Flip-flops are risk factors.

 These are a few diseases stages as osteopenia, in a not big lowering mineral mass for bone density, osteoporosis  and hard osteoporosis, complicated by fractures. Clinically  osteoporosis having a primary and secondary. Primary are having post menopause osteoporosis, on menopause displaying, senile and juvenile -they are developing on adult, teenager ages, idiopathic osteoporosis as result in destroying for mineral metabolism. Secondary osteoporosis is in nicotine diseases having as hyperparathyreosis, hyperthyreosis, rheumatologic  pathology, myeloma disease, blood disease, kidney failure, genetical destroys, after remedies using as corticosteroids. Base risks of factors for osteoporosis development .A non modifications factor, which are not changing, its age after 65 y.old, female sex, low mineral density of bone tissue, risk to fallings, family predisposition, sex glands destroying functions, and fractures in minimal injuries. And in modifications factors, which are ability to change, that not depends on from a human is vitamin D and calcium failure, less weight on 57 kg, addicting of smoking, drinking, low physically activity, long immobility, corticosteroid using, often fallings. And to avoiding a case balance loosing, and falling, less use sedatives, that  are addicted adults, regular cure chronic diseases as hypertension and arrhythmias. In bad vision wear glasses, keep in home a night light, remove items, which are not allowing moving at home, keep hold for railing, put handrails at WC, bath.

Use stick or walkers in moving, or descending by stairs, hold for railings, wear comfortable shoes, not sliding, avoid at home wearing flip-flops trampled. 

Secondary osteoporosis cure is a base of disease therapy, analgesics using, and exercises. And main remedies delaying destroying for bone tissue and stimulating her forming are prescribing calcium preparations, vitamin D, ESTROGENS, CALCITONINS, BISPHOSPHONATES . For reinforcement bone forming are fluorides , paratho-hormones , calcium triol, androgens, hormones for growing. And in all remedies a importance component complexes is calcium using on 1200-1500 mg and vitamin D 800-1000 ME. fractures  PREVENTING USING CALCIMINE ADVANCE ON 500 MG OF CALCIUM, 200 MG OF VITAMIN 3, MICRO-ELEMENTS, ZN, COPPER, MANGANESE, BORON  , MG. Biphosphates suppressing just destroying bone, lowering risk for fractures a vertebra. A most effective for preventing and cure osteoporosis are preparations of alendronic  acid, which increasing mineral density of bone tissue and hip bone, fractures risk lowering, and use theirs in corticosteroid osteoporosis . Calcitonin , active metabolites' vitamin D AS DETRIMAX VITAMIN D3 for preventing are not enough effectivity. And in disease therapy and complicated fracture use other preparations as rizedronate-TEVA, zolendric acid, teriparatid   , strontia    ranelat,  denosumab.  And not all patients leading a cure till end, stopping using remedies on the cure middle course, explaining for side effects from remedies on gastric highway, or not comfortable theirs doses, thus effectivity for such therapy lowering. But in these hard are having comfortable remedies in using as aclasta in intravenously entering for 1 time/year, and pills effervescing  binosto    are using in patients with hard swallowing. A cure for osteoporosis doing with a control of mineral density bone tissue, and stat rating every year.In  his lowering on 3 perc a therapy  corrects.  

By R.Balabanova, professor  , Dr. of medical sciences.