Osteoporosis in Chennai? Your Pill Treats Only One of Six Causes | Dr. Venkatachalam, MJRC

You were told you have osteoporosis. You were shown a DEXA number. You were given a pill — weekly, or once a year by drip. You took it faithfully. And then you fell, and the bone broke anyway. How can that be? This video explains why it happens to so many people: because the standard pill is designed for one cause of bone loss, and your bone loss may have a different cause. Bone is living tissue, constantly broken down and rebuilt by two cells — one that removes old bone, one that builds new. Osteoporosis is what happens when that balance breaks. The crucial question almost no one asks is whether your bone-removing cells sped up, or your bone-building cells slowed down — because those are different problems needing different answers. We walk through the six causes of bone loss — oestrogen deficiency, vitamin D deficiency, inadequate protein, mechanical under stimulation, metabolic dysfunction, and the secondary causes — and why they stack rather than compete. We cover what the common medicines do and do not do, including the complications worth knowing about, and the LIFTMOR resistance-training evidence. And we show why the same four-marker panel that triages the arthritic knee also reads the bone: find the cause first, then build the strategy. This follows our earlier video on how bone and joint are one metabolic story. If you have a parent or someone you love whose story sounds like this, this is the video to share with them. About MJRC Madras Joint Rejuvenation Centre (Chennai) practices exclusively joint preservation and biological orthopaedic care. We do not perform joint replacement. Related videos • 26 May — “Knee Pain in Chennai? Your Knees and Your Bones Are One Story — Not Two | Dr. Venkatachalam, MJRC”:   • Knee Pain in Chennai? Your Knees and Your ...   • 10 June — “The Missing Piece of Cartilage Repair: Why ‘Normal’ Vitamin D Is Not PRASAD Ready” (Wednesday companion): [link] • 12 April — “The PRASAD™ Protocol” (full protocol explainer):   • What Is the PRASAD™ Orthobiologic Treatmen...   Contact Book a consultation: 095661 43108 Or write to: [email protected] Madras Joint Rejuvenation Centre, Chennai Bring your X-rays, MRI, DEXA scan if available, and recent labs (HbA1c, Vitamin D, Hs-CRP, triglycerides). Tags #Osteoporosis #BoneHealth #KneeArthritis #DEXA #VitaminD #BoneLoss #JointPreservation #ChennaiOrthopaedics #menopause 00:00 The patient who did everything right 00:54 Bone is living tissue: the two cells 01:41 Why the medicine may be aimed at the wrong cause 03:26 Cause 1 — Oestrogen loss after menopause 04:10 Cause 2 — Vitamin D deficiency 04:44 Cause 3 — Too little protein 05:33 Cause 4 — Too little load (the LIFTMOR trial) 07:08 Cause 5 — Metabolic: sugar, triglycerides, inflammation 08:14 Cause 6 — Secondary causes (steroids, thyroid, PPIs) 08:43 What the bone medicine cannot do 09:24 Two risks worth knowing 10:36 Bone and joint: one story 12:08 The one question to ask your doctor 12:34 How we find and match the cause 14:04 She is not unusual — she is the rule 15:09 What you can do next