Osteomalacia developing during treatment of osteoporosis with sodium fluoride and vitamin D.

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Osteomalacia developing during treatment of osteoporosis with sodium fluoride and vitamin D.

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www.hormone.org The Hormone Health Network offers more than 100 free, online patient education resources, based on the most advanced clinical and scientific knowledge from The Endocrine Society. A PAtient’s Guide In osteoporosis, bones become weak and are more likely to fracture (break). It is a “silent” condition, causing no symptoms (what you feel) unless you break a bone. About 20% of the 44 million Americans who have osteoporosis or osteopenia (mildly low bone mass) are men. The lifetime risk of having a fracture due to osteoporosis for men ages 50 and older is 13% to 30%. Fractures occur most often at the hip, spine, and wrist. These fractures— above all, hip fractures—can greatly reduce the quality of life and even lead to early death. Though osteoporosis affects men less often than women, men are two to three times more likely than women to die after breaking a hip. Fortunately, osteoporosis can be prevented. However, many men are unaware that they are at risk for this dangerous disorder. This guide is based on The Endocrine Society’s practice guidelines for physicians about testing for, treating, and preventing osteoporosis in men. What causes osteoporosis in men? Osteoporosis occurs when your body cannot replace bone as quickly as it breaks down old bone (a natural process called “bone turnover”). Certain factors raise a man’s risk of developing osteoporosis. How is osteoporosis in men diagnosed? Your doctor may suspect osteoporosis based on your medical history, risk factors, and physical exam, including your height, balance, and mobility. The most common way to detect osteoporosis is with a bone density test such as a dual-energy x-ray absorptiometry (DXA or DEXA) scan. This test measures bone mineral density (BMD) at your lower spine and hip, and gives a score called a T-score. A T-score of –2.5 or lower indicates osteoporosis, and a T-score between –1.0 and –2.5 shows osteopenia. A score above –1.0 is normal. DXA can also

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