Most of us don’t think about our bones until something goes wrong—but bone health is about so much more than just a number on a DEXA scan. In this episode of Say Yes! to Chocolate, Dr. Becky and Sara dive into the difference between bone density and bone quality, why both matter, and how they work together to determine your true bone strength and fracture prevention.

Dr. Becky explains the differences between cortical and trabecular bone and highlights the need for a comprehensive approach, including blood marker tests and DEXA scans. They aim to raise awareness and offer actionable steps to maintain healthy bones as we age. 

You’ll learn:

• Why bone density (your T-score) is only half the story
• How bone quality protects against fractures in everyday life (yes—even sneezing!)
• The “candy bar” analogy that makes bone anatomy easy to understand
• Which simple tests and markers can give a fuller picture of your bone health
• Practical steps to start protecting and strengthening your bones now

If you’ve ever wondered whether your bone scan results tell the whole story—or how to take action before a fracture happens—this conversation will give you clarity, confidence, and hope.

00:00 Welcome to Say Yes to Chocolate

00:53 Understanding Bone Health

02:22 Bone Density vs. Bone Quality

03:21 Everyday Risks and Fracture Prevention

05:00 Anatomy of Bones: Cortical and Trabecular

08:46 Bone Health Markers and Scans

10:58 Taking Action for Better Bone Health

12:59 Conclusion and Next Steps

🎥 Prefer to Watch? Check us out on YouTube to learn more about supporting your bone health beyond just calcium and vitamin D, and stay for next week's deep dive into cutting-edge bone evaluation technology.

🦴 Download the Bone Marker Tests

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