08/15/2025
I wish more people knew how overlooked bone health is in women in their 30s - and in those navigating perimenopause and menopause - even though this is often when loss begins.
Most women aren’t told that bone density can start declining well before menopause. They’re not offered DEXA scans until it’s late…if at all. And they’re often made to feel like hormone therapy is something to avoid or delay, even when symptoms are already affecting their lives.
We’re also in a moment where GLP-1 medications are being used more than ever to support metabolic health, especially during hormonal transitions. When done right, they can be powerful tools. But without proper strength training, protein intake, and baseline evaluations like DEXA scans, they can accelerate losses in lean muscle and bone, especially in women already facing estrogen decline.
In my practice, I use DEXA scans to track lean mass, visceral fat, and bone density in women on GLP-1s and/or navigating hormonal shifts. For many, that one scan becomes the moment they finally have the data (and the confidence) to take action. Whether it’s adjusting training, nutrition, or starting early hormone therapy, it’s often the turning point.
Hopefully, this brings more awareness to how early DEXA screening and the right hormonal support can change the course of a woman’s health, strength, and long-term resilience.
Share this with someone who’s been told to wait until menopause before taking action. Link in bio for the full article.
