Your Brain, Your Bones, and Your Voice — All Changing at Once

Key Takeaways

• ✦Romosozumab (brand name Evenity) is a once-monthly injection that builds new bone rather than just slowing bone loss — a real distinction from older osteoporosis drugs like bisphosphonates.
• ✦A new real-world study using high-resolution bone scans found structural improvements at both the spine and the wrist, which matters because wrist fractures are often the first sign of serious bone fragility.
• ✦New brain imaging research shows menopause produces measurable structural changes in the brain — some overlapping with puberty and pregnancy, some distinct — suggesting these transitions share biological machinery.
• ✦Testosterone is increasingly prescribed to women for low libido and energy, but a new survey found many prescribers are not routinely warning patients that voice changes — sometimes permanent — are a possible side effect.
• ✦Voice changes from testosterone in women are not always reversible, even after stopping the medication, and voice clinicians are seeing patients who say they were never told this was a risk.