In this episode, we cover:

• The main classes of medications used to treat osteoporosis
  

• What antiresorptive (anti-catabolic) agents are and when they are used
  

• How bisphosphonates work to reduce bone loss and fracture risk
  

• Which patients are appropriate candidates for bisphosphonate therapy
  

• Common and serious side effects of bisphosphonates
  

• How long patients should remain on bisphosphonate treatment
  

• What a bisphosphonate “drug holiday” is and who may benefit from one
  

• How to approach patients with inadequate response or treatment failure
  

• An introduction to denosumab as an alternative antiresorptive therapy

Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

Guest: Joseph Shaker, MD, Professor of Medicine, Division of Endocrinology & Molecular Medicine, Medical College of Wisconsin

🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.

Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.

Code: H1OC11NH1XBIQWFR

In this episode, we cover:-The role of nutrition in maintaining bone health-How to approach calcium intake from diet and supplements-Key considerations for vitamin D use in clinical practice-Common misconceptions surrounding supplements and bone health-The importance of weight-bearing exercise and physical activity-Strategies to improve balance, reduce falls, and prevent fractures-Lifestyle factors that influence bone strength and fracture risk*This episode will cover content for the next two weeks of ENDO BITES*Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of WisconsinGuest: Joseph Shaker, MD, Professor of Medicine, Division of Endocrinology & Molecular Medicine, Medical College of Wisconsin🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.

In this episode, we cover:

• What defines a fragility fracture and how fracture risk changes with age
  

• The most common osteoporotic fractures and why they matter
  

• How vertebral fractures present clinically—and why they’re often missed
  

• The short- and long-term consequences of hip fractures
  

• Why obtaining a thorough fracture history is critical
  

• How fracture context matters: traumatic vs minimal-trauma fractures
  

• How to think about fractures of the toes and feet in risk assessment

Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

Guest: Julia Shariff, MD Assistant Professor of Medicine Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.

Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.

In this episode, we cover:

• Trabecular Bone Score (TBS)

• What is FRAX and what does it calculate?

• DXA technical considerations

• Follow-up & monitoring

Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

Guest: Joseph L. Shaker, MD, Professor of Medicine Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.

Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.

In this episode, we cover:

• Least significant change and how is it calculated.

• Importance of paying attention to use different machines even if the same manufacturer; cross calibrating devices.

• VFA and TBS what are they and how are we using them.

Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

Guest: Joseph L. Shaker, MD, Professor of Medicine Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.

Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.

In this episode, we cover:

• How does a DXA scan work?

• What do T-scores and Z-scores mean?

Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

Guest: Joseph L. Shaker, MD, Professor of Medicine Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.

Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.

In this episode, we cover:

• What are Secondary and contributing Causes of Osteoporosis

• What endocrine disorders increase osteoporosis risk?

• When should we suspect secondary osteoporosis?

Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

Guest: Joseph L. Shaker, MD, Professor of Medicine Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.

Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.

In this episode, we cover:

• What is osteoporosis, and how is it different from osteopenia?
  

• What are the major risk factors for osteoporosis?
  

• How does osteoporosis affect quality of life and mortality?
  

• What defines a fragility fracture.

Host: Srividya Kidambi, MD, MS Professor of Medicine Chief, Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

Guest: Joseph L. Shaker, MD, Professor of Medicine Division of Endocrinology & Molecular Medicine Medical College of Wisconsin

🎧 Subscribe, rate, and share ENDO BITES with colleagues and learners—and join us as we build endocrine confidence, one bite at a time.

Disclaimer: Opinions expressed in this podcast are those of the individual speakers and do not necessarily reflect the views of affiliated institutions.