Shadowing Practice: Osteoporosis - Learn English Speaking with Video

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44 sentences
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The skeleton is made up of bones, which provide support and shape to the body.
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They protect soft internal organs, such as the brain and heart, from injury.
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Together with muscles, strong bones enable the body to move freely.
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Bones have a solid outer surface called compact bone.
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The inner bone is called spongy bone
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because it is less dense than compact bone and has many small holes like a sponge.
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Bones contain cells called osteoclasts that break down bone tissue.
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Other cells, called osteoblasts, make new bone tissue using minerals such as calcium and phosphate from the blood.
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Hormones such as estrogen, growth hormone,
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and testosterone help keep the number and activity of osteoblasts higher than osteoclasts so that more bone is made than removed.
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Physical forces and pressure during exercise also help bones to grow stronger and denser.
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These processes allow bones to grow strong in children and young adults.
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People have their strongest, most dense bones, called peak bone mass, in their 30s.
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After this age, osteoclasts gradually remove more bone than the osteoblasts make.
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Osteoporosis is a condition that leads to weakened bones, causing them to break more easily.
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Healthy bone is dense enough to support and protect the body, and to handle the stresses of movement and minor injuries.
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However, people with osteoporosis have abnormally thin bones with larger holes in the spongy bone.
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There are two types of osteoporosis.
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Primary osteoporosis is usually related to older age, as well as a reduced amount of estrogen in women.
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Secondary osteoporosis affects both children and adults.
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It is related to other diseases or conditions, such as cancer, hormone problems, or use of certain medications.
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A person has a greater risk for either type of osteoporosis
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if they don't develop enough bone mass when they're growing from childhood to adulthood.
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Risk factors that can lead to low peak bone mass include a family history of osteoporosis,
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being white or Asian, being female,
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a poor diet, certain medications such as steroids or certain seizure medicines,
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lack of physical activity and weight -bearing exercise, • And lifestyle behaviors, such as smoking and drinking too much alcohol.
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A person also has a greater risk for either type of osteoporosis
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if they have an abnormal amount of bone loss after age 30.
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Some bone loss is normal after this age.
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However, a person with the same risk factors for low peak bone mass can be more likely to get osteoporosis as they age.
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Increased bone loss is also common in women after the time of a woman's last period, called menopause.
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After menopause, a woman's ovaries stop making the hormone estrogen.
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With the drop in hormones, bone -removing cells, called osteoclasts, are more active than the bone -making cells, called osteoblasts.
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Bones may break or fracture easily because they're unable to withstand the physical strain and pressure from even normal activities.
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Common fracture locations in people with osteoporosis include the wrists, spine, and hips.
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Building strong,
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healthy bones through a diet rich in calcium and vitamins and getting regular exercise can help prevent as well as treat osteoporosis.
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Common medications for osteoporosis include biphosphonates,
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a medication called denosumab, Selective Estrogen Receptor Modulators, or CIRMs and calcitonin.
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In general, these medications act on bone -removing cells, called osteoclasts.
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Parathyroid hormone acts on bone -making cells, called osteoblasts.
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Food or supplements containing calcium and vitamin D are also recommended for osteoporosis.
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For more information, talk to a healthcare professional.

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Vocabulary and speaking notes for this lesson

This speaking lesson is built on the video “Osteoporosis”. The speaker keeps coming back to these words: bone, osteoporosis, hormone, cells, osteoblasts. This video has 35 sentences and 578 words to shadow. The speech runs for 5:05. The speaker talks at a steady 114 words per minute, a comfortable pace for shadowing. Only 73% of the words are among the 3,000 most common in English, so the vocabulary is demanding.

Key vocabulary in this video

15 words from the video worth learning, with pronunciation and meaning:

WordPronunciationMeaning
bone noun/boʊn/A composite material consisting largely of calcium phosphate and collagen and making up the skeleton of most vertebrates.
hormone noun/ˈhoɹmoʊn/Any substance produced by one tissue and conveyed by the bloodstream to another to effect physiological activity.
medication noun/mɛdɪˈkeɪʃən/A medicine, or all the medicines regularly taken by a patient.
dense adjective/ˈdɛns/Having relatively high density.
calcium noun/ˈkælsi.əm/The chemical element (symbol Ca) with atomic number 20: a soft, silvery-white alkaline earth metal which occurs naturally as carbonate in limestone and as…
thirty noun/ˈθɝti/A commercial lasting 30 seconds.
tissue noun/ˈtɪʃ.(j)u/Thin, woven, gauzelike fabric.
compact adjective/kəmˈpækt/Closely packed or densely constituted; having much material in a small volume.
vitamin noun/ˈvɪt.ə.mɪn/Any of a specific group of organic compounds essential in small quantities for healthy human growth, metabolism, development, and body function. They are found…
fracture noun/ˈfɹæk.t͡ʃʰəː/An instance of breaking, a place where something has broken.
thin adjective/ˈθɪn/Having little thickness or extent from one surface to its opposite.
hip noun/hɪp/The outward-projecting parts of the pelvis and top of the femur and the overlying tissue.
muscle noun/ˈmʌs.əl/A contractile form of tissue which animals use to effect movement.
enable verb/ɪˈneɪ.bəl/To make somebody able (to do, or to be, something); to give sufficient ability or power to do or to be; to give strength or ability to.
lifestyle noun/ˈlaɪfˌstaɪl/A style of living that reflects the attitudes and values of a person or group.

Phrasal verbs you will hear

WordMeaning
break down verbTo stop functioning.

Pronunciation to watch

  • The “th” sounds: thirty /ˈθɝti/, thin /ˈθɪn/, withstand /wɪðˈstænd/
  • The “sh” and “zh” sounds: medication /mɛdɪˈkeɪʃən/, tissue /ˈtɪʃ.(j)u/, seizure /ˈsi.ʒɚ/
  • Long words — get the stress right: medication /mɛdɪˈkeɪʃən/, testosterone /tɛˈstɑ.stəˌɹoʊn/, osteoporosis /ˌɒstiəʊpəˈɹəʊsɪs/, abnormally /æbˈnɔɹ.mə.li/, calcitonin /ˌkæl.sɪˈtoʊ.nɪn/

How to practise with this video

  1. Listen to the whole video once without speaking and note the words you do not know.
  2. Shadow it sentence by sentence at normal speed, repeating each one until your rhythm matches the speaker.
  3. Record yourself and compare with the original, paying attention to words like bone, hormone, medication.

What is the Shadowing Technique?

Shadowing is a science-backed language learning technique originally developed for professional interpreter training and popularized by polyglot Dr. Alexander Arguelles. The method is simple but powerful: you listen to native English audio and immediately repeat it out loud — like a shadow following the speaker with just a 1–2 second delay. Unlike passive listening or grammar drills, shadowing forces your brain and mouth muscles to simultaneously process and reproduce real speech patterns. Research shows it significantly improves pronunciation accuracy, intonation, rhythm, connected speech, listening comprehension, and speaking fluency — making it one of the most effective methods for IELTS Speaking preparation and real-world English communication.

Shadowing technique: read the full step-by-step guide →