Changes in menopause are more than just mood and temperature swings; it is a rewiring of bone biology. The Besties sit down again with Dr. Toni Otway, a New Jersey Board Certified OB-GYN physician, to unpack how falling estrogen levels accelerate bone loss, why height can shrink over time, and what it truly takes to prevent fractures that derail independence. Instead of chasing a perfect bone density number, they focus on a smarter target: fracture prevention through timely hormone therapy, evidence-based medications, and daily habits that strengthen bones and reduce falls.
Dr. Otway breaks down the science of menopause-associated bone health in plain language—how bones remodel, why vertebrae compress into microfractures, and the real stakes of a hip fracture.

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