Bone Health, HRT & the Invisible Impacts of Menopause with Nicole Oh (Episode 230)

Jun 11, 2025

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“The person who wins is often the one who is fending off the menopause the best!” Those were words of advice a fellow competitor once gave this week’s guest, physiotherapist and competitive cyclist Nicole Oh. That would be something Nicole would come to learn firsthand just a few short years later, as she found herself navigating mysterious joint pain, hot spells, and concerning bone loss. This week Nicole talks candidly about how she preserved performance during the transition, why she now champions DEXA scans for midlife athletes, and the role of plyometrics in protecting bone health. She also discusses the importance of being proactive—not reactive—when it comes to training, recovery, and maintaining power, and her personal mission to crack 1000 watts.

Nicole Oh is a physiotherapist from Sydney who specializes in the management of cyclists and triathletes. Nicole combines her cycling knowledge and physiotherapy skills to offer bike fitting services for all levels of riders. She also writes for the UK magazine Cycling Weekly on bike fitting, health and injury. Nicole was a late comer to endurance sports, starting as a triathlete, then switching to road racing in 2012 at the age of 35, racing in the UK, Europe, and now Australia. She has won National Masters titles in road and criterium racing, time trialling and cyclocross. You can learn more about her and her work at thebodymechanic.com.au/nicole-oh

Resources:

At 46 menopause took me by surprise - here’s how I’ve coped with the changes and adapted my training. Cycling Weekly

I hit menopause and found I was osteopenic - this is what cyclists (male and female) need to know. Cycling Weekly

Feisty Menopause: @feistymenopause

Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099

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