Bone Health:
Sequoia Medical 360

Stronger Bones. Longer Healthspan. Bronxville & Westchester, NY

Your skeleton is more than a frame—it’s a living, adaptive organ that safeguards mobility, independence, and longevity. As we age, bone turnover can tilt toward loss, raising the risk of silent fragility fractures that derail healthspan. At Sequoia Medical 360, we pair advanced diagnostics with targeted therapy and strength training to protect bone density and reduce fracture risk.From our concierge practice in Bronxville, we evaluate and treat osteoporosis, osteopenia, low bone mass, and calcium/parathyroid disorders that weaken bones. Plans are led by Dr. Tony Mathews (dual fellowship in Preventive Cardiology & Endocrinology, board-certified in Obesity Medicine and Clinical Lipidology), uniting metabolic health, hormones, and performance medicine.

When to Suspect a Bone Health Problem

Height loss, stooped posture, or back pain

Prior fracture after a minor fall (wrist, spine, hip)

Early menopause, long steroid exposure, thyroid/parathyroid disease

Low vitamin D or calcium; chronic kidney, GI, or inflammatory conditions

Unexplained kidney stones (possible calcium dysregulation)

How We Evaluate Bone Strength (Beyond a DXA Number)

1) Bone Density & Composition

DXA (hip/spine ± forearm) with T-scores and Z-scores

Vertebral fracture assessment (VFA) if height loss/back pain

InBody 770 body composition (lean mass vs. fat mass) to guide safe training

2) Fracture Risk Profiling

Clinical history, fall risk, medications, FRAX (if appropriate), balance testing

3) Metabolic & Calcium Work-up

25-OH Vitamin D, calcium, phosphorus, PTH, alkaline phosphatase

24-hour urine calcium (screen hypercalciuria)

Secondary causes screen when indicated (thyroid, celiac, CKD, hypogonadism, Cushing’s, meds)

4) Performance & Lifestyle

25-OH Vitamin D, calcium, phosphorus, PTH, alkaline phosphatase

24-hour urine calcium (screen hypercalciuria)

Secondary causes screen when indicated (thyroid, celiac, CKD, hypogonadism, Cushing’s, meds)

Treatment Pillars We Personalize

Nutrition & Lifestyle

Protein-forward plan to support bone and muscle; calcium from food first, supplement if needed

Vitamin D optimization; limit alcohol; no smoking

Strength training 2–4×/week (progressive, joint-safe) + impact/weight-bearing as tolerated

Balance & fall-prevention drills Medications (when fracture risk is elevated)

Antiresorptives: Oral/IV bisphosphonates (alendronate, risedronate, ibandronate, zoledronic acid), denosumab

Anabolic/dual-action: teriparatide, abaloparatide, romosozumab (time-limited courses)

Cycling/sequencing meds strategically (e.g., anabolic → antiresorptive) to build, then maintain bone Calcium/Parathyroid Disorders

Evaluate and treat primary hyperparathyroidism, hypoparathyroidism, vitamin D–related disorders, and idiopathic hypercalciuria, which directly affect bone remodeling.

Why Sequoia for Bone Health

While advanced medicine is central to our approach, lifestyle remains the cornerstone of lipid management. Our programs include:

Endocrine + cardiometabolic lens: We manage bone in the context of blood pressure, lipids, insulin resistance, and longevity.

Concierge access: Appointments often within 48 hours, extended visits, direct messaging, home/offsite options, telehealth across NY.

Integrated strength training: Collaboration with expert trainers to safely load bone and preserve muscle.

Medication stewardship: Use the least medication necessary; plan to de-prescribe when physiology stabilizes.

Start Stronger Today

Contact Sequoia Medical 360 to schedule your comprehensive bone evaluation in Bronxville—serving Westchester and all of New York via telehealth.

https://sqmed360.com

Located in Bronxville, serving Westchester & all of New York State.

(914) 292-0300