DEAR READER: Osteoporosis occurs when the normal buildup and breakdown of minerals in healthy bones falls out of balance. The condition is difficult to detect in its early stages, but the first clue is often a bone fracture, loss of height, back pain, stooped shoulders or through a routine bone density (X-ray) study.

There are a number of prescription medications; however, as you may be aware, several can lead to osteonecrosis of the jaw and other serious complications.

The recommendation for people 51 and older is 1,200 milligrams of calcium per day. Vitamin D is of equal importance in order to utilize the calcium and should not exceed 2,000 IU daily for healthy people. Therefore, in answer to your question, it all depends on how much calcium and D is present in the vitamin regimen you are taking. Read the ingredient label. If necessary, switch to combinations of calcium and D available at your local pharmacy in single-tablet form.

Beyond that, don’t smoke, avoid alcohol, maintain good posture, eat well, and exercise.

To provide related information, I am sending you a copy of my Health Report “Osteoporosis.” Other readers who would like a copy should send a self-addressed stamped No. 10 envelope and a $2 check or money order to Newsletter, P.O. Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title or print an order form off my website at www.AskDrGottMD.com.