this post was submitted on 01 Jan 2026
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One data point only. My mom and grandma had osteoporosis, and I had restrictive eating as a teen so didn't build enough bones. I do work out heavier than my mom did (lift occasionally but also yoga with pushups & arm balancing, etc. More focus on muscle) because of starting at a disadvantage and also, importantly, do MHT. At mid-50s I did manage to immaterially INCREASE my bone mass, so a little better than maintaining, rather than the steep loss that would be expected at menopause.
There is more than one factor, right? I encouraged my daughters to eat more and do more exercise when they were teenagers so they will start out with heavier bones than I did, if you start with more you can lose some and still be ok.
But plenty of people have osteoporosis as an endocrine issue, the chemistry of their blood is taking more bone than it's building. I don't think that's something that you can necessarily lift your way out of.