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In osteoporosis, bones become weak and fragile they are so fragile that falls and even minor stresses, such as bending or coughing, can cause fractures. Osteoporotic fractures occur most often at the hip, wrist or spine. Bone is a living tissue that is constantly degraded and replaced. Osteoporosis occurs when the formation of new bones cannot follow the extraction of old bones. Osteoporosis affects men and women of all races. White and Asian women - especially older women who were already at menopause are the most at risk. Medications, a healthy diet, and exercise can help prevent bone loss or strengthen fragile bones.