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Patient Education

Osteoporosis / Bone Health

Thoughtful bone density evaluation and treatment to keep you strong, steady, and protected against fractures.

Osteoporosis quietly thins your bones over time, often without any symptoms until a fracture occurs. In her Los Angeles practice, Dr. Golian focuses on early detection through bone density (DEXA) screening and a personalized plan to preserve your strength and prevent breaks — with coordinated specialist care available when needed.

Symptoms & Warning Signs

Osteoporosis is often called a silent disease, but certain signs may point to weakening bones:
  • A fracture from a minor fall or bump
  • Loss of height over time
  • A stooped or rounded posture
  • New or persistent back pain
  • Bones that break more easily than expected

Causes & Risk Factors

Several factors can raise your risk of developing osteoporosis:
  • Being postmenopausal or experiencing menopause
  • Low vitamin D or calcium levels
  • A family history of osteoporosis or fractures
  • Thyroid imbalance, including hypothyroidism
  • Long-term steroid use, smoking, or heavy alcohol intake
  • A smaller body frame or being underweight

How Dr. Golian Manages Osteoporosis / Bone Health

Dr. Golian begins with a careful review of your history, lifestyle, and risk factors, then coordinates a DEXA bone density scan to measure your bone strength precisely. She also checks for underlying contributors such as vitamin D deficiency and hypothyroidism that may be silently weakening your bones.

If treatment is warranted, she may recommend vitamin D supplementation, targeted nutrition and exercise, or prescription osteoporosis therapy such as bisphosphonates. For complex or severe cases, she coordinates seamlessly with a specialist.

Protecting Your Bones for the Long Term

Strong bones are built and maintained through daily habits. Weight-bearing exercise, adequate calcium and vitamin D, and fall-proofing your home all play an important role in keeping you safe and mobile.

Because bone health is closely tied to hormones and overall wellness, Dr. Golian considers it part of your broader picture — addressing factors like vitamin D levels and thyroid function so your prevention plan works on every front.

Frequently Asked Questions

1When should I get a bone density (DEXA) scan?
Most women should begin screening around age 65, and earlier if you have risk factors like early menopause, a family history of fractures, or long-term steroid use. Dr. Golian will review your individual risk and arrange a DEXA scan at the right time for you.
2Can osteoporosis be reversed?
While osteoporosis can't always be fully reversed, treatment can slow bone loss, help rebuild some bone strength, and significantly lower your fracture risk. The earlier it's caught, the more options you have.
3Does menopause cause osteoporosis?
Menopause is a major risk factor because falling estrogen levels accelerate bone loss. This is why bone health becomes especially important to monitor in the years during and after menopause.
4How much calcium and vitamin D do I need for healthy bones?
Needs vary by age and health, but most adults benefit from a combination of calcium-rich foods and adequate vitamin D. Dr. Golian can test your vitamin D level and recommend the right amounts for you rather than relying on guesswork.
5Are osteoporosis medications safe?
When prescribed and monitored appropriately, osteoporosis medications such as bisphosphonates are well-studied and effective at reducing fractures for many patients. Dr. Golian discusses the benefits and considerations with you to find the right fit.

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Take Charge of Your Bone Health

Protect your bones before a fracture ever happens — schedule a consultation to evaluate your osteoporosis risk and build a personalized plan.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.