We rarely think about our bones until they remind us of themselves through pain or an unexpected fracture. Yet bone tissue is living tissue that is constantly renewed.

After the age of 35–40, this process gradually slows down and bone density may begin to decrease. In women, bone strength can decline more quickly after menopause, as hormonal changes reduce the protective effect of oestrogen.

Osteoporosis often develops without obvious symptoms. It can progress silently: a slight loss of height, changes in posture, unexplained back pain, brittle nails or more fragile hair may be signs worth discussing with a doctor. The advice to simply “take calcium and eat cottage cheese” sounds straightforward, but it is not always enough or appropriate for everyone.

Bone health is not determined by one nutrient alone. Bone strength can be affected by hormonal balance, digestive health, protein intake, vitamin D and K status, physical activity and chronic stress. Taking supplements without guidance can be ineffective or, in some cases, harmful.

Strong bones are not built in a week or through a universal plan. They require an individual approach that brings together nutrition, gynaecological health and lifestyle.

This is the kind of calm, attentive assessment I offer during consultations, without fear-based messaging. We look beyond test results alone, consider your individual risk factors and create a clear plan for supporting your health in the years ahead.

2026 © Elena Konovalova