Dr. Stephanie Estima

There's like winter, spring, what are the other ones? Fall and summer. So in the wintertime when there's ice and there's snow and maybe there's black ice, which is just, it doesn't, black ice is, it doesn't actually look shiny. It looks like there's no ice there. So you can walk on it and slip and fall, fall on outstretched hand. Or if you don't get your hands out in time, you fall on your hip.

There's like winter, spring, what are the other ones? Fall and summer. So in the wintertime when there's ice and there's snow and maybe there's black ice, which is just, it doesn't, black ice is, it doesn't actually look shiny. It looks like there's no ice there. So you can walk on it and slip and fall, fall on outstretched hand. Or if you don't get your hands out in time, you fall on your hip.

There's like winter, spring, what are the other ones? Fall and summer. So in the wintertime when there's ice and there's snow and maybe there's black ice, which is just, it doesn't, black ice is, it doesn't actually look shiny. It looks like there's no ice there. So you can walk on it and slip and fall, fall on outstretched hand. Or if you don't get your hands out in time, you fall on your hip.

You don't want those bones to be so brittle that they crack. A healthy bone is one that actually is bendy. And I know that that's a little bit counterintuitive for the listener maybe to hear, but one of the hallmarks of a healthy bone is the ability to absorb the shock that's imparted onto it and then release it, which requires a little bit of suppleness.

You don't want those bones to be so brittle that they crack. A healthy bone is one that actually is bendy. And I know that that's a little bit counterintuitive for the listener maybe to hear, but one of the hallmarks of a healthy bone is the ability to absorb the shock that's imparted onto it and then release it, which requires a little bit of suppleness.

You don't want those bones to be so brittle that they crack. A healthy bone is one that actually is bendy. And I know that that's a little bit counterintuitive for the listener maybe to hear, but one of the hallmarks of a healthy bone is the ability to absorb the shock that's imparted onto it and then release it, which requires a little bit of suppleness.

It requires that bendiness that I'm talking about. A brittle bone will not be able to absorb the force and it will just crack underneath that force. So this is really, really important for women to understand. And we are more likely to develop osteopenia and then, of course, the disease state of osteoporosis in menopause because these anabolic hormones are low, right?

It requires that bendiness that I'm talking about. A brittle bone will not be able to absorb the force and it will just crack underneath that force. So this is really, really important for women to understand. And we are more likely to develop osteopenia and then, of course, the disease state of osteoporosis in menopause because these anabolic hormones are low, right?

It requires that bendiness that I'm talking about. A brittle bone will not be able to absorb the force and it will just crack underneath that force. So this is really, really important for women to understand. And we are more likely to develop osteopenia and then, of course, the disease state of osteoporosis in menopause because these anabolic hormones are low, right?

So estrogen, we have estrogen receptors all over the body, including the bone. So as we age, there's this accelerated bone breakdown. So I know you know that osteoclastic to osteoblastic ratio. So basically the cells in the bone, the cells that build up the bone, the blasts, the osteoblasts are slower in menopause than our osteoclastic bones, which are the cells that break down the bone.

So estrogen, we have estrogen receptors all over the body, including the bone. So as we age, there's this accelerated bone breakdown. So I know you know that osteoclastic to osteoblastic ratio. So basically the cells in the bone, the cells that build up the bone, the blasts, the osteoblasts are slower in menopause than our osteoclastic bones, which are the cells that break down the bone.

So estrogen, we have estrogen receptors all over the body, including the bone. So as we age, there's this accelerated bone breakdown. So I know you know that osteoclastic to osteoblastic ratio. So basically the cells in the bone, the cells that build up the bone, the blasts, the osteoblasts are slower in menopause than our osteoclastic bones, which are the cells that break down the bone.

So it is very likely if you're not training that that osteoclastic activity, those cells that break down the bone are accelerating. So you have this sort of brittle state of bone. And then if you have something like even it doesn't have to be black ice. You can literally trip on a corner of a carpet. I've done that. I've tripped on carpet corners before and I've been able to catch myself.

So it is very likely if you're not training that that osteoclastic activity, those cells that break down the bone are accelerating. So you have this sort of brittle state of bone. And then if you have something like even it doesn't have to be black ice. You can literally trip on a corner of a carpet. I've done that. I've tripped on carpet corners before and I've been able to catch myself.

So it is very likely if you're not training that that osteoclastic activity, those cells that break down the bone are accelerating. So you have this sort of brittle state of bone. And then if you have something like even it doesn't have to be black ice. You can literally trip on a corner of a carpet. I've done that. I've tripped on carpet corners before and I've been able to catch myself.

But if I'm like 75 or 85 and I fall, I don't want to crack anything. So that's sort of the first big reason. It's like you want to be able to have an appropriate response to, let's say, something like a fall or to have the ability in the joints and the muscles to be able to get yourself up from a fall. So that's sort of the first M, that's mobility. Can I pause you there? Yeah.

But if I'm like 75 or 85 and I fall, I don't want to crack anything. So that's sort of the first big reason. It's like you want to be able to have an appropriate response to, let's say, something like a fall or to have the ability in the joints and the muscles to be able to get yourself up from a fall. So that's sort of the first M, that's mobility. Can I pause you there? Yeah.

But if I'm like 75 or 85 and I fall, I don't want to crack anything. So that's sort of the first big reason. It's like you want to be able to have an appropriate response to, let's say, something like a fall or to have the ability in the joints and the muscles to be able to get yourself up from a fall. So that's sort of the first M, that's mobility. Can I pause you there? Yeah.

Yeah, absolutely. I have some stats for you as well. I think that if you do have some type of hip fracture, within the first year, 50% of people do not survive that first year, right? So if you have 100 women and all of them break their hips, 50 of them are gonna die within the first year. Like a hip fracture, That, as you said, it is the kiss of death.

Yeah, absolutely. I have some stats for you as well. I think that if you do have some type of hip fracture, within the first year, 50% of people do not survive that first year, right? So if you have 100 women and all of them break their hips, 50 of them are gonna die within the first year. Like a hip fracture, That, as you said, it is the kiss of death.