Bone Health In Midlife: How the Echolight Scan Can Protect You

 Episode Summary

In this conversation, Gonzalo discusses the importance of bone health, particularly for women in midlife, and introduce the Echolight technology, a non-invasive bone density scanner. We explore the significance of early detection of osteoporosis, the role of hormones in bone health, and the advantages of the Echolight over traditional scans. The discussion emphasizes the need for preventative measures, lifestyle changes, and the empowerment that comes from understanding one's bone health through technology.

Takeaways

- Bone density is crucial for women, especially in midlife.
- Echolight technology offers a radiation-free alternative to traditional scans.
- Osteoporosis affects millions, with women being at higher risk.
- Early detection of bone health issues is vital for prevention.
- Hormonal changes during menopause significantly impact bone density.
- Lifestyle factors, including diet and exercise, play a key role in bone health.
- Regular monitoring of bone density can lead to better health outcomes.
- Knowledge about bone health empowers individuals to take action.
- Preventative care is more effective than reactive measures.
- Consistency in health practices is essential for maintaining bone health.

Chapters

00:00 Introduction to Bone Health and Echolight Technology
10:05 Understanding Bone Density and Its Importance
19:49 The Role of Hormones in Bone Health
29:52 Preventative Measures and Lifestyle Changes for Bone Health
40:09 Empowerment Through Knowledge and Technology 

Disclaimer

Breast Intentions is intended for informational and entertainment purposes only. The content shared on this podcast is not a substitute for professional medical advice, diagnosis, or treatment. Any views or opinions expressed by the hosts and guests are their own and do not necessarily reflect the views of any affiliated organizations. Always consult with a qualified healthcare provider for medical advice or concerns.

Resources & Mentions:

• Get in touch with the NovoClinic on Instagram (@novocliniclimited and @lourenco_goncalo) www.novoclinic.ky

• Follow us on Instagram and Facebook (@breastintentionspodcast ) 

Connect With Us: Have a topic or guest suggestion? Email us at breastintentionspodcast@gmail.com

Transcript

SPEAKER_05 0:00

Like midlife, women in midlife, perimenopause. You have to start thinking differently as you start to age. It can still be um an aesthetic side of things, but you have to really, really start thinking about everything inside. Yeah. And that might mean that you have to change the way that you train. That might mean that you have to change a bit of your eating. That might mean that you have to be a bit more committed to taking your vitamin D every day. All of those different things, right?

SPEAKER_00 0:28

So especially in women, because hormonal balance, as we spoke, has a major, major impact on your bone process, right?

SPEAKER_02 0:37

So Welcome to Breast Intention, the podcast where we take off the brave expectations and dive into honest, empowering conversations. We're your hosts, Nadine and Cynthia, two Canadian girls who swap snow boots for flip-flops in the Cayman Islands. This is your space to feel seen, supported, and a little less alone. So grab a cup of coffee or a glass of champagne and get ready for your weekly handful of truth, wellness, and empowerment. Welcome back to Breast Intentions. This is one of those conversations that could completely change how you think about your health. Today we're talking about the Echo Light, a non-invasive, radiation-free way to assess bone density, quality, and even fracture risk. And we're joined by Gonzalo from Novo Clinic, who's helping to bring this innovation to the Cayman Islands.

SPEAKER_05 1:28

So on today's episode, we have Gonzalo, who is a registered nurse from the Novo Clinic down here on the island. And we have you on talking about something called the Echolite, which neither of us were you familiar with it before? Okay. Neither of us were familiar with it, which is um a bone density scanner. And it's something that's new on the market. Is it something that's new on the market?

SPEAKER_00 1:52

Yeah, it's been around for around 10 years now.

SPEAKER_05 1:54

Oh, okay. Okay.

SPEAKER_00 1:56

Yeah, these technology is uh being around for like 10 years now.

SPEAKER_05 2:01

Okay, but definitely new down here.

SPEAKER_00 2:02

Yeah, it's completely new down here, yeah. I think I believe we are the only uh clinic on Ireland that has this technology.

SPEAKER_05 2:10

Okay. So the reason why we wanted you on the podcast is because bone density is very, very important for women in midlife. I think it's starting to become a lot more recognized, but I think that it just wasn't something that was talked about enough. And now it's starting to be uh talked about more. One of the things that um I had learned from you guys as well is so many women that they could only do a bone density scan, or at least maybe in North America, they could only do a bone density scan after they were 65. But that's just way too late. So being 44 and 50, 50 and something we actually had the opportunity to try the the eco light. So why don't you give our listeners a little bit of info on the Echolite?

SPEAKER_00 3:02

Sure. So basically the Echolyte um is a bone test, uh like you said. Uh it works with ultrasound um waves. So the way it works is like people are familiar with ultrasound already technology, they use it uh in pregnancy scans, for example. Uh but this one is targeted for the bones. So basically, a very simple method is how it works. You you scan the person's spine and you scan their hips, uh, just like other other scans. The way the machine works is that uh the ultrasound waves pass the bone and come back to the machine. So uh what the machine does is analyzes the sound waves coming back and it give analyzes your bone density. Uh is also quantity and quality of the bone. Uh so we give you different indicators um as well as fragility score and analyzes that uh those patterns and gives you a risk score.

SPEAKER_05 4:07

I thought it was really interesting too because uh the way that it's done is you're laying on your back on a table bed, and the scan is done on your stomach from I don't know, your sternum down, and then it's also done on your hip. And you don't move.

SPEAKER_00 4:24

The waves go through your abdomen and they go directly to your bone. So when they reach the bone, they can they can sense it. The machine will sense is if it's bone or not, and then it feeds back to the machine.

SPEAKER_05 4:38

It feeds back to you.

SPEAKER_00 4:39

Feeds back to the to to us, to the machine, so we can see it on the scan uh uh in real time where what what are the where where you are at the moment with the probe, and then that information gets uploaded into this. So it's uh it's just an advanced ultrasound um machine that has that capacity. So the technology is called REMS, so it it it does that waves um into the into the bone. So they it's been uh FDA approved. You uh I think it is originated in Italy. NASA also uses this technology. I thought that was neat.

SPEAKER_05 5:18

Did you know that? No. Yeah, the astronauts NASA uses it on the state.

SPEAKER_00 5:22

So since 2024 that they adopted this technology to to measure uh the bone strength and the bone the bone uh health. Um the reason being is that it's much easier with this technology. So for example, if we compare it to a dexascan, where one of the main advantages of this technology is there's no radiation involved, where a dexascan um is uh X-ray waves. So those carry radiation. So this the Echolyte has no radiation at all.

SPEAKER_05 5:58

Are there other differences between the Echolite and traditional scans?

SPEAKER_00 6:03

Yeah, so um the Echolyte um has the capacity to uh diminish the artifacts that you commonly would find in a DEXA scan. So some of the artifacts would be people with with gen generative spine. So these are calculated uh on on a bone scan uh like DEXA. So DEXA will give you uh the estimated of your bone density, including those bone spurs. So unless they are subtracted, um then they can give you a bit of um uh different results. So we have um, for example, people with uh prosthesis, uh metal is very dense, and those will come up on a DEXA scan.

SPEAKER_02 6:56

Um so it might give you it might say that your bones are denser than they actually are.

SPEAKER_00 7:01

That that could be, or they could or the opposite as well. So depending on how uh what type of um implant or bones or whatever, but depending on what it is. Depending on what what what what you find on on the DEXA, yeah. So uh some some other things would be I think even for you guys from a clinic's perspective, it's a much smaller machine. So yeah, so one of the other things is that uh portability. Uh so you can uh you can do it anywhere. Uh it's portable. Uh the costs are significantly cheaper than a DAXA scan. Uh also you can find that position is important on a DAXA scan um position of the patient while uh the Echolyte uh position is not that much important.

SPEAKER_05 7:56

Can I ask you a couple of other questions? There were ones that um weren't on here, but there were ones that I had before I came, and also I think when I was there is and it's more just because I've never had a bone density scan before. And for anyone who is listening that might be interested in this scan, you don't have to worry about fasting, you don't have to worry about exercising before you come. Like none of that matters, right? You can come in anytime, like correct whether you've done something or not, your bones are your bones, so you can't change anything when it comes to that.

SPEAKER_00 8:33

Exactly. So another thing is that uh with this uh particular technology, you can scan, for example, a pregnant woman because you're not you're not really um thinking about um radiation exposure to to the fetus, right? Uh obviously in the last uh months of pregnancy it will be difficult to scan people. Uh but it will be also easy to uh people that have, for example, structural problems, if they have a scoliosis, uh it will be easy to scan with this machine while uh DEXA scan can be uh can give you a different result. So another interesting thing is that uh people with, for example, vertebral fractures um DEXA will not subtract them and it can give a different result. So all these little things can impact on the results of the scan and who's reading it. Um so there is uh all these advantages in in terms of a non-radiation scan.

SPEAKER_05 9:44

Okay. One of the things that I was saying at the very beginning, with uh now having the availability to get your bone density done at an earlier age, why does bone density become such a critical issue during perimenopause and menopause?

SPEAKER_00 10:00

So as we know, uh it's very common that uh women in perimenopause and menopause uh their hormone balance changes. So they normally fluctuate and tend to decline. For example, the estrogen uh levels decline. Um and hormones are very linked to the bone remodeling uh pathway. Uh so if uh hormone levels declined um then you're at a higher risk of bone loss uh and uh getting osteoporosis. Uh so a little bit of stats there is that osteoporosis is one of the major uh problems in the whole world, I think it's estimated about 75 million of people in the world will have uh osteoporosis.

SPEAKER_02 10:59

Mainly women, yeah, mainly women. Yeah.

SPEAKER_00 11:01

Uh so if you look at women, uh there is statistics that say that uh one in three or one to four women in the menopause age, uh they will have an osteoporotic hip fracture in their lifetime. So that's that's huge, right? And the other thing is that bone loss and uh weakening of the bone, osteoporosis, um your bone is like a honeycomb. So uh your bone structure changes. And uh just like a honeycomb, if you think how how it looks, uh the spaces get uh bigger and bigger and bone gets uh thinner and thin thinner and thinner.

SPEAKER_04 11:45

Yeah, right. It's a good way of putting it.

SPEAKER_00 11:47

Yeah, it is. If we look at all this, we know that early detection detection would be the the moving forward uh scenario for for treating all this.

SPEAKER_05 12:01

So with women assuming that like there's a lot of women that assume that bone loss only matters or only happens later on in life, but what are some early warning signs for like for women our age, or I don't know, maybe even before?

SPEAKER_01 12:16

Yeah, before even mid-30s. What are some should we be looking for?

SPEAKER_00 12:19

Bone loss is silent, and osteoporosis is is silent, right? So uh, but there are clues that we can that we can we can find. Uh so some of them are related to the risk factors. So if you have osteoporosis in the family, uh your nutrition is a big uh is a is a key one as well. So your intake of minerals, your hormone balance is really important as we've been talking about this. Um also people that have frequent uh injuries, they for example, people that had fractures that are not explainable. Um so there's a lot of common things that can be um can be appointed as clues, but the the trick is to catch it early. So uh I would think that we should take a preventative approach rather than a reactive approach, um and see what we can identify. And uh so lifestyle um can change. So all of this you can adapt um and you can treat. And the beauty of it is that bone, just like muscle, there is is a tissue that's very reactive. So whatever you implement, you will see differences.

SPEAKER_02 13:50

Even when we get to the honeycomb stage, like if we are at the honeycomb stage, yeah, yeah.

SPEAKER_00 13:55

So bone is bone is completely reactive to to change. Okay. Uh so with a for example, if you do an echoyte, um you can also repeat it more often because there's no radiation, it's easy to to do it, the scan takes around 15 minutes. So you can really uh do a follow-up scan.

SPEAKER_05 14:20

Um how often would you say for someone to do it?

SPEAKER_00 14:23

That's a tricky one. So I think uh often will be in terms of your risk factors, uh, your age, uh, your GPE advice in that sense. Majority the early stages are more controllable, and you can implement changes and you can uh see and track those changes either with the Echo Lite or Dexascan. Uh so it all depends on because there's so many factors that are involved on your bone health that it's difficult to isolate things, but we know for a fact that every woman that ages will go through down this process. So we know that we can change hormones nowadays, we know that we can change exercise, we know there are medication as well that will treat this. Uh it's just a combined approach with uh with a GP that is uh specialized in and women's health uh that can uh treat this and implement changes. Because sometimes people have uh there's a lot of misconceptions like people would think bone loss only affects women after 65 or only if I have a fracture then I'll be requiring a scan. Uh so these qualifiers uh uh are put down uh to for people to have a DEXA scan. And what what we see is that we find this in a l we find osteoporosis in a latest in a later time where it's more difficult to change about uh it it's all about prevention. And for example, every little thing, so if we think about exercise, people say, Oh yes, I do exercise. Um but what exercise do you do? So the type of exercise you do impacts. So if your body is very reactive, just as your muscle is reactive to exercise, uh if you uh strength workouts um and if you do uh weight uh weight bearing, weight loading exercises, those will impact your muscle and also impact your bone. So we know that if you have good muscle strength, good um uh muscle portion, you know that you'll have uh an idea that your bone will be uh your quality of the bone will be improved as well. So quality and so echo light fits in in the sense of it also uh apart from the bone density that gives you the T score, it also gives you a quality um metrics of the bone. So not just how dense your bone is, but your how your quality of your bone is.

SPEAKER_05 17:43

The fragility?

SPEAKER_00 17:44

Yeah, so it gives you the it gives you a fragility score, and he w once you scan the bone you you can see all these uh uh parameters on on the machine itself, and it gives you uh different all these scores and combines them together.

SPEAKER_05 18:01

T-score and fragility score. So fragility score is your percentage of chance of a fracture in the next five years. Is that what that is?

SPEAKER_00 18:11

Yeah, so that that's what the machine and it will give you that information.

SPEAKER_05 18:16

And then your T score?

SPEAKER_00 18:17

So your T-score is related to your age and to your bone density according to the age. So there's like a a scale uh where you will feed uh depending on your height, weight, and the information of the machine uh of the waves, then we'll combine everything and give you that T-score. The T-score.

SPEAKER_02 18:42

So you can have, I guess, can you have um dense bones, but also a higher fragility score. Am I saying that right? Yeah, or you don't know.

SPEAKER_05 18:53

Yeah, I'm curious about like can you it's a can you be in the green in your T-score? Um uh what was that one? Just like normal bone, but can you have a high risk factor of a fraction?

SPEAKER_00 19:07

So they they hand in hand together, but you can see differences. So um you can be on a green area in a uh on a scan, um, but your fragility score instead of being on a higher scale, uh, you will still be on a green zone, but instead of being on a top green, you'll be on on another level of of green. So because he does actually measures um the quality of of the bone. Again, I think that what what happens is that um the measurements go according to weight, uh uh so there's a lot of um combination of results, so you can have different results. So because you're taking everything bone account. Yeah, bone quality and bone density, although they pair together. So what we find is that people, for example, uh uh have if they have a very good spine, they potentially have a very good hip. But um we know that the higher risk of fracture in old women is on the hip. So your hip sometimes the values can be diminished in the spine. But it all dep it's all it all depends on. Everyone is different, depends on all your risk fac fractures.

SPEAKER_02 20:28

So and like everything, like your height, your weight, your age, and your bones.

SPEAKER_00 20:33

Like it's all kind of so if you smoke, your alcohol intake, um your hormone levels, uh everything place you lift, all the things. Yeah, yeah, yeah.

SPEAKER_02 20:46

Okay.

SPEAKER_05 20:46

But the one thing that people do need to know as well is that you can increase your bone density.

SPEAKER_00 20:53

For sure.

unknown 20:54

Right.

SPEAKER_05 20:55

Just through lifting, yeah.

SPEAKER_00 20:58

So nutrition, all those things, sleep.

unknown 21:01

Yeah.

SPEAKER_00 21:02

So every physiological uh thing can improve measurable um outcomes, right?

SPEAKER_05 21:14

What would you say is the earliest stage that you would consider going and getting a scan?

SPEAKER_00 21:21

Again, it depends on the on your risk fract uh factors.

SPEAKER_02 21:25

Uh if there are no risk factors, you're just kind of curious.

SPEAKER_00 21:29

Yeah, so if you there there will be people like that. There will be people that want to be on top of their like in the 30s? Uh yeah, so okay. Uh I can share this. Uh before I did strength training, I did an Echolyte and I'm going to do another one.

SPEAKER_02 21:45

Um and how old are you?

SPEAKER_00 21:47

I'm 34 years old. Okay. And I was borderline osteopenia. So but all this it relates to how sensitive the machines are and how sensitive results can be. I think we Should use this as a metric to guide you, but not to just solely um lean on. Lean on, right?

SPEAKER_02 22:12

But like are you glad that you did it?

SPEAKER_00 22:14

Because yeah, so I'm yeah, super glad that I did it.

SPEAKER_02 22:17

And did you because you then can make those changes.

SPEAKER_00 22:20

Yeah, you can implement the changes, you can see it, and you can frequent monitor it.

SPEAKER_05 22:24

I think that it also gives people another reason because sometimes you'll meet women who they absolutely love um spin class and they absolutely love yoga and they absolutely love running. And then they go and get this test, and this might just give them that reason to okay, now I actually do need to add in in-strength training, where it may not have been something on their radar before, and they now realize that it's something that they need to include, or it's okay.

SPEAKER_02 22:55

Because they're obviously healthy, they're exercising like in that way, like they're taking care of their bodies, they're healthy, but yeah, they could that yeah, it could change the way that they are viewing exercising or or eating protein as well, like just amping it up just a little bit more.

SPEAKER_00 23:11

Vitamin D is a big one. But we know, for example, that uh I was living in the UK for the past 10 years, and if you scan everyone, if you do blood results on everyone, everyone will be vitamin D deficient. And now the funny thing is that once you scan when you uh we we do blood results for our patients, we realize that people are actually vitamin D deficient. And we live on this beautiful island where you have lots of sun. But the reality is that you need to be on the sun for like 20 minutes, and it needs to be on the right timing for the sun and for your absorption. And absorption changes from one varies from people to people. Um so it is it is something that should be on the radar of everyone. So as well as their bone health.

SPEAKER_05 24:04

And the other thing, and I don't know if you experienced this when you were in the UK, but coming from Canada, all doctors refuse to test your vitamin D in Canada. They they're like, you're deficient, so just go and take a vitamin D.

SPEAKER_02 24:19

They just assume everybody's deficient.

SPEAKER_05 24:20

Yeah, yeah, they just won't. Um, which is terrible. We're very lucky. We are.

SPEAKER_00 24:25

Yeah. For sure.

SPEAKER_02 24:27

How accurate and reliable is it? Is there research to talk about?

SPEAKER_00 24:30

So there's plenty of research out there. Uh we know that has a very strong correlation results uh and the DEXA scan. So it's on the margin of 90 to 95% accuracy.

SPEAKER_02 24:46

That is really good, yeah. Very reliable.

SPEAKER_00 24:49

Another thing that changes would be uh like calcium deposits. So people that have uh calcium on their vascular system that will count on the results for a DEXA scan while uh Echolyte will the machine won't calculate those onto the bone density. Right. So which makes it more accurate. Yeah, uh in in in terms of sensitivity, they can be more sensitive.

SPEAKER_02 25:13

Okay. Are there common misconceptions women might have about osteoporosis and bone density testing?

SPEAKER_00 25:20

People think that um if they have a fracture, then they will need a bone checks. Uh people think that over the age of 65 uh only affects elder women. So there's another common misconception that they think that calcium will solve everything.

SPEAKER_05 25:38

Oh, like taking a calcium pill. Yeah. Yeah.

SPEAKER_00 25:40

So there's as we've been discussing, there's a lot on bone health and the bone cycle that in interacts on it.

SPEAKER_02 25:52

So but if women are feeling overwhelmed by the conflict conflicting medical advice, how can Echolite be used as a tool for informed personal decision making?

SPEAKER_00 26:03

So everyone that wants to know about their bone health uh can do the scan, right?

SPEAKER_05 26:10

And uh the one thing that I do want to say though is in the end, like whether you have access to an E. Or a DEXA scan, there's gonna be a lot of people that might not have access to an E. Go and utilize any kind of bone density scanning that you can. So people that are listening that are in North America and they may not have access to it, go and get it done. Um I don't know if doctors are gonna kind of shoot you away if you're under 65. I have a feeling that there's definitely a movement now.

SPEAKER_02 26:46

I do too. Um yeah, especially as more education gets out there around perimenopause and menopause and coming prepared with questions to your doctor, and if this is one of them, which it should be, yeah, um finding out what you can do. Um but even here at least, I don't know, I guess, what it would be like in Canada or the US or in in the UK or anywhere in the world. Um, but here, you know, we can just rock up and pay for it. Like we can just go go to a Novo Clinic and say, I would like to have an the Echolite scan um and and pay for it.

SPEAKER_00 27:18

Yeah, we'll still need a referral from from a medical doctor, and also the results will be always analyzed with a medical doctor. Yes, so there is that uh medical part that is important. Uh but yeah, we we do cover self-payers and some insurance will will cover it as well. Okay, um, but it all depends on the criteria for the scan. For sure. Uh I think the main takeaway is that if you can scan, I think do it. Yeah, if you don't have access to the scan, you know what you can do to prevent things from declining. Right. So you you know that there's nothing that you can do to stop your complete aging process. Yeah, right.

SPEAKER_05 28:08

But there's certain things that you shouldn't be doing.

SPEAKER_00 28:10

But we know what what we can do to improve your bone health and your muscle skeletal system. So we should focus on that and then try to monitor, right? And then scanning will be the way.

SPEAKER_05 28:27

Um well, I guess like the saying goes, knowledge is power. Definitely.

SPEAKER_02 28:31

That's one thing I said uh to Gonzalo and um Anya when I was at Nova Clinic and got it done. Um it's empowering, even just knowing because in the back of my mind I did kind of well, not kind of wonder, very, very, very much wondered about my bone health, about you know, especially now that I am 52. Um wondering, you know, if everything I was doing was paying off. And you you don't know, like I think so, probably, but then getting the scan, I felt so empowered after, and it was so simple. You just you know lie down on the table, he does there's a scan, and it's like just yeah, like going for an ultrasound. And the cool part about it is that you can see it on the screen. Yep, you can see your results, you can see the some things that the ultrasound? It's like a baby. The your spine. First, you do the spine, and there's the four the four vertebrates that it reads, um, and they turn whatever color depending on if you're if you're okay, it's in the green.

SPEAKER_00 29:34

Yep, for sure. Uh so it it is a very visual scan because all the metrics are there, you can see it. Um and it gives you all these parameters about your he even gives you a s estimated biological age, which people find it quite. So he does uh because he scans on your abdomen as well. Uh when you're scanning the abdomen, you can he gives you the parameters of your muscle mass, your visual fat, all these numbers that can um uh so you can know a bit more about your body and your health, right? Um but anything, n nothing is just scanning is just one thing. The whole um variety variety of things then impact the way you live, right?

SPEAKER_05 30:29

Well I know I had been wanting to do a um a scan for well over a year. Because it like you said, it's silent. I had no idea, and I wouldn't have even been able to give you a guess as to where I was from a bone density side. So I was very, very curious to know. Um and it was quick, it was easy. Um I did it on lunch break. Yeah, like same. It was fine, went back to work kind of thing.

SPEAKER_00 31:00

Um the gel was very cold.

SPEAKER_05 31:03

The gel was very cold.

SPEAKER_02 31:05

The gel was cold, yes. Um yeah, so then if we go through the pro so we can see the results on the screen, and then after you're given the results to so the results go straight to your GP.

SPEAKER_00 31:17

So then your GP can analyze and implement changes if they need to and share and discuss the results with you. Um some people will have previous results, they will be comparable. Um if people have other methods that they did bone scan, they can also correlate into the fact.

SPEAKER_02 31:38

Um, if you previously did say another scan, yeah, so you can compare them.

SPEAKER_00 31:44

So that's the major advances that you can repeat it. So the no radiation part of the scan makes it easy for you to do almost scan as much times as you want, right?

SPEAKER_02 31:59

Yeah, okay. If you if you could leave our listeners with one empowering takeaway about bone health and it's and this technology, what would it be?

SPEAKER_00 32:09

Right.

SPEAKER_05 32:10

Get scanned.

SPEAKER_00 32:12

Just do it. Um know more about your body. Yes, right? Um and act before things happen. Yeah, it's not after a fracture that you will be thinking about your bone health. Definitely. It's not you know, uh people get so obsessed with different things of the body, but they don't see it as a whole. Yeah, and so just thinking about nutrition is not enough, just thinking about exercise is not enough. So just thinking so just gather the whole picture, and if you can prevent one of the most common disease in the world, bone world, which is osteoporosis, uh why not start starting out, right?

SPEAKER_05 33:03

Yeah, yeah. Well, I think there's just there's so much to be because of the age, like midlife, women in midlife, perimenopause, menopause, you have to start thinking differently.

SPEAKER_01 33:15

Yeah.

SPEAKER_05 33:16

As you start to age, you know, it's it can still be um an aesthetic side of things, but you have to really, really start thinking about everything inside. Yeah, and that might mean that you have to change the way that you train. That might mean that you have to change a bit of your eating, that might mean that you have to be a bit more committed to taking your vitamin D every day. All of those different things, right?

SPEAKER_00 33:42

So especially in women, because hormonal balance, as we spoke, has a major impact on your bone process, right? So you know, you you you can they science is so advanced now that you can focus on everything.

SPEAKER_05 34:00

So do you think that sometimes it's too much? Like people get a bit too like overwhelmed. No, definitely, definitely, yeah.

SPEAKER_00 34:06

Yeah, definitely.

SPEAKER_05 34:07

Yeah. I don't I guess you can't really, and that's kind of the question that I was asking about the the scan, is like you wouldn't want to go and do it every month. Like you're not gonna see something change like that, maybe a couple times a year or something, is when you're actually gonna start to see the changes that you've made making a change on the scan. Yeah, it's not something that's gonna come as a quick fix.

SPEAKER_00 34:30

No, no, it uh there's no quick fixes on anything, right? So when people think that I'll take a calcium pill and that's it. There's no there's no quick fixes, right? Uh but we know that uh consistency is key uh in a lot of these things. So it's not one time that you don't do this or so consistency is it's probably the one of the most important parts.

SPEAKER_05 34:57

It's also one of the hardest things for a lot of people to use.

SPEAKER_00 35:00

Routine consistency, yeah.

SPEAKER_05 35:03

Well, how can people book, find you guys?

SPEAKER_00 35:07

Yeah, we have our website, novelclinic.ky. Uh they can phone us for appointment. Um they can show up. We are in Breed K House on the ground floor in Eastern Avenue. There's a lot of GPs on Ireland that know us already, so uh they a lot of people we have women's health uh there uh with Dr. Mike Smith. So um everything can be organized.

SPEAKER_05 35:36

A one-stop shop with you guys too.

SPEAKER_00 35:39

Yeah, so we do a lot so we we do a lot of orthopedic uh pathway, but we also do the women's health pathway. So on the orthopedic side of things, we have a group of specialists uh visit from the UK, and that's where my clinical role is uh to to operate with them and to follow the orthopedic patients pathway uh system during surgeries, but look after all the perioperity phase of the patients.

SPEAKER_05 36:10

And also for anyone who is listening, I did I actually mention this to my best friend after I got it done, and she's in Canada, and I was like, you gotta get one of these done. And so I actually Googled in her area, and it's a a larger city, and they do have the Yeah, this technology has been on for quite a while, but it's not not many people know about this, so it's good to be out there. It's awesome. Well, thank you for coming on. You're welcome. Chatting with us. Everything bone density, bone health. We really appreciate it. Thank you. Thank you so much. Thank you.

SPEAKER_00 36:46

All right.

SPEAKER_02 36:47

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