Intelligent Medicine with Dr. Ronald Hoffman | The Best of High Tech Medicine and Alternative Modalities

Exercise as Medicine for Osteoporosis: Dr. Ronald Hoffman interviews Professor Belinda Beck of Griffith University, a director of The Bone Clinic, and co-founder of ONERO, an award-winning, evidence-based exercise program for osteoporosis. Beck explains bone as living tissue that remodels in response to mechanical loading (Wolff’s Law), arguing much age-related loss reflects insufficient stress and that targeted high-load training can rebuild bone. She contrasts exercise with calcium-only approaches, noting supplementation limits and potential cardiovascular risks, and reviews osteoporosis drugs (bisphosphonates, denosumab/Prolia, PTH analogs, romosozumab/Evenity), including rebound loss after stopping denosumab and microdamage repair issues with antiresorptives; medications don’t prevent falls. Beck describes her “LIFTMOR” trial: twice-weekly, 30-minute supervised high-intensity resistance and impact training for eight months improved spine BMD, produced hip structural strengthening, and improved functional fall-risk measures versus low-intensity controls. ONERO is a standardized, supervised program delivered by trained clinicians, can be additive with medication or hormone therapy, and locations can be found via the ONERO Academy website.
More Resources:
The ONERO® Summit website (an educational meeting for ONERO® licensees, doctors and patients/the public)
The Bone Clinic FB page (for information and important advances in the field of bone health in lay terms)

Dr. Hoffman continues his conversation with Dr. Belinda Beck, Professor, Griffith University, Director of Research at The Bone Clinic, and founder and director of Onero, an award-winning, evidence-based exercise program for osteoporosis.

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Carbs vs Protein During Exercise: Hormones, Cortisol, and Insulin. Registered dietitian nutritionist Leyla Muedin discusses an emailed study request about a 2013 Iranian paper comparing carbohydrate vs protein drinks consumed during resistance exercise in 20 fasted young men. The study found cortisol rose much more in the protein group while insulin rose more in the carbohydrate group, with no significant differences in growth hormone, testosterone, or IGF-1, and it concluded carbohydrates created a “better hormonal environment.” Leyla challenges this interpretation, arguing cortisol’s rise is a normal and useful exercise stress response for muscle breakdown and subsequent repair, while carbohydrate-driven insulin spikes can blunt cortisol and promote fat storage; she also notes methodological limits (drinking during exercise, unclear drink ingredients, low protein dose, and unmeasured amino acids/protein turnover). She recommends exercising fasted, avoiding sweet/starchy intake during and immediately after exercise, hydrating, then eating a protein-focused meal 45–60 minutes post-workout.