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Published on: 2/19/2026
Osteoporosis happens when bone loss exceeds rebuilding, leaving bones brittle and prone to fractures; it can be detected with a DEXA scan and managed with calcium and vitamin D, weight-bearing and strength exercise, quitting smoking, limiting alcohol, fall prevention, and when needed prescription therapies such as bisphosphonates, denosumab, or anabolic agents. There are several factors to consider, including age, menopause status, steroid use, and other conditions, and the right next step for you may differ. See below for key risks, screening timelines, target intakes, exercise examples, medication choices, and signs that mean you should contact a doctor now.
If you've been told your bones are thinning—or you're worried they might be—you're not alone. Osteoporosis is one of the most common bone diseases worldwide. It's often called a "silent disease" because it can progress without symptoms until a fracture occurs.
Some people describe it as their bones "melting." That's not exactly what's happening—but it can feel that way when bones become weak and fragile. The good news? There are medically proven ways to slow, stop, and even partially reverse bone loss.
Let's break down what osteoporosis really is—and what you can do about it.
Osteoporosis is a condition where bones lose density and strength over time. Healthy bones constantly rebuild themselves. Old bone is broken down, and new bone is formed. When that balance shifts—meaning more bone is lost than replaced—bones become porous, brittle, and more likely to fracture.
It most commonly affects:
Fractures in these areas can significantly affect mobility, independence, and overall health.
Bone loss is a natural part of aging. Peak bone mass usually occurs around age 30. After that, bone breakdown gradually outpaces rebuilding.
However, certain factors increase your risk of developing osteoporosis:
After menopause, the drop in estrogen significantly accelerates bone loss in women. Men can also develop osteoporosis, particularly after age 65, though it is less common.
In early stages, osteoporosis has no obvious symptoms. That's why many people don't know they have it.
Possible warning signs include:
If you're experiencing any of these symptoms or simply want peace of mind about your bone health, you can use Ubie's free AI-powered symptom checker for Osteoporosis to quickly assess your risk level and get personalized guidance in just a few minutes.
Doctors diagnose osteoporosis using a DEXA scan (dual-energy X-ray absorptiometry). This painless test measures bone mineral density (BMD).
Results are reported as a T-score:
Early detection is key. The sooner bone loss is identified, the easier it is to manage.
Here's what science consistently supports for preventing fractures and protecting bone health.
Calcium is the main building block of bone.
Good sources include:
If you don't get enough from food, your doctor may recommend supplements. Avoid taking more than recommended unless advised by a healthcare professional.
Vitamin D helps your body absorb calcium.
Many adults are deficient—especially those who:
Typical recommendations range from 800–1,000 IU daily, though some individuals may need more based on blood tests.
Ask your doctor whether testing your vitamin D level is appropriate.
Exercise is one of the most powerful tools against osteoporosis.
Bones respond to stress by getting stronger. The right kind of movement stimulates bone formation.
Balance exercises (like tai chi or yoga) also reduce fall risk.
Aim for:
If you already have osteoporosis, consult your doctor or a physical therapist before starting high-impact activities.
Smoking directly weakens bones and interferes with calcium absorption.
Excess alcohol:
Limit alcohol to:
Quitting smoking and moderating alcohol can significantly reduce fracture risk.
For individuals diagnosed with osteoporosis—or those at high fracture risk—medication may be necessary.
Common options include:
These slow bone breakdown.
A twice-yearly injection that reduces bone resorption.
Such as teriparatide, which stimulate new bone formation.
Medication decisions depend on:
This is not a one-size-fits-all decision. A healthcare provider can help weigh risks and benefits.
Since fractures often result from falls, reducing fall risk is critical.
If you feel unsteady, talk to your doctor about balance training.
You can't completely "cure" osteoporosis, but you can:
With proper treatment, many people stabilize their bone density and avoid major fractures.
The earlier it's caught, the better the outcomes.
You should talk to a healthcare professional if you:
If you experience sudden severe back pain, hip pain after a fall, or difficulty standing, seek medical care immediately—these could signal a fracture.
Even if symptoms seem mild, it's better to speak to a doctor about anything that could be serious or life-threatening. Osteoporosis-related fractures, particularly hip fractures, can significantly impact long-term health if untreated.
Osteoporosis is common—but it is not inevitable, and it is not untreatable.
Your bones are not "melting." They are responding to biological changes that can be managed with:
The key is awareness and action.
If you're unsure about your risk, consider completing Ubie's free AI-powered symptom checker for Osteoporosis to get personalized insights about your bone health. Then bring the results to your doctor and discuss whether further testing or treatment makes sense for you.
Strong bones are built over time—but they can also be protected starting today.
(References)
* Khosla S, et al. Osteoporosis: An Updated Review of Medical Management. Mayo Clin Proc. 2021 Jul;96(7):1856-1871. doi: 10.1016/j.mayocp.2020.12.024. PMID: 34229792.
* Compston J, et al. Understanding and Treating Osteoporosis. N Engl J Med. 2023 Feb 23;388(8):717-727. doi: 10.1056/NEJMra2208013. PMID: 36812239.
* Saha S, et al. Recent advances in the understanding of osteoporosis. F1000Res. 2022 Jul 25;11:859. doi: 10.12688/f1000research.122709.1. PMID: 36034079.
* Ferrari SL, et al. Pathophysiology and treatment of osteoporosis. Nat Rev Dis Primers. 2020 Sep 24;6(1):80. doi: 10.1038/s41572-020-00211-1. PMID: 32973167.
* Tucci M, et al. Diet, supplements, and exercise in osteoporosis prevention and treatment. Minerva Med. 2021 Jun;112(3):363-380. doi: 10.23736/S0026-4806.21.07435-0. PMID: 34105436.
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