Diabetes and Endocrinology Center

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USF Osteoporosis Program 

The USF Diabetes and Endocrinology Center team in collaboration with multiple specialties provides a high level of care for patients with bone loss due to different etiology. The Center provides bone imaging including DXA (Dual X-ray Absorptiometry) and REMS (Radiofrequency Echographic Multi Spectrometry) technology. USF Osteoporosis program has been started based on the growing need in bone health care in the Tampa area, which has one of the highest rates of bone fractures in the United States with the goal to provide primary and secondary fracture prevention.  

The goals of the program are:

  • to prevent not only the next fracture but to avoid the first fracture from happening
  • to screen as many eligible people for osteoporosis as possible
  • to provide an evaluation of possible causes of bone loss
  • to provide treatment and follow-ups for patients with diagnosed osteoporosis   

The USF Diabetes and Endocrinology Center team provides diagnosis and treatment for the following Calcium and phosphorus metabolism disorders/conditions:

  • Hypercalcemia (high calcium level)
  • Primary Hyperparathyroidism
  • Tertiary Hyperparathyroidism
  • Familial hypocalciuric hypercalcemia (FHH)
  • Hypocalcemia (low calcium level)
  • Vitamin D deficiency due to inadequate dietary intake, gastrointestinal malabsorption due to GI disorders, post-bariatric surgery, or vitamin D resistance
  • Hypoparathyroidism including hereditary such as isolated congenital hypoparathyroidism, DiGeorge syndrome and acquired hypoparathyroidism including post-parathyroidectomy, post-thyroidectomy, post-parathyroid glands radiation
  • Pseudohypoparathyroidism (PsHP) (a rare genetic disorder characterized by resistance to PTH actions) or hereditary rickets including Vitamin D-dependent rickets and hereditary hypophosphatemic rickets. 
  • Osteoporosis
  • Osteogenesis Imperfecta

Meet Our Experts 

  • kushchayeva-yevgeniya Yevgeniya Kushchayeva, M.D., PhD

    Medical Director of Adult Osteoporosis Program

  • Marla Sevilla, MD

  • mesmar-bayan Bayan Mesmar, MBBS

  • Dr. Salgado Silvia Salgado, MD

Team Members

  • Iryna_Pestun Dr. Iryna Pestun

    Osteoporosis Program Coordinator

  • Bond-Stefanie Stefanie Bond, PT, DPT

    Board Certified Clinical Specialist in Geriatric Physical Therapy, Lead Physical Therapist – Osteoporosis Program

Contact Us

Schedule an appointment: (813) 821-8011

Fax number: (813) 905-8970

Referral Form (fax with records)

Patient Resources

For more information on Osteoporosis/Abnormal Bone Mineral Density, studies please review our Clinical Research site.

Registration is on the Bone Health Registry site.

The bone loss due to causes below can be evaluated and treated by our team

  1. Osteoporosis/bone loss/low bone mineral density:
    1.  Age-related,
    2. Pre-menopausal and postmenopausal,
    3. Pregnancy and lactation-associated osteoporosis (PLO)
    4. Hypogonadism in men,
    5. Other endocrine-related osteoporosis due to Cushing syndrome/disease, hyperparathyroidism, hyperthyroidism, acromegaly, growth hormone deficiency,
    6. Drug-induced bone loss (including but not limited to glucocorticosteroids, check-point inhibitors, aromatase-inhibitors, androgen-deprivation therapy, suppressive thyroid hormone therapy),
    7. Radiation induced bone loss,
    8. Transplantation-related bone loss,
    9. Malnutrition, bariatric surgery related, vitamin D deficiency, etc.
  2. Bone loss due to genetic disorders such as Osteogenesis imperfecta, McCune-Albright syndrome, Osteoporosis-pseudoglioma syndrome, cystic fibrosis, hypophosphatasia, Hypophosphatemic nephrolithiasis/osteoporosis-1, Paget’s disease of the bone, vitamin D receptor mutation.
  3. Perioperative management of the osteoporosis before and after spinal and orthopedic surgeries.

Osteoporosis screening should be provided based on current recommendations of International Society of Clinical Densitometry (ISCD):

  • Women aged 65 and older,
  • For post-menopausal women younger than age 65 a bone density test is indicated if they have a risk factor for low bone mass such as: Low body weight, Prior fracture, High risk medication use, Disease or condition associated with bone loss,
  • Women during the menopausal transition with clinical risk factors for fracture, such as low body weight, prior fracture, or high-risk medication use
  • Men aged 70 and older,
  • For men < 70 years of age a bone density test is indicated if they have a risk factor for low bone mass such as low body weight, prior fracture, or high-risk medication use,
  • Adults with a fragility fracture
  • Adults with a disease or condition associated with low bone mass or bone loss
  • Adults taking medications associated with low bone mass or bone loss,
  • Anyone being considered for pharmacologic therapy,
  • Anyone being treated, to monitor treatment effect,
  • Anyone not receiving therapy in whom evidence of bone loss would lead to treatment,
  • Women discontinuing estrogen should be considered for bone density testing according to the indications listed above.

Osteoporosis foundations:

International Osteoporosis Foundation
Bone Health & Osteoporosis Foundation

healthy bones logo

The most widely recommended imaging diagnostic technique for bone mineral density assessment is DXA (dual-energy X-ray absorptiometry). DXA imaging is performed at the USF Diabetes and Endocrinology Center Clinics located at TGH Brandon Healthplex utilizing the Horizon A DXA scanner. This sophisticated densitometry system has features for assessing the BMD in the spine, hips, and forearm.  The presence of additional software can help in the evaluation for vertebral fracture/s, atypical femur fracture spectrum changes, and measurement of the trabecular bone score.

More information about the DXA technology is available at Horizon DXA System

Another modality to check bone density is Radiofrequency Echographic Multi-Spectrometry (REMS). REMS is performed on the Echolight ultrasound device. REMS is a new radiation-free FDA-cleared innovative technique for osteoporosis diagnosis that performs the analysis of bone micro-architecture with a non-ionizing approach and is based on the analysis of ultrasound signals. REMS can also be helpful to assess BMD in patients with severe bone deformities and the presence of instrumentation.

More information on the REMS technique can be found at Echolight Medical.

The USF Osteoporosis Program is has created an interactive Bone Health Fall Prevention House to help you to make the next step a safer one! The interactive house features different rooms and spaces, while giving tips of the most common causes of a fall.

For more information and to walk through the Bone Health Fall Prevention Interactive House click here.

Bone Health Resources

Fracture risk calculator by American Bone Heath, Healthy Bones Tampa Bay

Brochures and Infographics [PDFs]

Anti-osteoporosis medications support programs links:

Teriparatide (Forteo):  

Abaloparatide (Tymlos):

Romosozumasb (Evenity):

Denosumab (Prolia):

The Rare Bone Disease Alliance, originally created in 2006 as a patient advocacy network and called the Rare Bone Disease Network, has grown into a strong coalition focused on educating medical professionals, expanding research, and assisting patients and communities affected by rare bone diseases.

The Alliance encourages professional, medical and scientific societies to expand their educational programs on rare bone disease and organizes its own meetings and workshops.

Alliance participants include rare bone disease physician and scientific thought leaders, the Rare Bone Disease Patient (RBDPN) organizations and pharmaceutical companies working in the rare bone field.


Information is available from these additional Rare Bone Disease Patient Network (RBDPN) organizations below:


For information contact: 

Charlene Waldman
Rare Bone Disease Alliance Director

The Rare Bone Disease Alliance is a program of The Osteogenesis Imperfecta Foundation

Fall Prevention Web Graphic

Brochures and Infographics [PDFs]

*Not all exercises are suitable for everyone, especially if you have some chronic or recurring conditions, it may result in injury. Please consult with your health care professional before starting any exercise program to determine if it is right for you.  Do not start exercises if your health care provider advises against it. This exercise information is designed for educational purposes only.