We provide care for patients with bone loss of different etiologies such as:

• postmenopausal (natural/surgical/medications, radiation-induced bone loss)
• due to hypogonadism in men
• endocrine disorders including hypercortisolism, hyperthyroidism, hyperparathyroidism, diabetes mellitus
• due to malabsorption due to gastrointestinal disorders, post-bariatric surgery
• due to high-risk medications such as glucocorticoid, anti-seizure medications, androgen-deprivation therapy, aromatase inhibitors use
• due to limited mobility (disuse osteoporosis)
• due other chronic disorders including but not limited to chronic liver, kidney, and rheumatological disorders
• genetic disorders with bone loss including Osteogenesis imperfecta, hypophosphatasia, tumor induced osteomalacia, and other genetic disorders that affect bone health
• additionally, as part of the USF/TGH Adult Osteoporosis Program, a dedicated Adult Osteogenesis Imperfecta (OI) Program has been created. This specialized initiative addresses a critical gap in care for adults with genetically inherited bone fragility disorders, a population that historically has had limited access to coordinated multidisciplinary care for adults with OI in Florida. The program provides comprehensive evaluation and long-term management through collaboration with multiple specialties including genetics, orthopedics, neurosurgery, audiology, ophthalmology GI, cardiology, endocrinology, neurology, and rehabilitation medicine.

At the forefront of our approach, the Adult Osteoporosis Program team of healthcare professionals prioritize early detection through the utilization of the latest screening and diagnostic techniques and technologies to provide comprehensive care for our patients.

Imaging:

• DXA (Dual-energy X-ray Absorptiometry)

The most widely recommended imaging diagnostic technique for bone mineral density assessment is DXA (dual-energy X-ray absorptiometry).

Using the sophisticated software, we can perform:

• Measurement of the bone mineral density (BMD) of axial and peripheral skeleton (spine, hips, 1/3 forearm, distal femoral bone)
• Vertebral fractures assessment (VFA)
• Assessment of the full length of the femoral bones for atypical femur fracture (AFF) spectrum changes
• Measurement of the trabecular bone score (TBS)
• Measurement of the distal femoral bone and proximal tibia bone mineral density for a special population of patients such as after spinal cord injury

• REMS (Radiofrequency Echographic Multi-Spectrometry)

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 based on the analysis of ultrasound signals
• May be helpful to assess BMD in patients with bone deformities, and the presence of the instrumentation in the region of interest

• Use of opportunistic available CT images for bone status assessment.

Endocrine Day Hospital (EDH):

Endocrine Day Hospital has been established for dynamic testing and treatment of endocrine related disorders.