When you're losing weight, you probably think about dropping dress sizes, improving blood sugar, or reducing joint pain. But what if some popular weight loss approaches could actually be setting you up for broken bones later in life? It's a connection most people never make and one that could change how you think about your weight loss journey.

This hidden risk becomes even more important as new weight loss medications help people achieve dramatic results. While losing 30+ pounds can transform your health in countless positive ways, there's a conversation happening between your bones and your weight that you've probably never heard about. The surprising truth? Even moderate weight loss of just 6-9% can significantly increase your risk for fractures.

Join Holly and Jim as they sit down with Dr. Sue Shapses, Professor of Nutritional Sciences at Rutgers University and a leading expert on the relationship between weight loss and bone health. For over 30 years, Sue has been uncovering how our weight loss strategies affect skeletal strength and long-term bone function. Her research reveals why people with obesity might have denser bones that are actually weaker and what you can do to protect yourself during weight loss.

Discussed on the episode:

• The shocking discovery about bone quality in people with obesity that challenges everything doctors thought they knew
• Why successful weight loss can increase fracture risk by 39% and what defines "successful" in this context
• The surprising reason your body actually decreases calcium absorption during weight loss (hint: it's not what you'd expect)
• Whether clinicians prescribing new weight loss medications should monitor bone density
• The three key factors that create a "bone health trifecta" and why two of them have nothing to do with weight
• Why getting a DEXA scan during active weight loss might be a waste of money
• The specific amounts of calcium, vitamin D, and protein that can help protect your bones during weight loss
• How high-fat diets might compromise bone health in ways that go beyond weight gain
• The parallel between muscle and bone that's changing how researchers approach both fields
• Real listener questions answered: Should a 45-year-old on GLP-1 medication get a DEXA scan now?