Endocrinologist or metabolic bone specialist

In younger age groups (< 60 years) the probability of secondary osteoporosis requires further investigation to detect an underlying disease (such as carcinoma, hypogonadism including untreated premature menopause, treatment with aromatase inhibitors or androgen-deprivation therapy, hyperthyroidism, hyperparathyroidism, hyperprolactinemia, Cushing's disease, diabetes, coeliac disease, inflammatory bowel disease, chronic liver disease, chronic pancreatitis, other causes of malabsorption, rheumatoid arthritis, multiple myeloma, hemoglobinopathies, systemic mastocytosis, cystic fibrosis, chronic obstructive pulmonary disease, homocystinuria, chronic renal disease).

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