Functional Management of Osteoporosis

Introduction

This week at Origins Incubator, our focus was on the functional management of osteoporosis. We grappled with a critical question: How do we weigh the side effects of common medications against the outcomes of diverse natural treatments? In our pursuit, we aimed to eliminate the guesswork while adhering to the fundamental principle of "first, do no harm."

Unpacking Concerns About Bisphosphonates

One of the medications in question is bisphosphonates. We share concerns about potential side effects, including increased jawbone necrosis and femur breaks. Strikingly, these outcomes contradict our primary goal of reducing osteoporosis.

The Limitations of Bisphosphonates

Bisphosphonates, while enhancing mineralization, pose limitations. They are not a lifelong solution, and their impact on the interaction between osteoblasts and osteoclasts slows down the crucial process of bone remodeling. This compromise in cartilage poses a challenge, leading to a more brittle bone despite improved mineralization.

Natural Therapies as a Viable Alternative

While natural therapies present a promising alternative, the challenge lies in not waiting idly for annual DEXA scans. How can we ensure we're on the right path? This is where a strategic approach becomes crucial.

Monitoring Progress with N-Telopeptide

To overcome this challenge, we turn to the N-telopeptide, a marker that rises as bone breaks down. Establishing a baseline and assessing every three months enables us to gauge the success of natural or integrative therapies. A decreasing N-telopeptide signifies reduced bone matrix loss, offering tangible evidence of successful therapy.

Evidence-Based Individualization

Our approach transcends treating osteoporosis as a mere medication deficiency. It aligns seamlessly with the principles of functional medicine, emphasizing holistic factors such as diet, exercise, protein intake, and the reduction of contributors like excessive soda consumption.

Holistic Approach to Oxidative Stress

Addressing oxidative stress is pivotal. It's a factor that causes osteoblasts, the builders of bone matrix, to lose momentum and transform into fatty streaks within the bone. A holistic approach, focusing on the whole person, becomes essential for optimal outcomes.

Conclusion

Incorporating tools like N-telopeptide ensures that we navigate osteoporosis with a personalized, evidence-based strategy, aligning with our commitment to "first, do no harm." Osteoporosis becomes not just a condition but an opportunity for individuals to take control of their bone health through a comprehensive, functional medicine approach.

Closing Note

This recent conversation again shows that the exchange of insights among functional physicians is invaluable. Discussing topics like osteoporosis and other challenges at Origins Incubator provides a dynamic platform for collaboration, ultimately enhancing the collective knowledge and effectiveness of functional medicine practitioners. We will continue to delve into these topics with colleagues and mentors to strengthen our community.