What Your DEXA Scan Numbers Actually Mean | Dr Vonda Wright | #169

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Bone density peaks at 30. By the time most women get their first DEXA scan, they've already lost the window to act early.

In this solo episode, I walk you through exactly how I explain a DEXA scan to my own patients, using my own results as the example. We cover the bell curve behind your T-score, why perimenopause can cost you up to 20% of your bone density, and what osteopenia and osteoporosis actually mean for your fracture risk.

This is the education I wish every woman had before she hit her 40s, so she could build bone instead of just reacting to loss.

What we cover:

- T-scores explained: how your bone density compares to a healthy 30-year-old.

- The T-score bell curve: positive numbers, -1 for osteopenia, -2.5 for osteoporosis.

- Estrogen decline in perimenopause and its impact on osteoclast-osteoblast balance.

- Why waiting until 65 for a DEXA scan means acting too late.

- Bone mineral density, Z-scores, and trabecular bone score, explained.

- Femoral neck fractures: why this site carries the highest risk.

- My own DEXA results: spine, hip, and femoral neck changes from 2023 to 2026.

- The genetics vs. lifestyle split, and how to build bone density starting today.

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🧬 About Dr. Vonda Wright

Dr. Vonda Wright is an orthopedic sports surgeon and leading expert in women's health and longevity.

For over 20 years, she has helped women build muscle, strengthen bone, and extend their health span — with science, not guesswork.

Her mission is simple: help women age with power.

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