The Truth About Bone Density Tests & Fracture Risk | Dr. John Neustadt Explains

I sat down with Dr. John Neustadt, naturopathic doctor and #1 Amazon bestselling author, reveals why bone density tests only predict 44% of fractures and how MK-4 vitamin K2 reduces fractures 70%—better than Fosamax.

We discuss shocking statistics: 1 in 19 women on SSRIs break bones, acid blockers strip minerals causing hip fractures, and strontium causes blood clots. Dr. Neustadt explains the Mediterranean diet's 20% risk reduction, the 0.6g protein per pound formula, and how HRT builds bone better than bisphosphonates that fail to prevent primary hip fractures.

Key Takeaways

1. Bone density tests only predict 44% of women's fractures, 21% of men's
2. Fosamax doesn't prevent primary hip fractures—only vertebral
3. 1 in 19 women on SSRIs for 1-5 years will break a bone
4. MK-4 (45mg) reduces fractures 70%+ in clinical trials
5. Mediterranean diet: 20% less osteoporosis, 21% fewer hip fractures
6. Protein formula: 0.6g per pound body weight minimum
7. Strontium ranelate: 1 blood clot per fracture prevented
8. HRT (estrogen + testosterone) builds bone safely when appropriate
9. Men need estradiol tested—testosterone converts to it for bone building
10. Sleep <6 hours = 17% of fractures in elderly

Chapters & Timestamps

02:00 90% Not Tested: The Underdiagnosis Crisis

03:00 SSRIs & Acid Blockers Destroy Bones

05:00 Focus on Fractures, Not Just Bone Density

07:00 Pediatric Condition with Geriatric Consequences

09:00 H. Pylori & Acid Reflux Root Causes

10:00 Fosamax Doesn't Prevent Hip Fractures

12:00 36% Die Within a Year from Hip Fracture

14:00 Dr. Neustadt's Mother-in-Law Broke Hip on Fosamax

16:00 Mediterranean Diet: 20% Osteoporosis Reduction

18:00 The Missing Protein: 0.6g Per Pound Formula

21:00 Debunking 150-200g Protein Myths

23:00 Sleep & Fracture Risk: Under 6 Hours Dangerous

27:00 Only 4 Nutrients Reduce Fractures Clinically

30:00 MK-4 vs MK-7: Why MK-4 Wins

33:00 45mg MK-4 Approved in Japan Since 1990s

36:00 Strontium: Blood Clots for Every Fracture Prevented

42:00 Hormone Replacement: Estrogen, Progesterone, Testosterone

46:00 Men Need Estradiol for Bone Building

49:00 Reversing T-Scores: Real Patient Outcomes

51:00 NBI Health & Strong Bones Guarantee

Guest Details

Dr. John Neustadt, ND

Naturopathic Doctor & Osteoporosis Expert

Credentials: Naturopathic Doctor (Bastyr University), Founder/President Nutritional Biochemistry Inc., 100+ published medical articles, #1 Amazon bestselling author

Book: "Fracture Proof Your Bones: A Comprehensive Guide to Osteoporosis"

Specialization: Integrative osteoporosis treatment, MK-4 vitamin K2 research, fracture prevention, hormone optimization

Connect

Website: nbihealth.com

Products: MK-4 + D3 (3 calcium doses: 1000mg, 400mg, none)

Guarantee: Strong Bones Guarantee - bone density stabilizes/improves in 6 months

About Your Host

Dr. Micah Yu, DC, CFMP

Functional Medicine Practitioner & Host of AutoImmune Alchemy

Dr. Micah Yu is a doctor of chiropractic and certified functional medicine practitioner specializing in autoimmune conditions and chronic illness. He recognizes mold exposure as a common root cause of autoimmune disease, particularly in patients with long-haul COVID who suddenly develop mold sensitivities. Dr. Yu is passionate about educating his community on environmental toxins and bringing expert voices like John Banta to help patients understand the hidden triggers affecting their health. He practices integrative medicine with his wife, creating a dynamic team dedicated to uncovering root causes and supporting patients on their healing journey.

About AutoImmune Alchemy Podcast

Mission: Blending science with soul to transform autoimmune struggles into healing alchemy

AutoImmune Alchemy is a podcast dedicated to the autoimmune community, offering hope, validation, and evidence-based solutions for those struggling with complex chronic conditions.

Hosted by Dr. Micah Yu, the show explores root causes like mold exposure, infections, and environmental toxins that traditional medicine often overlooks. Each episode features expert interviews and cutting-edge treatments to help listeners understand the "why" behind their illness and find pathways to healing.

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This episode is for educational purposes only and does not constitute medical advice. Always consult with your qualified healthcare provider before starting any new treatment or remediation. Individual results may vary.