# @nickpappasmd on Instagram

- **Type:** Image
- **Original URL:** https://www.instagram.com/p/DeUMit8jURo
- **Gondola URL:** https://gondola.cc/posts/71465303-nickpappasmd-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/7c507b915d.jpg
- **Posted:** 2026-10-10T13:30:04.000+00:00
- **Account Owner:** Nick Pappas, MD (@nickpappasmd) — https://gondola.cc/nickpappasmd

## Caption

Comment NEWSLETTER 📨 and I’ll send you a link to my free weekly newsletter!

As a board-certified orthopedic surgeon, I routinely tell my female patients these 5 things about their bones during perimenopause 🦴👇

1️⃣ Estrogen protects your bones. As levels decline, bone loss accelerates—even if you feel perfectly healthy.

2️⃣ Osteoporosis is common and often silent. Approximately 20% of women over age 50 have it, and a fracture can be the first warning sign. ⚠️

3️⃣ Collagen peptides show promise. A 12-month randomized controlled trial found that 5 grams daily of oral collagen peptides improved bone density in postmenopausal women. More studies are needed. 🔬 PMID: 29337906

4️⃣ Hip fractures can be life-changing—and deadly. Approximately 20–30% of older adults die within a year of a hip fracture.

5️⃣ Resistance training matters. 💪 Combine it with adequate protein, calcium, and vitamin D to help support bone and muscle health.

Your bones deserve attention BEFORE they break. Save this and share it with someone entering perimenopause. ❤️

#bonehealth #perimenopause #osteoporosis #menopause #resistancetraining

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## Tags

osteoporosis, resistancetraining, perimenopause, menopause, bonehealth

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