model showing osteoporosis
World Osteoporosis Day is October 20: Here’s How to Strengthen Your Bones at Every Age

Annually on October 20, World Osteoporosis Day reminds us that strong bones are the foundation of lifelong health. Osteoporosis, a condition that weakens bones and increases the risk of fractures, affects both men and women, though it’s often thought of as primarily a women’s health issue. In reality, while women are more likely to develop osteoporosis (with universal screening recommended after age 65), about one in five men over 50 will also experience an osteoporotic fracture in their remaining years. In fact, men account for roughly one in four hip fractures among older adults.

The good news? Prevention and early treatment can make a difference. Simple daily habits play a major role in protecting bone health, and our experts emphasize one in particular: quitting smoking. Below, we’ll explain why breaking this habit can prevent osteoporosis, along with other tips for keeping your bones strong.

Why Bone Health Matters

Bone density naturally decreases over time, and hormonal changes, diabetes, and certain medications can accelerate bone loss. Without proper screening and management, this can lead to fractures of the hip, wrist, or spine injuries that drastically impact quality of life.

How Smoking Weakens Your Bones

Cigarette smoke in particular affects nearly every organ system, including the skeletal system. Smoking undermines bone health by:

  • Reduced blood supply: Smoking can constrict blood vessels and reduce blood flow to bones, impairing nutrient delivery and healing.
  • Hormonal interference: Tobacco disrupts levels of estrogen and testosterone, both of which play roles in bone maintenance.
  • Lower calcium absorption: Smoking has been linked to decreased calcium uptake in the intestines, making it harder for bones to build or maintain density.
  • Impaired bone-forming cells: Some evidence suggests toxins in smoke may negatively affect osteoblasts (the cells that build bone).

Because of these effects, smokers tend to lose bone more rapidly, heal more slowly from fractures, and endure higher fracture risk. Quitting smoking can slow bone loss and improve recovery outcomes.

Expert Tips to Build Bone Strength 

Strategies you can adopt now include:

  1. Nutrition:
    • Aim for adequate calcium (1,000–1,200 mg daily, depending on age/gender)
    • Pair with vitamin D (to improve absorption)
    • Include protein, magnesium, and phosphorus
  2. Move your bones:
    • Weight-bearing exercises (walking, jogging, dancing)
    • Resistance training (bodyweight, light weights, bands)
    • Balance and posture work to reduce fall risk
  3. Limit bone-harmful habits:
    • Quit smoking
    • Keep alcohol use moderate
    • Avoid excessive caffeine or soda
  4. Screen and monitor:
    • Bone density scans (DEXA) as recommended
    • Discuss bone health with your endocrinologist or primary care provider

Latest Breakthroughs: Reversing Bone Loss via GPR133

In promising news, a receptor called GPR133 (also known as ADGRD1) has recently been identified as a primary regulator of bone density. A study published by ScienceAlert describes how stimulating this receptor with a chemical compound (named AP503) in animal models significantly increased bone strength, even in bones with osteoporosis-like damage. 

When GPR133 was activated, osteoblasts (cells that build bone) became more active, producing stronger bone tissue. The effect was even more pronounced when used in combination with exercise, providing a synergistic approach to bone health. 

While this research is still in early stages and conducted in animal models, it opens up promising avenues: in the future, therapies targeting GPR133 might not just slow bone loss, but reverse it, rebuilding degraded bone to healthier strength.

How Texas Diabetes & Endocrinology Can Help

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online. Don’t forget to follow us on Facebook and Instagram and check back each month as we provide you helpful wellness and health information.

Who are the key participants in a clinical research trial? 

Today’s clinical research trials could lead to tomorrow’s most promising treatments and cures. 

Clinical research trials test new forms of medical intervention (such as drugs or a procedure) in order to advance the care for so many serious conditions, like diabetes which we treat here at Texas Diabetes & Endocrinology (TD&E). 

At TD&E, we have been dedicated to actively participating in clinical research for the past decade, and we offer a variety of trials for patients to pursue in areas of Diabetes, Thyroid, Osteoporosis, PCOS, Cholesterol, and Obesity/Weight Loss

Our goal with clinical research trials at TD&E is first and foremost to improve the quality of lives of our patients.

Who are the key participants in a clinical research trial?

In addition to the patients, other key members of a clinical trial team include the principal investigator and the sponsor. 

Here’s a closer look at each of these roles: 

Patients: they are the ones who volunteer to experience/test out a new technology that shows promise in improving a certain condition or disease. They benefit from participating in clinical research trials by 1) having access to new treatments that are not yet available to the public, 2) playing a more active role in their own health by getting a really in-depth view of what they are suffering from, and 3) they are typically compensated for their time spent in the study and traveling to and from a doctor’s office. 

Principal Investigators: the principal investigator (or PI) is a doctor, or another member of the practice’s medical team, who leads the research efforts and monitors the patients’ medical results, experience, and feedback. 

At TD&E, the following members of our team of board-certified endocrinologists and medical professionals serve as PIs for our clinical research trials:

Central Austin Principal Investigators:

Round Rock Principal Investigators:

South Austin Principal Investigators:

Sponsor: the sponsor is responsible for initiating and funding the trial. It may be an individual doctor, company, or medical school/institution. Once the trial is completed and the data is compiled from the patients and PI, the sponsor works to take the new treatment or technology to the public sector so that others may benefit from it. 

How can I participate in a clinical research trial at TD&E?

More about our research trials can be found here. Please let your endocrinologist know you are interested in participating in our program and they can discuss with you which currently enrolling trials would be the most beneficial to you and your particular condition. 

We are always extremely grateful to our patients who consider volunteering their time to help us in the advancement of scientific research. 

Endocrine Research in Austin, TX

You can learn more about our research department and currently enrolling clinical trials here. Please feel free to contact us at (512) 334-3505, option 4, to speak to a research coordinator about our enrolling studies.

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

Texas Diabetes & Endocrinology Ushers in New Year with Doctor Accolades

Texas Diabetes & Endocrinology is proud to share that several of our physicians were recognized as Texas Monthly Super Doctors for 2024 and Austin Monthly Top Doctors for 2025.

Our hard-working team of endocrinologists and diabetes experts are honored and humbled to receive peer recognition from the medical community.

Our Texas Monthly Super Doctors for 2024 are:

Super Doctors are selected annually via an intensive review process based on peer recognition and professional achievement. 

This month, Austin Monthly recently recognized its Top Doctors for 2025, including:

Austin Monthly Top Doctors are nominated by peers in the local Austin medical community who would entrust these doctors with their care or the care of a family member. 

TD&E is committed to acting as a valuable resource for fellow physicians, and most importantly, to serving patients with personal and compassionate care and the most cutting-edge therapies available to treat common endocrinology conditions like diabetes and osteoporosis. We also offer thyroid imaging servicesheart disease prevention, and weight loss management

A hearty congratulations to our Super Doctors and Top Doctors for their well-deserved recognition, and a very happy and healthy new year to all of our patients!

Contact Us to Help Manage your Diabetes, Osteoporosis and Thyroid Conditions 

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services  and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online.  Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

What’s the link between osteoporosis and the gut biome? 

May is Osteoporosis Awareness Month. This condition, marked by severely weakened bones, is one that our board-certified endocrinologists treat daily here at Texas Diabetes & Endocrinology (TD&E).

While it is commonly known that calcium helps to strengthen bones and protect against osteoporosis, new research shows that good gut health (or the gut biome) can also play a large role in osteoporosis prevention and boosting bone density (the amount of minerals stored in bones to make them strong). 

The gut biome is the complex mix of microorganisms that live in the body’s intestines and helps with immunity and food processing. 

What is the connection between osteoporosis and the gut biome? 

new study recently published strongly supports previous findings that a healthy gut biome can in fact improve bone density and help protect against osteoporosis.  This important connection between the gut biome and the body’s bones is known as the gut-bone axis. 

Data shows that eating fruits and vegetables high in Vitamin C can increase production of the bone-making cells that protect them from weakening, or possibly fracturing and breaking, which is typically associated with osteoporosis. This conversion of Vitamin C into powerful bone-boosting cells takes place in the gut. 

Research also continues to show that foods rich in calcium (like dairy products) and high in protein (lean meats and legumes) help to fortify bones and keep them strong. 

Additionally, tracking certain types of bacteria that exist in the gut biome, and then supplementing with lacking bacteria known to boost bone-making cells, may become an increasingly more common option for osteoporosis prevention.  This can be facilitated by a physician recommending a mix of synbiotics (probiotics combined with prebiotics) to promote healthy bacteria in your gut biome.

According to TD&E endocrinologist Dr. Mauli Shah, along with keeping your gut check in health, other ways you can help prevent osteoporosis are with “regular exercise (weight bearing or resistance exercises are best), and taking Vitamin D and calcium supplements.” 

When should you see a doctor for osteoporosis?

Dr. Shah offers the following recommendations for when you should visit a doctor, or endocrinology expert, regarding your risk for osteoporosis:

  • All women 65 years of age and older 
  • Post-menopausal women with certain risk factors, such as those who’ve had a previous fracture or been treated with steroids
  • People who have a family history of osteoporosis or hip fractures 
  • People with rheumatoid arthritis
  • Women who have entered premature menopause or men with low testosterone

Osteoporosis Treatment at Texas Diabetes

Our endocrinology and osteoporosis experts will help develop the right treatment plan for you to address your unique bone health needs. We typically recommend lifestyle modifications to start, like getting more exercise and eating well. Then we’ll determine what combination of dietary supplements, medications, and/or injections and IV infusions are best suited to protect and strengthen your bones. 

Contact Us to Help Manage your Osteoporosis, Diabetes and Thyroid Conditions 

If you’d like to schedule an appointment with one of our specialists at Texas Diabetes & Endocrinology and discover how our diabetes services  and other endocrinology therapies can help you lead a full and active life, please contact us at (512) 458-8400 or request an appointment online.  

Don’t forget to follow us on Facebook and Instagram and check back with us each month as we provide you helpful wellness and health information.

Next Page »