If you have autoimmune disease, you've probably been told to keep an eye on your bone density number. But here's the thing — that number only predicts fractures in about 44% of women with osteoporosis. Most of what's actually driving your fracture risk isn't showing up on that scan.
I brought Dr. John Neustadt back to talk about his newly expanded book, Fracture-Proof Your Bones, and this conversation goes well beyond what we covered last time. We get into how gut inflammation — the kind that comes with autoimmunity, leaky gut, Crohn's, or celiac — directly triggers bone loss through inflammatory cytokines that activate the cells that break down bone. We also talk about the medications most doctors aren't warning you about (SSRIs, prednisone, PPIs) and how they're silently destroying bone tissue. Plus: what your diet is actually doing to your skeleton, a simple 10-second balance test that predicts fracture risk better than a bone scan, the surprising link between oxytocin and your osteoblasts, and which routine labs to ask for that most people never get.
People with autoimmune disease face a 200–400% increased fracture risk. That's the reality — but there's a lot you can do about it. Find Dr. John Neustadt at nbihealth.com
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