Blood tests are done to check things such as blood chemistries to see if your calcium or phosphorous level is too high or too low or if there is a problem with liver or kidney function blood count checking for anemia proteins to be sure there is no multiple myeloma vitamin d level a low level causes trouble with getting calcium to your bones thyroid function high thyroid function can cause osteoporosis and antibodies for celiac disease a condition that may cause poor . Recognizing the variety of conditions conferring risk of osteoporosis the national osteoporosis foundation makes the following recommendations to physicians counsel all women on the risk factors for osteoporosis osteoporosis is a silent risk factor for fracture just as perform an evaluation . The physician taking a history must have a high index of suspicion for osteoporosis all women should be counseled about risk factors for osteoporosis the diagnosis of this disease includes an evaluation of bone mineral density by radiologic technique the osteopathic physician is uniquely well trained to recognize and diagnose osteoporosis. Evaluation includes 1234 assessment of risk factors for osteoporosis and causes of secondary osteoporosis measuring bone mineral density using dual energy x ray absorptiometry bone turnover markers estimating patients probability of hip and any major osteoporosis related fracture using country specific fracture risk assessment tool frax