“…Some of the risk factors cannot be changed, including being female 35 , postmenopausal 36,37 , having a small skeleton 38 , being Caucasian/Asian 39,40 , family history of osteoporosis and fractures 41,42 , and advanced age 43,44 , while many other factors are controllable, such as calcium-consuming medications like steroids (used to treat asthma and arthritis) 45 and high dosages of thyroid hormone 46 , inadequate or excessive intake of fiber and phosphorous nutrients 47 , excessive exercise 48 , low body weight 48 , cigarette smoking 49, 50 and high alcohol consumption 51 .…”