Bone density can start declining during perimenopause, before periods stop and before any scan would flag it. For most women, the 40s are the most important decade for bone health — not the 60s. Calcium matters, but it is only part of the picture. This post covers what is actually happening to your bones in your 40s, why protein and resistance training matter more than most women realise, and a few less obvious factors worth knowing about.

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