Early osteoporosis arises from genetic variants, glucocorticoid use, endocrine disorders, and malabsorption syndromes. Reduced osteoblast activity and hormonal imbalances accelerate fragility. Nutrient deficits further impair bone remodelling. Preventive focus on calcium, vitamin D, and lifestyle correction is critical for long-term skeletal integrity, emphasises Dr Uday, Orthopaedic surgeon.