How to Build Bone Density After 40: Resistance Training, HRT, and Creatine @DrStacySims
How to Build Bone Density After 40: Resistance Training, HRT, and Creatine  @DrStacySims
Uploaded April 2026 | Updated September 2026, 2 weeks ago
Your bones don't just start failing at menopause. The cascade starts years before your last period, and most women don't find out until a wrist fracture at 50 tells them they were already decades behind.

In this episode, I sit down with Dr. Tracey Clissold, founder of OSTEO-GAINS and a bone health and jump training specialist, and Dr. Jocelyn Wettstein, orthopedic surgeon and women's musculoskeletal health researcher at Duke University, to cover everything active women need to know about building and protecting bone across the female lifespan. We get into why common exercise approaches aren't enough, what actually moves the needle on bone density, and how to stack exercise, nutrition, and hormonal tools together for a skeleton that stays robust well into your 60s and beyond.

This is a science-first episode for active women who want to stay strong, resilient, and structurally robust across every decade of life.

Dr. Tracey Clissold is a New Zealand-based researcher and educator with 30+ years in exercise science and sports nutrition. She holds a PhD from AUT University, where her research proved that a targeted jump-landing program can improve bone mineral density by 3.5–5% in just 12 months. She created the OSTEO-GAINS app β€” a science-backed, 2–5 minute daily bone-building program with over 25,000 users worldwide.
πŸ”— osteo-gains.com | @osteogains

Dr. Jocelyn Wittstein is a board-certified orthopedic surgeon, sports medicine specialist, and associate professor at Duke University Medical Center. A nationally recognized expert in women's musculoskeletal health, she leads NIH-funded research on bone density, joint health, and the musculoskeletal effects of menopause. She is co-author of The Complete Bone and Joint Health Plan and a core leader of the Duke Female Athlete Program.
πŸ“Έ @jocelyn_wittstein_md

Timestamps:
00:00 Meet Dr. Stacy Sims and Dr. Jocelyn Wettstein: Bone Health Experts
01:54 Why Women Are at Greater Risk for Bone Loss Than Men
05:09 When Is the Best Time to Start Building Bone?
09:47 Cycling, RED-S, and the Bone Loss Risk Nobody Talks About
12:15 The Truth About HRT and Bone Health in Menopause
17:41 Why Muscle and Bone Can't Be Separated in Perimenopause
22:22 How a Declining Gut Microbiome in Perimenopause Drives Bone Loss
26:34 Creatine for Women: How Much You Actually Need for Bone, Muscle, and Brain
31:35 Collagen, Vitamin D, and Omega-3 for Women: Do They Actually Work?
37:14 Gold Nuggets: One Key Message Each Expert Wants Women to Take Home

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πŸ‘©β€πŸ”¬ About Me:
I’m Dr. Stacy Sims, exercise physiologist, nutrition scientist, and author of ROAR and Next Level. My mission is simple: stop training women like small men. I help you understand and work with your physiology - for better performance, health, and longevity.

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#DrStacySims #WomenAreNotSmallMen #WomensHealth #FemaleAthletes #ExerciseScience #Hormones #StrengthTraining #MenopauseFitness
#BoneHealth #OsteoGains #Osteoporosis #Osteopenia #BoneStrength #Perimenopause #Menopause #PostMenopause #DrTraceyClissold #DrJocelynWittstein #Sarcopenia #BoneDensity #LongevityHealth
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How to Build Bone Density After 40: Resistance Training, HRT, and Creatine

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