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  About The Author
Preface and introduction




Age-related bone loss is a universal skeletal phenomenon that results in depletion of resources of skeleton-often for decades, until it becomes prone to increased risk of fracture.  If hypertension is the silent killer, then osteoporosis is the silent thief.  A woman at the age of 50 is at an estimated risk of 16% for forearm fracture, 32% for vertebral fracture, and 15% for hip fracture during her remaining lifetime.

Although the postmenopausal woman is considered the typical osteoporosis patient, men and women of all ages can be affected by the condition.

Osteoporosis is largely preventive due to the remarkable progress in the scientific understanding of its causes, diagnosis, and treatment.  The medical challenge is to ensure that all patients- particularly adolescent girls and women-adopt life-style changes that can help build and maintain bone mass and to educate women at risk to choose the appropriate interventions at the time of menopause.

This is an attempt to clarify the factors associated with prevention, diagnosis, and treatment, and to present the latest information about osteoporosis.  The author alone is responsible for any shortcomings in this piece of work and welcomes criticisms and suggestions for the improvement of the same.


Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily. The author and publisher of this book have used their best efforts to provide information that is up-to-date and accurate and is generally accepted within medical standards at the time of publication. However, as medical science is constantly changing and human error is always possible, the authors, editors, and publisher or any other party involved with the publication of this book do not warrant the information in this book is accurate or complete, nor are they responsible for omissions or errors in the book or for the results of using this information. The reader should confirm the information in this book from other sources prior to use. In particular, all drug doses, indications, and contraindications should be confirmed in the package insert


I am thankful to Dr (Mrs) Sangita Kandoi for her immense help in proofreading & for her invaluable suggestions. The help rendered by Jaypee Publisherís Distributors Ltd  and their staff is  probably unrivalled. Thanks also to vidya, praveen, rizwana, parvati, Shaila and Joseph for their continuous support throughout the making of the book. The author is grateful to his family for the constant inspiration they offered. The author alone is responsible for the shortcoming in this piece of work. He welcomes suggestions for improvement from the readers.











Being seventy is not a sin.- Golda, quoted by David Reed, Readerís digest, July 1971


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