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Conversations with Jamie Knotts

Today we’d like to introduce you to Jamie Knotts.

Hi Jamie, thanks for joining us today. We’d love for you to start by introducing yourself.
Texas Bone Health Specialists (TBHS) was created to complement our first business, OsteoStrong, and to serve the growing community of peri‑menopausal and menopausal women—as well as health‑conscious men—seeking a more comprehensive, science‑driven approach to bone health. Together, the two organizations form a uniquely integrated model focused on rebuilding strength from the inside out.

At the center of our mission is OsteoStrong, where we offer a pharmaceutical‑free program proven to stimulate new bone formation. Using specialized devices that safely allow individuals to apply the precise level of force needed to trigger bone growth, we help clients with Osteopenia and Osteoporosis improve both the density of the outer cortical bone and the quality of the inner trabecular tissue.

But we also know that mechanical loading alone is not enough. Nutrition, hormone balance, and accurate diagnostics are essential pillars of long‑term skeletal health. TBHS was created to fill those gaps.

In December 2025, we launched Houston’s first REMS (Radiofrequency Echographic Multi‑Spectrometry) site—a radiation‑free, ultrasound‑based technology that has been shown to outperform the current gold standard in both accuracy and safety. Diagnostics were never part of our original plan, yet demand quickly made the path clear. With nothing more than a basic Google listing, we began receiving calls from across Houston and even out of state from people seeking a safer, more precise way to understand their bone health.

Since opening Houston’s first OsteoStrong studio in 2021, we’ve also learned that many of our members share common nutritional deficiencies, especially in protein and vitamin D. Education alone wasn’t enough—they wanted solutions that were simple, trustworthy, and effective. After extensive research and testing, we began offering targeted, bone‑health‑focused supplements in‑house, and the results have reinforced what we already knew: nutrition must be managed intentionally to build and maintain healthy bone mass.

Most recently, we expanded our offerings with a dedicated PEMF “theater,” featuring PULSE PEMF technology. As one of only a few locations in Houston with this capability, we provide a noninvasive modality that supports cellular function, circulation, inflammation reduction, sleep quality, and overall wellness.

This is the work we do—but it’s the people behind it who define us. We are a small, deeply committed team driven by a single purpose: to help Osteoporotic women reclaim their strength, confidence, and quality of life. We are educators, advocates, and community builders. We partner with healthcare providers and subject‑matter experts to deliver ongoing education on bone health, menopause, and whole‑body wellness.

In 2026, there has never been a more exciting time to be part of the healthcare revolution unfolding around us. Old ways of thinking are being challenged, and people are taking ownership of their health in ways we’ve never seen before. It is with great honor that I help our clients navigate this new landscape and live their strongest, healthiest lives.

Alright, so let’s dig a little deeper into the story – has it been an easy path overall and if not, what were the challenges you’ve had to overcome?
It has definitely not been a smooth road. In fact, the turbulence came from every direction. I began planning this journey and making commitments just before Covid‑19, and by the time the world shut down, I felt past the point of no return. So I moved forward. We opened our doors at the same time restaurants and small businesses were just beginning to reopen—but our target demographic was nowhere near ready to venture out, let alone try something completely unfamiliar. It was quiet for a long time.
Another major challenge came from early perceptions within the healthcare community. We approach bone health from a different perspective, and because of that, we were often misunderstood by the very “experts” we hoped would see the value in what we were doing. Introducing new modalities, new technology, and a new philosophy meant pushing against long‑held assumptions, and that resistance was real.
And while those barriers were significant, the most challenging part of this journey has been assembling the right team. I cannot say enough about how critical they are to the success of the business and to the results our members experience. Each team member is special. Finding people who not only understand the science but also share the heart, compassion, and commitment required to serve Osteoporotic women—that has been the hardest and most important work of all.
Those early years required patience, conviction, and a willingness to keep showing up even when the path felt uphill. But every challenge ultimately strengthened our mission and clarified why this work matters so deeply.

Thanks – so what else should our readers know about your work and what you’re currently focused on?
I like to call myself an aspiring entrepreneur. It’s hard—really hard. But everything I do is centered around pushing boundaries and unapologetically advocating for a healthier world. I’m passionate about challenging outdated beliefs, introducing better options, and creating spaces where people can take ownership of their health. That drive is what keeps me moving forward, even when the path feels steep.
I suppose the story of how I arrived here is somewhat unconventional. I’ve had no formal medical education. Instead, I earned a business degree from Sam Houston State University. My passion for bone science was born in the operating room. After college, I landed a job as an orthopedic sales representative, selling hip and knee replacements, rods, screws, and other devices used to restore bony anatomy. I was instantly fascinated—not just by the surgeries themselves, but by the biology and biomechanics behind them. That experience opened a door I didn’t even know existed and ultimately shaped the path I’m on today.
In 2006, I lost my grandmother, Evelyn. She had been diagnosed with osteoporosis and prescribed a bisphosphonate, one of the most common drugs used to slow bone loss. She broke her hip one day and never got out of bed again. After about three months of being bedridden, pneumonia took her life. That experience changed me. I suddenly had both the knowledge and the passion—what I lacked was the opportunity. And then I found OsteoStrong.
After years of carrying the “bone bag,” I ventured into surgical robotics sales. It was there that I was truly groomed to challenge the status quo. When I started, robotic surgery was considered overkill—too expensive, too complex, and clinically unnecessary. Those early days of pushing surgeons and hospital administrators to see things through a different lens taught me how to stand firm, communicate value, and drive meaningful change in healthcare. Today, robotic surgery is well on its way to becoming standard of care across many specialties. I have a similar vision for OsteoStrong and Texas Bone Health Specialists

How do you think about luck?
I have heard some say that the definition of luck is the point at which opportunity and preparation meet. Well, I have certainly been provided with ample opportunity along the way, but I can’t say that I have always been prepared for them. I can’t say that I have had good luck or bad luck, or any luck at all for that matter. But I can tell you that I have received many blessing along the way for which I am eternally grateful for each of them.

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