In this video, PCRI’s Alex asks Medical Oncologist Mark Scholz, MD, about osteoporosis in the context of prostate cancer. The risk of osteoporosis goes up naturally as men age, but treatments for prostate cancer (or metastatic prostate cancer itself) can accelerate this process and put men at an unacceptably high risk of sudden, dangerous fractures. They discuss the treatments–and their risks–that are available to men with low bone density.
0:06 What is osteoporosis?
1:05 At what age is it appropriate for men to have their doctors check for osteoporosis?
2:01 How do physicians check a patient’s bone density?
2:49 If a person has low bone density, which type of physician is best for therapy?
4:00 Should Gleason 6 prostate cancer patients have DEXA scans?
4:50 For a prostate cancer patient, at which point do you perform the DEXA scan?
5:26 What are the best treatments to treat or prevent osteoporosis?
7:39 What are the risks to a person’s jaw if they are taking medications to prevent osteoporosis.
8:35 How common is osteonecrosis of the jaw using these medicines?
9:29 Does exercise increase bone density?
10:08 How are medications covered by insurance whether it is to improve bone density or treat metastatic disease in the bone?
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