Dr. Stacy Sims

Yeah.

They can do that as well.

This conversation is really important, though, to extend besides just menopause or perimenopause, that there are women of reproductive age years who have profound periods of low estrogen.

Yeah.

who are also at risk for serious problems with their bone density, both now and down the road.

And so if you come to me and you say, oh, I haven't had a period for seven years, no big deal.

Well, that is a big deal.

And depending on the reason why, many of the causes will result that

you had low estrogen and you were not ovulating and you have hit that graph you showed while you're building your bone, that person's on a different trajectory.

And those women do need bone scans much earlier so that we can see where they are and see what treatment we need.

But it's one of the biggest reasons bone health is one of the...

most acceptable medical reasons for why we should put younger women who have low estrogen time periods onto estrogen treatment because it can so profoundly change their bone health long term.

It's like the sacrifice of other things.

It's like we said about Pilates.

If all you do is running, then that is definitely not the best way to be.

It's not the healthiest for your whole body.

It's not that you're unhealthy, but we're really talking about how are we optimizing your body and your hormonal health for a variety of different goals.

Yeah.

But also, if we look very micro at running, 58% of runners have a luteal phase defect.

That means that the second half of their menstrual cycle is not going to be able to last as long as we want it to, likely due to what Stacey was talking about earlier, this