Ask Dr G: Anorexia, malnutrition and your bones

In this podcast, Dr Jennifer Gaudiani talks about your bones, and what the effects of malnutrition caused by a restrictive eating disorder such as anorexia, can be on your bone health. We talk about:

  • How malnutrition affects your bones
  • Bone density
  • Osteoporosis
  • Osteopenia
  • The various treatment options

About The Gaudiani Clinic

The Gaudiani Clinic provides superb expert outpatient medical care to adolescents and adults of all sizes, shapes, and genders with eating disorders or disordered eating. The Gaudiani Clinic also offers comprehensive person-centered care to those who are recovered from an eating disorder. Through a collaborative, communicative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values.

Under the care of Jennifer L. Gaudiani, MD, CEDS, FAED, patients receive expert medical care provided in a comfortable and highly discreet private practice setting. Dr. Gaudiani is one of the only outpatient internists in the United States who carries the Certified Eating Disorder Specialist designation and is internationally recognized as an expert in the eating disorder field. In her role as an expert outpatient medical doctor, Dr. Gaudiani can function as a patient’s primary care physician or as an expert adjunctive physician as part of a multidisciplinary team.

The Gaudiani Clinic is located in Denver, Colorado with both local and telemedicine treatment plans available.

Dr. Gaudiani also offers professional services including private and group consultation, professional webinars, and presentations.

For more information about the Gaudiani Clinic, please visit, call 720.515.2140.

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What do you think?

  1. Great podcast! This subject has been topical for me for 12 years and it still is. And I am just 30 years old. 🙁

  2. Brilliant podcast episode. As a young adult sufferer with pretty bad osteoporosis, I’m very interested in learning more about the treatment options Dr Gaudiani mentioned in this episode. I’ve recently weight restored and my period has returned, which I know is the first critical step. Would you be able to provide links to the studies she refers to on the oestrogen patch, biphosphonates, injection, etc? I would like to make an informed decision about what the best way forward is for me while I still have a few crucial bone building years left.

  3. Thanks for the podcast. I was interested to hear about this research and think I’d be a perfect candidate for going on the patch to improve bone health (I’ve been on the pill many years). Unfortunately, money and insurance is always an issue. I have some health insurance but it is a high deductible plan and I definitely cannot afford to pay the deductible at this time for expensive specialist appointments and bone scans (I am a graduate student already in debt with student loans). I do have an annual free primary care physician appointment — so I am wondering, as a question for either Tabitha or Dr. G, do you know if a primary care doctor could prescribe the estrogen patch, if I showed her the evidence from this podcast and she felt sufficiently well-informed? Or is it something that only a specialist can prescribe? Thanks again for the info!

  4. Another great podcast! You do such an amazing job and help me so much!!!
    Keep going!!

  5. This podcast is amazing. My daughter is trans, assigned male at birth, and has very poor bone density due to anorexia. She uses estrogen patches in her medical transition as are a lower blood clot risk than tablets. If I am understanding this right trans men and women with poor bone density should be getting their hormones via patches for their bone health but none that I know are. It is such a missed opportunity and this needs to made general knowledge not only for all who work with eating disorder patients but especially for those who prescribe hormones for our trans community, so many of whom have or have had anorexia. What a wasted opportunity to be taking tablets when patches are needed but the information just isn’t out there.

  6. Love hearing your voice as always Dr. G I am on Fosamax but worry about side effects if I am still not taking in adequate nutrition? Thank you, I still want to knit you a scarf