Strong Bones
The Science of Bone Health at Every Age
Strong Bones is an evidence-based guide for people who want to understand osteoporosis rather than simply be told what to do. It explains what bone-density tests can—and cannot—tell you, how fracture risk is assessed, what we know about osteoporosis medications and their benefits and risks, and how nutrition, exercise, fall prevention, and everyday choices can help protect your bones.
Written from a patient’s perspective, the book is designed to help you understand the evidence, ask better questions, and make informed decisions about your own bone health.
What you’ll find inside
Strong Bones follows the questions that arise when bone health suddenly becomes personal—from understanding how bone changes over a lifetime to interpreting a diagnosis, evaluating treatment options, and deciding what you can do to protect your bones.
Your living skeleton
Bone is living tissue. Learn how it continually renews itself, how that process changes with age, and what determines whether bone becomes stronger or weaker over time.
Making sense of your diagnosis
Make sense of DXA scans, T-scores, and fracture risk—and understand why a diagnosis of osteoporosis tells you something important, but not everything, about your bones.
Looking beneath the surface
Explore secondary causes of bone loss, medications and health conditions that can affect bone health, and why identifying contributing factors can matter before deciding what to do next.
Nutrition for stronger bones
Look beyond calcium alone to the nutrients, foods, and dietary patterns that support bone—and learn how to evaluate whether you’re getting what you need.
Movement, strength, and fall prevention
Understand how resistance exercise, weight-bearing activity, balance, posture, and everyday movement work together to protect both your bones and your independence.
Making treatment decisions
Compare osteoporosis medications, their potential benefits and risks, questions about monitoring and stopping treatment, and the information you need to participate meaningfully in decisions about your care.
A different kind of osteoporosis book
Most people don’t begin learning about osteoporosis because they are interested in bone biology. They begin because a test result, a fracture, or a conversation with a clinician suddenly makes the subject personal.
Strong Bones was written for that moment. It does not tell you that there is one right decision for everyone. Instead, it explains what the evidence can tell us, where uncertainty remains, and how individual fracture risk, values, preferences, and circumstances shape the choices people make.
The goal is not to replace your healthcare professional. It is to help you become a better-informed participant in your own care—one who understands the questions well enough to have a meaningful conversation about the answers.
Grounded in evidence
Strong Bones draws on peer-reviewed research, clinical guidelines, systematic reviews, and other authoritative sources to examine what is known about osteoporosis—and where the evidence is less certain.
Throughout the book, important claims are documented so readers can examine the evidence for themselves. Conflicting findings and limitations in the research are not hidden. When reasonable people can interpret the evidence differently, the book says so.
The aim is neither to promote nor discourage any particular treatment. It is to give readers enough context to understand benefits, risks, and uncertainties and to discuss their individual circumstances with qualified healthcare professionals.
Reviewed from multiple perspectives
Before publication, Strong Bones is being reviewed by readers with backgrounds in medicine, pharmacology, nutrition, and exercise, as well as by people approaching osteoporosis from the perspective of their own bone health.
Who this book is for
Strong Bones is written primarily for people who have been diagnosed with osteopenia or osteoporosis, or who have been told that they may be at increased risk for fracture. It may also be useful for family members and caregivers who want to understand the decisions someone they care about is facing.
You do not need a background in medicine or science. Technical concepts are explained in plain language, while enough detail is provided for readers who want to understand the evidence behind the recommendations and treatment choices they encounter.
Whether you are newly diagnosed, have been living with osteoporosis for years, or are simply trying to protect your bone health as you age, the book is intended to help you move from “What am I supposed to do?” toward “What do I need to know to make a good decision?”
Coming soon
Strong Bones: The Science of Bone Health at Every Age is currently undergoing review in preparation for publication. Information about availability will be posted here when the book is ready.