 Hello everyone, I am Dr. Prashant Bhavna, I am a consultant rheumatologist and clinical immunologist at the Manipal Hospital, Jai Nagar, Bangalore. We will discuss about osteoporosis. You know what is osteoporosis? It is a decrease in bone mass. What has been seen is 40% of the postmenopausal women and around 20% in men more than 50 years of age have osteoporosis. Osteoporosis are usually asymptomatic, they just present within fracture after trivial fall. So this add to a major cost to their life in the form of morbidity and sometimes the mortality. It also add on to the cost of the surgery and the pain what they have to bear. So these can be diagnosed by doing a bone mineral density that is called as DEXA scan which is a gold standard. If your bone is 2.5 times weaker than the bone of an young adult, you require a treatment other than the calcium and vitamin D supplements to improve your bone strength. But if your bone weak is between 1.5 to 2.5, you just require the vitamin D and calcium supplements. Suppose, if you are diagnosed with osteoporosis, you have to take a treatment and what treatment you will require will be decided by a rheumatologist, thank you.