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Gabriel treats osteopenia aggressively to prevent progression to osteoporosis (much easier to reverse osteopenia than osteoporosis).
Gabriel treats osteopenia aggressively to prevent progression to osteoporosis (much easier to reverse osteopenia than osteoporosis). He optimizes vitamin D, K2, magnesium, and calcium from food, uses weight-bearing and resistance exercise, addresses hormones (estrogen in women, testosterone in men), identifies and treats malabsorption, reduces inflammation, and monitors with DEXA scans. Emphasizes bone is living tissue that responds to mechanical stress and nutrition. Avoids bisphosphonates in osteopenia (save for osteoporosis, have significant side effects).
Standard Treatment
Lifestyle recommendations (calcium, vitamin D, exercise), monitor with DEXA scans, generally no medications for osteopenia (reserved for osteoporosis), bisphosphonates if high fracture risk.
The Problem
Often just monitors without aggressive intervention (osteopenia easier to reverse than osteoporosis), calcium and vitamin D recommendations but ignores K2 and magnesium (equally important), doesn't emphasize weight-bearing and resistance exercise enough (most important), inadequate vitamin D dosing (2000 IU insufficient for most), doesn't address hormone optimization, inadequate investigation of underlying causes (malabsorption, medications, excess thyroid), doesn't use strontium (proven effective).
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
Choose the level that's right for your healing journey
What's Included
Available through Fullscript
Practitioner-Grade — Not Available on Amazon
What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
Calcium-rich foods (dairy if tolerated, sardines with bones, dark leafy greens, tahini, fortified foods) - prefer food over supplements, vitamin K2 from fermented foods (natto highest source, cheese, sauerkraut), vitamin D from sun exposure and food, magnesium-rich foods (pumpkin seeds, dark chocolate, avocado, leafy greens), adequate protein (collagen building block for bones), prunes (shown to improve bone density), avoid excessive sodium (increases calcium loss), limit caffeine and alcohol, avoid soda (phosphoric acid leaches calcium), bone broth for minerals.
Weight-bearing exercise daily (walking, jogging, dancing, tennis), resistance training 2-4x/week (critical - mechanical stress builds bone), avoid smoking (major risk factor), limit alcohol (2 drinks or less per week), sunlight exposure for vitamin D (15-30 min midday without sunscreen), maintain healthy weight (underweight increases risk), balance exercises (prevent falls), avoid excessive thyroid medication (causes bone loss), wean off PPIs if possible (impair calcium absorption), treat underlying causes (celiac, hyperthyroidism), whole body vibration therapy (emerging evidence).
Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Walking, jogging, dancing, tennis - mechanical stress builds bone.
Weight lifting critical for bone building at any age.
Vibration platforms may stimulate bone formation.
Improves balance and prevents falls (fracture prevention).
15-30 minutes midday for vitamin D production.
Critical - smoking major risk factor for bone loss.
Optimize calcium, K2, magnesium, and protein from food.
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Curated for Osteopenia
Traditional supplements via Fullscript
Whole food supplements by Standard Process
Standard Process + advanced peptide therapy
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