Osteoporosis

Dr. Clayton Roach: [00:00:06] Tonight, we’re talking about osteoporosis, and as we kind of said, you know, don’t let your bones crumble, right? And I don’t know how many of you know someone who fell in fractured a hip. Give you a fun fact about that a little later on, but that is the real deal. Osteoporosis, nothing to mess around with. So we’re going to talk about this and everything surrounding osteoporosis. So if you are in this age category and sometimes you don’t even know you are right, because sometimes it can happen early based on genetic predisposition. Good thing you’re on tonight. Make sure before the episode is over, find time to share this episode like we always ask you. That is how we get the message out there. Go ahead, Ben.

Dr. Ben Boudreau: [00:00:54] Osteoporosis, it’s a disease characterized by low bone density and low quality of bone. And so as we, you know, the healthy bone will replace the dead bone at a, you know, a great rate, right? So as that bone begins to disappear, the body will replace it with strong and healthy bone and osteoporosis. The bone, the unhealthy bone and the porous bone become higher than that of the healthy bone. And so the body has an inability to generate proper bone mineral density.

Dr. Clayton Roach: [00:01:27] So let’s throw a few words out there Ben. Let’s give you high in terms there are so building bone is called osteoblasts activity, right? So we have bones that bone cells that when we produce bone cells called osteoblasts and when they get destroyed, it’s called an osteoclast. So when the osteoclast activity bone destruction is quicker and quicker than the activity of the osteoblasts, it means that we’re destroying bone quicker than what we’re creating it.

Dr. Ben Boudreau: [00:02:01] So there’s an increased risk of fractures, right? Yeah. So we can’t replace our new bone. So it’s known as the silent thief, and it can occur over a number of years. Unfortunately, by the time that the affected bone breaks, the disease is already really far along. That’s why it’s always best to be checking in and checking your bone mineral density, especially as you age. We’ll talk about, some populations that are more at risk for that. So there are almost two million Canadians that are affected.

So that’s that is in itself is really high. One in three women are found to suffer from us or process, and one in five men will break a bone due to osteoporosis. And so the significance of this disease and how common it is in the population is really high. And so especially as a chiropractor is dealing with the joints and the bones, we always want to make sure that, you know, we are ensuring that we are better able to take care of a patient and taking care of them the right way and putting the correct amount of force through those joints.

Dr. Clayton Roach: [00:03:05] Yeah, absolutely. I do want to mention the joints that are more or the areas that are more effective, I mentioned those Ben. Sure, go ahead. Yeah. Typically you’re going to see osteoporosis be a problem in the hip, which I’m sure a lot of you probably know. The second will be the spine. We see a lot of what we call compression fractures in the spine. And especially when you get, like, this third guy here in blue who’s Ben for a lot, there’s a lot of pressure on the front part of the vertebra. And that’s typically where you’re going to see the compression fracture. The vertebrae start instead of looking like a square is going to look more like a wedge to where the front part is compressed and not as tall as the back part of the vertebra.

Compression fractures, we also see wrist fractures and basically osteoporosis, which leads to wrist fractures, because when you fall, you’re going to try to break your fall. And that definitely you’re at risk of having a fracture in your wrist. Not a lot of blood supply in the wrist. So it’s sometimes you can get necrosis after the bone has been broken, you break the blood supply and you get bone death and you get necrotic tissue there. One of the most popular ones is called the scaffold, which is one of the bones and wrists. And what else? Shoulder? Absolutely right. The same thing with the wrist as you fall, you can definitely fracture your shoulder as well.

Dr. Ben Boudreau: [00:04:28] Yeah. And so definitely one of the points that you brought up there was that pelvis. And so here’s a stat for you. Twenty-eight percent of women and thirty-seven percent of men suffer a hip fracture. Will actually pass away within the following year. So it just goes to show how important it is to check your bone mineral density and ensure that you’re doing everything that you can to make the quality of that bone the best it can possibly be.

Dr. Clayton Roach: [00:04:59] So let’s talk about that, and I’m not sure why. If any of you know why you can die from a hip fracture, but inside the hip is probably the biggest source of bone marrow. Ok, one of the biggest sources of bone marrow in and the whole body. So when you fracture your femur, the bone marrow and the fat that is inside the hip can now travel and make their way through the arteries and the vessels and make their way through to the point where it’s going to get caught in a small artery or vessel.

You can die from what’s called a fat embolism, right? Not a blood clot, but a fat clot. Right? Because it’s not. It’s not a blood clot, but it’s actually a piece of fat that gets caught up inside a small artery that can’t go any further. And you can die from what’s called a fat embolism. So that’s why the mortality rate you really, really have to watch out after you’ve had a hip fracture to make sure that that piece of fat doesn’t take off from that fracture site and get caught into a smaller artery smaller vessel.

Dr. Ben Boudreau: [00:06:12] Absolutely, and great point, because that’s essentially why chiropractic care is just so important and fall prevention, ensuring that the nervous system is communicating properly with the muscles and that the muscles are firing the way they should. And as you can see, the individual has that crouched forward posture that doesn’t necessarily support the best center of balance, either. You’re essentially already halfway to the ground at that point.

Dr. Clayton Roach: [00:06:37] And more importantly, the small part of the brain, the brain called the cerebellum right, cerebellum allows you to be able to have balance. And there are many things, chiropractors, as chiropractors can do for the cerebellum. Wow. Oh, wow. Oh yeah.

Osteoporosis X-ray & Compression Fractures

Dr. Ben Boudreau: [00:06:54] I wanted to make us a little bit aware and just something that is a little more endearing, some that we see in the office quite often, especially with our patients who are new to chiropractic care at an older age and want some x rays done. And so the image to the left just to start with that is an example of a compression fracture. And we can just see that wedge-shaped vertebra, how the front of that vertebrae, the height is reduced there. So we can just see that and there’s very little disk space between those vertebrae as well, so we know that this is an older individual. Because those spaces tend to narrow, but just that level is. Further narrow that even the levels below above and below there.

Dr. Clayton Roach: [00:07:46] Yeah. So what I’m just pointing out is that the front part of the vertebra here is much. Less. It has less height than the back part of the vertebra. So what we’re seeing here is an anterior part of the vertebra being compressed from a vertebral compression fracture. And there are multiple of them here. Here’s one. Here’s the other one. Maybe this one is normal, the one that’s been cut off, but the rest are all compressed. So this guy is not in great shape. You can see some here. Absolutely. Where it’s drawn, actually, they’ve drawn they’ve done their part over here to show this one. Yeah, this is not a great, great-looking spine.

Dr. Ben Boudreau: [00:08:29] Yeah. And so x rays really aren’t the gold standard for determining if someone has osteoporosis. However, it’s a great way to see the result of osteoporosis in an individual. Like we say, you can see the compression fractures. Another thing that you can notice is that the cortices, which are the outline of the vertebral bodies, are supposed to be white and thick. And so one of the main things that we’d be looking for in the next patient who has osteoporosis is if there’s thinning of those courses. If they’re not white and thick, you’ll you won’t be able to see them as well. And that’s a sign that the bone is more porous.

Dr. Clayton Roach: [00:09:13] So one of the terms that radiologists use is to is the term osteopenia. So I had a discussion with a radiologist from the Liquid Center here in Sackville, and I had seen an X-ray that was osteopenia, and I recommended a DEXA scan or bone density scan, which we’re going to talk about tonight. Now, the radiologist said, Well, hold on, apparently, and you might not know this Ben, but you know, I had a conversation with them, he said. You cannot predict osteoporosis unless there’s a compression fracture, and that’s basically the end result, which obviously there is osteoporosis.

From looking at an X-ray and seeing that, it appears great. I guess research has been done that you can see osteopenia, which is just the bones appearing gray and there is no correlation with osteopenia looking at an x-ray and the fact that the person has osteoporosis. So I was surprised by that because we always were taught in school. Look for osteopenia. But the cortical margins are a better indication if you’re starting to see compression fractures. Obviously, you missed, you missed the whole ball of wax there because, you know, obviously it’s gone too far and there’s already compressions so you can have what appears to be osteopenia and then the DEXA scan is going to show up. Ok, I guess, is what they’re saying. Mm-hmm.

Dr. Ben Boudreau: [00:10:35] Yeah, definitely. And so these compression fractures here could actually be. And I just want to make people aware of old compression fractures. These might not be. There are some times where an individual will come in and say, I’ve had back pain forever and it stayed the same or, you know, I experienced back pain that it went away. Yeah, you could have had a compression fracture actually at that point, and it couldn’t have been something very traumatic. It could have been just a step off of that.

Literally, the ground reaction force was getting sent up to that vertebrae, causing congressional action. Or it could be just bending over if you’re really that if you do have osteoporosis or that osteopenia, it may actually cause a compression fracture, just bending and twisting and lifting something up. So I’ve heard, you know, so far many, many, many causes of compression fractures, and they haven’t been very traumatic at all.

Dr. Clayton Roach: [00:11:29] Yeah. One of the things you can tell, like, typically, if it’s an old compression fracture, you’ll see white cortical margins, meaning where the fracture line is, you’ll see that the bone is rebuilt itself. So it appears brighter white around the margins. But if you see a fracture line and you see like basically black because there’s no bone there at all and around that fracture on where the bone is, it doesn’t look a brighter white. It means that the fracture is probably fresh. So you’ve got to look at what’s called a cortical lining, the outline of the bone around the fracture. And if it doesn’t look bright white, then it’s probably fresher than it is older, right? And so the standard, the gold

Dr. Ben Boudreau: [00:12:14] Standard for measuring osteoporosis is using a Texas state. Which is a bone mineral density scan. And so what it will do is give you a score, and it’s measured in standard deviations from the normal. So if you have a T score and this is the score that shoots out less than two point five standard deviations below that of normal, that means that it’s which is under two point five standard deviations under the normal adult. Mean, that means that you have osteoporosis, so you are two-point-five standard deviations below what’s normal for an individual and that’s considered osteoporosis. And so when you go and get your DEXA scan, it’s going to give you that score. And so you’re looking to see if that score is either above or below two point five standard deviations.

Dr. Clayton Roach: [00:13:08] Yeah, what they’re doing is they’re comparing people across a cross-section of the population and saying, OK, well, if you’re two, Ben said. If you’re less than two point five SD standard deviation, that’s going to put you in the osteoporotic category. Yes.

Dr. Ben Boudreau: [00:13:28] And so definitely something that can be looked into and you can use this information because if you’re someone who has not had a bone mineral density scan done, you’re over the age of 50 post-menopausal the hormones begin to change. And so you should probably at this time just go in, have that bone mineral density scan done. That way, you can determine, OK, should I start exploring options to help rebuild my bone?

Dr. Clayton Roach: [00:13:56] Yeah. And those are actually the areas, the areas where they’re going to do the DEXA scan. I think they take, they take the hip. They do the research. So they pick certain areas and they see what that bone density is in that area. So some people might have a hip that’s becoming osteoporosis quicker than the risks, but typically they’ll evolve at the same level. But sometimes I’ve seen it be very, very different readings in different parts of the body.

Dr. Ben Boudreau: [00:14:29] Yeah. And so there are definitely certain populations that would be more at risk for this particular condition. We had already mentioned, you know, postmenopausal women. Right. Women over. Right. Because what happens is we have a change in hormones. And so we need our sex hormones, estrogen and testosterone in order to keep our bone mineral density very high. So there’s this direct correlation between high levels of estrogen and high levels of bone mineral density. As the estrogen begins to drop, so does the bone mineral density. Now, the same thing can be said for men who, as they age, begin to lose the hormone testosterone. When you lose testosterone, you begin to lose your bone mineral density.

Dr. Clayton Roach: [00:15:14] Yeah. I just wanted to mention one thing, you know, there’s a lot of emphasis on calcium being the mineral of the bone. But one thing that you need to realize is that the bone has 13 or 14 minerals that play a huge role going in and out of the vessels and creating the structure that we have and whatever density that you’re going to have. So it’s not just calcium guys we have to be wary of, you know, taking just calcium as a supplement because there are side effects possible about taking just calcium. So we have to take into consideration all the other minerals, of which there are 13. If you’re going to have strong bones. All right. So we’ll talk about that in a few minutes.

Chiropractic and Osteoporosis

Dr. Ben Boudreau: [00:16:03] So chiropractic and osteoporosis, actually looking at the individual that’s furthest to the right, they’re obviously they’re they have the cane, so they’d be likely this photo is thinking, OK, well, this is an older individual and so they have osteoporosis. The idea is that the spine wouldn’t be in that position, necessarily if it had been getting worked on for a longer period of time. You wouldn’t be placing as much pressure on that front part of the vertebrae that are compressed and eventually fracture. If you had been having the joints and the nervous system and the spine correctly managed before and had gotten to that point.

Dr. Clayton Roach: [00:16:48] And the sad thing is, is that you see we see adolescents, right? You know, females, which later on become the ones that are more at risk of osteoporosis. We have already talked about that one in three women versus one in five men. You see young adolescent women, females. On their phones, all the time, and they’re creating that posture that you see in this old person here on the right side and you have teenagers that already look like this, right? And you’ve got teenagers already starting to have a little bit of a hump on the back of the neck. And so what you’re doing is that you’re fast-forwarding.

This process that we used to call ageing, and you’re already starting over here when you’re at nine, 10, 11, 12 years old. So what you’re doing is you’re predisposing the spine to stress by virtue of the position that you’re in most of the day. So we’ve got to be careful about that and we’re going to be very, very wary about that as parents to know that that’s happening and to know what avenues you have in order to help mitigate that risk. Hence, our talk right now transitioning into chiropractic.

Dr. Ben Boudreau: [00:18:06] Absolutely. Whenever the individual is in pain, right, whenever we have mal limits and structure and we have restrictions in our spine, it increases the amount of stress hormone that we have in our blood, namely that cortisol and cortisol is a scary, scary hormone because it leaches those minerals, that calcium from the bone and brings it into the blood, right? That decreases the quality of our bone right off the bat.

And so by taking care of our spine, not just from a joint perspective, but from a nervous system perspective and reducing the amount of stress that we’re under, we can help keep the bone stronger for an extended period of time. Now, chiropractic is also very useful in terms of the relaxation techniques that we use in practice. And so just helping the body calm down and restore its normal function and treating the muscles and treating the joints and the muscles that are very stiff so that those joints can be placed in a position that has a lot less pressure?

Dr. Clayton Roach: [00:19:06] Yeah. So a very simple, simple thing would be, you know, your chest muscles that are tight because maybe you had a job your entire life that would, you know, got you sitting the whole day, mousing keyboarding data entry, whatever you were doing. And now these peak muscles are already tight, so that’s predisposing you to have round shoulders. So one of the things that a chiropractor could do is start the process of lengthening the front muscles, strengthening the back muscles, but in the meantime, mobilizing and adjusting the vertebrae so that the muscles aren’t being stretched on the spine.

That’s rigid because both of them have to move like an accordion, then you’ll move in sync. So there has to be synergy between how much your stress and muscle by stretching it and work in it, and how the spine, which is where the muscle attaches to, is also moving. That’s why muscular approaches fail when they’re done, you know, with disregarding how the joint moves. You can just move the muscle because whereas the muscle attaching the biggest anchor point is going to be the spine, right?

Dr. Ben Boudreau: [00:20:14] Absolutely. Another thing that chiropractic can help with also falls prevention. Looking at the individual furthest to the right, you can see that the head has gone forward. Right? For every inch that the head has gone forward, we’re adding more and more weight onto the head and neck. This moves our center of gravity further in front of us, increasing our chance of a fall. Chiropractic helps with fall prevention by restoring the curves in the spine so that our center of gravity is more where it should be in a proper position, where the joints are in the position, where they’re less likely to compress and the individual can better control how their muscles are firing and when they’re firing when the nervous system is functioning properly. Namely, when you work on the muscles that the joints in the lower extremity.

Dr. Clayton Roach: [00:21:09] Yeah. One thing I want to mention, too, is that within this posture, if you have somebody who’s had lower back problems, the sciatic nerve is not working properly. Your ability to raise your foot so that you can clear the floor so that you don’t stumble is very important. So a lot of people start to develop foot drops where they have the inability to raise the foot high enough so that they don’t trip on their own feet when they’re walking. So there are many things that can fall apart, no pun intended. If you’re not maintaining your structure throughout your life and not just waiting at this point and hoping that there’s going to be a solution to help you with what’s going on, right?

So just wanted to mention that for those of you just joining us, it’s Dr. Clayton Roach and Dr. Ben Boudreau on Sunday Conversation. That’s our 39th episode, and we’re getting close to our 40th anniversary. And so if you’d like this episode, please go ahead and share this episode. Give us a thumbs up. We’re talking about osteoporosis and the impact that it can have on us and how to potentially prevent osteoporosis from, you know, potentially killing you, right? We talked about it being one of the causes of death.

Dr. Ben Boudreau: [00:22:31] Right? Yeah. A major cause of death. This was one of those things that we did in chiropractic college when we were doing our epidemiology class. A group and I sort of got together and we were just thinking, OK, well, what’s a way that we can be involved in our community? What kind of programs can we plan to help people with a certain condition? And so we were doing. We saw just how high the incidence of death was from falls and breaks and due to osteoporosis.

We wanted to be able to incorporate a fall prevention program for individuals to actually do it in a setting where they feel comfortable, where they can come every week and they can feel safe doing their exercises. So we did a group exercise program once a week and we held it for roughly 15 to 20 people and we held it in a local church. This was to work not just on, not just with people who have osteoporosis, but for people to build their mobility, build their balance and proprioception as they age and keep it and maintain it right.

We did have people who had osteoporosis and had fallen before, and they just didn’t want that to happen again because they knew that the repercussions could be severe. Fall prevention programs and balance exercises, proprioception are super important. If you’re not doing it now, you should definitely start, especially if you are in that category where you’re at a higher risk. So something again, where chiropractic can be helpful in assisting you, in making you maybe feel a little more comfortable in that atmosphere and doing those exercise programs. Great point.

Dr. Clayton Roach: [00:24:14] Great point. All right. What else?

Dr. Ben Boudreau: [00:24:18] So the techniques we chiropractic care increase mobility range of motion again helps prevent against the fall, reducing muscular stiffness and then eventually improving the health and quality of the joints so that you’re not having these compression fractures, which are again so painful. Individuals who have osteoporosis can have a compression fracture just from sneezing alone. So if your bone is that bad and an individual does sort of hold in all their air and then has a sneeze, you can actually compress and cause a fracture in your spine. Yeah, it’s just incredible, but you hear about it.

Dr. Clayton Roach: [00:25:01] I had a lady actually. This year she was leading into her freezer. It was like, like a freestanding freezer, not one that’s tall, but one that you have to actually reach in. So she leaned on the top of the freezer to reach for something, and obviously, the freezer was against her rib cage and she fractured three vertebrae, right? So obviously that’s a straw that breaks the camel’s back. And you know, she was already in a far enough advance osteoporotic level and she fractured three vertebrae is very painful.

There’s not much you’re going to do for fractured vertebrae is unless it’s very dramatic and there’s a punctured lung. But if they’re just happening from something like that and there’s no issue in the lung, it’s just something you’ve got to grin and bear for a while until it heals. But it can be very, very painful. Talking about supplementation. Yeah. Vitamin D, right? Very, very important. We have a great vitamin D in our office, by the way. It’s a liquid form.

It comes with vitamin K2, and K2 is very important because it allows the absorption of that. Vitamin D and K2 is actually the vitamin K that’s found in fermented vegetables. So sauerkraut and stuff like that. So K2 is very important, needs to be in there if you’re taking vitamin D. And you know what, if you’re buying vitamin D and you’re, you know, supplements from just regular retail stores and pharmacies.

Dr. Clayton Roach: [00:26:34] They’re not going to be the best pharmaceutical grade type of supplements. The absorption rate is not great for companies like Jamison, and they’re scoring very, very low. So vitamin D is super important, not as important in the summer unless you’re stuck indoors, right? So try to benefit from the summer months to get the vitamin D in a natural way. And that’s going to be very important now in the winter. We are in Canada, we are in Nova Scotia. It’s dark a lot.

Winters are long, so I’ve recommended as much as five thousand. I use vitamin D. Again, this is not meant for medical advice. So please, you know, touch base with us and we can talk about that because it’s also going to be activity driven and how much time you’re spending outside and what your activity level is and what else you’re doing. But yeah, so if you’re taking a thousand IOUs and you’re osteoporotic, it’s probably a drop in the bucket and it’s not going to help you much. So we’ve got to make sure that we’re giving you enough and giving you the right kind of vitamin D and that you’re actually absorbing it. So liquid is fantastic.

Dr. Ben Boudreau: [00:27:51] Absolutely, and great points about nutrition, right, so another area where chiropractic can be helpful for individuals with osteoporosis, just as a tidbit before we move on to our next slide here. But if you are thinking about getting into exercise and you are in this category, it may be best to have a bone mineral density scan done prior to starting your exercises. Because you will be doing some weight-bearing exercise, you want that bone to be used. That way, you can start building stronger bones. So before you jump right into doing your exercises, ensure that you have a bone mineral density scan done and then you’re talking to a health professional about the safe exercises that can be performed to help. Strength training for your upper back posture and flexibility so.

Dr. Clayton Roach: [00:28:40] And I just want to mention, like the biggest source of calcium is going to come from your dark, leafy green vegetables, collard greens, spinach. That’s where the calcium is. Good calcium milk does not necessarily do a body great like we’ve been told that it does through all the marketing for milk. We’re the only species on this planet that returned to milk after being breastfed. All other species go to water. And plus, we’re drinking milk from another species that’s not even coming from humans.

There’s a lot of issues with milk and especially the proteins in milk, which are just called casein and proteins are meant to grow a calf into a cow. Also, different proteins that we have in the human body, which is why the number one allergen on this planet is actually milk and not just being lactose intolerant, but actually being allergic to the actual protein of casein. Make sure that you’re getting your calcium if that’s the only one that you’re looking at from your diet as much as possible. Supplement of the month.

Dr. Ben Boudreau: [00:29:52] So 70 percent of the U.S. population doesn’t meet the estimated average requirements for vitamin D. Right. So that’s 70 percent of the U.S. population, us up here in Canada, up north. We tend to have pretty similar results with our friends down south, and approximately 60 percent of the U.S. population doesn’t meet the recommended amount for magnesium, and they don’t need it for vitamin K either. So just goes to show we are very nutrient deficient when it comes to the vitamins that we need to keep our bones strong and healthy, especially as we age. And so it’s not just an ageing thing, it’s that we’re not actually taking in the nutrients that we need to keep our bones healthy and strong.

Osteoporosis Supplementation: OsteoBase

Dr. Clayton Roach: [00:30:38] Yeah. So this here, I’m actually going to start my screen share here. This here is a supplement that we got about. They started promoting it, I would say, six to eight months ago. It is from Ortho Molecular, so it’s a trusted brand. We’re big fans of our molecular along with other ones that we have in our clinic. But osteo base is basically the supplement for osteoporosis prevention. Bone density. How to keep your bone density the way it should be. So it has the minerals in there that you need in order for that to happen.

You know, I get free when people tell me what they’re doing for their osteoporosis, taking a calcium supplement. There are links to that with heart attacks. So please, you know, make sure that you get the right advice. You just don’t want to just take calcium. And if you’re taking a cal-mag or calcium magnesium, you are not getting enough magnesium in that cal-mag to help you with osteoporosis.

So you’ve got to look at a multi-faceted approach with supplementation, fall prevention, weight-bearing activity, right? If you’re just walking. It may not be enough. You’ve got to start doing resistance, Ben. It’s got to be weight resistance training. You know, one of the things that we have a problem with is going in outer space for a long period of time where we’re not exposed to the gravitational pressure or a force of the Earth.

Dr. Clayton Roach: [00:32:10] Astronauts come back and they step off the shuttle and they fracture their hip. They can’t go there very long because their bone density goes away, the further they are and the longer they are away from the gravitational force of the Earth. So resistance Wolf’s law says that in order to build bone, you have to stress bone. So we need to make sure that if you’re going to prevent osteoporosis, that you’re looking at a multifaceted approach used chiropractic supplementation, dark leafy greens change your diet, start exercising.

Get your butt off the couch because that’s going to be the worst thing because you’re sitting in a bad posture and all of a sudden you’ve got a compression fracture you’ve got to deal with. And we have that for three, five-six months because at that point, the fracture doesn’t heal very quickly because you’re still forward and there’s always pressure on those bones and you can’t heal. So it becomes a bad mess, a bad, you know, cycle that you’re in. It’s not fun. So I’ve seen those patients and it is not what you want. So be proactive like we always tell you and do the things that we’re telling you. Share this episode so that other people that are struggling may be able to find this information useful. Couldn’t have said it better myself.

Dr. Ben Boudreau: [00:33:27] I was hoping to make sure your exercise because you won’t absorb any of it. You don’t

Dr. Clayton Roach: [00:33:31] I ran out of saliva

Dr. Ben Boudreau: [00:33:33] Right? Oh, man. Yeah. Awesome. Yeah, no, definitely. Like, I was just coming in right. Because if we’re going to talk about taking all of these supplements right and you’re not doing anything on the side to help absorb any of these supplements and you’re not doing anything to help you, that’s just going to go right through your bloodstream and right out your body. So make sure that you’re giving your body the reason to absorb it. And the reason would be weight-bearing exercise moving the body right?

Dr. Clayton Roach: [00:34:01] Resistance exercises because you can’t take enough vitamin D to make up for yourself. Not moving right. Everything needs to work together, you know, in a good synergy. So, you know, Osteo Base asked us questions about it in the clinic, but osteo base is a phenomenal product. There is a step up from osteo base if you’re a little bit more osteoporotic. So you know, if you’re genetically predisposed and stuff like that, you know, get yourself a DEXA scan, right?

If you’re pre premenopausal, if you’re in menopause, if you’re a woman, if you’re if you know that your mother and grandmother had osteoporosis, you know, have that conversation with your medical doctor. I know you don’t have a medical doctor and there are all kinds of things that are in your way. But again, you know, the only person is going to advocate for your health. To the nth degree is going to be yourself right, and you just have to you have to push and push and push, and that’s the unfortunate thing, but it is a reality.

And if you don’t push, you get to put aside and things happen and then you should have all over yourself, right? Should it than this and I should have done that. So take your health into your own hands. Make sure you take advantage of what we’re saying tonight and you take an action plan and go ahead and do it.

Dr. Ben Boudreau: [00:35:19] Yeah, exactly. Don’t forget to ask questions about how the new patient is today, who would ask me, what’s the best way to go about measuring my bone mineral density? What’s the scan that I need to ask and essentially just drop the knowledge about the DEXA scan, right? So even that little piece of knowledge alone gave her the power to go to a medical doctor and ask, You know, can I have this done right? And especially if you’re well into your sixties, early seventies and you haven’t had a bone mineral density scan done? It’s about time that you have that done. You have that conversation because it is beneficial. Absolutely.

Dr. Clayton Roach: [00:36:01] So guys, I hope you like this episode. We’re out of notes and we love doing this. This is our 39th episode like we talked about. If you just join towards the end there. Again, I’m Dr. Clayton Roach, and this is Dr. Ben Boudreau to Cairo’s chiropractors from Halifax, Nova Scotia. If you’re watching this on YouTube, a little button on the right that says, Subscribe, please do that. You’ll get notified when there’s a new episode. Far easier to look at those episodes on YouTube because you can just find them a lot easier.

Facebook You get to scroll and scroll and scroll, and then you get to see our faces, you know, 50 times. As you’re scrolling on YouTube, you can just go right through the episode you wanted to watch. So we love doing this. We’ve been living again. This is our 39th week. Every month we try to have a guest episode just like we did last week, which I’m sure you guys appreciate. If you haven’t watched Dr. Reed, I know there’s one of the live participants tonight that said that Dr. Reed was her naturopath, and so that was pretty cool. Go ahead and watch it. Brilliant information and share it. Make sure you share this one as well.

All right, so take care, guys. Have a great week. We will talk to you next Wednesday on Hump Day Conversation Number 40. Take care! What’s up, guys? Listen, if you like this episode, you’ll probably like the other ones, chances are pretty good. So here’s what you need to do. You need to like us and follow us on Facebook. Following means, you get notified when these two guys are alive. Next, family, friends, you need to share these episodes because you never know you might help them because they need this information as well. And guys, if you ever miss an episode, make sure you subscribe to us on YouTube. That way, you can watch the episode over and over and over again. Guys, we love you and appreciate you. Take care.