The Run Smarter Podcast

The Bone Density Facts Every Runner Must Know with Steph Mundt

Aug 17, 2025
Steph Mundt, a physical therapist and running coach, shares her transformative journey from battling multiple bone stress injuries to achieving strong bone health. She discusses the profound effects of Relative Energy Deficiency in Sport (RED-S) on her physical well-being and running performance. Steph reveals essential nutrition strategies and targeted strength training exercises for building bone density, emphasizing why every runner should prioritize their bone health. Her insights are a game-changer for anyone looking to enhance their running longevity and prevent injuries.
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ANECDOTE

Early Success Hid Serious Harm

  • Steph Mundt described how early success from under-fueling led to restricting food and multiple stress fractures.
  • That short-term speed gains later caused repeated bone injuries and required major lifestyle changes.
INSIGHT

RED-S Forces The Body To Prioritize Survival

  • Relative Energy Deficiency in Sport (RED-S) forces the body to divert energy from non-essential systems.
  • That energy reallocation impairs hormones and bone remodeling, increasing stress fracture risk.
ADVICE

Prioritize Energy And Menstrual Recovery

  • Aim to restore weight and menstrual function to improve bone density before other interventions.
  • Steph improved from osteoporotic-range DEXA scores to better numbers by recovering weight and resuming normal cycles.
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