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Osteoporosis is often discussed as a condition of older women, which is accurate about when it appears and misleading about when it forms. The disease develops over decades. By the time a diagnosis arrives, much of the decisive period has passed. This covers why women are more vulnerable, what happens at each stage of life, and the risk factors that have nothing to do with age.

Key Takeaways:

  • Peak bone mass is reached in the twenties, and the amount you build then determines what you have to lose later.
  • Osteoporosis is roughly four times more common in women than in men, driven largely by estrogen loss at menopause.
  • Around 42 percent of postmenopausal women have osteopenia, the stage before osteoporosis.
  • Several medications and medical conditions accelerate bone loss independently of age.
  • Bones respond to mechanical loading throughout life, which is why exercise remains relevant at every stage.
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