09/06/2026
Bone density: a better DEXA score is not the same thing as better bone.
Osteoporosis meds can raise the mineral number on a scan. But that number says nothing about the structure of the bone, and nothing about whether you’ll prevent a fall.
Living bone is a lattice — organized, adaptable, built to take force. These drugs slow the breakdown of bone so more mineral stays put. But what you end up with is not a stronger lattice. It’s a denser, more brittle mass that scans well but still won’t handle a real fall.
The meds also can’t fix the bigger problem: you’re too weak. Bone doesn’t break in midair. It breaks when you hit the ground because you didn’t have the strength to catch yourself or absorb the shock.
Strength training works on both.
Proper exercise tells bone to rebuild along the lines of force — actual structure, not just more mineral. And it wraps that bone in strong, shock-absorbing muscle.
Pills may have a place. That’s a conversation with a doctor — hopefully one who understands this and isn’t just chasing DEXA numbers.
They are not a substitute for a skeleton that can take a fall and- more importantly- a body strong enough to avoid falling in the first place.
And all it takes is 15-20 min of supervised, focus work once or twice per week.
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