Mary Claire Haver, MD@drmaryclaireInstagram

Most women are taught to think about osteoporosis as a later problem. Later, after menopause. Later, around

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what it claims

Preventing fractures and protecting bone health should not wait until age 65 or the onset of osteoporosis; one must act during the menopause transition, a period when bone loss accelerates, by adopting a comprehensive and personalized approach.

holds up

The post draws on a viewpoint by researcher Susan M. Ott in the journal *JAMA* (July 2026), an expert opinion emphasizing that the prevention of bone fragility is too often…

noli's read

The post draws on a viewpoint by researcher Susan M. Ott in the journal *JAMA* (July 2026), an expert opinion emphasizing that the prevention of bone fragility is too often overlooked in midlife women. Regarding the biology of well-being, the acceleration of bone density loss during the menopausal transition is a firmly established scientific fact. The large-scale SWAN observational study has demonstrated that women can lose a significant portion of their bone mass in the years surrounding the cessation of menstruation. To slow this decline, the utility of resistance (strength) training and an adapted nutritional profile is validated by systematic reviews as a pillar of strength and mobility. Conversely, the idea of routinely undergoing a baseline bone scan (DEXA) during perimenopause remains debated: consensus guidelines (such as the USPSTF) generally recommend it at age 65, except in the presence of specific risk factors (genetics, constitutional thinness) where early screening is fully justified.

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