# Why 1 in 4 Women on Hormones Are Still Losing Bone (And How to Know If You're One)

Page: https://stenobird.com/podcast/the-dr-doug-show-6678750/why-1-in-4-women-on-hormones-are-still-losing-bone-and-how-to-know-if-you-re-one
Text version: https://stenobird.com/podcast/the-dr-doug-show-6678750/why-1-in-4-women-on-hormones-are-still-losing-bone-and-how-to-know-if-you-re-one.md
Podcast: [The Dr. Doug Show](https://stenobird.com/podcast/the-dr-doug-show-6678750)
Published: 2026-06-02T14:00:00+00:00
Episode link: https://podcasters.spotify.com/pod/show/douglas-lucas0/episodes/Why-1-in-4-Women-on-Hormones-Are-Still-Losing-Bone-And-How-to-Know-If-Youre-One-e3k75jr
Audio file: https://anchor.fm/s/df8b04cc/podcast/play/120869947/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2026-5-1%2F425326822-44100-2-a724c0dd0f506.mp3
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Duration seconds: 1108

## Resource

In this video, Dr. Doug explains how estrogen dose, estradiol levels, and bone turnover markers can help show whether HRT is truly supporting bone health. He breaks down why DEXA and REMS can take 12 to 24 months to reflect change, while markers like CTX and P1NP can offer earlier insight. The key takeaway: bone health care should be individualized, tested, and optimized rather than based on a one-size-fits-all hormone dose. Study Links https://pubmed.ncbi.nlm.nih.gov/10472854/https://pubmed.ncbi.nlm.nih.gov/10550454/https://pubmed.ncbi.nlm.nih.gov/10831925/https://pubmed.ncbi.nlm.nih.gov/34645447/https://pubmed.ncbi.nlm.nih.gov/12792297/https://clinicaltrials.gov/study/NCT05903820🦴 Stronger Bones. Healthier Future. I’m Dr. Doug Lucas, and my mission is to help you protect your bones, balance your hormones, and extend your healthspan. On my channel, we focus on osteoporosis prevention, bone strength, hormones, and longevity because strong bones aren’t just about avoiding fractures. They’re the foundation for a longer, healthier life.📚 Join me for a FREE Live Masterclass Want to get your questions answered, hear real-life osteoporosis reversal stories, and learn the 5 Bone Health Mistakes to Avoid? I’ll share proven strategies to build bone density, improve bone quality, and protect your healthspan, straight from my experience as a Board-Certified Orthopedic Surgeon & Osteoporosis Reversal Specialist. 🔗 Register here for FREE: https://www.osteocollective.com/build-bone💻 The OsteoCollective A global community dedicated to bone health & longevity. Learn, connect, and take action: https://www.osteocollective.com Let's connect! Instagram: https://www.instagram.com/dr_douglucas/Facebook: https://www.facebook.com/doug.lucas.18LinkedIn: https://www.linkedin.com/in/doug…

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