NORTH COAST WOMEN’S HEALTH

2752 Harrison Ave., Suite A Kim Ervin, M.D.

Eureka, CA 95501 Roberta Basist, N.P.

707-443-3557 Barbara Marchi, N.P.

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Risk Factors for Osteoporosis

___ Being a woman ___ No pregnancies

___ Caucasian or Asian ethnicity ___ Lack of Vitamin D

___ Light skin color, small bone structure ___ High-salt diet

___ Short, low body fat ___ Chronic diarrhea or surgical

removal of stomach or small

___ Low calcium diet intestine

___ Lack of exercise / excessive exercise ___ Daily use of cortisone

___ Family history of osteoporosis ___ Use of thyroid medication

(Over 2 grains), Dilantin, or

___ Excessive caffeine or carbonated drinks antacids which contain

aluminum

___ History of smoking in formative years ___ History of dieting, anorexia or bulemia

___ High protein intake ___ Low calcium or magnesium

intake

___ History of heavy alcohol or drug use ___ Hyperparathyroidism/

hyperthyroidism

___ History of fractures ___ Early Menopause

___ Amenorrhea or history of irregular periods ___ Scuba diving

___ Gray hair (>50% of hair) before age 40 yrs.

medical forms\osteoporosis risk factors.wpd

06/03