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Dr. Nayan Patel is rewriting the narrative around hormone therapy—showing women that bone loss isn’t just about age, but about hormone balance, inflammation, and precision support. As a compounding pharmacist with decades of experience, Nayan has trained over 5,000 physicians in customized bioidentical hormone replacement therapy (BHRT) and now supports a network of 200+ doctors across the country. He’s on a mission to empower women with the tools they need to maintain strong bones naturally through the most personalized form of medicine available.
In this episode, we break down the critical role estrogen, progesterone, and testosterone play in protecting and rebuilding bone density. Nayan explains how the right dose, delivery method, and form of hormone therapy can mean the difference between brittle bones and a strong, resilient frame. Whether you’re navigating menopause, confused by hormone therapy options, or seeking a natural path to bone strength, this conversation is a must-listen.
Why This Matters to You
- Think hormone therapy is one-size-fits-all? Discover how customized BHRT can deliver exactly what your body needs to rebuild bone and muscle.
- Worried about hormone safety? Learn why past studies gave hormone therapy a bad name—and how the right kind of hormones actually protect your bones, heart, and brain.
- Frustrated with conflicting advice? Get clarity on how to test, dose, and monitor your hormone levels for optimal bone health.
- Trying to avoid bone medications? Understand how BHRT can be a natural first line of support—backed by research and fine-tuned for your unique biology.
- Confused by all the hormone options? Nayan simplifies the science behind estrogen, progesterone, and testosterone so you can confidently talk to your doctor.
Actionable Advice
- Start with Estrogen Testing – Aim for estradiol levels between 60–110 pg/mL, the sweet spot for bone preservation and overall vitality.
- Add Progesterone to Stimulate Bone Growth – It’s not just estrogen—progesterone plays a vital role in osteoblast activity and rebuilding bone.
- Don’t Overdose – More isn’t better. Nayan recommends starting low and adjusting based on lab results to avoid overwhelming your system.
- Explore Compounding Pharmacies – If traditional options don’t fit your needs, ask your doctor about working with a compounding pharmacy for personalized formulas.
- Support with Nutrients – Hormones help, but your bones also need magnesium, vitamin D3, and other key nutrients to stay strong.
Dr. Nayan’s path to personalized medicine began when he realized that conventional pharmacy only managed symptoms. Frustrated by a system that offered little healing, he opened his own compounding pharmacy to create individualized solutions.
Over the years, he transitioned from working with patients one-on-one to educating doctors across the globe—knowing that empowering the provider could impact thousands more lives. Today, Nayan continues to innovate in the space of hormone therapy and functional medicine, always advocating for a deeper, more tailored approach to health.
Links and Resources to Explore
- Auro Wellness: https://aurowellness.com/
- Auro Wellness YouTube: https://www.youtube.com/@aurowellness
- Auro Wellness IG: https://www.instagram.com/Aurowellness
Listen to the Full Episode – Available now on Apple, Spotify, or YouTube.
You don’t have to settle for fragile bones or confusing advice. With the right information and a personalized plan, you can build the bone strength and hormonal balance your body deserves.
Every choice you make supports your resilience. Choose personalized care. Choose empowered health. Choose strength. Listen to the full episode now.
Podcast Subscribe Links - Reversing Osteoporosis
Frequently Asked Questions (FAQs)
Oxalates, also known as oxalic acid, are naturally occurring compounds found in many plants, vegetables, and fruits. They are part of a plant’s defense mechanism against predators and can be found in high concentrations in foods like spinach, rhubarb, beets, nuts, chocolate, tea, and certain beans.
Regarding bone health, oxalates can bind to minerals such as calcium in the gut, forming calcium oxalate. This compound is not easily absorbed by the body, meaning the calcium that could have been utilized for bone strengthening is instead excreted. This process can potentially lead to lower calcium availability for bone health, which can be particularly concerning for individuals at risk of osteoporosis or other bone-related issues.
However, for most women, dietary oxalates do not pose a significant threat to bone health, especially if their diet is balanced with enough calcium and they do not have a history of kidney stones.
Your gut is crucial for stronger bones for several reasons:
- Nutrient Absorption: The gut is where most nutrient absorption occurs. For bones to be healthy and strong, they need a variety of nutrients, particularly calcium, phosphorus, magnesium, and vitamin D. A healthy gut efficiently absorbs these essential nutrients from your diet and facilitates their transportation to the bones.
- Gut Microbiome and Bone Health: Research has shown that the gut microbiome (the community of bacteria living in your intestines) can influence bone density. Certain gut bacteria help in producing short-chain fatty acids (SCFAs) like butyrate, which have been shown to promote bone health. SCFAs can enhance the absorption of minerals necessary for bone strength and play a role in reducing inflammation, which can negatively affect bone health.
- Hormone Regulation: The gut helps regulate hormones that are involved in bone metabolism, including insulin, thyroid hormones, and sex hormones like estrogen. For example, estrogen is vital for bone density, and gut health can influence estrogen levels through the enterohepatic circulation, where estrogens are processed in the liver and intestines.
- Reducing Inflammation: Chronic inflammation, which can stem from poor gut health, is linked to many conditions that compromise bone strength, such as osteoporosis. A healthy gut helps to reduce systemic inflammation, protecting bones from inflammatory damage.
- Immune System Modulation: The majority of the immune system is located in the gut. An imbalance in the immune system can lead to autoimmune conditions, some of which affect the bones. Maintaining gut health helps to ensure the immune system works correctly, protecting against autoimmune reactions that could impact bone health.
In essence, maintaining a healthy gut contributes significantly to stronger bones by ensuring the effective absorption of vital nutrients, regulating hormones, reducing inflammation, and supporting a healthy immune system. Therefore, a diet rich in bone-healthy nutrients, prebiotics, and probiotics, along with lifestyle factors that promote gut health, is key to maintaining strong bones.