In this episode of The Drive, Peter Attia answers questions about bone health, focusing on the importance of bone mineral density (BMD) and the risks associated with fractures, particularly hip fractures, as people age. He explains the differences between osteopenia and osteoporosis, diagnostic methods like DEXA scans, and the significance of T-scores and Z-scores. Attia discusses how bone health changes with age, highlighting the impact of menopause on women and the roles of calcium, vitamin D, and hormones like parathyroid hormone. He also covers risk factors for low BMD, recommendations for screening, the types of exercises and nutritional strategies that best improve or preserve BMD, and pharmaceutical options when lifestyle interventions are insufficient, as well as strategies to minimize bone loss during periods of immobility.
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