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This is a major issue when you consider how many different things can accelerate bone loss, including: Smoking, drinking alcohol, poor diet, and low physical activity Vitamin D deficiency, a widespread problem in New England Hormone issues such as low testosterone , menopause, or prostate cancer therapy Medical conditions like rheumatoid arthritis , kidney disease , and celiac disease , among others Long-term use of medications such as steroids, asthma inhalers, and heartburn relievers Genetics in particular, having close family members diagnosed with osteoporosis Any one or more of the risk factors above can silently wear down bone tissue for years before anyone detects it
Several mechanisms (transcellular and paracellular) have been proposed, including transcellular crossing and paracellular crossing that might be favored by an epicellular lifestyle of this bacterium