### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i am having  extreme bone  pain in my legs ,especially my thigh bones . it  is  not  muscle  pain  or joint pain, ive  had  that  and  this  is  more  painful than  anything  ive  ever  experienced . have   had  gastric  bypass 6 yrs  ago and  lost  over 200 lbs so  its  not  weight .( still need  to lose  75 more  but  not  the  cause  of   the  pain ). is  there  a  dr  or a  test  that  i need to  help determine  what  is  wrong . i do  get severe muscle  pain  sometimes  because  i forget  to  eat  enough calcium . we are  traveling  in  an  rv   for  2  months  in tucson az and  would  be  willing  to see someone  here . im 57 female have blue shield ppo insurance . i can hardly get  out  of  a  chair  to stand it  is  so  painful . please  help me .

### output:

X-rays of femur (thigh-bone) should be done and also of lower back. This may reveal if any osteoporosis is there, a common cause post menopausal. See an orthopedic surgeon.Also, a T score on bone scan (DEXA) for bone mineralization condition...since calcium helps you, it points to osteoporosis. Cause of it may be estrogen with Chat Doctor. Vitamin D3 levels, serum calcium, mangnesium may give additional clues. Treatment could be both hormonal reloxifene (vista) and these supplements of calcium, vitamin D3 and bisphosphonates like Osama plus D once a week