Case Study II – Skeletal System Osteoperosis: 45-year old Fabiola has been experiencing osteopenia for the last ~15 years. Therefore, she regularly visits her doctor for bone mineral density (BMD) tests. At her most recent visit, Fabiola’s doctor tells her that her osteopenia may develop into osteoporosis. Fabiola asks her doctor if her husband should also consider preventative measures to decrease his likelihood of osteoporosis. Fabiola’s doctor suggests that her husband get a BMD test. He also states that women are much more likely to develop osteoporosis than men. Why is osteoporosis more common in aging women than aging men? What causes osteopenia? What causes osteoporosis? What is the difference between osteopenia and osteoporosis? Fabiola’s doctor mentions hormone replacement therapy can be used to slow down the progression of osteoporosis developing but Fabiola has a family history of breast cancer. Why can this be an issue of concern? Besides hormone replacement therapy, what else can be done to slow the progression or prevent osteoporosis?