Bone loss is an asymptomatic process and in some ways can be considered clinically equivalent to hypertension. In each case patients present themselves to the health care system when a complication arises, either fracture, in the case of osteoporosis, or stroke in hypertension.The key in each case is early identification of the patients at greatest risk, targeting those for intervention.When considering skeletal mass, two aspects are of importance. Firstly, there is the peak bone mass that an individual attains at skeletal maturity, and secondly, the rate at which bone loss occurs. Many factors are likely
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