In the August 2026 issue of Health Radar, Jessica Starr, MD, an endocrinologist specializing in bone health at HSS, discusses the importance of identifying and addressing osteoporosis before it leads to serious fractures. Osteoporosis is often called a "silent disease" because bone loss can develop without symptoms until a fracture occurs.

Dr. Starr emphasized that bone is not a static structure. "We think of bones as a hard substance that's just there. But bone is very much alive," she said. "Bone is constantly changing; it's building up, and it's breaking down at different rates throughout life."

She highlighted the importance of adequate calcium and vitamin D, regular weight-bearing and resistance exercise, and evaluation for underlying conditions that can accelerate bone loss, including menopause, diabetes, thyroid disorders, and certain inflammatory diseases. Dr. Starr also noted that fragility fractures, such as a broken hip after a minor fall or a vertebral fracture from coughing, can be a telling sign of weakened bones. 

For individuals at higher risk, Dr. Starr recommends discussing bone density testing with their healthcare provider, even before the standard screening ages. She also encourages patients to seek guidance on prevention and treatment options. "It's definitely worth having a discussion with a healthcare provider," she said

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