Calcium alone. Permanence fractures? No. The reason why this is dangerous is calcium alone has been

shown in big studies to increase the risk of heart attack. Now, fortunately, not a lot of people are

taking it alone anymore because generally you can't say the word calcium without saying the word

vitamin D after it. And the good news is it turns out that even like a whiff of vitamin D

brings that risk back down to baseline. So I don't think anybody's taking 1,000 milligrams of

calcium alone. If you are, please don't. But just a little bit of vitamin D. I mean, 400 I have you

of vitamin D will bring that risk back down to zero. Walking is enough to build bone. False.

We hear people go to their doctor,

their doctor says, hey, you should consider taking this drug and calcium in vitamin D, and do weight-bearing exercise. I really don't like that term weight-bearing exercise, because I don't even know what that means. I mean, I've got weight on me, right? I mean, and I'm bearing it. We're sitting on our tailbone, right? Like, is this weight-bearing exercise? No. And so people don't know what that means, and I think they're misled by it. And yes, walking can potentially slow down bone loss. That actually has been shown in research, but will it reverse osteoporosis? Not a chance. Okay. Only thin elderly women are at risk for osteoporosis. Absolutely not. Some people you've

worked with young men with certain risk factors like celiac disease. But honestly, we see a large

spectrum right now, especially of certainly thin, frail-looking, sarcopenic women are at risk,

absolutely. But with the obesity epidemic,

we're now also seeing this interesting obese women, especially, that also have osteoporosis,

even if they haven't lost weight yet. If they have lost weight, then we're really concerned,

because rapid weight loss, especially with the advent of GLP-1s and the ability to really

be on a restricted calorie diet, we're seeing tremendous loss of bone density and quality.

So now we have a whole spectrum of people who you would not think are at risk, they're at risk.

So is it the GLP-1 that's causing the bone loss or is it the rapid weight loss due to the high dose of the GLP 1 causing the bone loss?

Yeah, I hope I said it clearly, which is people on GLP 1s who are severely calorically

restricted, right?

Because it's not the GLP ones.

In fact, there is in philosophy theory that GLP1s should actually be protective of bone.

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