Dr. Richard Yuan-Tud Chen reviews a case where a 70 year old patient's X-ray revealed a compression fracture in a vertebra in his lower spine. A bone mineral density assessment confirmed that the patient had significant osteoporosis, which could have been due to some specific lifestyle choices. Treatment included a high-dose of vitamin D2 and testosterone injections to address his deficiency. The patient reported overall improvements in quality of life and his lower back pain disappeared.