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Bone Health Clinic


What is Osteoporosis?

Osteoporosis is a disease that causes the skeleton to weaken and bones to break.

Facts and Figures for Men regarding their risk of developing Osteoporosis

(from the National Osteoporosis Foundation)

  • Up to one in four men over age 50 will break a bone due to osteoporosis.
  • Approximately two million American men already have osteoporosis. About 12 million more are at risk.
  • Men older than 50 are more likely to break a bone due to osteoporosis than they are to get prostate cancer.
  • Each year, about 80,000 men will break a hip.
  • Men are more likely than women to die within a year after breaking a hip. This is due to problems related to the break.
  • Men can break bones in the spine or break a hip, but this usually happens at a later age than women.

Facts and Figures for Women regarding their risk of developing Osteoporosis

(from the National Osteoporosis Foundation)

  • Of the estimated 10 million Americans with osteoporosis, about eight million or 80% are women.
  • Approximately one in two women over age 50 will break a bone because of osteoporosis.
  • A woman’s risk of breaking a hip is equal to her combined risk of breast, uterine and ovarian cancer.


Are you at risk for Cancer Treatment Induced Bone Loss (CTIBL)?

You may be at an increased risk for bone loss because of the hormone therapy or androgen deprivation therapy (ADT) that you are receiving for the treatment of prostate cancer. ADT works by depriving the prostate cancer of testosterone (the male sex hormone). A side effect of this treatment is a bone loss, which may put you at high risk for fractures. Men on ADT lose about 2-4% of their bone mass every year, which is twice the amount of bone loss in post-menopausal women.

Other side effects of ADT may include loss of libido, hot flashes, and erectile dysfunction (ED). Enlarged breasts, changes in body composition, and exacerbation of medical conditions like hypertension, diabetes, and coronary artery disease may also occur. It is especially important to notify your primary care provider when you begin ADT if you have hypertension, diabetes, or coronary artery disease.


Determining your bone health: A multi-step process

Determining the health of your bones, and therefore helping to make a diagnosis of osteoporosis is a comprehensive process that involves you, your healthcare practitioner, lab tests, bone scans, and in office testing and observations.


How You Can Help Prevent Bone Loss

  • Reduce alcohol intake: limit your alcohol intake to 1-2 drinks per day
  • Avoid smoking: If you smoke, you should quit. Ask us how we can help.
  • Exercise: Walk more and exercise 4 times per week
  • Ensure adequate Calcium: 1,200mg/day in divided doses
  • Ensure adequate Vitamin D: 1,000IU/day (2,000 IU/d for patients with bone involvement)
  • Limit dietary sodium (salt): Maximum 1,500mg/day (2,400/day for some individuals)
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