Beyond the obvious clinical signs of damage, fracture in older persons inva
riably is a sign of osteoporosis onset. This prevalent disease of older age
, however, is preventable and treatable. Because no agent or exercise regim
en can reverse osteoporosis, proactive physicians can help patients prolong
osteoporosis onset and lower the risk of fracture incidence by creating a
preventive regimen that employs exercise diet, vitamin D and calcium supple
mentation, and when, necessary, administration of pharmacologies including
estrogen, bisphosphonates, calcitonin-salmon, and the new selective estroge
n receptor modulator.