Females Fighting Frailty: A Journey Towards Stronger Bones and Muscles
- drlenoraepple
- 6 days ago
- 3 min read

The science of bone and muscle physiology shows that our everyday choices—what we eat, how we move, and how we care for our bodies—play a vital role in reducing our risk of conditions such as osteoporosis and sarcopenia (muscle loss). More than avoiding fractures or pain, it’s about protecting our independence, mobility, and vitality so we can fully embrace life well into our seventies, eighties, and beyond.
Investing in Bone Health Early: Be Proactive
Our bones are constantly changing; they are vibrant living tissues that remodel in response to the demands placed on them. Alarmingly, with the onset of menopause, estrogen levels drop sharply, which commonly leads to significant bone mass loss. Women can experience an average loss of 15-20% in just a few years after their final menstrual period. However, there is hope! By beginning DEXA bone density scans around age 40, you can gain valuable insights into your baseline bone health. Early detection of low bone mass allows us to create a personalized approach to reverse bone loss, including strength training, optimized nutrition, maintaining normal vitamin D levels, and hormone support as needed.
Muscles and Bones: Strengthening Each Other
Your muscles and bones work in concert to maintain your overall strength and health. When muscles contract, they exert a pull on bones, signaling them to become stronger. That’s why resistance training is essential; it’s one of the most effective ways to prevent both osteoporosis and sarcopenia. While activities like walking and yoga are excellent for flexibility and balance, progressively loading your muscles and bones through resistance exercise is key to sustaining bone density and muscle mass.
Remember, skeletal muscle is an active tissue that also helps regulate insulin sensitivity, glucose levels, and even inflammation. Women with higher muscle mass experience a range of benefits, including lower rates of insulin resistance and less risk of prediabetes. By lifting weights, you're not just shaping your body; you're also boosting your metabolism and helping to maintain your energy levels.
Starting Early: A Pathway to Lifelong Resilience
The foundation of bone and muscle health is established before most of us are thinking about its importance, with peak mass between ages 17 and 25. The habits you establish in your youth—adequate protein intake, regular resistance training, and proper nutrition—set the foundation for your lifelong skeletal strength. It’s crucial to educate ourselves and the next generation about how movement, nutrition, and hormonal health can set them up for resilience later in life.
Exercise as Medicine: The Right Approach Matters
Engaging in exercise is one of the most powerful prescriptions for healthy aging, but it’s essential to choose the right type and intensity. Building and maintaining strong bones and muscles involves progressive overload—gently increasing resistance or intensity to stimulate growth. Simply lifting light weights with high repetitions will not prevent frailty. To preserve balance, strength, and independence, it’s essential to focus on power training.
Navigating Menopause and Musculoskeletal Health
Menopause can bring an uncomfortable challenge, now described as the "Musculoskeletal Syndrome of Menopause." This constellation of symptoms, linked to the loss of estrogen's protective effects, can manifest as joint stiffness, pain, or fatigue. Understanding these changes is vital, as estrogen receptors are present in most connective tissues. You don’t have to navigate these changes alone; I’m here to support you in this transformative period with the right tools and strategies.
Your Future is Bright: Redefining Aging
Aging doesn’t have to mean becoming more fragile. Research and the experiences of countless empowered women show us that, with the proper knowledge and support, midlife can be your strongest chapter yet. Together, we can write our own story of aging - a story of strength, independence, and vitality.
I invite you to take the next step on this journey. At Focused Health and Wellness, we use advanced technology, such as the InBody body composition scanner, to help you monitor your body composition over time. This innovative tool provides real-time insights into your muscle and bone health, enabling us to tailor and monitor a program that is right for you.
Understanding what’s happening in your body is empowering, and I’m here to provide the support you need to protect and strengthen your bones and muscles for years to come. Your future self will thank you! Let’s embark on this journey together.






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