Welcome back to the Stronger Bones Lifestyle Podcast. Today Debi welcomes back spinal surgeon Nick Birch to discuss the importance of orthopedic surgeons when it comes to the diagnosis of Osteoporosis.  In 2018 Nick founded OsteoscanUK with the intention of offering high quality bone health assessments locally, rather than in a hospital setting, using the Echolight REMS system and has carried out over 2200 REMS scans. Listen today as he discusses using melatonin to reverse osteoporosis, why a standard diagnosis of osteoporosis can lead to more bone loss and how orthopedic surgeons can use new technology like the REMS scan to make proper diagnoses. Join Nick and Debi as they talk about polypharmacy, internal balance versus external balance, the body's ultimate goal and the importance of what we are doing to our bodies. Key  Takeaways: [2:32] Melatonin [4:21] Shape of brain and jet lag [6:12] The issues with the treatments for osteoporosis [7:21] What are we missing [10:16] Intelligence of our body [11:09] Fair test [12:57] Stress can lead to all disease [15:06] Anxiety in rats [16:51] Bone toughness [17:42] Orthopedic surgeons [19:19] Diagnosis leads to more bone loss [20:36] Nick’s training [21:18] The importance of what we are doing to our bodies [21:55] Polypharmacy [23:04] Internal imbalance [24:48] Preventative costs [26:05] You’re never at zero risk of fracturing [26:51] Debi’s mission [29:12] The body's ultimate goal [31:27] The best way to test your bones Where to Find Guest: Website Ep 39: Bone Nutrients, Bone Density and a Better Bone Scan with Nick Birch Ep 44: Diagnosing Osteoporosis- REMS, A Better Bone Scan with Nick Birch Memorable Quotes: "What are we missing in our lives and how do we fix that?" [7:21] – Nick "It cant just be about the amount of bone, it has to be the quantity." [18:34] -Nick "We are so focused on external balance with osteoporosis, we work on that, standing on one leg, strengthening our balance, yet its that internal balance of bone metabolism that we haven’t focused on." [23:08] - Debi "We need to give our body what it needs to find that balance." [29:30] – Debi  To learn more about me and to stay connected, click on the links below: Instagram: @debirobinsonwellnessWebsite: DebiRobinson.comHealthy Gut Healthy Bones Program