The LOC clinical position
Anabolic-first. Measured forward. Not merely the slowing of loss, but the rebuilding of bone.
Most osteoporosis care in the United Kingdom is anti-resorptive — it slows the rate at which bone is lost. That is necessary, and often appropriate. It is rarely sufficient.
LOC’s clinical philosophy goes further. Where the clinical picture allows, the objective is to actively rebuild bone — to increase bone mineral density forward, year on year, measurable on DXA. The BoneRevive® programme typically achieves 8–12% BMD improvement per year. Over a five-year horizon, that is a fundamentally different fracture trajectory.
This requires a complete clinical picture: density, microarchitecture, turnover markers, nutritional status, hormonal context, medication review, and personal risk profile. It requires structured monitoring, not single-visit care. And it requires consultant-level judgement about when to use medication, which agent, for what duration — and when not to.
The window in which intervention is most effective is precisely the window in which the disease is silent. Identifying that window — before the first fracture — is the work.