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Caring for Your Bones: Protecting Bone Health During Perimenopause

bone health perimenopause Sep 01, 2025

Bone health often takes a backseat during perimenopause until a fracture or diagnosis brings it into focus. But the truth is, hormonal changes during this time have a significant impact on your bones. As estrogen levels decline, your body loses its natural protector against bone loss, putting you at increased risk for osteoporosis. This is why prioritizing bone health during perimenopause is one of the best investments you can make in your long-term well-being.

One of my patients, Laura, came to me concerned after her mother suffered a hip fracture due to osteoporosis. “I want to do everything I can to avoid that,” she said. We started by assessing her bone density through a DEXA scan and checking her calcium, vitamin D, and magnesium levels. Laura’s plan included weight-bearing exercises, foods rich in calcium like leafy greens and sardines, and a high-quality vitamin D supplement. By taking proactive steps, Laura felt empowered knowing she was protecting her bones for the future.

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Strengthening Your Foundation: Navigating Bone Health Through Menopause

As a female functional medicine physician who has extensive professional experience with menopause, I understand the deep impact this transition has on various aspects of health, especially bone health. Menopause, marked by the end of menstrual cycles, brings about significant changes in bone density due to declining estrogen levels. Estrogen plays a crucial role in maintaining bone strength, and its reduction during menopause accelerates bone loss, increasing the risk of osteoporosis. Understanding this shift is vital for taking proactive steps towards preserving and enhancing your bone health.

The risk of osteoporosis, a condition characterized by weak and brittle bones, escalates significantly after menopause. This makes fractures more likely, particularly in the hip, spine, and wrist. However, knowledge is power. Awareness of this heightened risk is the first step in prevention. It's essential to integrate lifestyle choices that actively support bone health

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