<s>[INST] Can osteoporosis be prevented?
 [/INST] Yes, but prevention involves a lifelong effort, starting in early childhood. One of the most important factors in preventing osteoporosis is achieving optimal peak bone mass during childhood, adolescence and early adulthood. Much of the peak bone mass achieved is determined genetically. However, there are several controllable factors that can increase bone mass. These include a balanced diet adequate in Vitamin D and calcium and weight‐bearing exercise.

It is also important to maintain the bone mass achieved as a child to help prevent osteoporosis. This requires adequate calcium intake, weight‐bearing exercise, and avoiding tobacco and excessive alcohol intake.
At around 40‐45 years of age, it becomes important to stop the age‐related bone loss that occurs. This includes adequate calcium and vitamin D intake, weight‐bearing exercise and hormone replacement.

  Source: Malaysian Osteoporosis Society. Link: https://www.osteoporosis.my/aboutOsteo/faq.asp#:~:text=Poor%20calcium%20intake%20at%20any,the%20presence%20of%20adequate%20calcium.. Field: Rheumatology. Disease: Ostoeporosis </s>