 [ Symptoms ] if i have great bone density do i need to do anything during perimenopause [ Disease ] women need to take d vitamin d probably more important than calcium it has been shown that 60 of our population of women are vitamin d deficient so women need to take vitamin d calcium they need to exercise including weight bearing exercise and weights so that they can preserve their bone because as i said as they go through the menopause the first 5 to 7 years is when they can lose substantial bone and so if they are not exercising and not taking any vitamins you are going to lose even more bone