Dr. Stacy Sims

So we need to make sure that we're actively fighting that, and building muscle is one great way because it's going to use up glucose and fight insulin resistance, which means makes your cells more sensitive to when it sees glucose and able to use it better.

If you have another thing that is pro-inflammatory, such as PCOS or endometriosis, it's even more important for you because your inflammatory burden by default of what's happening at a cellular level is higher.

We now need to not just say,

I need to not make it worse by being exposed to things.

We have to say, I need a plan to fight this because my world is pro-inflammatory on a daily basis.

What is my game plan to fight this?

And building muscle.

It's not just exercise is better than no exercise, but specifically building muscle because as everybody's saying, it has a metabolic function in your body is going to help you the most.

But that's not the standard recommendation.

A bone scan to see your bone density is the easiest way to describe it.

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.