Bone health often goes unnoticed until a fracture happens, but the most important window for prevention opens before and during the menopausal transition. Bone loss accelerates dramatically around your final menstrual period, and your bone density entering menopause is the single biggest predictor of future osteoporosis risk. Waiting for the standard age-65 DXA scan means missing the years when intervention matters most. Using DXA, TBS, and FRAX together, we can measure how much bone you have, its quality, and your individual risk, then build a prevention plan that fits you. Men, transgender, and gender-diverse patients face their own bone health considerations too, so let's assess your risk and act early.