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Susan was an elementary school teacher who struggled for years with undiagnosed osteoporosis that forced her to retire at age 47. She had debilitating back pain that sent her to the emergency room, where she learned that she had 7 compression fractures in her spine. She later learned that she also had hyperparathyroidism, and these two conditions led to a diagnosis of and treatment for osteoporosis. Susan still requires ongoing physical therapy and treatment to manage her osteoporosis. She shares valuable insights with physicians about her journey, urging consideration of osteoporosis evaluation in women who experience early menopause and/or show signs suggestive of a secondary cause of osteoporosis.