Osteoporosis: Prevention and Treatment in Asian Americans

it was very informative,that asian americans are more prone to osteoporosis ,due to their selective diet,high exercise threshold and reluctance to use the anti bone resortive medications like alendronate or use of injections of Zolendronate or Denoxumab for a pretty length of time.Similarly they can have have GI reflux and other side effects.The Intake of dairy supplemets especilly cheese is very low in them depriving from the dietry calcium replacement.Their intake of calcium tab is not spaced in morning and evening of 500 mg each,usuall preparation of calcium and vitamin d are one aday only from both GPs and pharmacies to reduce polypharmacy.The intake of Vitamin D is lesss than 800-1000 iu per day,there is inconsistent use oF vitamin D supplements.The medacations like GLP1 agonists,anti seizure ,steroids and PPI can lead to bone mass loss.The lack of resistive exercice less than 75 min per week also promotes osteoporosis.There is no subsidized rate provision of calicum and viatamin supplents from pharmacaies nor of dietry productst for elderlys above age 60 or 65 giving no incentive for them to continue medicines in their budgent.Overall it was good , streesing also the use serial DEXA scans to pick up osteopenia and osteoporosis periodically in elderly.