Under the scorching sun, Thai archaeologist Tanachaya Tiandee clambers through ruined pagodas in the ancient town of Si Thep, trying to unlock their mysteries -- a task made harder because parts of the puzzle...

October 20 marks World Osteoporosis Day – but despite being a relatively common condition, many people are unaware they’re at risk. According to Age UK, osteoporosis – which is associated with weakened bones and often referred to as a ‘silent disease’, as symptoms can creep up on people – affects approximately three million people in the UK. Yet, many only find out they have it when they break a bone. “[Osteoporosis] is a condition characterised by weakened bones, making them more prone to fractures,” explains Dr Zulqarnain Shah, a medical director at SSP Health. “It occurs when the body loses too much bone or makes too little bone, or both. Diagnosis of osteoporosis typically involves a combination of medical history, physical examination, and specialised tests, such as bone mineral density scans,” Shah adds. Could I be at risk of osteoporosis? According to Age UK, around half of women over 50, and around one in nine men in the same age group, will experience a fracture due to osteoporosis. However, several risk factors contribute to the development of the condition, meaning some people may be more likely to get it. “These include menopause, low calcium and vitamin D intake during younger years, family history, a sedentary lifestyle, smoking, excessive alcohol consumption, and certain medications,” explains Shah. “While it may not be possible to prevent all cases of osteoporosis, adopting a healthy lifestyle with regular weight-bearing exercise, a balanced diet rich in calcium and vitamin D, and avoiding smoking and excessive alcohol intake can help reduce the risk.” Being aware of osteoporosis can be particularly important if you have a family history. “A family history of osteoporosis or fragility fractures can indicate an increased risk,” explains Dr Elise Dallas, GP at The London General Practice. Other things that increase risk include having a history of “rheumatoid arthritis, low levels of oestrogen due to early menopause, anorexia nervosa or Turner’s syndrome, hyperthyroidism, parathyroid disease, Crohn’s and coeliac disease, and conditions that cause long periods of immobility”, adds Dallas. What are the symptoms of osteoporosis? When you have osteoporosis, you may suffer from “increased fracture risk, height loss, and chronic pain”, says Shah. “Fractures associated with osteoporosis are known as ‘fragility fractures’, which can occur with minimal impact. Fractures commonly occur in the spine, hip, and wrist, and can lead to significant pain, disability, and reduced quality of life,” he explains. Are there any early warning signs? Shah says: “Early signs of osteoporosis may not be apparent until a fracture occurs. However, a precursor condition called osteopenia may be detected through scans before the onset of full-blown osteoporosis.” Osteopenia is where the density of the bones decreases, but not thoroughly enough to be classed as osteoporosis. There are no real symptoms however, so it can only be detected with scans. The good news is, lifestyle measures and sometimes treatment can help prevent it getting worse. How is osteoporosis treated? Treatment for osteoporosis is mostly aimed at “strengthening bones and preventing fractures”, says Shah. “This typically involves a combination of lifestyle modifications, such as exercise and dietary changes, along with medication. “Medications may include calcium, vitamin D and bisphosphonates, hormone therapy for postmenopausal women, selective oestrogen receptor modulators (SERMs), and other options. “SERMS help manage the way oestrogen interacts with your body and has a similar impact on osteoporosis as hormone replacement therapy, to help mitigate the impacts of hormones on osteoporosis,” Shah explains. “Regular monitoring and adherence to treatment plans can help slow down or stop the progression of osteoporosis. A bone density scan – also known as a DEXA scan – can help monitor the progress of a condition and may be done at three to five-year intervals to assess progress. “Once a patient has been on bisphosphonates for five years, they may go on a ‘pill holiday’ for a couple of years, though the benefits of taking bisphosphonates continue long after the medication is stopped.” Getting support and advice to manage any pain and mobility challenges and reduce the risk of falls and injuries can also be very important for people living with osteoporosis, along with finding ways to stay active. If you are worried about your bones and osteoporosis risk you can reach out to charities like the Royal Osteoporosis Society and find out about your risk level. Read More How to support a child with a stammer From colourful gowns to drones, these wedding trends are set take over 2024 Call The Midwife ‘should come with a health warning’ Halloween: 10 wicked ways to kit out your haunted house Black magic: Go back to black this season with the catwalk-inspired trend How to prep your home for when the clocks go back

Tammy Slaton showed off her weight loss in stunning white floral dress

A new study from PEN America finds that tens of thousands of books are banned or restricted by U.S. prisons

You may remember life before the internet, but your kids don't. To them, internet access

The Associated Press has found that the Food and Drug Administration can't keep up with a flood of illegal disposable e-cigarettes from China

Police in the city where patrol officers murdered African American George Floyd routinely resort to violent and racist practices, the US Justice Department said Friday in findings of a...

De Beers decided to call time on offering lab-grown diamonds for engagement rings even as the man-made alternatives

Max Verstappen’s crushing dominance of Formula One continued at the Austrian Grand Prix after he put his Red Bull on pole position. The world champion, a winner at six of the first eight races, saw off his rivals at the Red Bull Ring to seal his fourth pole on the spin for Sunday’s 71-lap grand prix. Ferrari’s Charles Leclerc provided Verstappen with a late scare, but the Monegasque had to settle for second place, crossing the line 0.048 seconds shy of the Dutchman. Carlos Sainz took third in the other scarlet car, while Lando Norris impressed in his revamped McLaren to take fourth spot. Mercedes’ Lewis Hamilton finished fifth, 0.428 sec adrift. Sergio Perez’s torrid time continued after all three of his laps in Q2 were deleted for track limits. He lines up a lowly 15th on Sunday. The increasingly under-pressure Mexican looked to have sealed his spot in Q3 in the closing seconds only for the stewards to scrap his lap after he drove all four wheels on his Red Bull beyond the white line at the final bend. “Can we go again?” asked Perez over the radio. “No, that is the chequered flag,” said his race engineer, Hugh Bird. “What a f****** joke,” replied a furious Perez. George Russell was also subjected to an early bath after he failed to make it out of Q2. The Englishman, who retired at the last round in Canada after he crashed into the wall, missed out on progressing to the final phase by just 0.041 sec and qualified 11th. For Verstappen there were no such concerns, and the Dutchman is on course to extend his 69-point lead at the summit of the standings following another commanding performance. His qualifying triumph was greeted with a number of his travelling Dutch fanbase lighting orange flares. “It was very difficult because of all the track limits,” said Verstappen. “We don’t do this on purpose, but with these speeds and the high-speed corners it is so hard to judge the white line and that is why a lot of people got caught out. “It was about surviving. My first lap in Q3 was just a banker lap which takes out the joy but we still did a good enough lap and I am happy to be on pole.” Verstappen’s countryman Nyck de Vries’ place on the grid appears uncertain after Red Bull motorsport advisor Dr Helmut Marko said Christian Horner was right to question whether he should have been signed. The 28-year-old was brought into the Red Bull junior stable at the beginning of the year, but he has struggled to get up to speed at AlphaTauri, and he did little to help his cause here after he qualified last for Sunday’s race. Earlier, qualifying was delayed by half-a-dozen minutes after Valtteri Bottas stopped in his Alfa Romeo. Bottas spun on the exit of the opening corner and was left stranded on the track as he failed to engage neutral. The red flags were deployed but Bottas was able to get going again and made his way back to the pits. The Finn made it through to Q2 and qualified 14th. Spielberg is hosting the sport’s second sprint event of the year with a shortened race on Saturday to come before Sunday’s main event. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Lewis Hamilton calls for change, claiming new rule would ensure a ‘real race’ ‘Happy’ Lewis Hamilton still hungry for record eighth world title – Damon Hill Horner details what makes ‘mega talent’ Verstappen so special

As of today, Threads, Instagram's Twitter alternative, is available as a logged-in web experience —

Wanted: one ornery sea otter that has been attacking California surfers and...

Trevin Brownie's first day as a content moderator for Facebook is etched in his memory, working out of a subcontractor's nondescript office in...