Osteoporosis is a disease, common in older age, that makes your bones weaker and can lead to a fracture. People with previous fractures and those who have other risk factors for fractures, including family history of fractures, vitamin D deficiency or low calcium intake, smoking, excessive alcohol intake, rheumatoid arthritis, and long-term use of some medications (including blood thinners or steroid hormones), have a higher risk for future fractures. Osteoporosis can be treated with medicines that reduce the risk for a fracture. Treatment options may vary depending on the risk for fractures, other chronic diseases, possible harms, interactions with other drugs, and cost. Patients should discuss treatment options with their physician.