Confused by doctor options to choose, including Keith McCormick

Posted by stacibw @stacibw, Apr 2, 2024

I’m still learning and navigating my Osteoporosis diagnosis and trying to get my healthcare providers lined up. I’m 51.

I have a PCP who I will only be using as a “sick doctor” going forward. She is aware of my diagnosis and is not up to date on care or treatment.

I have a neuro-kinetic therapist who I work with (recovering from a back injury) who is extremely knowledgeable in osteoporosis exercise. So I will continue to work with her for strength building.

I have a gyn who is not knowledgeable about osteoporosis and referred me to a local endocrinologist.

Those are all of my current health care providers.

Here’s where I’m getting confused….

I really am drawn to Keith McCormick. I prefer functional medicine but like that he also is incredibly knowledgeable about meds and doesn’t hesitate to use them when needed. I have no problems with video appointments.

I have a consultation with the Mayo Clinic in July - the endocrinology team.
They will review my case and decide if they will provide a treatment plan for my local docs or if they will accept me as a patient. So that’s up in the air.

There is a local functional doctor, who specializes in healthy aging and osteoporosis that I am considering.

The endocrinologist that my gyn referred me to doesn’t have an opening until August.

My questions….

Do people use Keith McCormick to completely manage osteo? Or do you also have a local endocrinologist and they work together? Furthermore, when McCormick orders labs, is that done at a local lab or through my regular doc? Thinking costs…..and insurance (I have Cigna - too young for Medicare) for all of those lab tests.

Does anyone have a functional doctor that manages osteoporosis in collaboration with Keith McCormick?

Does anyone see a dietician? I eat a whole foods plant based diet, so am realizing that I am deficient in quite a bit of protein and calcium according to “Strong Bones” teachings. Both of the functional med doctors have nutritionists on board that could help with that.

I’m so overwhelmed just choosing providers! What do you suggest?

Cost does matter - it isn’t the driving factor at this point (understanding and knowledge is the highest priority now).

As of now - I’m flying solo until the end of July, when I meet with Mayo. Wish I had some solid medical guidance before then, but so far have not been able to get earlier new patient appts.

What are most people doing - especially those who have seen or talked to Keith McCormick for a consult or care?

The more I read, the more confused I get. I have time to make decisions, but half a year will have passed before I actually see someone, let alone make any decisions about care. Need to get my ducks in a row.

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

For those with experience with Dr Keith McCormick, is anyone taking his osteo-stim or osteo-sustain vitamins? Any information on safety, effectiveness or side effects?
Thanks.

REPLY
@lamd

For those with experience with Dr Keith McCormick, is anyone taking his osteo-stim or osteo-sustain vitamins? Any information on safety, effectiveness or side effects?
Thanks.

Jump to this post

I used to take them. The Sustain is basically a calcium/D/K vitamin. The Stim is that, plus some other supplements that he says have been shown to promote bone health. He describes them in his book.

There is nothing dangerous, and he doesn't use megadoses of anything. I just decided I'd rather do calcium/K/D on my own, especially getting calcium from food as much as possible. Also, it's cheaper!

Another reason is that a pill may contain something that you're already getting from food. It's good to remember that the pill is not the only source.

REPLY
@njx58

I used to take them. The Sustain is basically a calcium/D/K vitamin. The Stim is that, plus some other supplements that he says have been shown to promote bone health. He describes them in his book.

There is nothing dangerous, and he doesn't use megadoses of anything. I just decided I'd rather do calcium/K/D on my own, especially getting calcium from food as much as possible. Also, it's cheaper!

Another reason is that a pill may contain something that you're already getting from food. It's good to remember that the pill is not the only source.

Jump to this post

Thanks @njx58 for your response. I have been taking Thorne advanced bone support. I still have another 5 months before my next dexa scan. I took K2 separately for a while, but I think it was giving me joint pain. I just finished the Thorne and thought I would switch to osteo-sustain. On the ingredients for osteo-stim is N-Acetyl cysteine. There seem to be mixed info on that, used to be prescription only. I do take his fortibone collagen and have not had any issues with it. I think I will try “sustain”, not sure about “stim”. I agree about getting what we need from food. I try to take that into account when taking supplements. Thanks.

REPLY
@lamd

Thanks @njx58 for your response. I have been taking Thorne advanced bone support. I still have another 5 months before my next dexa scan. I took K2 separately for a while, but I think it was giving me joint pain. I just finished the Thorne and thought I would switch to osteo-sustain. On the ingredients for osteo-stim is N-Acetyl cysteine. There seem to be mixed info on that, used to be prescription only. I do take his fortibone collagen and have not had any issues with it. I think I will try “sustain”, not sure about “stim”. I agree about getting what we need from food. I try to take that into account when taking supplements. Thanks.

Jump to this post

I haven't heard of K2 causing joint pain. I take K2-MK4. I've read anecdotal stories of some people having side effects with the MK7 type. I've been using MK4 for two years with no issues.

REPLY
@njx58

I haven't heard of K2 causing joint pain. I take K2-MK4. I've read anecdotal stories of some people having side effects with the MK7 type. I've been using MK4 for two years with no issues.

Jump to this post

I was taking k2 mk-7 from sports research. Osteo sustain has mk-4. I will give that a try.

REPLY
@naturegirl5

@stacibw I see an endocrinologist at Mayo Clinic in Rochester, MN. I was referred to endocrinology after a sacral fracture was detected by CT (I get CT scans for cancer surveillance and so the sacral fracture was an incidental finding. The sacral fracture was likely due to pelvic radiation I had for endometrial cancer). I had a referral to endocrinology and it took a few months to get an appointment. The endocrinologist and his team spent an hour with me during my first visit for the assessment. He ordered labs, and a DEXA scan and took a very complete history. When I returned for my next visit a month later he went through the findings and said that I was optimizing everything I could for osteoporosis however the fracture put me into another category altogether. He explained, with a drawing, what osteoporosis is and how medications work on bone. He recommended that I start with 12 months of Evenity. He told me that Evenity "builds bone" and I agreed to do that and so I've had 6 months of the injections. After the 12 months my endocrinologist will order more labs and a bone density scan and we shall see what he recommends next. I may go on another medication that will "lock in my gains".

I've been active all my life. I'm now 72-years-old and started lifting weights when I was in late 30's. I still lift weights, I walk, hike, x-country ski (when we have snow) and do yoga. My mother had osteoporosis and was very frail by my age with multiple compression fractures. I don't want to have that life so decided to follow my endocrinologist's recommendations.

I'm hoping you will be pleased with the time and attention you will receive at Mayo Clinic. The decision of what to do will be left up to you.

Jump to this post

It has been a year since your post. How did it go with Evenity? I hope you are getting better. Any new news??

REPLY
@yogagirl57

I have an appointment with Dr. McCormick on 5/15. I can't wait. My endocrinologist was only interested in giving me Fosamax. My primary sided with her. She (endo) never even asked me anything about me. I'm a yoga teacher and have been doing cardo and weights since my early 20's. I am 67. I have been very disillusioned for sure. Overwhelmed. I came across Dr. Mccormick, and I like that he will send you for lots of lab tests if you require them. Nothing even close to the medical profession (from my experience). He has a very good reputation so hoping to start to make progress. I commend you for getting that appointment with Mayo Clinic. Can I ask where you started with them to obtain that appointment or did you just call them? I wish you success in your endeavor and July will be here before you know it! You've made progress already just be getting that appointment!

Jump to this post

How was your appointment with Keith McCormick? I am waiting for my “pictures” from my DEXA scan so I can send it to him and make an appointment

REPLY
@njx58

I used to take them. The Sustain is basically a calcium/D/K vitamin. The Stim is that, plus some other supplements that he says have been shown to promote bone health. He describes them in his book.

There is nothing dangerous, and he doesn't use megadoses of anything. I just decided I'd rather do calcium/K/D on my own, especially getting calcium from food as much as possible. Also, it's cheaper!

Another reason is that a pill may contain something that you're already getting from food. It's good to remember that the pill is not the only source.

Jump to this post

Your response is very logical and makes good points. I agree with you.

In addition may "doctors" - and K. McCormick is a chiropractic "doctor": who has financial gain by selling his own "special" recommended vitamins.

He is not an endocrinologist or even a physician. He has an interest in osteoporosis because he has had many fractures from some medical/personal issue. As he is a runner, it may be that he is too thin and that caused his osteoporosis? Who knows.

He did go to Stanford, though, so he has that going for him...but perhaps he couldn't get into medical school and did Chiropractic as an alternative, many wanna be docs do that as it is a easier route.

Personally: if I needed Vitamin K and Vitamin D or anything else to strengthen my bones, that wasn't prescription based, I would go to a compounding pharmacist. Or like you, just use diet and or vitamins one can find in Walmart's vitamin shelves.

I would use a compounding pharmacist who would consult with a good endocrinologist. That would be a solid medical team if one wanted to self treat.

The problem with vitamins from ANY place is that they are not FDA approved in most cases and they are questionable as to quality, especially from some foreign countries who profit from copying, but not quite having good quality control or legal standards for supplements?

REPLY
@slarson14

Your response is very logical and makes good points. I agree with you.

In addition may "doctors" - and K. McCormick is a chiropractic "doctor": who has financial gain by selling his own "special" recommended vitamins.

He is not an endocrinologist or even a physician. He has an interest in osteoporosis because he has had many fractures from some medical/personal issue. As he is a runner, it may be that he is too thin and that caused his osteoporosis? Who knows.

He did go to Stanford, though, so he has that going for him...but perhaps he couldn't get into medical school and did Chiropractic as an alternative, many wanna be docs do that as it is a easier route.

Personally: if I needed Vitamin K and Vitamin D or anything else to strengthen my bones, that wasn't prescription based, I would go to a compounding pharmacist. Or like you, just use diet and or vitamins one can find in Walmart's vitamin shelves.

I would use a compounding pharmacist who would consult with a good endocrinologist. That would be a solid medical team if one wanted to self treat.

The problem with vitamins from ANY place is that they are not FDA approved in most cases and they are questionable as to quality, especially from some foreign countries who profit from copying, but not quite having good quality control or legal standards for supplements?

Jump to this post

Have you read Dr. McCormick’s book? His information and experience helped me know more about my osteoporosis than any of the MDs (PCP, endocrinologists, etc) that I have been to over the years. So much of what he writes about is natural, sensible health based, and coming from a place of personal experience with his own osteoporosis, no matter how it happened to him. I don’t understand why you wouldn’t want to learn from everyone, and use the knowledge to help inform yourself, and take what might help you from different sources. A DO is a real doctor, and lots of times better, because they haven’t sold out to the corporations or big pharma. As far as the supplement sales I’ve tried them, they are fine, and it takes a lot of the guesswork out of trying to find ones that are targeted for bone health. I’ve used others, too, and it can be very confusing to find the right combinations of ingredients. I would trust his over some brand on a Walmart shelf!

REPLY

I have read his book and it provided a great deal of information. As for supplements - my husband who had cancer gets a lot of his vitamins from Dr. Fuhrman - Drfuhrman.com... At any rate, I started taking his Osteo Biotech bone supplement. It has Vit. D3, Calcium,Magnesium and Vit. K2. It is Vegan, Gluten Free and Non-GMO. We shall see! I think it is a good choice for me though.. Although somewhat pricey but we are worth it!!! Gotta fix this....

REPLY
Please sign in or register to post a reply.