Dr. Jocelyn Wittstein

In my world, I think we need to focus, like capture these wrist fractures because at least we're not so far down the line.

So bone health is silent.

Some of the other things are less silent.

Yeah, yeah.

Yeah.

Yeah.

Many lifestyle choices will help you protect your bone density.

And so many people, as you know, are not candidates for hormone therapy.

Right.

So hormone therapy alone will not be really enough, probably, or certainly isn't the only way to protect your bones.

So...

Lots of data.

And, you know, you've talked about a lot of times about strength training.

And everyone hears the saying, you have to lift heavy.

And I do want to say, because I'm an orthopedic surgeon and I see people, not everyone can lift heavy and that's okay.

But there is evidence that heavier strength training, higher intensity does increase your bone density more than moderate and lower intensity.

But there's still benefit to moderate and lower intensity.

They both can help you increase bone density.

And of course, the classic trial that everyone...

NOSE, which is an amazing trial, the LIFMORE trial, you know, a great trial that used women who were menopausal with some of the osteopenic, some of the osteoporotic, and they did back squats, deadlifts, overhead presses, and jumping chin-ups, and they kind of ramped them up to high intensity over eight months, and they gained 3% in their lumbar spine and also significant gains in their hips.