Hormone Therapy and Bone Health: Is Prevention Better than Treatment with Dr. Jocelyn Wittstein

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In this episode of the MenopauseWize Podcast, Dr. Sukhpreet Patel is joined by Dr. Jocelyn Wittstein, orthopaedic surgeon, sports medicine specialist, Associate Professor at Duke University School of Medicine, and author of The Complete Bone and Joint Health Plan, for an in-depth conversation on bone health during menopause.


Bone loss begins silently — often years before a diagnosis of osteopenia or osteoporosis is made. Many women only discover an issue after a fracture or a low T-score on a DEXA scan. So what is really happening inside our bones during the menopause transition?


Dr. Wittstein walks us through:

• What estrogen does to bone — and what happens when levels decline
• The difference between osteopenia and osteoporosis
• Why hormone therapy is FDA-approved for prevention but not treatment
• The role of bisphosphonates and other osteoporosis medications
• Whether you can transition from MHT to other osteoporosis drugs later in life
• How we actually know if treatment is working 

This episode explores the nuance behind bone prevention versus bone treatment — and why timing, risk profile, and long-term planning matter.


As Dr. Wittstein writes in her book:
“Good health isn't a gift… it's an accomplishment.”


If you care about long-term strength, fracture prevention, and ageing well, this conversation is essential listening.






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The information provided in all episodes of the MenopauseWize podcast, including content shared by Sukhpreet Patel or any guest or representative, is for informational and educational purposes only. It is not intended as medical advice or a substitute for professional healthcare consultation, diagnosis, or treatment. Always consult your physician or qualified healthcare provider regarding any medical condition or treatment decisions.

SheRise Healthcare Pvt. Ltd., MenopauseWize, Sukhpreet Patel, or any representative will not be held responsible or liable for any direct, indirect, incidental, or consequential damages arising from the use or reliance on the information provided in this podcast. Listeners are encouraged to use the information at their own discretion and always seek advice from a licensed medical professional before making any healthcare decisions.