Dr Bella Beraha, born in Venezuela, joins us from Miami. She is an M.D. in Internal Medicine and runs a successful medically supervised weight loss program from the clinic.

1. In the presence of risk factors that may cause ongoing bone loss (eg, glucocorticoid use, hyperparathyroidism), we perform follow-up measurements approximately every two years, as long as the risk factor persists.
2. We perform follow-up measurements approximately every two years in high-risk women  during the first five years of menopause, when bone resorption is most prominent.
3. In women with no risk factors for accelerated bone loss we will typically perform a follow-up DXA in three to five years.