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Bones are a living organism and are constantly remodeling and rebuilding. As we age the balance between remodeling and rebuilding changes. The rebuilding process tends to slow and worsen due to a lack of estrogen, vitamin deficiency, and usage of medications for chronic conditions such as GERD treatment.

Possible Causes Include:

  • Loss of Estrogen

  • Aging

  • Hysterectomy

  • Vitamin D Deficiency

  • Bariatric Surgery

  • Continual Glucocorticoid Treatment

  • Parathyroid Hormone Dysfunction

  • Calcium Deficiency

  • Medications Treating Chronic Heartburn


DEXAScan or Bone Density Test Which Shows Osteopenia or Osteoporosis

Who Is A Candidate For Osteoporosis Treatment?

Guidelines For Testing:


    65 years old with one of more of the following

  • Postmenopausal with medical causes of bone loss (regardless of age)

  • Steroid use

  • Hyperparathyroidism

  • Post menopausal women with a fragility fracture

  • Fracture from a fall from standing height or less                                                          50 years old with one of more of the following

  • Fracture after menopause (not skull, facial bone, ankle, finger, or toe)

  • Body Weight <127 lbs

  • BMI <21

  • History of hip fracture in parent

  • Current smoker

  • Rheumatoid Arthritis

  • Consuming Medications for GERD Treatment Daily

  • Alcohol intake of >2 servings per day                                                                   Servings:

    • 12 oz Beer

    • 4 oz glass of wine

    • 1 oz liquor

How Is Osteoporosis Treated?

  • Medications

    • Bisphosphonates, SERMS, RANKL Antibodies, Estrogens

  • Vitamin Supplementation

  • Weight Bearing Exercise

  • Hormone Replacement Therapy

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