I write this site as a physician who also has osteoporosis. That means I have two reasons to get it right, and I would rather leave out a good statistic than publish one I cannot defend.
Who writes and reviews this site
Every article here is written and reviewed by me, Lisa Pocius, MD. I am a physician. I finished residency in 2004 and spent the next ten years in family practice before moving into medical leadership. I was diagnosed with osteoporosis at 55, after I fell in my own front yard and fractured four vertebrae, and I take an osteoporosis medication myself. The longer version of that story is on my about page.
There is no outside writing staff, no contributed posts, and no sponsored content. If an article ever came from someone else, it would say so at the top with their credentials.
Where the facts come from
Every clinical claim on this site traces back to one of three kinds of source: the FDA prescribing label, the published trial itself, or a clinical practice guideline. I do not build articles from health-content aggregators, manufacturer marketing pages, or secondary summaries of studies I have not read.
The rule I hold myself to is simple. If I cannot verify a number in a primary source, it does not go on the page. Sometimes that means dropping a striking figure that appears all over the internet, because tracing it back reveals it came from a press release or a misread abstract.
Articles that name a medication carry a source list at the bottom with links you can open and read yourself. A few journal sites block automated requests, so if a link looks broken from a script it is still fine from your browser.
How I present numbers
Relative risk reductions sound enormous and absolute numbers sound small, and both describe the same trial. So I give you both. A 68% reduction in vertebral fracture is also roughly five fractures prevented per hundred women over three years, and you need the second number to decide whether a medication is worth it to you.
I also flag when two figures cannot fairly be compared. Almost every osteoporosis drug was tested against placebo rather than against the other drugs, so setting one trial's percentage beside another's is not a head-to-head comparison, and I say that on the page rather than letting the arithmetic imply something the evidence does not support.
When guidelines and my own clinical judgment differ, I separate them. If a recommendation is mine rather than a guideline's, I attribute it to myself.
Corrections and updates
Medication articles carry a review date in their page data, and I update them when a label changes, a major trial publishes, or a guideline is revised. When I find an error in something I already published, I fix it and I say what changed rather than quietly editing the sentence.
This has happened, and it will happen again. A closer read of a label or a new trial sometimes shows that phrasing I was comfortable with a year ago was too loose, and the honest response is to change it and note that I did.
How I use AI
I use AI tools for research assistance, drafting help, and checking my own work for inconsistencies between articles. I read, verify, and rewrite everything before it publishes, and the clinical judgment on every page is mine. No article here is published as an AI tool produced it.
Money
I sell my own book, and links to it are on most pages. Some links on this site are affiliate links, which means I may earn a small commission at no extra cost to you. I only point at products I use myself or would have recommended to my patients, and a page that carries an affiliate link says so on the page.
No pharmaceutical company, supplement maker, device manufacturer, or laboratory pays me anything for what appears on this site, and none of them has any review or approval over what I write. Advertising and analytics tools that run on this site are listed on the privacy page.
What this site is not
This site is patient education, not medical care. I am not your doctor, reading an article here does not create a patient relationship, and nothing on this site should replace a conversation with the clinician who knows your history. The full terms are on the medical disclaimer page.
I also do not answer questions about individual readers' medications or test results. Not because I do not want to help, but because giving specific advice to someone whose history and labs I have not seen is how people get hurt.
Reaching me
Corrections, sourcing questions, and topic suggestions are welcome through the mybone.health Facebook page. If you think something here is wrong, please tell me. I would rather hear it from you than leave it up.