Optimising bone health through diet and lifestyle

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This CPD course...

  • is delivered: As an online on-demand-video from a live course 
  • nutritional therapists, nutritionists, dieticians, naturopaths,  other health care providers  and final year nutrition students interested in applying  functional medicine approaches to health and well-being (i.e. exploring how nutrients, other foods and lifestyle factors influence the function of the body and how to apply findings in a person–centred manner that recognises individuals’ unique differences)
  • is with: Lorraine Nicolle
  • spans: 5 hours recording time
  • provides: BANT CPD 5 hours, NNA 5 hours 

Bone is a living, dynamic tissue, meaning that optimising bone health isn't solely about structure, but also about healthy bone metabolism.  And with 50% of women and 20% of men over the age of 50 years expected to break a bone (NOS 2021), the importance of supporting good bone health throughout life should be high on every nutrition practitioner’s agenda. 

Practitioners are often unaware how to support bone metabolism in addition to bone structure and are unaware of the underlying drivers of unwanted bone loss, particularly chronic inflammation and the many different potential triggers for this.  They are also surrounded by contradictory and mis-information about bone health, including for example the risks and benefits of calcium supplementation.  

This course will use a personalised, systems-biology approach to identify ten key potential antecedents, triggers and mediators driving bone inflammation which can be used to support bone quantity and quality and thereby potentially prevent and manage osteopaenia and osteoporosis and delay the need for drug therapies. It will look at the mechanisms of action underpinning key dietary, lifestyle and nutritional supplement interventions and will highlight what is known about their actual impact from published human studies. Eight different dietary approaches to support bone health will be presented and you will have the chance to apply these to case study vignettes. You will also learn what laboratory tests to consider when assessing structural or metabolic bone health and will be presented with various nutraceutical options and their evidence.  

ION's courses have a strong reputation for providing evidence-informed education. This course has been structured and designed based on best practice in delivering an effective and interactive online learning experience.  Core concepts will be explained and excerpts of case studies will be used to examine interpreting test results and developing recommendations.  

ION's courses have a strong reputation for providing impartial and evidence-informed education. This course has been structured and designed based on best practice in delivering an effective and interactive online learning experience.



What will I learn?

By the end of the recording you will be able to: 

  • Explain the biochemical imbalances that may contribute to unwanted bone loss and be able to evaluate their potential importance in person- specific contexts based on history taking, test results and other forms of evidence. 
  • Critically analyse some of the latest research findings, debates and approaches around the management of bone health and the prevention and management of osteopenia and osteoporosis and be able to judge their appropriateness to support personalised recommendations. 
  • Critically discuss areas of controversy, fact and fiction in the field of bone health. 
  • Critically discuss key  dietary recommendations, tests, potential supplements and related approaches around the management of optimal bone health and be able to apply this knowledge to personalised recommendations 
  • Critically appraise evidence-informed nutritional approaches for improving bone health , including the use of supplements 


What will be covered?

Session 1: (1 hour 15 minutes) Understanding bone biochemistry: What can typically go wrong and how to use a personalised approach to identify the underlying functional causes of inflammation. 

  • Bone biochemistry: Understanding structure and metabolism 
  • What can go wrong  and why - a focus on osteoporosis  and osteopenia  
  • Pharmaceutical treatments used in primary care: A brief overview of their mechanism of action, uses and potential side effects 
  • Underlying functional imbalances part 1: The science of osteoimmunology: Chronic inflammation as the strongest trigger and mediator of bone loss.   
  • Reflection: recap quiz 
  • Underlying functional imbalances part 2: Using a personalised, systems-biology approach to identify antecedents, triggers and mediators driving bone inflammation: Catabolism, poor gamma carboxylation, GI dysbiosis, intestinal hyperpermeability, dysfunction of HPA, HPT and/or HPO axes, glycaemic disorders, hypomethylation, acidosis, elevated oxidative stress, loss of immune tolerance.   
  • Reflection: recap quiz 
  • Session key points 
  • Q and A 

Session 2: (1 hour 30 minutes) Understanding laboratory testing options and creating targeted dietary programmes  

  • Underlying functional imbalances to consider when choosing a dietary programme  
  • Useful laboratory testing: Bone metabolism biomarkers, functional nutrient status, and labs for bone-related biochemical imbalances. 
  • The eight most important dietary factors to consider and the rationale for considering these. 
  • A detailed look at anabolic diet, gastrointestinal support, glycaemic control, acid-alkaline balance diet approaches. 
  • Reflective exercise: Developing a one-day meal plan that incorporates the dietary factors presented 
  • Q and A 
  • A detailed look at bone mineralisation, anti-nutrient controlled, anti-inflammatory and antioxidant diet approaches 
  • Reflective exercise: Modify your one-day meal plan to incorporate all eight dietary factors 
  • Session key points 
  • Q and A 

Session 3: (1 hours 45 minutes) How to identify and deliver appropriate lifestyle advice to complement your dietary advice. How to assess whether a client requires the core bone structural vitamins and minerals  

  • Lifestyle advice and when/ how to refer on. 
  • Reflection: Lifestyle habits and/or technological aids that can be used to shift physiological pathways involved in stress, sleep, catabolism and inflammation 
  • Q and A 
  • The evidence for core supplements for structural support and when they are appropriate: Calcium, Magnesium, Vitamins D3 and K2, and trace minerals. 
  • Reflection: Case vignette  
  • Session key points 
  • Q and A 

Session 4: (1 hour 15 minutes) Exploring the evidence for using key nutraceuticals to optimise bone metabolism. How to assess whether a client requires core bone metabolism nutraceuticals 

  • Recap of the biochemical imbalances that can disrupt bone metabolism  
  • The evidence for key nutraceuticals to consider and when. Part 1: Specific bioactive collagen peptides, vitamin C, lysine, FOS/inulin.  
  • Reflective exercise to interpret test results including gamma carboxylated osteocalcin, serum D3, urinary amino acids and organic acids. 
  • Q and A 
  • The evidence for key nutraceuticals to consider and when.  Part 2: Butyric acid or LGG, plant bioactives, NAC, lipoic acid, lactoferrin 
  • Reflective exercise: Case vignette   
  • Session key points

Who is leading the course?

Lorraine Nicolle MSc (Nutr.), BA (Hons), PGCHE, Dip BCNH, MBANT, CNHC 

Lorraine is a nutritional therapist with over 19 years’ experience  with clients with chronic, long term conditions, including osteopenia and osteoporosis, as well as gastrointestinal, autoimmune and hormonal issues. She is also the co-founder of an online course for perimenopause and menopause called ‘My Menopause Companion’. She holds an MSc in Nutrition and Chronic Illness from Middlesex University / CNELM; a post- graduate teaching certificate and has undertaken further training with the Institute for Functional Medicine.   

Lorraine has undertaken various teaching roles in nutrition, including 5 years at West London University. Currently she lectures at ION and other UK institutions on their accredited nutritional therapy degree courses.  

She has a long history of providing practitioner education and developing CPD events and has worked closely with Lamberts Healthcare and Pharma Nord. She is also a BANT-accredited clinical supervisor, undertaking clinical supervision and mentoring sessions for nutrition practitioners.  

Lorraine has author-edited three books on personalised nutrition (Biochemical Imbalances in Disease, The Functional Nutrition Cookbook and Eat to Get Younger) and she is the series editor for a set of books that includes Mitochondria in Health and Disease by Ray Griffiths; Case Studies in Personalised Nutrition by Angela Walker; and Using Nutrigenomics Within Personalised Nutrition by Anne Pemberton. 

How will I be taught?

ION’s CPD courses reflect best practice for online teaching and learning practice.  This is an edited recording of a live course. It contains presentations interspersed with anonymised case study data, individual exercises and recorded Q&A sessions.

How much does it cost and what’s included?

  • The course price is £89.00. 
  • PDF of presentation  
  • Approx. 5 hours edited recording 
  • Viewing access for a least 90 days. You can access the course up to 12 times. 
  • BANT CPD 5 hours, NNA 5 hours 

Important information

About this on-demand recording

  • The speaker is not present on this recording and you will not be able to ask them questions but you will be able to see the recorded Q and A sessions.
  • This course was recorded in April 2022. All recordings are removed approximately one year after they are recorded so that we can ensure our courses contain up to date information. You will be able to access the course for at least 90 days and view it up to 12 times before the materials are taken down. (Access to the recording, even if partial, will accumulate to 12 times).

How do I book?

  • Please check you have read ION’s FAQs including our cancellation and refund policy before booking
  • Click the "BOOK" button at the top or bottom of this page - you will be taken to our webinar platform 'Big Marker.' 
  • Please ensure you use the same name and email to register, login and purchase tickets on our website and any partner platforms. You are responsible for providing your correct email address across all ION and ION partner platforms.

Registration links and materials

  • You will be automatically sent a link to the course when you register. Please do not share this with anyone. This is set up to only allow entry to the first user that clicks it. Further links cannot be generated. 
  • Your booking confirmation email contains the password needed to access course materials (where applicable). Please type (rather than copying and pasting) this password when prompted and please ensure there are no spaces at the beginning or end. 
  • To download the course materials, click the HANDOUTS button in the video player (situated between the VOLUME and QUESTIONS buttons).  


  • Participation in an ION CPD course forms part of a practitioner's or individual's ongoing learning. It does not qualify a non-clinically trained practitioner or individual to work in a clinical setting. Individual’s boundaries of safe work, advice or practice are primarily determined by their formal qualifications and related personal insurance. 
  • This on-demand recording is recognised by BANT for 5  hrs CPD (applicable to BANT members only) and the NNA for 5 hrs CPD  
  • Non BANT /NNA/NTOI registered practitioners may use this course for their CPD depending on the requirements and guidance of their professional body.
  • We are not able to send out a certification of completion for VOD courses

If you have a queries, please email [email protected]