Osteoporosis Treatment & Bone Health Specialist in Miami

Osteoporosis vs. osteopenia

Osteopenia means bone density is lower than expected but not low enough to meet osteoporosis criteria. Osteoporosis means bones are fragile enough that fracture risk is higher. Both require a careful look at age, fracture history, DEXA results, medications, and hormonal factors.

Causes and risk factors

• Menopause and lower estrogen levels
• Age-related bone loss
• Family history or prior fragility fracture
• Low vitamin D, low calcium intake, or limited weight-bearing activity
• Thyroid, parathyroid, adrenal, kidney, digestive, or medication-related causes
• Smoking, excess alcohol, low body weight, and fall risk

Diagnosis and testing

A DEXA scan measures bone density and reports T-scores. A T-score compares bone density with a young healthy reference range. FRAX can estimate fracture risk using clinical factors and sometimes bone-density results. Lab testing may look for vitamin D deficiency, calcium problems, thyroid or parathyroid disease, and other causes of secondary osteoporosis.

Treatment and monitoring

• Calcium and vitamin D optimization when appropriate
• Nutrition, resistance exercise, weight-bearing activity, balance work, and fall prevention
• Bisphosphonates or other medications when fracture risk supports treatment
• Injectable or infusion therapies when clinically appropriate
• Repeat bone-density testing and treatment monitoring based on risk level

When to see an endocrinologist

An endocrinology visit is helpful after a low DEXA score, osteopenia with risk factors, osteoporosis, a fragility fracture, suspected parathyroid or thyroid-related bone loss, or uncertainty about medication choices.

Why choose S&S Endo

S&S Endo connects bone density results with endocrine causes of bone loss, menopause-related risk, thyroid and parathyroid health, medication safety, and long-term fracture prevention.