Danielle and Cheryl have been talking for 25 episodes. To celebrate, they decided you should hear someone else talk for a change – so they invited Menopause Specialist Katelin Cashman, PA, back to talk about bone health in middle age women. While 50% to 85% of variation in bone mineral density is due to genetics (thanks mom), you can also make changes in your diet, lifestyle, weight training, and supplements to optimize your skeletal system. Katelin explains bone density (along with other metrics for bone health) and DEXA scans (the gold standard on measuring), and then helps you understand what those tests mean and how they can help you through your mid-life bone health journey. The World Health Organization estimates 30% of Caucasian post-menopausal women already have osteoporosis. Don’t be one of them. Like Cheryl. Cheryl is one of them. 

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Links mentioned in this episode:

• Cohen, A., & Shane, E. (2013). Evaluation and management of the premenopausal woman with low BMD. Current osteoporosis reports, 11(4), 276–285. https://doi.org/10.1007/s11914-013-0161-4
• Crandall CJ, Larson J, Wright NC, et al. Serial Bone Density Measurement and Incident Fracture Risk Discrimination in Postmenopausal Women. JAMA Intern Med. 2020;180(9):1232–1240. doi:10.1001/jamainternmed.2020.2986
• D. Farlay, Y. Bala, S. Rizzo, S. Bare, J.M. Lappe, R. Recker, G. Boivin,
• Bone remodeling and bone matrix quality before and after menopause in healthy women, Bone, Volume 128, 2019, 115030, ISSN 8756-3282, https://doi.org/10.1016/j.bone.2019.08.003.
• Elshaikh, A. O., Shah, L., Joy Mathew, C., Lee, R., Jose, M. T., & Cancarevic, I. (2020). Influence of Vitamin K on Bone Mineral Density and Osteoporosis. Cureus, 12(10), e10816. https://doi.org/10.7759/cureus.10816
• Ganesan K, Goyal A, Roane D. Bisphosphonate. [Updated 2023 Jul 3]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470248/
• Gosset A, Pouillès JM, Trémollieres F. Menopausal hormone therapy for the management of osteoporosis. Best Pract Res Clin Endocrinol Metab. 2021 Dec;35(6):101551. doi: 10.1016/j.beem.2021.101551. Epub 2021 Jun 2. PMID: 34119418.
• Guzon-Illescas, O., Perez Fernandez, E., Crespí Villarias, N., Quirós Donate, F. J., Peña, M., Alonso-Blas, C., García-Vadillo, A., & Mazzucchelli, R. (2019). Mortality after osteoporotic hip fracture: incidence, trends, and associated factors. Journal of orthopaedic surgery and research, 14(1), 203. https://doi.org/10.1186/s13018-019-1226-6
• Karlamangla, A. S., Burnett-Bowie, S. M., & Crandall, C. J. (2018). Bone Health During the Menopause Transition and Beyond. Obstetrics and gynecology clinics of North America, 45(4), 695–708. https://doi.org/10.1016/j.ogc.2018.07.012
• Miller PD. Management of osteoporosis. Advances in Internal Medicine 44:175-207, 1999.
• NAMS POSITION STATEMENT Management of osteoporosis in postmenopausal women: the 2021 position stat