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Itchy and Bitchy Podcast

Oh, Snap! Osteoporosis!

Itchy and Bitchy Podcast

KS Miller-Hnilica

Health & Fitness, Sexuality, Medicine

4.91.7K Ratings

🗓️ 6 December 2025

⏱️ 28 minutes

🧾️ Download transcript

Summary

Karen shares her personal journey with osteoporosis. What distinguishes it from osteopenia? How are DEXA T-scores interpreted? Why does early screening matter? She covers lifestyle and nutrition, hormone considerations, and medication options.

Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.


Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.

Itchy & Bitchy is back!  ... and the medical system is officially on notice.

Transcript

Click on a timestamp to play from that location

0:00.0

The content of this podcast is provided for general informational purposes only and is not intended

0:05.9

as, nor should it be considered a substitute for professional medical advice.

0:11.1

Oh, how I feel.

0:14.2

Bitchy, bitchy, bitchy, bitchy, bitchy, bitchy, bitchy, bitchy, bitchy and bitchy.

0:20.4

Hello, this is Karen Nicol family nurse practitioner, and you are listening to Itchy and bitchy. Itchy and bitchy.

0:25.8

Hello, this is Karen Nicol family nurse practitioner, and you are listening to Itchy and Bitchie a podcast that provides answers to your many unanswered health questions.

0:30.5

Recently, I was talking to a friend and podcast listener about my journey with osteoporosis. And she said, you should do a podcast

0:40.9

episode on osteoporosis. So here I am about to share my journey with all of you. There are two

0:49.4

stages of bone loss, osteopenia, which is the first stage or early bone loss, and osteoporosis,

0:57.8

which is the second stage or advanced bone loss. I have osteoporosis, darn it. The word

1:06.9

osteopenia comes from the Greek words osteo, meaning bone, and penia meaning poverty. So

1:15.2

osteopenia literally means bone poverty. The word osteoporosis is derived from the Greek words

1:22.2

osteo, again meaning bone, and poro, meaning holes. So I have bone holes. Hmm. Today I'm going to speak

1:32.7

specifically about osteoporosis versus osteopenia, since many people are diagnosed with advanced

1:39.8

bone loss or bone holes after having their very first bone density test. The test to measure

1:48.0

bone density is called a dexas scan. The test result expressed as a number called a T-score

1:55.4

compares your bone density with that of a healthy 30-year-old woman. A normal T-score is in a positive number

2:04.0

down to minus 1.0. Osteopenia is minus 1.1 up to minus 2.4, and at minus 2.5 or below, that is considered osteoporosis.

2:20.2

Unfortunately, a bone density test is not ordered as early as it should be,

2:24.7

so we sometimes entirely miss the early stage of bone loss called osteopenia.

2:30.2

It's a shame since early detection and treatment is so important. There are certain factors that put

2:37.2

us at risk for developing osteoporosis. A couple of risk factors are ones we cannot change,

...

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