osteoporosis, by the way, comes from the greek meaning osteo, bone and porosis, holes, holes in the bone. your bone density is going down because estrogen usually helps you to keep it up. that's why women are affected precipitously after the age of 50. with men, also occurs in men, very important to bring that out. with men it's 60 to 75, it starts to equalize, so we can't think about it as a disease with women. we have to think about it with men, especially since, arthel, often it's a silent problem where you're walking along, you don't know you have it. the next thing you know you fall and have a hip fracture or a wrist fracture or a lower back spinal fracture. this is a big problem, and so i think everyone should be screened with bone density studies. women right after menopause or even a little before to get a baseline. men as they hit 60 for sure. life-style change, increase the amount of exercise you do, lose weight. some people say eat soy because it's got estrogen in it and later on sometimes i use medications like bisphosphonates. medications you use to help with bone density. h