All seven systems

    Strength, Bones, and Staying Injury Free

    Build strength now so age cannot take it.

    One bad fall or fracture in your seventies can cost you muscle and independence you may never get back, so we do not wait for it to happen. Years ahead of time we measure your muscle mass, bone density, balance, and grip strength, then build real strength and steadier footing while those gains still come easily. We test bone density early and manage hormones closely so you hold onto as much bone as possible. The strength you build at forty is the reserve that keeps you on your feet at ninety.

    A DEXA scan (a low dose X-ray that measures bone density and body composition) tells us how strong your bones are and where your muscle and fat actually sit, and FRAX (a validated score that estimates your 10-year fracture risk) tells us how close you are to a break.

    We also track ALMI (a measure of the muscle on your arms and legs), grip strength, gait speed, and the Timed Up and Go (a quick sit, stand, and walk test of mobility and fall risk), because grip strength is one of the strongest markers we have for how long and how well people live.

    Our targets are optimal, not average: muscle mass at or above the 90th percentile and visceral fat kept low, with strength built to carry into your nineties.

    The core work is yours to do: purposeful resistance training, impact and balance work, enough protein, and creatine and vitamin D where they help. We offer hormone therapy and osteoporosis medication only when the clinical picture calls for them, and we review any medications you already take that quietly raise your fall risk.

    Exercise is movement. Training is purpose. At forty you want to be far stronger than you will need at ninety.

    This is one part of a complete, personal risk assessment.

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