In conclusion, managing and preventing osteoporosis is a complex and evolving process. In the face of this and other chronic diseases it is salutary to conclude with advice from Robert Graves “.… in the treatment of such affections, the greatest judgement and patience are requisite; there is no room for the application of heroic remedies; nor can the physician expect, from his most persevering exertions, that speedy benefit by which he acquired éclat in acute cases, for it must be remembered that chronic diseases require chronic remedies”.