The 2% Club by Rach Hirsch

The 2% Club by Rach Hirsch

Are We About to Make Bone Density Sexy?

Everyone's optimizing their brain. Nobody's talking about their bones.

Jun 07, 2026
∙ Paid

Your Bones Called. They're Being Ignored.

The DEXA scan is having a moment.

If you don’t know what a DEXA scan is — it’s basically an x-ray that tells you how strong your bones actually are, and makes you viscerally aware that you are, in fact, a person made of skeleton. Everyone’s booking one. Good. We love a woman who knows her numbers.

But here’s the problem with the DEXA boom: we’ve built a culture of knowing without a culture of doing.

You get your scan. You see the numbers. Maybe they’re fine, maybe they’re not. And then your doctor says the same thing doctors have been saying for decades: take calcium. Take vitamin D. Do some weight-bearing exercise.

That’s it. That’s the standard of care. In 2026.

Meanwhile, everyone has a CoQ10 on their counter. AG1 just dropped an entire new line covering sleep, immune health, and cognitive function. The longevity girlies are cycling creatine, collagen, and lion’s mane before 9am. We are out here optimizing our brains, our guts, our mitochondria…and completely ignoring the literal scaffolding holding all of it up.

Someone please tell me why bones aren’t sexy yet.

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Because the market thinks they’re about to be. One in two women over 50 will break a bone in their lifetime. Women can lose up to 20% of their bone density in the years following menopause. And then GLP-1s showed up and made this everyone’s problem, not just their mom’s.

Here’s the part of the Ozempic conversation nobody is having loudly enough: GLP-1 associated weight loss accelerates bone loss. Muscle loss reduces the mechanical load on bone. Suddenly you have millions of younger, health-engaged, actively-spending women losing bone density as a side effect of the biggest wellness trend of the decade — and most of them have absolutely no idea.

The DEXA boom told us we have a problem. GLP-1s made that problem younger, bigger, and more urgent.

So here’s what I keep thinking about: menopause got a rebrand. Gut health got a rebrand. The supplement industry figured out how to make magnesium feel like a personality trait. And bone density is just... sitting here. Unglamorous. Untouched. Waiting.

There’s a $30 billion market, a brand new at-risk consumer who didn’t exist two years ago, and a supplement shelf that looks exactly the same as it did in 2003.

The category is about to break open. I have thoughts on who’s going to win — and more importantly, what’s completely missing.

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