Mrs. Patel has a low body mass index (<21) and she is on
long term steroids.
Other risk factors include poor dietary intake of calcium,
lack of weight bearing exercises, excessive alcohol intake, premature menopause
(before the age of 45), poor absorption of food consumed, occasional fractures,
3 or more episodes of amenorrhea before menopause, hyperparathyroidism, family
history (maternal side).
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