Bone loss is often called a "silent disease" because you cannot feel your bones getting weaker — until a fracture occurs. At District Endocrine, our goal is to identify bone loss early, uncover any hidden medical causes, and proactively strengthen your skeleton to prevent life-altering fractures.
We provide comprehensive bone health management for both men and women. Whether you have just been diagnosed with osteopenia or have established osteoporosis, we look beyond the basic DEXA scan to create a targeted, evidence-based treatment plan that fits your lifestyle.
What We Treat
Osteoporosis
When bone density drops significantly, bones become fragile and prone to fracturing even from minor falls. We evaluate the severity of bone loss, identify underlying causes, and initiate powerful medical therapies to actively rebuild bone mass and prevent future fractures.
Osteopenia (Low Bone Mass)
Osteopenia is the warning stage before osteoporosis. Rather than waiting for it to worsen, we use this critical window to intervene with targeted lifestyle changes, calcium and vitamin D optimization, and early medical therapy when your overall fracture risk justifies it.
Secondary Bone Loss
Bone loss is not always solely due to aging or menopause. We investigate secondary causes including long-term steroid use, malabsorption syndromes, hyperparathyroidism, and premature sex hormone deficiency — treating the root cause alongside the bone loss itself.
Our Approach
DEXA Scan Review and Fracture Risk Evaluation
We perform detailed clinical review of your DEXA (bone density) scan results and pair them with specialized fracture risk assessment using the FRAX tool to accurately predict your personal 10-year fracture risk — guiding treatment decisions with precision.
In-Office Injectable Treatments
For patients requiring advanced therapy to stop bone loss or rebuild bone, we offer the convenience of administering Prolia (denosumab) and Evenity (romosozumab) injections directly in our office. Our staff handles medication sourcing and administration safely and comfortably.
Coordination of IV Treatments
For patients who cannot tolerate oral medications or who are best served by annual intravenous therapy, we coordinate Reclast (zoledronic acid) infusions with trusted local infusion centers.
Comprehensive Lab Workup
Before prescribing any bone medication, we run blood and urine tests to check calcium levels, vitamin D stores, kidney function, bone turnover markers, and hormone levels to ensure the chosen treatment is safe and effective for your specific situation.
🔑 Key Takeaways
- We evaluate osteoporosis and osteopenia with DEXA scan analysis and individualized FRAX fracture risk scoring.
- In-office Prolia and Evenity injections are available for patients needing advanced bone-building therapy.
- We coordinate annual Reclast IV infusions for patients who prefer or require intravenous treatment.
- Secondary causes of bone loss — including steroid use, hyperparathyroidism, and hormone deficiency — are identified and treated.
- Calcium, vitamin D, and bone turnover labs are reviewed before starting any treatment.