Dr. Shilpa Sayana is a triple board-certified MD in Internal Medicine, Obesity Medicine, and Functional Medicine with a deeply compassionate, science-backed approach to women's health. She's been helping women in perimenopause and menopause reclaim their energy, balance hormones, and feel like themselves again—even when they’ve been told everything looks "normal." Her Sayana Medical Road Map goes beyond symptom management to address the full picture of what’s going on inside, and her work has earned both peer and patient recognition, including the Best Doctors Women’s Choice Award.

We break down the real reasons your bones begin to weaken—hint: it’s not just about calcium or age. Estrogen, cortisol, and inflammation are central players, and Dr. Sayana explains how they work together to either support or sabotage your bone strength. She also shares what most conventional doctors miss, including the power of Dutch hormone testing, inflammatory markers like CRP, and how you can finally get answers that connect the dots. You are in control of your body and your bones.

Key Takeaways

Estrogen Is a Bone Builder – Dr. Sayana explains how the drop in estrogen during menopause removes the natural protection our bones need, contributing to osteoporosis and increased fracture risk.

Stress Creates Hidden Bone Loss – Chronic cortisol weakens bone structure, even in women who “look healthy” on the outside.

Inflammation Drives Bone Breakdown – Inflammation acts like a slow burn that quietly erodes your bone strength.

Look Beyond the DEXA Scan – A clear DEXA doesn't mean your bones are resilient. Bone quality matters just as much as density.

Functional Testing Gives You Answers – Tools like the Dutch test and CRP bloodwork show the deeper story behind your symptoms.

Your Lifestyle Is the Foundation – Managing stress, eating anti-inflammatory foods, and supporting your hormones can rebuild bone from the inside out.

Where to Find Our Guest

Dr. Sayana’s Instagram: https://www.instagram.com/sayanamedical

Dr. Sayana’s Website: https://www.sayanamedical.com

Links & Resources

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