is great, 00:03:56.57\00:03:59.89 but what really happens when you have osteoporosis; 00:03:59.92\00:04:02.23 what kind of things happen? 00:04:02.26\00:04:03.66 Well, the big problem is fractures. 00:04:03.69\00:04:08.23 It's estimated that 1.3 million people have 00:04:08.26\00:04:12.88 osteoporotic fractures in this country each year, 00:04:12.91\00:04:16.29 and it's due to the low bone density. 00:04:16.32\00:04:19.58 Half of these fractures are vertebral, 00:04:19.61\00:04:22.57 that is the vertebrae in your back. 00:04:22.60\00:04:25.97 One-quarter of them are in the hip, 00:04:26.00\00:04:28.88 and 1/4 are Colles - that's in your wrist; 00:04:28.91\00:04:32.19 as you fall, you put your wrist out or your hand out, 00:04:32.22\00:04:35.97 and you can break your wrist. 00:04:36.00\00:04:37.48 And the estimated cost for this 00:04:37.51\00:04:40.81 is 13.8 billion dollars, it was in 1995, 00:04:40.84\00:04:44.64 and certainly it's more than that currently. 00:04:44.67\00:04:47.96 Wow, so this is a huge problem. 00:04:47.99\00:04:49.69 All kinds of people have that. 00:04:49.72\00:04:51.32 You said here as we were talking that... 00:04:51.35\00:04:54.32 people that survive to age 90, they really have a 00:04:54.35\00:04:59.02 significant increase in their risk. 00:04:59.05\00:05:01.58 That's right - we look at women to the age of 90, 00:05:01.61\00:05:06.63 33% of them have had an osteoporotic fracture 00:05:06.66\00:05:10.08 and 17% of men. 00:05:10.11\00:05:11.77 So, like I said, it's not just in women, 00:05:11.80\00:05:14.50 but it's certainly much more prevalent in women. 00:05:14.53\00:05:17.69 Now you've said that what happens in osteoporosis is 00:05:17.72\00:05:21.27 those horizontal lines or the vertical... 00:05:21.30\00:05:24.89 ...The horizontal lines - sorry. 00:05:24.92\00:05:26.91 The vertical lines... 00:05:26.94\00:05:28.39 The horizontal lines are kind of ... they're leaving, 00:05:28.42\00:05:30.50 and everything kind of crumbles down. 00:05:30.53\00:05:32.58 But what are the underlying causes of osteoporosis? 00:05:32.61\00:05:36.21 What causes those horizontal lines to take a vacation? 00:05:36.24\00:05:40.44 Well you know, we're told that 00:05:40.47\00:05:43.79 osteoporosis is a calcium deficiency disease... 00:05:43.82\00:05:46.69 That's what we're told by the 00:05:46.72\00:05:48.96 traditional medical establishment, 00:05:48.99\00:05:50.75 and that's what we think of with osteoporosis is calcium, 00:05:50.78\00:05:56.22 but actually there are several risk factors that have been 00:05:56.25\00:06:00.18 identified... Some of them include: 00:06:00.21\00:06:04.75 Gender - female gender as we've talked about. 00:06:04.78\00:06:09.14 Another is previous fracture; if you've had a fracture before 00:06:09.17\00:06:12.71 you're more likely to have another one - 00:06:12.74\00:06:14.30 that would make sense. 00:06:14.33\00:06:15.88 Tobacco use is another independent risk factor. 00:06:15.91\00:06:20.46 So women as well as men who smoke - will increase their risk 00:06:20.49\00:06:25.00 of osteoporosis. 00:06:25.03\00:06:26.45 Sedentary lifestyle - just not getting up. 00:06:26.48\00:06:30.11 Not bearing weight or not doing anything like that. 00:06:30.14\00:06:32.82 Alcohol, caffeine and low estrogen levels - all those 00:06:32.85\00:06:39.29 you know, will cause osteoporosis as well. 00:06:39.32\00:06:42.54 In addition to that, we have inflammatory bowel disease 00:06:42.57\00:06:45.19 like Crohn's disease. 00:06:45.22\00:06:47.37 There's type 2 diabetes which is the adult-onset diabetes 00:06:47.40\00:06:53.50 which is 95% of diabetics actually have type 2 diabetes, 00:06:53.53\00:06:58.41 and then there is prior hyperthyroidism if you've 00:06:58.44\00:07:01.90 had or have hyperthyroid. 00:07:01.93\00:07:04.49 Dementia - probably simply because you fall easier. 00:07:04.52\00:07:08.81 Because you get confused, you don't know where you're at. 00:07:08.84\00:07:12.48 Family history - if your mother, your father had osteoporosis 00:07:12.51\00:07:17.23 and fractures. Advanced age. 00:07:17.26\00:07:19.61 And there are certain types of medications that can cause that. 00:07:19.64\00:07:23.12 So these are risk factors, they're not causing it. 00:07:23.19\00:07:26.90 That's right - these are risk factors, 00:07:26.93\00:07:28.75 and these are factors that the traditional medical community 00:07:28.78\00:07:31.59 focus in on. 00:07:31.62\00:07:34.55 In addition to the fact that calcium deficiency is the main 00:07:34.58\00:07:40.25 underlying idea behind all of these factors actually 00:07:40.28\00:07:46.08 in traditional medical. 00:07:46.11\00:07:47.22 Maybe you're going to talk about these more, 00:07:47.25\00:07:48.94 but let me ask a question about 00:07:48.97\00:07:50.12 a couple of them if you don't mind... Sure 00:07:50.15\00:07:51.70 How is smoking or tobacco use related to osteoporosis? 00:07:51.73\00:07:55.03 Smoking - it probably increases calcium excretion, 00:07:55.06\00:08:01.11 is probably how that works. 00:08:01.14\00:08:03.01 It's kind of like a diuretic... 00:08:03.04\00:08:04.49 It's like a diuretic - the nicotine. 00:08:04.52\00:08:08.36 So that's probably the main... 00:08:08.39\00:08:09.78 And then the inflammatory bowel disease - 00:08:09.81\00:08:11.56 Does this mean they don't absorb the things 00:08:11.59\00:08:14.07 they need to have strong bones? That's most likely, right 00:08:14.10\00:08:17.63 Okay, now you said that that's the common list, 00:08:17.66\00:08:21.40 but you also told me that there is one that just doesn't 00:08:21.43\00:08:23.69 get the kind of press it needs 00:08:23.72\00:08:24.89 to get that's a real big risk factor. 00:08:24.92\00:08:26.48 That's right and many physicians don't even realize this 00:08:26.51\00:08:30.11 or haven't studied this... 00:08:30.14\00:08:33.91 And that is a high protein diet. 00:08:33.94\00:08:36.33 A high protein diet, I find, is actually the main 00:08:36.36\00:08:41.51 underlying cause for so much osteoporosis in this country. 00:08:41.54\00:08:45.52 In fact, there had been multiple epidemiologic studies 00:08:45.55\00:08:48.15 that indicate the high protein diet as the primary cause 00:08:48.18\00:08:52.28 for the osteoporosis. 00:08:52.31\00:08:54.32 So, usually you hear people say, 00:08:54.35\00:08:56.00 "Well, you need to get your protein" 00:08:56.03\00:08:57.31 That's right, that's right, we're very concerned about 00:08:57.34\00:09:00.35 that in this country. 00:09:00.38\00:09:01.41 That's right - where's your protein? That's right 00:09:01.44\00:09:03.88 But you're saying - you need to get rid of your protein. 00:09:03.91\00:09:06.18 Yes, we get WAY too much. 00:09:06.21\00:09:07.40 In this country, we consume well over 100 grams of protein a day, 00:09:07.43\00:09:11.25 and studies have shown that... actually those societies, 00:09:11.28\00:09:18.48 those countries that have the highest rates of 00:09:18.51\00:09:21.59 osteoporotic fractures, actually are those countries 00:09:21.62\00:09:25.01 that consume the most protein, 00:09:25.04\00:09:26.81 especially the most dairy and animal proteins - 00:09:26.84\00:09:29.37 Because after all, if we're going to get over 100 grams 00:09:29.40\00:09:33.00 of protein a day, it's generally from 00:09:33.03\00:09:36.25 concentrated protein sources such as milk, 00:09:36.28\00:09:39.00 such as cheese and meats. 00:09:39.03\00:09:42.93 All those different things that are really high in protein. 00:09:42.96\00:09:46.18 Are there certain types of proteins that cause more 00:09:46.21\00:09:49.29 osteoporosis than others? 00:09:49.32\00:09:50.81 Yes, that's an interesting question because we find that 00:09:50.84\00:09:55.21 animal protein actually causes more calcium excretion 00:09:55.24\00:09:59.65 from the body than does vegetable protein... 00:09:59.68\00:10:04.50 That's right - plant protein. 00:10:04.53\00:10:06.32 So the type of protein that we get is also very important 00:10:06.35\00:10:09.96 in addition to the fact of just getting too much protein. 00:10:09.99\00:10:13.19 I might say something - You know, this program 00:10:13.22\00:10:15.34 is seen around the world in SOME countries, 00:10:15.37\00:10:17.88 in some places people are suffering from 00:10:17.91\00:10:20.89 diseases that come as a result of a deficiency, 00:10:20.92\00:10:23.97 of not enough of this or that, 00:10:24.00\00:10:26.08 starvation, all those different things... 00:10:26.12\00:10:28.28 We're talking primarily about a concern that's a 00:10:28.32\00:10:30.75 Western disease, am I right about that? That's right 00:10:30.78\00:10:33.21 Osteoporosis is definitely a Western disease. 00:10:33.24\00:10:35.55 So if someone is watching today in a place where they don't 00:10:35.58\00:10:37.87 have hardly anything to eat at all, 00:10:37.90\00:10:40.88 they can't be saying, "Well, I don't want to eat that 00:10:40.91\00:10:42.66 because it has too much protein. " That's right 00:10:42.69\00:10:45.66 That's a good point - I'm mainly addressing 00:10:45.69\00:10:50.02 the Western diseases that we see in Scandinavia, 00:10:50.05\00:10:54.68 throughout Europe and North America where 00:10:54.71\00:11:00.39 we've really exported our high fat diet and high protein diet. 00:11:00.42\00:11:04.73 Wherever you seen the golden arches, 00:11:04.76\00:11:06.29 probably there's a problem. That's right 00:11:06.32\00:11:08.62 Actually diagnosing osteoporosis, 00:11:08.65\00:11:12.29 how do you really make that diagnosis? 00:11:12.32\00:11:14.11 Do you take someone's bones out and look at them 00:11:14.14\00:11:15.86 or how do you do that? 00:11:15.89\00:11:17.15 Well that would be one way to do it, 00:11:17.18\00:11:18.89 but most patients really disagree with that. 00:11:18.92\00:11:21.89 I imagine they do. 00:11:21.92\00:11:23.52 So what we've decided to do, rather than go in 00:11:23.55\00:11:27.27 and take their bones out, or even go in an take a biopsy 00:11:27.30\00:11:29.83 of their bone which would be very painful, 00:11:29.86\00:11:32.04 and expensive and difficult to do, 00:11:32.07\00:11:34.67 what we do is an x-ray study. 00:11:34.70\00:11:37.94 It's called densitometry, bone densitometry, 00:11:37.97\00:11:41.14 or just a bone density study, 00:11:41.17\00:11:43.32 and we can actually measure the amount of bone that is there 00:11:43.35\00:11:49.14 But we mainly look at the vertebral bodies in the 00:11:49.17\00:11:52.44 lower back and in the hip. 00:11:52.47\00:11:54.43 Those are the main ones, but we can also look 00:11:54.46\00:11:57.02 in the arm bones there. 00:11:57.05\00:12:00.45 The other thing we can look at is bone markers 00:12:00.48\00:12:06.72 that we find in the urine. 00:12:06.75\00:12:08.65 There are some tests that we can look at that 00:12:08.68\00:12:10.96 actually measures the metabolism of bone... 00:12:10.99\00:12:13.34 And so, if these are really high, we know we may be 00:12:13.37\00:12:16.76 losing bone and so that would be a good predictor that 00:12:16.79\00:12:21.15 we might be on the road towards osteoporosis. 00:12:21.18\00:12:23.49 All those things, looking at the urine, 00:12:23.52\00:12:24.77 those kind of tests... 00:12:24.80\00:12:26.28 What - I don't know, what would that be like, creatinine? 00:12:26.31\00:12:29.33 Creatinine clearance we sometimes look at in the urine - 00:12:29.36\00:12:32.67 There are actually links, the pyridine links 00:12:32.70\00:12:35.97 is actually what we'd be looking at in the urine. 00:12:36.00\00:12:38.87 And most laboratories really aren't keyed into that 00:12:38.90\00:12:43.07 or physicians and what you need to do is find a physician 00:12:43.10\00:12:46.28 who would be keyed into that and there are certain labs 00:12:46.31\00:12:49.56 that can be used across this country to measure that. 00:12:49.59\00:12:52.16 So let's say I have osteoporosis or my wife has it, 00:12:52.19\00:12:54.48 or my grandmother has it, or my aunt has it, 00:12:54.51\00:12:56.10 or my uncle has it, especially we're talking 00:12:56.13\00:12:58.89 about women's health and we know that's an issue... 00:12:58.92\00:13:01.45 What's the treatment? 00:13:01.48\00:13:02.80 What should we be looking for or pointing at the world? 00:13:02.83\00:13:06.08 What kind of treatment are they going to be offered? 00:13:06.11\00:13:08.14 What kind of treatment should they have? Yes 00:13:08.17\00:13:10.83 Well the standard fare in this country for treating 00:13:10.86\00:13:15.84 osteoporosis is estrogen therapy. 00:13:15.87\00:13:20.52 Bisphosphonates which are certain medications that 00:13:20.55\00:13:23.99 we can talk about in a few minutes here. 00:13:24.02\00:13:26.67 "Designer" estrogens - what I call designer estrogens 00:13:26.70\00:13:30.11 it would be like Evista/raloxifene 00:13:30.14\00:13:32.71 which is a medication that binds on certain 00:13:32.74\00:13:37.12 estrogen receptors but not on others, 00:13:37.15\00:13:39.30 and calcium and calcitonin.. 00:13:39.33\00:13:43.11 And so that's the standard treatment, 00:13:43.14\00:13:45.01 and we're looking at - you see there, 00:13:45.04\00:13:48.47 we're really looking at medications, pills is how we 00:13:48.50\00:13:52.90 primarily treat osteoporosis in this country... 00:13:52.93\00:13:57.93 And we treat it and the first treatment really that we 00:13:57.96\00:14:02.50 talk about, with women, is estrogen and calcium. 00:14:02.53\00:14:07.55 Those 2 things, because we see it as a 00:14:07.58\00:14:10.96 calcium deficiency disease. 00:14:10.99\00:14:12.30 You think, and the milk industry and different things, 00:14:12.33\00:14:14.86 they certainly promote that too, don't they? Absolutely! 00:14:14.89\00:14:16.94 They promote that very ardently that we need our protein, 00:14:16.97\00:14:22.73 and we need to take milk and 00:14:22.76\00:14:24.07 dairy products to get our calcium. 00:14:24.10\00:14:25.93 And then also, increasing weightbearing, 00:14:25.96\00:14:27.54 they talk about that too, probably. Sure, yes 00:14:27.57\00:14:30.04 So, again, maybe your concern is that this not 00:14:30.07\00:14:34.04 broad enough for focus. That's true 00:14:34.07\00:14:37.31 It certainly wouldn't have any problem with us 00:14:37.34\00:14:40.03 talking about making sure we get enough calcium, 00:14:40.06\00:14:43.37 though we probably don't need as much 00:14:43.40\00:14:46.14 calcium as we think if we're eating correctly. 00:14:46.17\00:14:49.33 That is... getting 50 grams or less of protein a day. 00:14:49.36\00:14:54.94 and 40 or 50 grams of protein should be fine, 00:14:54.97\00:14:57.54 and in fact, that's what the World Health Organization 00:14:57.57\00:15:00.45 recommends for daily consumption. 00:15:00.48\00:15:03.30 So what are the things that they're not focusing on 00:15:03.33\00:15:05.47 that we should be focusing on? 00:15:05.50\00:15:06.91 That the traditional medical... 00:15:06.94\00:15:11.75 Well the main one, as I've said, would be the lifestyle issues 00:15:11.78\00:15:17.10 of getting the right type of protein and not too much protein 00:15:17.13\00:15:21.31 but also, we certainly need to be looking at 00:15:21.34\00:15:24.50 caffeine, alcohol, tobacco... 00:15:24.53\00:15:26.49 These are also lifestyle issues 00:15:26.52\00:15:28.65 that definitely contribute to osteoporosis as well. 00:15:28.68\00:15:32.96 We could, what I call, age-proof our homes. 00:15:32.99\00:15:36.50 As we get older, we can fall easier, 00:15:36.53\00:15:40.78 and we don't want to fall because now our bones are 00:15:40.81\00:15:43.90 thinner and we could have a fracture... 00:15:43.93\00:15:45.55 And so just doing things like taking the throw rugs 00:15:45.58\00:15:48.54 out of the house so that you're not going to trip 00:15:48.57\00:15:51.05 over that and some things like that are 00:15:51.08\00:15:54.32 some easy things that we can do. 00:15:54.35\00:15:56.31 So in other words, we can talk about the building blocks 00:15:56.34\00:15:59.56 that help take away our bone mass and not ingest those 00:15:59.59\00:16:03.18 like caffeine and whatnot. 00:16:03.21\00:16:05.32 What about coffee or caffeine or those kind of things, 00:16:05.35\00:16:07.74 what really happens, why is it that we're losing 00:16:07.77\00:16:11.75 bone mass if we drink those kind of things? 00:16:11.78\00:16:13.66 Probably all the, including protein, 00:16:13.69\00:16:17.78 one of the mechanisms that is linked to osteoporosis 00:16:17.81\00:16:22.95 is because it is taking calcium out of the body... 00:16:22.98\00:16:27.11 And so with coffee - with the caffeine that we have in there, 00:16:27.14\00:16:32.13 it acts as a diuretic and it takes calcium out of our bone. 00:16:32.16\00:16:38.29 Interestingly enough, you look at coffee and you want to know 00:16:38.32\00:16:43.35 what is the... I mean that's a fluid, it's all water, right? 00:16:43.38\00:16:46.73 That's what it looks like. 00:16:46.76\00:16:47.87 Yes, that's what it looks like, but actually the net water 00:16:47.90\00:16:51.39 intake to our bodies is only about 1/2 to 2/3 of every cup 00:16:51.42\00:16:58.44 that we drink because the rest of it is going out 00:16:58.47\00:17:01.41 in the urine because it acts as a diuretic... 00:17:01.44\00:17:05.04 As opposed to if you just drink plain water, 00:17:05.07\00:17:07.51 then 100% of that is a net increase of water in our body. 00:17:07.54\00:17:11.26 And so that's how coffee or any caffeinated beverage will 00:17:11.29\00:17:16.97 increase the amount of calcium that we lose in the urine. 00:17:17.00\00:17:23.28 Protein - that's one of its mechanisms too, 00:17:23.31\00:17:26.33 as a diuretic, because one of the breakdown products 00:17:26.36\00:17:31.87 of protein is urea nitrogen and that acts as a diuretic. 00:17:31.90\00:17:37.56 Not to mention the fact that protein, if you get too much, 00:17:37.59\00:17:42.33 protein is amino acid, right? 00:17:42.36\00:17:45.12 So you have all these amino acids, 00:17:45.15\00:17:47.39 those are obviously acid; the body is alkaline, 00:17:47.42\00:17:50.16 and to normalize that, alkalinize the body, 00:17:50.19\00:17:54.43 we buffer that with calcium, and it's the most ready source 00:17:54.46\00:18:00.50 that our body has. 00:18:00.53\00:18:01.80 We're talking with Dr. Eric Shadle 00:18:01.83\00:18:04.11 We've been talking about osteoporosis. 00:18:04.14\00:18:07.02 We've been talking about what commonly is done, 00:18:07.05\00:18:09.79 why it occurs and what commonly is done to treat it. 00:18:09.82\00:18:12.78 When we come back, we're going to look at some other treatment, 00:18:12.81\00:18:15.34 some things that you could do; maybe you know you have 00:18:15.38\00:18:17.57 osteoporosis or someone that does. 00:18:17.61\00:18:19.44 We hope you join us when we come back. 00:18:19.47\00:18:21.27 Have you found yourself wishing that 00:18:27.75\00:18:29.09 you could shed a few pounds? 00:18:29.12\00:18:30.44 Have you been on a diet for most of your life, 00:18:30.47\00:18:32.98 but not found anything that will really keep the weight off? 00:18:33.01\00:18:35.92 If you've answered "yes" to any of these questions, 00:18:35.95\00:18:38.95 then we have a solution for you that works. 00:18:38.98\00:18:41.67 Dr. Hans Diehl and Dr. Aileen Ludington 00:18:41.70\00:18:44.58 have written a marvelous booklet called... 00:18:44.61\00:18:46.69 "Reversing Obesity Naturally" 00:18:46.72\00:18:48.94 and we'd like to send it to you FREE of charge. 00:18:48.97\00:18:51.59 Here's a medically sound approach successfully used 00:18:51.62\00:18:54.41 by thousands who were able to eat more and lose weight 00:18:54.44\00:18:57.55 permanently without feeling guilty or hungry 00:18:57.58\00:19:00.35 through lifestyle medicine. 00:19:00.38\00:19:02.19 Dr. Diehl and Dr. Ludington have been featured on 3ABN 00:19:02.22\00:19:05.76 and in this booklet, they present a sensible 00:19:05.79\00:19:08.22 approach to eating, nutrition and lifestyle changes 00:19:08.25\00:19:11.13 that can help you prevent heart disease, 00:19:11.16\00:19:12.92 diabetes and EVEN cancer. 00:19:12.95\00:19:15.09 Call or write today for your free copy of... 00:19:15.12\00:19:17.21 "Reversing Obesity Naturally" 00:19:17.24\00:19:19.06 and you could be on your way to a healthier, happier YOU! 00:19:19.09\00:19:22.23 It's ABSOLUTELY free of charge, so call or write today. 00:19:22.26\00:19:27.08 Welcome back, we've been talking about women's health issues. 00:19:33.65\00:19:36.32 We've been talking about osteoporosis 00:19:36.35\00:19:37.98 with Dr. Eric Shadle. 00:19:38.01\00:19:39.71 We're glad you're with us and you've been leading us 00:19:39.74\00:19:42.59 on a journey about this killer disease or what we'd say 00:19:42.62\00:19:46.88 killer-of-the-bone disease, osteoporosis, 00:19:46.91\00:19:49.45 that causes all kinds of problems especially with women 00:19:49.48\00:19:52.87 when they are aging - which brings up 00:19:52.90\00:19:54.22 an interesting topic... 00:19:54.25\00:19:55.28 Before, we talked about the role of estrogens and heart disease, 00:19:55.31\00:19:58.95 and that certainly is a mixed bag! 00:19:58.98\00:20:00.70 Does that seem as though it really helps with that? 00:20:00.73\00:20:03.30 Although there are still studies going on, 00:20:03.33\00:20:05.92 we're not ready to say we made a decision here 00:20:05.95\00:20:08.10 on this program but it seems like it doesn't 00:20:08.13\00:20:10.44 have that big a role, but with osteoporosis, 00:20:10.47\00:20:14.17 is estrogen replacement therapy or estrogen therapy, 00:20:14.21\00:20:17.73 is that something we should be looking at? 00:20:17.77\00:20:19.20 It certainly has been shown in many retrospective studies. 00:20:19.23\00:20:24.17 In fact, it is confirmed in EVERY retrospective study 00:20:24.20\00:20:27.22 that has ever been done to prevent bone loss. 00:20:27.25\00:20:31.71 So it would prevent osteoporosis and has actually been shown 00:20:31.74\00:20:35.24 in studies to decrease fracture risk... 00:20:35.27\00:20:38.31 So estrogen is something that we need to look at when 00:20:38.34\00:20:41.77 we're talking about osteoporosis. 00:20:41.80\00:20:43.90 And retroactive studies, that means look back 00:20:43.93\00:20:47.79 to people that didn't have it versus those that... 00:20:47.82\00:20:50.08 Right... you don't have a good control group; 00:20:50.11\00:20:53.04 you don't have a prospective study where you're 00:20:53.07\00:20:55.58 going to say - "Okay, I'm going to take a group of 00:20:55.61\00:20:58.32 women on estrogen and a group off of estrogen, 00:20:58.35\00:21:01.99 and control for every other factor in their lives, 00:21:02.02\00:21:05.34 and then look 5 years later or 10 years later. 00:21:05.37\00:21:08.16 Yeah, it's a difficult thing to do, 00:21:08.19\00:21:10.19 so what they do is look back. 00:21:10.22\00:21:11.76 There are problems with those types of studies 00:21:11.79\00:21:13.82 but it is impressive that every 00:21:13.85\00:21:15.62 one of the studies say the same thing. 00:21:15.65\00:21:17.58 So, most authorities really feel that estrogen does help 00:21:17.61\00:21:21.08 to prevent osteoporosis. 00:21:21.11\00:21:23.48 But I guess the question really is... 00:21:23.51\00:21:25.45 Who would need to take the estrogen, 00:21:25.48\00:21:29.82 and that's a harder question... 00:21:29.85\00:21:35.12 And I do think there are women that would benefit from 00:21:35.15\00:21:38.87 taking estrogen, especially women who are unwilling 00:21:38.90\00:21:42.81 to make some lifestyle changes. 00:21:42.84\00:21:45.13 Some simple lifestyle changes to decrease the amount of 00:21:45.16\00:21:47.76 protein intake that they would 00:21:47.79\00:21:51.71 consume in a day is one of the big things. 00:21:51.74\00:21:54.32 So if you are not willing to make some lifestyle changes, 00:21:54.35\00:21:57.99 you need to be thinking about maybe estrogen therapy 00:21:58.02\00:22:00.18 and talking to someone like you, 00:22:00.21\00:22:01.49 but you do have some time to figure it out. That's right 00:22:01.52\00:22:03.80 There IS time because it is a slowly progressive disease 00:22:03.83\00:22:08.85 and you shouldn't feel pressured to make a decision today. 00:22:08.88\00:22:15.70 Some people talk about what's called - 00:22:15.73\00:22:17.82 "naturally occurring progesterone" 00:22:17.85\00:22:19.94 and that treatment for osteoporosis. 00:22:19.97\00:22:22.26 What do you think about that? That's right 00:22:22.30\00:22:23.33 Well synthetic progesterone, those progesterones that 00:22:23.36\00:22:27.26 is made in the laboratory that most pharmaceutical companies 00:22:27.29\00:22:30.76 have patents on, definitely does NOT prevent osteoporosis 00:22:30.79\00:22:35.32 but the natural occurring progesterone in a 00:22:35.35\00:22:39.13 transdermal cream - some studies have indicated 00:22:39.16\00:22:43.73 that it may help to prevent osteoporosis. 00:22:43.76\00:22:47.41 However, most of the good studies from peer reviewed 00:22:47.44\00:22:51.70 journals in obstetrics and gynecology, for example, 00:22:51.73\00:22:56.77 do not confirm that natural progesterone will prevent 00:22:56.80\00:23:01.33 osteoporosis. 00:23:01.36\00:23:02.39 So the jury is definitely out on that one. 00:23:02.42\00:23:05.82 So we can't say for sure whether or not on that, 00:23:05.85\00:23:09.10 but it may not help, but it probably won't hurt... 00:23:09.13\00:23:14.12 Would that be safe to say? I think that's safe 00:23:14.15\00:23:16.91 What about diet and the prevention of osteoporosis? 00:23:16.94\00:23:20.14 What's the role that that plays? 00:23:20.17\00:23:22.16 Well as I noted earlier, I believe that diet is the most 00:23:22.19\00:23:27.22 important single factor in the development of osteoporosis. 00:23:27.25\00:23:30.51 It's just no question that our high protein diets cause us 00:23:30.54\00:23:37.36 to lose bone mass. 00:23:37.39\00:23:39.24 You know, for every glass of milk you consume, 00:23:39.27\00:23:41.54 there's a net loss of more than 30 mg of calcium from the body. 00:23:41.57\00:23:45.12 Wait a minute! Milk is supposed to be the thing that helps this, 00:23:45.16\00:23:48.67 and you're saying you LOSE calcium when you drink milk. 00:23:48.71\00:23:52.36 For every glass of milk and these are multiple 00:23:52.39\00:23:55.11 studies that have shown that. 00:23:55.15\00:23:56.22 In fact, one of the most recent studies comes out of 00:23:56.25\00:23:58.86 the University of Wisconsin in Madison, the dairy state, 00:23:58.89\00:24:01.99 and that study has not seen the light of day too much, 00:24:02.02\00:24:06.34 but it's definitely there, it's been done... 00:24:06.37\00:24:08.54 And we find that you just cannot take enough calcium 00:24:08.57\00:24:13.64 if you're consuming too much protein, 00:24:13.67\00:24:16.41 especially concentrated protein such as in milk. 00:24:16.44\00:24:20.16 Wow, so when they say drink milk and all those commercials 00:24:20.19\00:24:24.68 That's right - it does the body good - it says. 00:24:24.71\00:24:27.19 Boy, you're bones are thinning as you drink it, 00:24:27.22\00:24:30.78 especially if you're a lady. 00:24:30.81\00:24:31.96 Yes, because first of all, the calcium that's in milk, 00:24:31.99\00:24:35.84 you only absorb about 1/3 of it, 00:24:35.87\00:24:39.90 as opposed to most plant sources where you absorb 2/3 or more. 00:24:39.93\00:24:45.56 And secondly, it's a big protein concentration, 00:24:45.59\00:24:50.11 and you lose calcium because of that. 00:24:50.14\00:24:54.26 So what are some food sources then, 00:24:54.29\00:24:55.54 if milk is not the best, what are the food things, 00:24:55.57\00:24:58.55 what are the things we should be eating? 00:24:58.58\00:25:00.06 Well the easy way to say that would be green leafy vegetables, 00:25:00.09\00:25:04.36 but there are some that are better than others. 00:25:04.39\00:25:07.02 Actually, spinach is very high in calcium, 00:25:07.05\00:25:09.51 but the oxalic acid in it prevents its absorption 00:25:09.54\00:25:16.32 or as much as in other vegetables. 00:25:16.35\00:25:18.80 The #1 source is what is a weed; 00:25:18.83\00:25:22.97 in most places it's called "lamb's quarters" 00:25:23.01\00:25:26.32 It's actually a green leafy vegetable. 00:25:26.35\00:25:28.39 Carob flower, interestingly enough, also is very high 00:25:28.42\00:25:31.95 in calcium. 00:25:31.98\00:25:33.03 Carob flower - the plant source of carob. Right 00:25:33.06\00:25:36.86 And just eating a diet that is high in vegetables, 00:25:36.89\00:25:43.51 with a variety of color and a variety of types of vegetables, 00:25:43.54\00:25:48.93 we're going to be just fine with calcium. 00:25:48.96\00:25:51.94 So grain, soy, figs, hazelnuts, sesame seeds - all that stuff 00:25:51.97\00:25:55.50 you have listed here, and kale, 00:25:55.53\00:25:57.27 those are all good things. 00:25:57.30\00:25:58.61 Just take whatever is on that... 00:25:58.64\00:26:01.57 That's right - if it's a green leafy vegetable, 00:26:01.60\00:26:05.16 eat it and enjoy it. 00:26:05.19\00:26:07.10 One other thing before we close this... 00:26:07.13\00:26:09.21 You know this is a fascinating talk on osteoporosis, 00:26:09.24\00:26:11.31 because it's completely different than what you 00:26:11.34\00:26:12.71 hear on the media, but one thing you've said 00:26:12.74\00:26:14.73 is that when we talk about calcium sources, 00:26:14.76\00:26:17.31 or protein sources, so many times these are rat studies 00:26:17.34\00:26:21.03 that are done and they say that that tells us we need 00:26:21.06\00:26:23.27 a bunch of protein, but what you're telling me is that - 00:26:23.30\00:26:25.76 Yes, interestingly enough, the studies that were done 00:26:25.79\00:26:30.26 to tell us how much protein we need were done on rats. 00:26:30.29\00:26:33.16 And if you look at different mammals and the amount of 00:26:33.19\00:26:38.14 protein in the mother's milk of that species, 00:26:38.17\00:26:41.84 you find that the protein amount, 00:26:41.87\00:26:46.08 the concentration of protein in each species' milk is 00:26:46.11\00:26:48.92 related to the doubling size of birth weight; 00:26:48.95\00:26:53.36 how long it takes to double birth weight. 00:26:53.39\00:26:55.01 So, for example, a rat is born and 4-1/2 days later, 00:26:55.04\00:27:00.05 it doubles its birth weight. 00:27:00.08\00:27:01.54 And so it has 11.8 gm/dl of protein in a rat's milk. 00:27:01.57\00:27:08.15 Whereas if we would just take something like a goat, 00:27:08.18\00:27:11.17 it takes 19 days to double its birth weight, 00:27:11.20\00:27:15.04 and it only had 4.1 gm/dl 00:27:15.07\00:27:17.47 And then you take a human which takes a 120 days... 00:27:17.50\00:27:21.14 to double its birth weight, you only have 1.2 gm/dl 00:27:21.17\00:27:26.12 So I think God is giving us the formula right in milk 00:27:26.15\00:27:31.29 in our own species' milk about how much protein we need... 00:27:31.32\00:27:36.00 as it relates to osteoporosis. 00:27:36.03\00:27:38.67 We've been talking with Dr. Eric Shadle 00:27:38.70\00:27:40.74 We've been talking about osteoporosis... 00:27:40.77\00:27:42.57 AGAIN, we come to a conclusion God's way is the best way, 00:27:42.60\00:27:45.69 eating what He has produced and He has provided 00:27:45.72\00:27:48.47 can certainly help us with our bone health. 00:27:48.50\00:27:51.00 We hope that you have enjoyed this program and as a result 00:27:51.03\00:27:54.15 you'll have Health that Lasts for a Lifetime! 00:27:54.19\00:27:56.16