Mini Pause #67: Natural Ways to Boost Bone Density

TL; DR (Too Long; Didn't Read)

Maintaining bone density naturally becomes crucial as we age due to shifts in bone metabolism.

Osteopenia, the gradual loss of bone density, is a decades-long process that accelerates significantly during perimenopause and menopause, increasing the risk of osteoporosis.

Bones are dynamic tissues consisting of cortical (outer shell) and cancellous (inner, marrow-rich) bone, both of which change significantly with age.

Increasing bone density through strength training, plyometrics, walking, and adopting nutritional strategies is essential for maintaining overall health, regulating metabolism, and achieving optimal body composition.

WHY

Bone density naturally declines as we age because osteoclastic activity (bone breakdown) outpaces osteoblastic activity (bone formation). This process accelerates dramatically during perimenopause due to hormonal changes, particularly declining estrogen levels.

Estrogen supports bone density by inhibiting osteoclast activity (reducing bone breakdown) and promoting osteoblast activity (enhancing bone formation), thereby maintaining a balanced bone remodeling process.

Bones aren't just structural; they actively secrete hormones such as osteocalcin. This influences metabolism, insulin sensitivity, muscle function, and overall body composition.

WHAT

  • Cortical Bone: Dense outer shell providing structural support.

  • Cancellous Bone: Porous, spongy interior housing bone marrow, essential for metabolic and structural roles.

As we age, cancellous bone density decreases, making bones more susceptible to fractures.

Bone-derived hormones like osteocalcin regulate metabolism by enhancing insulin secretion and sensitivity, promoting glucose uptake by muscle tissue, increasing energy expenditure, and improving overall metabolic health and body composition.

Bones are the scaffolding of the body, but they are also active endocrine organs.

HOW

Practical ways to increase bone density naturally:

  • Strength Training: Increases mechanical load on bones, stimulating osteoblastic activity. Aim for consistent, progressive resistance exercises. šŸ’Ŗ

  • Plyometrics (Jumping Exercises): Improves bone density through high-impact activities, encouraging stronger bone formation. Examples include jump squats, box jumps, jumping jacks, skipping rope, and squat jumps. I personally love to do plyos on a step (complete with my leg warmers and off-the-shoulder top).Ā ā€¼ļø

  • Walking: Regular weight-bearing activity is gentle yet effective for maintaining and improving bone density. šŸ‘Ÿ

    • Try Magnesium Breakthrough and use code ESTIMA to get 10% off.

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    • Getting enough protein is easy with 8 flavors of grass-fed beef isolate goodness. Click HERE and use code BETTER to get 20% off.

  • Nutrition: Ensure adequate intake of magnesium, vitamin D, vitamin K2, and protein to support bone formation. 🦓

  • Sunlight Exposure: Enhances vitamin D synthesis, crucial for calcium absorption and bone health. ā˜€ļø

NOW

āž”ļø Choose one of the above that you are currently not doing and start integrating these bone-strengthening practices into your routine immediately.

āž”ļø Schedule regular strength and plyometric training sessions, daily walks, and supplements into your calendar or set reminders on your phone! This is one of my best tips for remembering to get all these little habits dialled in.

What I Recommend

TAME STRESS WITH THE RIGHT COLLAGEN

Stress does number on your body. Cortisol, the primary stress hormone, directly breaks down collagen, leading to deterioration of skin and connective tissue. Chronic stress not only accelerates collagen breakdown but also disrupts skin barrier function, leading to increased water loss and dryness. High stress elevates cortisol, promoting glycation, which causes collagen fibers to stiffen, resulting in skin wrinkles and dullness over time.

That's why you want a bioactive collagen that effectively counters the effects of stress!

  • Avoid Heat Degradation: High temperatures can break down collagen into less effective amino acids, reducing digestibility and bioavailability. Heat degradation creates cross-links within the collagen structure, making it more gelatin-like, less soluble, and harder for the body to absorb. This is why controlled low-heat processing, like Health Nag’s patented laser technology, preserves collagen’s full bioactivity and effectiveness.

  • Choose Hydrolyzed: Non-hydrolyzed collagen is ineffective because it’s too large to be absorbed. Hydrolyzed collagen is broken down into small peptides that cross the gut lining and are bioavailable to support collagen synthesis in skin, joints, and other tissues. Hydrolysis is key for any collagen to exert real benefits.

šŸ Health Nag’s collagen offers the most unique gel form I’ve seen on the market. And wow!—the delicious green apple flavor doesn’t disappoint. And just in time for spring and summer, Health Nag launched its bioactive collagen jelly in individual packets. Super convenient when you’re on the go or traveling! Learn more and try it HERE. Use code DRSTEPHANIE to save 10%.

KICK-START YOUR PERFORMANCE, ENERGY & FOCUS

I’ve been turning to ketones regularly in the morning before my workouts. Ketone-IQ gives me the fuel I need to power my favorite strength moves in the gym. Check out these mainstay benefits:

  • Appetite Control: Helps manage hunger by promoting a state of satiety. (Pro tip for my Bettys who find it hard to eat before early morning workouts.)

  • Energy & Focus: Provides a fast and steady energy source that crosses the blood-brain barrier. (I have the energy to focus on my workout and also maintain mental clarity to plan and think through my workday.)

  • Performance & Recovery: Enhances physical endurance and speeds up recovery by supporting mitochondrial function. (I don’t cut corners when it comes to recovery, but I do like the benefits of recovering more quickly and efficiently.

šŸ’„ Try Ketone-IQ (with or without caffeine) in several flavors: peach or green apple for me, please! Visit https://ketone.com/STEPHANIE to get 30% off your first subscription order. No code needed; discount automatically applied at checkout.

🌟 Love these recommendations? Find more resources to support your health in midlife in my Health Toolkit!

Mini Pause #65: Female-Specific Biomechanics in Fitness Training

TL; DR (Too Long; Didn't Read)

This weekend, I am speaking at the Health Optimization Summit in Austin. Part of my talk is about how men and women differ in hormones, muscle fibers, fatigue, recovery, circulation, injury susceptibility, neuromuscular adaptation, and anatomical angles—all influencing optimal training approaches.

Let’s go on a little nerd safari together.

WHY This Matters

Recognizing these differences ensures effective, safe, and personalized training that leverages strengths and reduces injury risk.

There is a reason you and I hate farmer carries.

Even though women are told that a ā€œgood test of longevity and strengthā€ is to be able to hold their body weight in their hands and carry it across the room, this is a great test for bros without a pelvic basin.

Not so much for women drawn like you and me. Every time I walk with a dumbbell or kettlebell, my curvy hips bonk it out of the way, making the test more of a shoulder and lat stabilizing test as I try to control the fly-away dumbbell.

As Jessica Rabbit famously said, “I’m not bad, I’m just drawn that way.” Farmer carries are mid at best for women with curves.

It’s also probably why you hate bicep curls with a barbell and prefer dumbbells. Our carrying angle is also wider, making a barbell too restrictive.

See?? It’s not you. It’s the male-centric world and the tests that are derived from it.

You’re not bad. You’re just drawn that way.

WHAT the Science Says

  • Hormones: Women have cyclical hormonal fluctuations (estrogen and progesterone) affecting muscle synthesis, energy availability, and performance.
  • Fiber Types: Women generally have a higher proportion of Type I muscle fibers (endurance-oriented), while men typically possess more Type II fibers (power-oriented).
  • Fatigability and Recovery: Women often fatigue slower and recover faster during endurance activities due to efficient energy utilization and better metabolic waste clearance. This is, in part, why we can train glutes 3x/week!
  • Capillary Perfusion: Women have better microcirculation, enhancing oxygen delivery and waste removal during endurance tasks. (Helloooo tomato-faced workouts!)
  • Injury Types: Women are more prone to ACL injuries due to wider hip angles (Q angle), hormonal fluctuations, and joint laxity. Men often experience muscle strains and ruptures due to greater force production, although this difference does tend to disappear when women enter menopause.
  • Neuromuscular Adaptations: Women rely more on muscular coordination and endurance-based adaptations, benefiting from enhanced neuromuscular efficiency and stability. This allows women to perform sustained muscular activities effectively, maintaining better form and technique over extended periods, which reduces injury risks and improves overall endurance performance.
  • Joint Angles: Women have larger elbow carrying angles and greater Q angles at the hips, influencing biomechanics, injury patterns, and movement efficiency. For example, the increased Q angle in women often contributes to knee valgus, which can raise the risk for ACL injuries during activities like jumping and landing. Similarly, a larger elbow carrying angle can affect upper-body mechanics, influencing movements such as overhead lifts, push-ups, and throwing actions.

HOW to Apply This to Your Training

Women:

āž”ļø Incorporate more strength training and explosive exercises to stimulate Type II muscle fibre growth.

  • Use the large Q angle to your advantage: separate your feet a bit wider during a squat, let the knees come in ever so slightly on the descent to slightly to pre-stretch the glutes and fire them up.

āž”ļø Emphasize hip stability exercises, ankle mobility, and foot mechanics to optimize movement patterns.

  • This is a must, especially for my muscle mommies wanting to prevent injury. I kept reinjuring my knee over and over again until I took my own prehab seriously. Don’t be a half-wit like me.

āž”ļø Adjust training intensity around menstrual cycles to optimize performance and recovery.

  • Always train hard, and always approach muscle failure. BUT adapt the hard and how you approach failure (volume or load) to where you are in your cycle and what you feel you can best handle.

NOW: Practical Steps to Implement Today

  • Listen to Your Body: Adjust intensity based on your fatigue and recovery signals, where you are in your menstrual cycle, and sleep and stress management.
  • Prevent Injuries Proactively: Women, prioritize knee, ankle, and foot mobility for optimized mechanics and movement patterns.
  • Give Yourself Grace & Time: …the same grace and time you’d give your best friend. Be your own best friend.

What I Recommend: Protein Tips & Money Smarts

 

šŸŽ‰ HOW TO: MAKE EATING MORE PROTEIN MORE FUN

Some days, you just can't look at another chicken breast. I get it.

Protein recommendations for women have increased, which is great for energy, muscles, and bones, but it can be a challenge to get all your protein without supplementing.

I'm a fan of protein powder, especially Prime Protein from Equip Foods. It's 100% grass-fed and grass-finished beef protein isolate powder that tastes like your favorite dessert. That's such a bonus because I love making desserts for my family with a healthy twist.

ICYMI: I made a Banana Chocolate Creami recipe recently and posted it to my Instagram. This recipe is your answer to dessert cravings or a midday slump because it's packed with 30g of protein using Peanut Butter Prime Protein.

Try any of the other Prime Protein flavors, too—Chocolate, Vanilla, Strawberry, Cinnamon Roll, Iced Coffee, or Salted Caramel—to make your protein-boosted own sweet treat.

šŸ‘‰ To order and get more recipe ideas, visit https://www.equipfoods.com/. Use code BETTER to get 20% off (one-time use per customer).

 

šŸ’ø HOW TO: MAKE MONEY DECISIONS WITH MORE EASE

Have you ever found yourself sitting on your bathroom floor at 2 a.m.—heart racing, scrolling through your banking app for the fourth time that night.?

I know a lot of super successful people who have money. Good money even, but the knot in their stomach still wouldn't go away.

Here’s why: Financial anxiety isn’t about the numbers in your account. It’s about what is happening inside your nervous system.

More money doesn’t fix all money stress. Feeling safe with money does.

Knowing this, I'm excited to share that my friend Kate Northrup has a 6-step process to feel safe, confident, and magnetic with money. She's hosting a FREE 3-day experience called Good With Money, and it’s one of the most important things you can do for your financial peace this year.

It’s not: āŒ A budgeting bootcamp. āŒ A ā€œjust think positiveā€ money mindset class. āŒ A glorified pitch disguised as value

It is: āœ… It’s a nervous system and financial reset. āœ… A full-body reprogramming to help you feel safe with money. For real.

If you’ve ever felt like financial stress follows you—no matter how much you earn or how hard you work—this is your invitation to end that cycle.

šŸ‘‰ Register for Good With Money, a FREE 3-day workshop series with Kate Northrup live right HERE. Be sure to sign up soon, as the first session begins Thursday, April 17.

Kate is a dynamo businesswoman who has been featured in The New York Times, Oprah Daily, and Harvard Business Review. She's also the author of “Money, A Love Story: Untangle Your Financial Woes and Create the Life You Really Want,” and “Do Less: A Revolutionary Approach to Time and Energy Management for Ambitious Women.”