Everyday Wellness: Midlife Hormones, Menopause, and Science for Women 35+

Ep. 467 Bone & Joint Health Tips for Women 40+ with Dr. Jocelyn Wittstein | Bone Health & Menopause

14 snips
May 21, 2025
Dr. Jocelyn Wittstein, a board-certified orthopedic surgeon from Duke, shares crucial insights on joint and bone health for women aged 40 and up. She discusses the spike in joint pain during menopause, the benefits of hormone therapy, and targeted supplements like curcumin and collagen. The conversation emphasizes the necessity of early DEXA scans and the vital role of exercise in maintaining bone density. Dr. Wittstein also touches on the impact of GLP-1 medications and the importance of personalized health strategies to combat osteoporosis and enhance overall wellness.
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INSIGHT

Bone Health and Early Life Factors

  • Peak bone density is reached by age 30 but can be negatively impacted by overtraining and under-fueling.
  • Depo-Provera can reduce bone density but some recovery occurs after stopping; caution is advised especially with injuries.
ADVICE

Screen Bone Density Early

  • Women with risk factors like thyroid issues or medication use should get DEXA scans earlier, around age 40.
  • Early bone density screening helps guide preventive decisions like hormone therapy before menopause.
INSIGHT

Osteoporosis and Hormone Therapy

  • About 75% of women will experience a fracture, mostly hip fractures, due to osteoporosis.
  • Hormone therapy is an underutilized but approved preventative treatment for osteoporosis and fractures.
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