Integrated Osteoporosis Clinic

Integrated Osteoporosis Clinic Bone building power of a holistic plan of care.

Like a dog with a bone, Elizabeth Duke NP will find underlying causes of osteoporosis, give you attentive care with a care plan that respects your wishes while being fully informed regarding fracture risk.

07/22/2026
Limited Pelvic Wellness SpecialIntegrated Wellness is offering a limited introductory package for a comfortable, noninva...
07/16/2026

Limited Pelvic Wellness Special

Integrated Wellness is offering a limited introductory package for a comfortable, noninvasive, in-office pelvic wellness service.

The first 10 eligible patients may purchase a package of six sessions for the regular price of threeβ€”a 50% savings.

Appointments are limited. A consultation is required to determine whether the service is appropriate for you.

Call Integrated Wellness at 207-659-8366 or visit our website to request more information.

Offer available to the first 10 qualifying patients. New packages only. Cannot be combined with other offers. Individual experiences vary.

07/09/2026

My new Blog Post is ready!

Hormone therapy helps maintain bone strength. Learn why early osteoporosis screening is a smart move for your wellness.

Beat the Heat: Your Guide to Staying Safe in Hot WeatherIt's hot out there. Here's how to keep your cool β€” literally.---...
07/02/2026

Beat the Heat: Your Guide to Staying Safe in Hot Weather

It's hot out there. Here's how to keep your cool β€” literally.

---

πŸ’§ HYDRATE SMART (Not Just "Drink More Water")

- Drink when you're thirsty. Seriously, your body knows. Forcing too much water can actually make you sick (it's called hyponatremia β€” fancy word for dangerously low sodium).

- Doing something active for less than an hour? Water is fine.

- Going longer than an hour? Grab a sports drink with electrolytes. Your sweat has salt in it β€” replace what you lose.

- Pro tip: Check your p*e in the morning. Pale yellow = good. Clear as a mountain stream = you might be overdoing it. Dark yellow = drink up.

πŸ‘• DRESS FOR THE HEAT, NOT THE 'GRAM

- Light-colored, loose-fitting clothes let air flow and help sweat evaporate (that's how your body cools itself).

- Wear a wide-brimmed hat β€” your head is basically a solar panel.

- Save the all-black outfit for the club, not the cookout.

πŸ• TIMING IS EVERYTHING

- The sun is angriest between 10 AM and 4 PM. If you can, do your outdoor stuff early morning or evening.

- If you have to be outside during peak heat, take frequent breaks in the shade or air conditioning.

πŸ‹οΈ EASE INTO IT (Your Body Needs a Tutorial)

- If you're not used to the heat, don't go full send on Day 1. Spend about 1–2 hours a day doing moderate activity in the heat, and build up over 7–14 days.

- This is called "acclimatization" β€” it trains your body to sweat better and handle heat more efficiently.

- Skipping this step is like running a marathon without training. Don't be that person.

β˜€οΈ SUNSCREEN ISN'T JUST FOR VANITY

- Sunburned skin can't sweat properly for up to a week β€” even after the redness goes away.

- Translation: sunburn literally breaks your body's air conditioning. Wear the sunscreen.

πŸ’Š CHECK YOUR MEDS

- Some medications can make you more vulnerable to heat, including:

- Blood pressure meds (diuretics, beta-blockers)

- Allergy meds (antihistamines)

- Some psychiatric medications

- Stimulants and certain supplements

- If you take any of these, talk to your doctor before spending extended time in the heat. Don't stop your meds β€” just be extra cautious.

🧊 COOL DOWN LIKE YOU MEAN IT

- Air conditioning is the #1 protective factor against heat illness. If you don't have AC, go to a cooling center, library, mall, or a friend's house.

- Cool showers, wet towels on your neck, and misting fans all help.

- Heads up: regular fans stop working well above 99Β°F and can actually make things worse in dry heat. They just blow hot air at you like a hair dryer.

πŸ‘€ CHECK ON YOUR PEOPLE

- Older adults, people who live alone, those with chronic health conditions, and anyone with limited mobility are at the highest risk.

- A quick phone call or visit during a heat wave can literally save a life.

🚨 KNOW THE WARNING SIGNS

Heat Exhaustion (bad, but manageable):

- Heavy sweating, weakness, headache, nausea, dizziness, muscle cramps

- You still know who you are and where you are

- What to do: Get to a cool place, drink fluids, rest, apply cool water to skin

Heat Stroke (EMERGENCY β€” call 911 immediately):

- All of the above PLUS confusion, slurred sp*ech, bizarre behavior, passing out

- Body temperature over 104Β°F

- What to do: Call 911. While waiting, get the person into the coolest water you can find (ice bath, cold shower, hose them down). Every minute counts.

---

The Bottom Line: Heat-related illness is almost entirely preventable. Hydrate smart, dress light, respect the clock, ease into the heat, and know when to call it quits. And check on your neighbors β€” especially the ones who might not check on themselves.

Stay cool out there. 🧊

Menopause conversations are finally expanding beyond hot flashes.A common cause of falls in people with osteoporosis: Ru...
06/25/2026

Menopause conversations are finally expanding beyond hot flashes.
A common cause of falls in people with osteoporosis: Rushing to the bathroom!
For many women, the hardest part isn't talked about enough: feeling less in control of their own body, pelvic health, bladder control, strength, confidence, and core stability all matter, especially during major hormonal transitions.
πŸ’Now Offering Cherry Financing.
6 treatments of 28 minutes each. Each treatment is equal to 11,000 Kegal Exercises.

06/22/2026

Our patients are clamoring for BTL EMSELLA. Did you think
that you would never jump rope, sneeze or sleep through the night again? Think again…

Integrated Osteoporosis Clinic now offers the BTL EMSELLA, specially designed to treat the symptoms of urinary incontinence.

Nearly 2/3 of all post-partum and post-menopausal women suffer from some form UI. Integrated Osteoporosis Clinic now has the ability to offer a new class of non-invasive technology to build the muscles of the pelvic floor, BTL EMSELLA is like nothing you’ve felt before, it’s a completely new category of technology that allows you to treat while remaining fully clothed – Yes, fully clothed!

One of the biggest mistakes I see is people thinking there is a "one-size-fits-all" exercise program for bone health.The...
06/16/2026

One of the biggest mistakes I see is people thinking there is a "one-size-fits-all" exercise program for bone health.

There isn't.

The best exercise for your bones depends on:
βœ… Your bone density
βœ… Your fracture history
βœ… Your balance
βœ… Your strength
βœ… Your level of frailty

What helps one person build bone could put another person at risk for a fall or fracture.

And speaking of strength...

🚨 Sarcopenia is one of the biggest enemies of healthy aging.

Sarcopenia means age-related muscle loss. As muscle disappears:

❌ Balance gets worse
❌ Falls become more likely
❌ Independence decreases
❌ Fracture risk rises
❌ Recovery becomes harder

Muscle isn't just for looking good at the beach. πŸ–οΈ

Muscle is your body's armor.

Strong muscles help support your skeleton, protect your joints, improve metabolism, and keep you doing the things you love for years to come. ❀️

The goal isn't simply to live longer.

The goal is to improve your HEALTHSPAN β€” the years you remain active, independent, strong, and able to enjoy life.

That's why I am excited to be completing Bone Fit training this summer! πŸŽ‰

Bone Fit is specialized training that helps healthcare professionals prescribe safe and effective exercise strategies for people with osteoporosis, osteopenia, fractures, and varying levels of physical ability. You can search for a local Bone Fit certified provider here: https://www.bonehealthandosteoporosis.org/bonefit-find-a-professional/

Because "just exercise more" isn't always the right answer. The right exercise for the right person matters.

πŸŽ‰ OPEN HOUSE REMINDER πŸŽ‰

πŸ“… June 19
⏰ 3:00 PM – 7:00 PM
πŸ“ Integrated Wellness
14 North Main Street, Unit D
Brewer, Maine

Come meet Elizabeth Duke, NP, tour the clinic, enjoy healthy snacks, and learn more about:

🦴 Bone Health, both pharmacologic and nonpharmacologic treatments
πŸ’™ Hormone Optimization
πŸ’‰ Peptides
πŸ₯ Adult Wellness Care
πŸͺ‘ EMSella Pelvic Floor Therapy

Questions?

πŸ“ž 207-659-8366

Strong bones. Strong muscles. Strong future. πŸ’ͺ🦴

June mornings in Maine are just lovely after all that cold rain and snow. Onyx and Wooly seem content!
06/08/2026

June mornings in Maine are just lovely after all that cold rain and snow. Onyx and Wooly seem content!

06/03/2026

Read my latest blog post!

Learn how testosterone impacts energy, mood, and bone health during menopause and why balanced hormones are essential for long term wellness in women.

Address

14 North Main Street, Unit D
Brewer, ME
04412

Opening Hours

Tuesday 3pm - 5pm
Wednesday 7pm - 9pm
Friday 1pm - 5pm

Telephone

+12076598366

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