Bone Health Testing: What We’re Missing Beyond the DEXA Scan

A DEXA scan can tell you that bone density has changed, but it does not tell you why bone is being lost or what is happening inside the bone remodeling process.Bone is living, metabolically active tissue that is constantly breaking down and rebuilding. If we want to change the trajectory of bone loss, we need to understand the signals and patterns driving that process, not simply wait for the next scan.In this episode, Dr. Ritamarie Loscalzo is joined by Dr. Kim Millman, MD, PhD, an integrative physician who has spent 18 years focused on uncovering the root causes of bone loss. They explore the bone health testing that is often missed, what those results can reveal, and how practitioners can use that information to create more personalized strategies for osteopenia and osteoporosis.You’ll discover why a complete bone health assessment requires looking beyond a T-score and understanding the hormonal, nutritional, metabolic, and lifestyle factors that influence bone resilience.What’s Inside This Episode?Why a DEXA scan may not tell you the full story behind bone lossThe questions practitioners should ask before deciding how to support a client with osteoporosis or osteopeniaWhat testing can reveal about the process of bone breakdown and rebuildingWhy two people with the same bone density score may need completely different approachesThe hidden factors that influence bone remodeling, including hormones, nutrition, metabolism, and inflammationHow to determine whether a client is losing bone because of increased breakdown, impaired rebuilding, or another underlying patternWhy monitoring the right markers can change the way practitioners evaluate progressThe limitations of relying on standard bone health recommendationsHow to create a more personalized strategy for improving bone resilienceResources and Links:Download the full transcript hereDownload our FREE Beyond Protocols Guide here.Join the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results.Check out other podcast episodes hereGuest Resources and LinksWebsite: https://themillmanclinic.comThe Bone Health Academy® (Practitioner Training): https://thebonehealthacademy.comFree Gift: Essential Lab Testing: Discover the Full Picture of Bone LossDiscover the bone health labs that can help reveal why bone is being lost, beyond what a DEXA scan shows.Follow Dr. Kim Millman:Instagram: @drKimMillmanGuest BioDr. Kim Millman, MD, PhD, began her career as an electrical engineer working on highly classified satellite projects. She eventually went on to earn a medical degree and a PhD in epidemiology and population genetics.She now focuses on one pursuit: your bone health.Dr. Millman is a truly integrative physician who has spent 18 years reversing bone loss at its root. After watching patients lose their confidence due to osteoporosis and being handed a lifetime prescription that did not build quality bone, she set out to find a better way.Trained at UCSF, USC, and Stanford, she created the Integrative Bone Health Method™ and the Restore & Rebuild Healthy Bones program, helping thousands rebuild their bones and get their confidence and lives back.Now, at a pivotal moment for bone health, she co-founded The Bone Health Academy® to train the next generation of practitioners, a ripple effect that carries her method far beyond her own practice. Through her patients, her students, and the practitioners she trains, she is dedicated to redefining bone health care.

Muscle, Movement, and Bone Strength: Why Resistance Training Is Essential Beyond Walking and JumpingMany clients with osteopenia or osteoporosis are told to walk more, stay active, and protect their bones, but what if they are missing one of the most important factors influencing bone strength?Bone health is not just about the skeleton. It is connected to the muscles that support it, the forces placed on it, and the body’s ability to adapt and rebuild.In this episode, Dr. Ritamarie Loscalzo explores the often-overlooked relationship between muscle and bone and why practitioners need to look beyond general recommendations like “stay active” when supporting clients with bone loss.You’ll discover why strength, movement capacity, and individualized progression are essential pieces of a comprehensive bone health strategy.What’s Inside This Episode?Why some clients continue losing bone despite being activeThe connection between muscle health and bone resilienceThe overlooked role of strength when evaluating bone healthWhy “exercise” is not a complete recommendation for clients with bone lossThe questions practitioners should ask before creating a movement planHow to recognize when a client needs a different starting pointWhy personalized strategies matter more than generic protocolsHow muscle, metabolism, and whole-body health connect to bone strengthResources and Links:Download the full transcript hereGrab your Beyond Protocols Guide for a step-by-step framework integrating genetics, labs, and functional assessments into root-cause solutionsJoin the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results.Check out other podcast episodes here

Your clients are walking every day. They may be exercising consistently, taking calcium and vitamin D, and their bone density may still be declining.The missing piece may be understanding what kind of movement actually communicates with bone.In this episode, Dr. Ritamarie Loscalzo explores why movement is more than exercise. It is a biological signal that influences bone remodeling, muscle strength, metabolism, and overall resilience. She explains why some forms of movement create a stronger stimulus for bone adaptation and why personalized recommendations matter when working with clients who have osteopenia, osteoporosis, frailty, or increased fracture risk.Discover why walking may not provide enough mechanical stimulus for some clients to significantly improve bone density. Learn how to think beyond generic exercise recommendations and match the right movement strategy to the individual.What’s Inside This Episode?Why some active clients continue losing bone despite doing “all the right things”The overlooked signals that tell bone when to adapt and rebuildWhy common exercise recommendations may not be enough for bone healthThe difference between movement for general health and movement for bone resilienceWhat practitioners need to consider before recommending more challenging exerciseWhy a personalized approach matters more than a generic bone exercise planThe connection between strength, confidence, mobility, and fracture preventionThe clinical questions that reveal whether a client is ready for more challengeHow to match movement strategies to the individual, not just the diagnosisWhy the right stimulus matters more than simply doing more exerciseResources and Links:Download the full transcript hereDownload the Beyond Protocols Guide: Learn how to recognize root-cause patterns, connect the dots between labs, genetics, lifestyle, and symptoms, and create personalized strategies for your clients.Join the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes here

Osteoporosis is often reduced to a simple formula: calcium, vitamin D, and weight-bearing exercise.What if declining bone density is actually a signal of a much larger communication breakdown happening throughout the body?Bone is not just a structural framework. It is a living endocrine and metabolic tissue that communicates with hormones, muscles, the gut, the brain, the immune system, and metabolism. When we only focus on the bone itself, we may miss the patterns driving bone loss.In this episode, Dr. Ritamarie Loscalzo explores how hormones, stress physiology, thyroid function, insulin signaling, inflammation, muscle health, nutrient status, and mechanical loading all influence bone remodeling and resilience.Practitioners will learn why the goal is not simply to improve a bone number, but to understand the underlying signals that determine whether the body is breaking down or rebuilding bone.What’s Inside This Episode?Why bone loss is usually a symptom of a deeper whole-body patternWhy bone is more than structure and plays a role in endocrine and metabolic healthThe hormone signals that determine whether the body breaks down or rebuilds boneWhy estrogen matters, but bone health goes beyond estrogenThe connections between cortisol, thyroid, insulin, and bone remodelingWhy muscle may be one of the most powerful signals for building stronger bonesHow inflammation, gut health, and nutrient status shape bone resilienceWhy a DEXA score may not reveal the full picture of fracture riskWhat emerging research on osteocalcin and LCN2 reveals about bone’s role in whole-body communicationHow to move beyond generic bone protocols and uncover the patterns driving bone lossResources and Links:Download the full transcript hereDownload the Beyond Protocols Guide A Practitioner’s Guide to Root-Cause Pattern RecognitionJoin the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes here

Your clients know what they should eat, yet cravings, nighttime snacking, and persistent hunger continue. The missing piece may not be the food itself, but the message their meals are sending to the body.In this episode, Dr. Ritamarie explains why two people can eat the same foods and have completely different appetite responses. Discover why the way a meal is structured, timed, and experienced can determine whether the body feels nourished and satisfied or continues searching for more.Dr. Ritamarie reveals 10 powerful signals practitioners can use to uncover what may be driving cravings, recognize root-cause patterns, and create personalized strategies that work with the body’s physiology.What’s Inside This Episode?Why “healthy” meals can still leave clients craving moreWhy fullness and true satiety are not the same thingThe meal timing mistake that may be driving later cravingsHow protein, fiber, and meal structure influence appetite signalsWhy the order foods are eaten can change the body’s responseThe overlooked role of the nervous system in appetite regulationHow movement after meals changes glucose and metabolic signalsWhy sleep disruption can amplify hunger and cravingsHow to use cravings as clues to uncover root-cause patternsA personalized framework for designing meals that support satietyResources and Links:Download the full transcript hereDownload our FREE Hormone Hacking Breakfast Menus Grab your Beyond Protocols Guide for a step-by-step framework integrating genetics, labs, and functional assessments into root-cause solutionsJoin the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes here

What if the chronic fatigue, hormonal imbalances, anxiety, or other persistent symptoms you’re seeing aren’t just about labs, diet, or lifestyle but unresolved grief?In this episode, Dr. Ritamarie sits down with Dr. Sweta Vikram, an internationally recognized Ayurvedic practitioner, grief coach, and trauma-informed yoga teacher, to explore how unresolved grief can impact physiology, behavior, and well-being.Dr. Vikram walks through practical strategies for identifying grief in clients, creating safe spaces for healing, and applying Ayurvedic principles to restore balance in body and mind. Whether you’re a practitioner working with sensitive cases or looking to better understand the unseen forces affecting health, this conversation will expand your clinical lens.What’s Inside This EpisodeWhy grief is more than loss of a loved one. It can show up as chronic symptomsHow the body signals unresolved emotional trauma through physiology and behaviorThe Ayurvedic framework for understanding imbalance (Vata, Pitta, Kapha) in daily lifePractical approaches for safely addressing grief in client interactionsHow simple rituals, journaling, and mindful presence can support resilienceCreating space for emotional visibility and healing in professional practiceResources and Links:Download the Full Reset hereGet your FREE guide to Supporting a Healthy and Balanced Immune SystemGet your FREE guide: Beyond Protocols: A Practitioner's Guide to Root Cause Pattern Recognition for a structured framework to integrate symptoms, systems, and sequence in complex casesJoin the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes hereGuest Resources and LinksVisit Sweta Srivastava Vikram’s Website to explore her work, books, and wellness resources: www.swetavikram.comFollow Sweta on Social Media for daily insights and updates:Instagram: @swetavikramFacebook: Sweta’s Words and WellnessLinkedIn: Sweta Srivastava VikramYouTube: Holistic Wellness with SwetaListen to Sweta’s Podcast The Grounded Leader: Ayurvedic Wellness for Leaders Who Want to Succeed from a Place of BalanceDownload Free Wellness Guides to apply Ayurveda in your practice or daily life:Free Rejuvenating Sleep Guide: Ayurveda Quick TipsThe 5-Minute Ayurveda ResetGuest BioSweta Srivastava Vikram (www.swetavikram.com) is an international speaker, best-selling author of 14 books, award-winning entrepreneur, a certified grief coach, trauma-informed yoga teacher works with survivors - being safe in body, Adjunct Professor - teCHES COMMUNICATIONS, and Doctor of Ayurveda (AD) who is committed to helping people thrive on their own terms. Her upcoming book is tentatively titled Rhythms of Resilience: An Ayurvedic Guide to ReducING Stress and Bringing (Loving Healing Press 2026), and she’s the host of the podcast The Grounded Leader: Ayurvedic Wellness for Leaders Who Want to Succeed from a Place of Balance. As a trusted source on health and wellness, most recently appearing on NBC, NPR, iHeartRadio, and Radio Lifeforce and in a documentary with Dr. Deepak Chopra, Sweta has dedicated her career to writing about and teaching a more holistic approach to creativity, productivity, health, and nutrition. Her work has appeared in The New York Times and other publications across nine countries on three continents. Sweta holds a Master’s in Strategic Communications from Columbia University. Voted as “One of the Most Influential Asians of Our Times” and winner of the “Voices of the Year” award (past recipients include Chelsea Clinton), she lives in New York City with her husband and works with clients across the globe. She also teaches yoga, meditation, and mindfulness to survivors of sexual assault and domestic violence. Find her on: X, Instagram, LinkedIn, Facebook, and YouTube.

Your clients eat full meals, yet cravings persist. Nighttime snacking, blood sugar swings, and constant hunger aren’t willpower. They’re signals. Appetite is controlled by a complex network of hormones, the nervous system, gut, microbiome, muscle, and nutrient status.In this episode, Dr. Ritamarie Loscalzo explains why focusing on a single hormone like GLP-1 isn’t enough. She shows how to identify the patterns driving overeating, cravings, and metabolic dysregulation, so you can address the root cause rather than just the symptoms.What’s Inside This EpisodeWhy appetite is a communication system, not just a numbers problemHow ghrelin, leptin, insulin, GLP-1, PYY, and CCK work together to signal satietyThe hidden impact of stress, sleep, and reward pathways on cravingsHow muscle, metabolism, and the microbiome shape hunger signalsWhy post-meal hunger often reflects systemic dysfunctionA pattern-based approach to uncover root causes of persistent appetite issuesResources and Links:Download the full transcript hereGet your FREE Beyond Protocols Guide: A structured framework for identifying root-cause patterns and sequencing interventionsJoin the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes here

Clients eat full meals but still struggle with cravings, nighttime snacking, and persistent hunger. These are signs that the body’s satiety signals aren’t working. GLP-1 is only one piece of a larger network connecting the gut, brain, pancreas, liver, and muscles.In this episode, Dr. Ritamarie explores why fullness signals sometimes fail and what practitioners should consider when standard interventions aren’t enough.This episode is for practitioners who want to move beyond lab numbers and leverage physiology to restore metabolic communication and resilience.What’s Inside This Episode?Why clients eat but stay hungryHow GLP-1 really talks to the gut, brain, and metabolismThe hidden meal, timing, and lifestyle traps sabotaging satietyNutrients that naturally boost GLP-1—without medsSubtle metabolic signals most practitioners missHow to spot patterns that reveal the root causeWhen context and environment override your best interventionsResources and Links:Download the full transcript hereGrab your Beyond Protocols Guide for a step-by-step framework integrating genetics, labs, and functional assessments into root-cause solutionsJoin the Next-Level Health Practitioner Facebook group for free resources and community supportVisit INEMethod.com for advanced practitioner trainingCheck out other podcast episodes here

GLP-1 medications are everywhere, but the real solution may already be inside your clients. This hormone is released naturally with every meal to regulate appetite, blood sugar, and metabolic resilience.In this episode, Dr. Ritamarie Loscalzo shows how to activate your clients’ own GLP-1 through food, habits, and lifestyle beyond drugs, gimmicks, or one-size-fits-all protocols.What’s Inside This Episode:Why GLP-1 is more than a weight-loss hormoneThe key foods and nutrients that naturally stimulate GLP-1Meal timing and daily routines that optimize satietyHow movement, sleep, and stress shape metabolic responseWhy focusing only on GLP-1 medications misses the bigger metabolic pictureResources and Links:Download the full transcript hereDownload Beyond Protocols: A Practitioner's Guide to Root Cause Pattern Recognition for a structured framework to integrate symptoms, systems, and sequence in complex casesJoin the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes here

There are cases that don’t resolve the way you expect them to.The labs look reasonable. The protocol makes sense. And yet… something isn’t shifting.In this episode, Dr. Ritamarie sits down with Kim Rogers to explore a layer that’s often debated and often misunderstood—parasites, gut burden, and the role they may play in complex, unresolved cases.This isn’t about assuming parasites are the answer. It’s about expanding how we think. When symptoms don’t line up and progress stalls, it may be worth asking different questions.You’ll hear where this conversation can be useful, where it can go too far, and how to approach it without losing clinical discernment.What’s Inside This Episode? Why 90% of people may have parasites and not even know itHow unexplained skin issues, mood swings, and hormone imbalances may start in the gutThe truth about poop, parasites, and why your detox isn’t workingHow she turned her own health horror story into a mission-led wellness brandKim’s story blends science, storytelling, and jaw-dropping realness that cuts through today’s filtered health noise.Resources and Links:Download the full transcriptDownload our FREE Immune Modulation Strategies Guide here to support immune balance with targeted nutrition, herbs, and lifestyle strategiesJoin the Next-Level Health Practitioner Facebook group here for free resources and community supportVisit INEMethod.com for advanced health practitioner training and tools to elevate your clinical skills and grow your practice by getting life-changing results. Check out other podcast episodes hereGuest Resources and LinksExplore Kim Rogers’ work on her website at https://rogershood.comFollow Kim on Instagram @mrsrogers.hoodConnect with Kim on TikTok @mrsrogershoodListen to Kim’s podcast, What’s Eating UApply for Kim’s affiliate program here Guest BioKim Rogers - Worm Queen! Kim Rogers has spent more than 20 years working within the Western healthcare system—authoring national certification exams, advising health boards, and teaching in colleges—until her own health crisis revealed something shocking: her body was infested with parasites.After years of being dismissed by doctors while suffering from endometriosis, mold toxicity, Lyme disease, and extreme fatigue, Kim took matters into her own hands. What she found? Worms, candida, and heavy metals were silently wreaking havoc on her body—and no one in conventional medicine was talking about it.Now known as the “Worm Queen,” Kim has gone viral on TikTok and Instagram for showing exactly what she detoxed (think: visible worms, mucus, and more). Her raw, unfiltered videos have reached millions—because they expose the side of wellness that no one wants to talk about, but everyone needs to hear.Kim is the founder of RogersHood Apothecary and the creator of the ParaFy Kit, a holistic parasite cleanse protocol that’s waking people up to what’s living inside them.Check Kim out on :🎙 Dr. Josh Axe ShowEpisode: Kim Rogers on Parasites and Healing from the Inside Out Watch on YouTube🎙 Culture Apothecary with Alex ClarkEpisode: What’s Really Living Inside You? A Conversation with the Worm Queen Watch on YouTube🎙 Ancient Health PodcastEpisode: Parasites, Detox & Gut Truths with Kim Rogers Watch on YouTube