Dr Natalie Crawford

And then the third group did all the same exercises and added HRT.

And depending if they had a uterus, they got estrogen or estrogen plus progestogen.

And so, of course, as expected, the do nothing group lost bone.

You gain bone as expected in the resistance group, but it seemed to be synergistic when we added hormone therapy and the resistance training together.

They grew even more bone.

They had even better results.

So when my patients are like, I want to hedge my bets.

My mother fell and fractured.

She's broken her hip in a nursing home, whatever, and I'm trying to avoid this.

We're hitting all the points, right?

And the only medication of it, now we have other medicines that will help slow down resorption of bone, the bisphosphonates and stuff, but they can be hard to take and they have a lot of side effects.

So to me, prevention is always better than cure, right?

So I'm trying to get them and get them early.

I just ignore the guidelines that say you have to wait till 65 unless you have some chronic medical condition to get a bone density.

I'm telling patients, you can find it for about $99 around, well, I work in Houston and-

That is worth the investment for you to go get your baseline bone density.

I don't know a single orthopedic surgeon, you know, a single exercise physiologist or anybody who deals with osteoporosis who thinks 65 is a good idea.

So if your listeners are like, oh, well, you know, my insurance won't pay for it.

I'm like...

There are centers popping up now where you can go and get a DEXA scan and just pay out of pocket and get a great, you know, and figure out where your starting base is.