Hidden Causes of Osteoporosis

" Welcome to our webcast on Lisa Clark. The connections between osteoporosis. And menopause or calcium levels are common knowledge to doctors and patients alike. But few people know about the so called secondary causes of osteoporosis. Certain medical condition and even some medications. Have been shown to increase a person's risk of osteoporosis. Joining me today to discuss these risk factors as doctor Marten -- an endocrinologist at the New York Presbyterian Hospital Cornell campus in New York City. Doctor -- thank you for being here -- right segment to go over it for for people who are an unfamiliar with osteoporosis. There at the basic mechanism that the natural loss of a bone in the body that they occur because of what kinds of back."

" Here's the major factor is the loss of estrogen. -- of course what that is. Foreign awaited the biggest cause. Osteoporosis. -- and there are other factors are such as inheritance of -- bonds of family history of osteoporosis. And there are certain lifestyle. Abnormalities such as alcohol and cigarette smoking is what that I estrogen loss as the major causes. Now what but on the other hand when I see a patient with osteoporosis. I always look. For a secondary cause in other words. I don't say oh she's not a -- therefore it's due to estrogen deficiency and who was a goodly percentage of our patients who turn out to have some. Other core is that may be hidden or it may be obvious and such as taking quarter -- steroids for. Rheumatoid arthritis or asthma or. Taking thyroid medication. But we also see patients who have hyper -- for terrorism -- parent thyroid glands in the NASCAR overactive. We see patients -- Mal absorption of calcium. And vitamin. But they may actually have a little -- foremost rule which is an intestinal inflammation and that and can cause Mal absorption of various nutrients than what I see quite a few patients -- that so we're always looking. For a secondary -- just to be sure that we are missing something before we take it from -- that mistrust and postmenopausal."

" No one of the things that surprised me when I read it one of the medication that might -- suspect. Our aunt passed since that contain aluminum now you see a lot of enhancements marketed as caffeine sources. But there's a specific type. That may actually cause accounts in depletion."

" Yes so aluminum is actually a a poison to the bonds would. And particularly people -- real disease we see this there. And -- used to say this won't use a lot of aluminum in the a dialysis fluid and these people can get severe bone disease. In normal people who don't have renal disease that. Probably isn't a factor in less than taking -- large amounts of aluminum containing antacids --"

" Are there at the secondary causes of osteoporosis. More common in certain groups of people aren't there certain patients who will come in with. Possible osteoporosis and you think now they're so well because of --"

" Because because estrogen deficiency isn't a problem and then -- And then we see more secondary causes of osteoporosis. A product perhaps. 50% of the men who have osteoporosis tend to have a secondary -- it will always look. Much more deeply in those --"

" Do you find. -- patients resistant to the notion that they might have osteoporosis. Because it's. Believed to be a defeat for this that affects elderly women more often at all absolutely -- absolutely."

" Just the other day -- I was single woman with -- osteoporosis and she came in with her little husband who is over and over. And I should you should have a bone density and he refused brilliantly against -- but it never hurts the talk here doctor."

" No matter what your gender or your -- that's right. Thank you so much for being with this doctor and I think we appreciate your time thanks for inviting me and we appreciate your joining us for this webcast on Lisa Clark."