Osteoporosis

Endocrine Specialists of Georgia LLC

WHAT IS OSTEOPOROSIS?

Osteoporosis may be due to lower-than-normal maximum bone mass and greater-than-normal bone loss. Bone loss increases after menopause due to lower levels of estrogen. Osteoporosis may also occur due to a number of diseases or treatments, including alcoholism, anorexia, hyperthyroidism, kidney disease, and surgical removal of the ovaries.

Certain medications can also increase the rate of bone loss, including some antiseizure medications, chemotherapy, proton pump inhibitors, selective serotonin reuptake inhibitors, and glucocorticosteroids. Smoking and too little exercise are additional risk factors.

Osteoporosis is defined as a bone density of 2.5 standard deviations below that of a young adult. This is typically measured by dual-energy X-ray absorptiometry (DEXA scan).

There is no cure for osteoporosis, but proper treatment can help protect and strengthen your bones. Bisphosphonates are usually the first choice for osteoporosis treatment. These therapies can help slow the breakdown of bone in your body, and some treatments can even spur the growth of new bone.

RISK FACTORS FOR OSTEOPOROSIS

  • Postmenopausal women due to decreased estrogen levels.
  • Low maximum bone mass from younger years.
  • Smoking and excessive alcohol consumption.
  • Sedentary lifestyle and too little exercise.
  • Low body weight or history of anorexia.
  • Long-term use of medications such as steroids, antiseizure drugs, or proton pump inhibitors.
  • Previous history of fractures.

WHY DOES OSTEOPOROSIS OCCUR

  • Estrogen Deficiency: Bone loss accelerates significantly after menopause.
  • Associated Diseases: Hyperthyroidism, kidney disease, and surgical removal of the ovaries.
  • Medications: Chemotherapy, glucocorticosteroids, and selective serotonin reuptake inhibitors can increase bone loss.
  • Lifestyle Factors: Smoking, lack of exercise, and nutritional deficiencies.
  • Age and Genetics: Natural decrease in bone density with age and family history of osteoporosis.

Osteoporosis is silent — but preventable. An early evaluation can protect your bones and your independence.

PROFESSIONAL DIAGNOSIS AND ADVANCED TREATMENTS

At Endocrine Specialists of Georgia, we understand that osteoporosis affects much more than your bones — it affects your mobility, your independence, and your quality of life. Led by Dr. Francisco Puentes, Board Certified in Endocrinology, Diabetes & Metabolism, we design personalized treatment plans based on each patient’s age, fracture risk, and overall health.

A precise diagnosis is the foundation of effective treatment. During your consultation, we perform a comprehensive evaluation that may include:

  • DEXA Scan Referral: We will refer you for a dual-energy X-ray absorptiometry (DEXA) scan to measure bone density at the hip and spine — the gold standard for diagnosing osteoporosis and osteopenia.
  • Complete Metabolic Evaluation: Calcium, vitamin D, parathyroid hormone (PTH), thyroid function, and bone turnover markers.
  • Secondary Cause Assessment: Ruling out hyperthyroidism, kidney disease, medication-related bone loss, and other contributing conditions.
  • Bisphosphonate Therapy: The first-line treatment to slow bone breakdown and reduce fracture risk.
  • Advanced Treatments: When indicated, additional therapies to spur the growth of new bone and further strengthen skeletal structure.
  • Calcium and Vitamin D Plan: Correct supplementation based on your individual levels and needs.

Protect your independence. Proper treatment can significantly slow bone loss, reduce fracture risk, and keep you active for many more years.

Frequently Asked Questions

Osteopenia means your bone density is lower than normal but not low enough to be classified as osteoporosis. Think of it as an early warning sign. Osteoporosis is the more advanced stage, where bones have become significantly weakened and the risk of fracture is much higher. Both conditions are diagnosed through a DEXA scan and both benefit from early treatment — whether that means lifestyle changes, supplements, or medication.

Bisphosphonates are usually the first choice, but they are not the only option. Depending on your bone density, fracture risk, and overall health, your endocrinologist may recommend additional or alternative therapies that not only slow bone loss but also stimulate the growth of new bone. The right treatment depends on a thorough individual evaluation.

There is no complete cure for osteoporosis, but proper treatment can protect and strengthen your bones. Some therapies can slow the breakdown of existing bone, while others can spur the growth of new bone — significantly improving bone density over time and reducing the risk of fractures.

Don’t leave your health to chance. Contact our Atlanta office for a professional consultation.