
Did you know that approximately 10 million individuals in the United States alone suffer from osteoporosis, and a staggering 44 million have low bone density?
Maybe you have been struggling with your own bone health–or like me– have had a diagnosis but not had much help from your doctor other than a prescription and a pat on the back, “Take some calcium every day and come back in 3 years.”…What?!!
I was so frustrated by the lack of information and help with regards to how to improve my bone health available from my health care plan that I started looking for more answers and luckily, I found them, “Eureka!”.
In today’s episode, I sit down with the renowned Kevin Ellis, also known as The Bone Coach and together, we unravel the mysteries surrounding bone health and explore practical steps to enhance your bone strength, especially as we age.
Kevin also walks us through the critical factors that demand our attention for improved bone health. He also provides actionable steps you can take right now to start building a foundation for stronger bones.
In this episode, he also debunks common misconceptions about our bones and bone health, offering clarity on what truly matters.
If you care about your bone health and want to invest in a stronger future for your bones, this episode is a must-listen.
So, grab your vertebrae and come on in.
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In This Episode, You’ll Learn:
Who is Kevin and how did he start helping people struggling with osteoporosis.
The truth about bone health.
Why does Kevin treat and serve more women compared to men.
Links Mentioned in this Episode
If you’ve been told you have osteoporosis, you probably want one thing: reverse it. Totally understandable. But here’s the twist Rita shares in this episode: focusing on “reversing osteoporosis” can distract you from the real work that actually changes your trajectory—understanding why bone loss is happening and building a stronger-bones plan you can stick to.
In the U.S. alone, about 10 million people have osteoporosis, and about 44 million have low bone density (osteopenia), which means they’re at risk of developing osteoporosis. That’s a lot of people being handed the same short script: “Take calcium. Take vitamin D. Here’s a prescription. See you in a couple of years.”
Rita—fit, exercising daily, eating well—was still diagnosed at 59. And that “here’s a pill, see you in three years” moment lit a fire. So she brought in Kevin Ellis (The Bone Coach), who breaks down the osteoporosis bone health plan most people never get: what your scans do and don’t tell you, what labs actually matter, why gut health can accelerate bone loss, and what kinds of movement really help bones respond.
This post summarizes the episode into a clear, practical roadmap so you can start making smarter decisions today—without panic, and without vague advice.
What do DEXA scores really mean—and what do they miss?
Citable truth: A DEXA scan gives you bone mineral density, but bone strength also depends on bone quality.
Most osteoporosis diagnoses come from a DEXA scan (dual-energy X-ray absorptiometry). It’s quick, painless, and gives you a number that becomes your label: normal, osteopenia, or osteoporosis.
Kevin explains the scoring in plain English:
- Normal: about +1 to -1
- Osteopenia (low bone mass): -1 to -2.5
- Osteoporosis: -2.5 and lower (e.g., -2.6, –2.7…and the more negative it gets, the more severe)
But here’s the missing piece: DEXA mainly measures bone density (mineral content). It usually does not tell you about bone quality—the architecture and structural integrity inside the bone. And those two together create bone strength.
So you can end up with a frustrating situation:
- You have “not terrible” density, but weak structure.
- Or your density is low, but your quality is better than expected.
- Or you’re improving in ways that don’t show up clearly in one score.
How to get more of the picture
Kevin mentions two ways people may get insight into bone quality:
- TBS (Trabecular Bone Score)
Some facilities can add TBS to your DEXA results, giving information about the micro-architecture (bone quality). You may have to call ahead and ask if they offer it. - REMS / EchoLight technology (more common in Europe)
This is a newer ultrasound-based approach Kevin says is more prevalent in Europe and is working its way into the U.S. It can provide bone density and aspects of quality, and on some machines a fracture-risk prediction.
Why this matters
If you only track one number, you can:
- get falsely reassured,
- get unnecessarily scared,
- Or miss the real question: what’s driving your bone loss, and are you still losing bone today?
That’s where the next section comes in.
How do you know if you’re still losing bone right now?
Short answer: The most important question after diagnosis is: “Am I actively losing bone right now—and why?”
A DEXA is a snapshot. It tells you what your density looks like at the time of the scan. But Kevin points out something people rarely get answered:
Are you still losing bone right now as we speak?
Because if you are, your fracture risk can keep climbing—even if you’re “doing the basics.”
Bone turnover markers: the “activity report” your scan doesn’t show
Kevin recommends looking at bone turnover markers, which reflect how active bone breakdown and bone building processes are.
One marker he calls out specifically is:
- Serum CTX (C-telopeptide): a marker associated with the activity of cells that break down bone.
If CTX is elevated, it can indicate active bone loss and a need to investigate root causes.
Why your doctor might not order these
Kevin is blunt but fair: many clinicians won’t order a test if they don’t feel confident interpreting it. You might get referred to an endocrinologist or rheumatologist—or you may need a practitioner/team who deals with osteoporosis labs daily.
The big warning about “pill-only plans.”
Kevin’s point isn’t “never take medication.” His point is:
Medication doesn’t automatically fix what’s causing bone loss.
He’s seen people take bone meds for years and still lose bone because an underlying driver—gut issues, inflammation, nutrient absorption problems, other conditions—was never addressed.
So think of CTX (and other markers) as the start of a smarter plan:
- If bone breakdown is high, pause and investigate.
- Identify what’s driving it.
- Then combine targeted nutrition + training stimulus + (when appropriate) medical care.
The goal isn’t “hope it’s fine until your next scan.”
The goal is to reduce the drivers of loss and build the conditions for strength.
Why do women get osteoporosis more often than men?
Short answer: Primary osteoporosis is strongly linked to estrogen decline after menopause, which increases bone breakdown activity.
Rita asks the question most people are thinking: why are Kevin’s clients about 90% women?
Kevin explains a major reason: estrogen has a protective effect on bone. After menopause, estrogen drops, which can increase the activity of cells that break down bone. That’s one major contributor to “primary osteoporosis.”
But Kevin also stresses that osteoporosis isn’t only “a menopause thing.” There’s also secondary osteoporosis, which can be driven by:
- medications,
- diseases and conditions,
- behaviors,
- gut/absorption problems,
- chronic inflammation.
And that’s why two people the same age can have wildly different outcomes.
Why this framing is empowering
A lot of women are told some version of:
“It’s hormones. It’s aging. It’s normal. We’ll monitor.”
Kevin’s approach is different:
- Hormones might be part of the picture.
- But they’re rarely the whole picture.
- And if we treat osteoporosis like an unsolved mystery instead of a foregone conclusion, you get your power back.
That’s also why he urges people to think generationally: what you do for your bones matters, but what kids and grandkids do in their bone-building years matters too.
How are gut health and osteoporosis connected?
Short answer: Your gut affects bones through nutrient absorption and immune activation—both can increase bone loss when disrupted.
Kevin’s osteoporosis story started with celiac disease, which damaged the villi in his small intestine—tiny structures responsible for nutrient absorption.
That matters because your bones rely on nutrients like calcium and magnesium, but your body also needs calcium for daily functions (like muscle contraction and nerve signaling). If you aren’t absorbing enough, your body pulls from its “mineral bank”: your bones.
Connection #1: Absorption problems
If someone has chronic digestive symptoms—bloating, diarrhea, constipation, IBS patterns, ongoing gas, loose stools—Kevin says absorption can become an issue.
And if you can’t absorb the building blocks, you can’t build the structure.
Connection #2: The immune system and bone breakdown speak the same language
This is one of the most “aha” parts of the episode:
- Bone marrow produces many immune-related cells.
- The cells that break down bone are a form of white blood cell.
- About 70% of your immune system resides in your gut.
So chronic gut problems can do more than reduce nutrients—they can stimulate immune activity, which can amplify the same signaling that increases bone breakdown.
Practical implication
If your plan is only “calcium + walking,” but you have unresolved gut issues, you may be trying to build a house while the foundation is crumbling underneath it.
If you’re dealing with digestive issues, bloating, or ongoing inflammation, listen to Episode 88 — Gut Health, where Rita breaks down how gut health impacts nutrient absorption, cravings, and overall health—and why it may be a missing link in issues like bone loss.
Kevin suggests that many people need deeper investigation (often beyond standard primary care), including stool testing and targeted dietary changes—especially when symptoms are persistent.
What should you eat for stronger bones (beyond calcium + vitamin D)?
Short answer: Stronger bones require protein plus mineral cofactors—calcium and vitamin D alone are incomplete.
Kevin doesn’t trash calcium and vitamin D—he just says they’re not enough by themselves.
Start with protein (yes, even after 50)
Bones are about 50% protein by volume, Kevin says. That means amino acids matter—not just minerals.
He offers a simple starting target:
- ~30 grams of protein per meal, then adjust based on body size and goals
He also references research targets around 1.2–1.6 g protein per kg body weight.
Protein source question (vegan/vegetarian/carnivore):
Kevin says animal protein can make it easier to hit targets due to higher protein density per serving, but he also works with vegans/vegetarians and focuses on helping them reach requirements within their preferences.
Vitamin D: test before you guess
Kevin recommends getting a 25-hydroxy vitamin D blood test to see where you are. He notes a common lab range may call 30 “normal,” but he prefers levels closer to the middle (or a bit above mid-range) rather than barely scraping the bottom.
Calcium: food first, supplement to close gaps
Kevin’s approach:
- Get as much calcium as you can from food.
- Supplement only if needed.
- He cautions against high-dose calcium supplementation and suggests not exceeding 500 mg/day in supplements, noting higher doses may increase risks like kidney stones and cardiovascular issues.
The co-factors that matter
If you increase calcium and vitamin D, Kevin emphasizes you also need:
- Magnesium (needs rise as calcium/vitamin D intake rises)
- Vitamin K2
- Vitamin C (supports collagen synthesis—collagen is the protein matrix minerals attach to)
Why does this work better than “random supplements”
Because it’s a system:
- Protein builds the matrix.
- Vitamin C supports collagen formation.
- Minerals strengthen the structure.
- Vitamin D supports calcium regulation.
- Magnesium and K2 help the whole process function properly.
This is the difference between “I’m taking a handful of pills” and “I have a plan.”
What exercise actually builds bone and lowers fracture risk?
Short answer: Bones only get stronger when you combine nutrition with the right stimulus—walking alone usually isn’t enough.
Kevin is clear: you can take all the nutrients, resolve gut issues, and still plateau if you don’t give your bones a reason to adapt.
The key stimuli: muscle pull + impact
Kevin says the most effective approaches use one or both:
- Muscle pulling on bone (resistance training)
- Impact (appropriately dosed)
Weight-bearing vs non-weight-bearing
Weight-bearing (works against gravity upright):
Walking, jogging, hiking, gardening, tai chi, yoga, Pilates, qigong—good for health.
Non-weight-bearing:
Swimming and cycling—great cardio, but they don’t load bones the same way.
Kevin’s memorable line is essentially: If swimming is your only exercise, you may feel great—but your bones didn’t get the signal they needed.
Resistance training is the game-changer
This is where bone-building stimulus often lives. Kevin mentions foundational movements like:
- Squats
- Deadlifts
- Overhead presses (with caution if someone has vertebral fractures)
He also mentions machines and heavy resistance bands as viable options, depending on comfort and access.
“But deadlifts sound scary.”
Kevin addresses this head-on:
You’re not trying to become a bodybuilder. Start light, learn from, have someone qualified check your mechanics, then progress gradually.
Because the real enemy isn’t “weights.”
The enemy is injury → fear → stopping → bone loss continues.
A smart plan builds confidence, slowly increases load, and keeps you consistent.
What’s the best next step if you feel dismissed by your doctor?
Short answer: Chronic conditions like osteoporosis often require more than an acute-care model can deliver, so patients need a clearer plan and better questions.
Kevin’s take on doctors is nuanced:
- Most genuinely want to help.
- The system is built for acute care, not long-term root-cause coaching.
- Short appointments and insurance-driven protocols limit what happens next.
So what do you do?
The next-step checklist (episode-aligned)
- Get your DEXA results and know your T-scores (don’t rely on a vague summary).
- Ask the imaging facility if they offer TBS.
- Ask your clinician about bone turnover markers (including CTX) to understand if you’re actively losing bone.
- Get your 25-hydroxy vitamin D tested before adjusting supplements.
- If you have ongoing digestive symptoms, consider a deeper gut workup with a qualified practitioner.
- Build an exercise plan that includes resistance training, not just walking.
Where to learn more (from the episode)
Kevin offers a free Stronger Bones Masterclass that walks through his 3-step process and includes a bone-healthy recipes guide for signing up. Rita also points listeners to Kevin’s resources at Bone Coach.
And, staying in Rita’s world: if weight struggle has been part of your story, remember her thread through the whole podcast—your long-term outcomes change when you build skills and lead yourself from the inside out.
Shift Hypnosis Voice & Tone Gui…
FAQ
Can osteoporosis be reversed naturally?
Some people can improve bone measures over time, but Kevin emphasizes that focusing first on why you’re losing bone and building a complete plan is more useful than chasing the word “reversal.”
What is osteopenia vs osteoporosis?
Osteopenia is low bone mass (often T-score -1 to -2.5). Osteoporosis is more severe (typically -2.5 or lower), associated with higher fracture risk.
What does a DEXA scan tell you?
A DEXA scan primarily measures bone mineral density. Kevin notes it usually doesn’t fully capture bone quality, which also contributes to bone strength.
What is CTX, and why does it matter?
Serum CTX is a bone turnover marker that reflects bone breakdown activity. Elevated CTX can suggest active bone loss, prompting investigation into root causes.
Is walking enough to build bone?
Kevin says walking is healthy, but it’s often not enough to build bone strength. Bones respond more to resistance training and appropriate impact/loading.
What nutrients matter most for bone health?
Kevin highlights protein, calcium, vitamin D (guided by testing), plus key co-factors like magnesium, vitamin K2, and vitamin C.
How does gut health affect osteoporosis?
Kevin explains two main pathways: poor nutrient absorption (like in celiac disease) and immune activation from gut issues that can increase signals for bone breakdown.
Conclusion
Osteoporosis can feel like a surprise attack—especially when you’re doing “everything right.” But the biggest takeaway from Rita’s conversation with Kevin is that you’re not stuck with a vague, one-size-fits-all plan.
A smarter osteoporosis bone health plan starts with clarity:
- Know what your DEXA score means—and what it doesn’t.
- Find out if you’re actively losing bone using markers like CTX.
- Look for root causes (including gut health and inflammation).
- Build strength with protein, the right nutrient cofactors, and resistance training that gives your bones a reason to adapt.
If you found this episode helpful, you might also enjoy this related Thin Thinking episode: