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Strategies to Reducing Polypharmacy in Aging Adults

Medication management for seniors and aging adults in Jupiter and Palm Beach Gardens

Understanding Polypharmacy and Its Impact on Healthy Aging

As adults age, healthcare needs often become more complex. Many individuals over age 55 are managing multiple medical conditions at the same time, such as high blood pressure, cholesterol concerns, diabetes, arthritis, sleep issues, thyroid disorders, or other chronic health conditions. While medications can play an important role in improving health and quality of life, taking multiple medications simultaneously—commonly referred to as polypharmacy—can sometimes create unintended challenges. For many aging adults, medication lists gradually grow over time as specialists, urgent care visits, and changing health conditions add additional prescriptions without a complete review of the overall picture.

Polypharmacy may increase the risk of medication interactions, side effects, dizziness, fatigue, confusion, falls, digestive concerns, sleep disturbances, and medication duplication. In some situations, symptoms that appear to be related to aging may actually be influenced by medication combinations or dosages. This is why having an experienced primary care physician becomes increasingly important as patients seek to maintain independence, energy, and quality of life.

Why Medication Management Requires an Experienced Doctor

Medication management involves far more than simply refilling prescriptions. It requires understanding how medications interact with one another, recognizing changing health needs over time, and determining whether certain medications remain appropriate as patients age. Experienced primary care physicians can identify patterns that may otherwise be overlooked and help determine whether adjustments may benefit a patient’s overall health.

At Concierge Internal Medicine Associates, the focus is not only on treating conditions but also on evaluating whether treatment strategies continue to serve the patient’s long-term goals. Medication plans should evolve with the patient, taking into account lifestyle changes, new health information, laboratory findings, preventive goals, and overall wellness priorities.

A Team-Based Approach to Medication Review and Preventive Care

The medical team at Concierge Internal Medicine Associates—including Beatrice Deshommes, M.D., Susan B. Poncy, M.D., and Daniel Boss, M.D.—brings extensive experience in medication management and preventive medicine. Their approach focuses on understanding the entire patient rather than viewing medications as isolated treatments.

Comprehensive medication reviews may include evaluating prescription medications, over-the-counter products, vitamins, herbal supplements, and lifestyle factors that may influence treatment effectiveness. The goal is to determine whether medications remain necessary, whether therapy can be simplified when appropriate, and whether treatment plans continue to support overall wellness objectives. Medication management is not necessarily about taking fewer medications—it is about ensuring patients are taking the right medications for the right reasons.

Strategies to Reduce Polypharmacy in Aging Adults

Reducing unnecessary medication burden often begins with careful evaluation and communication. An experienced primary care physician may identify opportunities to simplify treatment plans by reviewing duplicate medications, assessing medication effectiveness, monitoring side effects, evaluating changing health goals, and coordinating care among multiple providers.

Additional strategies may include supporting lifestyle modifications, nutrition guidance, preventive health measures, weight management, improved sleep habits, and addressing underlying health factors that may reduce reliance on certain medications over time. Small adjustments made early may help improve overall health and reduce complications later.

The Value of Personalized Primary Care for Long-Term Wellness

Adults seeking a primary care physician today increasingly want more than symptom management—they want a healthcare partner who takes time to understand their complete health picture. For Generation X adults and seniors focused on longevity, maintaining independence, staying active, and preserving quality of life, personalized medication management can play an important role in healthy aging.

At Concierge Internal Medicine Associates, medication management is approached as part of a larger preventive strategy designed to help patients optimize health, minimize unnecessary risks, and support long-term wellness goals. Through thoughtful review and individualized care, patients can gain confidence that every aspect of their treatment plan is working together to support healthier aging.

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Cardiovascular Risk Assessment Why Early Detection Matters

Cardiovascular Risk Assessment in Jupiter, FL

A More Proactive Approach to Heart Health and Preventive Care

Today’s Generation X adults and active individuals are redefining healthcare expectations. Many are not waiting until symptoms appear before seeking medical guidance. Instead, they are prioritizing prevention, longevity, and maintaining the quality of life that allows them to continue traveling, exercising, working, spending time with family, and enjoying an active lifestyle. At Concierge Internal Medicine Associates, preventive medicine focuses on identifying potential concerns early and helping patients understand health risks before they become larger medical problems.

Cardiovascular Disease Often Develops Quietly

Heart disease frequently progresses without obvious warning signs. Many individuals feel well while underlying risk factors continue developing over years. Elevated cholesterol, high blood pressure, inflammation, metabolic changes, diabetes, chronic stress, smoking history, sleep issues, family history, and lifestyle habits may all contribute to cardiovascular risk. Even active adults who exercise regularly and maintain busy schedules can have hidden risk factors that deserve attention. Early cardiovascular risk assessments allow patients to gain a better understanding of their overall health profile and may identify concerns before symptoms develop.

An Investigative Approach to Prevention and Cardiovascular Wellness

At Concierge Internal Medicine Associates, the focus extends beyond simply treating symptoms. The medical team takes an investigative and personalized approach to preventive care by evaluating the complete picture of a patient’s health. Whether patients are working with Beatrice Deshommes, M.D., Susan B. Poncy, M.D., or Daniel Boss, M.D., the goal remains the same: understanding the underlying factors that may influence long-term health and cardiovascular wellness.

As part of their training and clinical approach, the physicians evaluate much more than a single blood pressure reading or routine laboratory result. Cardiovascular risk assessments may involve reviewing family history, cholesterol trends, metabolic health, body composition, lifestyle patterns, activity levels, weight changes, sleep quality, stress factors, and other indicators that may contribute to future risk. This investigative style of medicine allows patients to gain a more comprehensive understanding of their health and create meaningful preventive strategies.

The Benefits of Early Cardiovascular Risk Detection

Early cardiovascular assessments can provide important information before symptoms appear. Identifying potential concerns earlier may create opportunities for personalized lifestyle recommendations, preventive interventions, additional diagnostic evaluation, and ongoing monitoring designed to support long-term wellness goals. Preventive medicine is not about creating fear or unnecessary testing—it is about helping patients make informed decisions and preserving health over time.

For many Generation X adults, prevention is becoming increasingly important because cardiovascular health affects much more than the heart itself. Heart health can influence energy levels, physical performance, cognitive function, and overall quality of life as individuals age.

Seeking a Primary Care Doctor in Jupiter, FL Focused on Prevention and Longevity

Adults seeking a primary care physician in Jupiter, Florida increasingly want a healthcare partner who emphasizes prevention, early detection, and individualized care rather than reactive treatment alone. At Concierge Internal Medicine Associates, patients benefit from a collaborative medical team approach designed to support long-term wellness goals and proactive health management. Whether the focus is maintaining an active lifestyle, improving heart health, supporting longevity, or simply gaining greater insight into overall wellness, cardiovascular risk assessment can be an important step toward protecting future health.

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Lung Cancer Screening Assessment

Lung Cancer Screening Assessment Doctor Primary Care

Early Lung Cancer Screening After 55: Why Preventive Care Matters More Than Ever

Understanding Lung Health as You Age

As adults enter their mid-50s and beyond, preventive healthcare often becomes less about treating illness and more about identifying risks before they become serious medical problems. Many adults in Generation X and seniors are focused on maintaining energy, protecting independence, traveling, enjoying retirement, and staying active with family and grandchildren. One important but frequently overlooked area of preventive health is lung cancer risk assessment. Lung cancer can develop quietly over time and often does not produce noticeable symptoms during its earliest stages. By the time symptoms such as a persistent cough, unexplained weight loss, shortness of breath, or fatigue appear, the disease may already be more advanced. Discussing lung health with your primary care physician can help identify concerns long before symptoms develop.

Who Should Consider an Early Lung Cancer Screening Assessment?

Many individuals mistakenly believe lung cancer screening only applies to current smokers. In reality, risk factors extend beyond smoking alone. Adults over age 55 may have additional risk considerations including previous smoking history, long-term exposure to secondhand smoke, occupational exposures, environmental factors, or a family history of lung disease or cancer. Even individuals who quit smoking years ago may still benefit from discussing their history with their physician. A personalized screening assessment with your primary care doctor allows for a complete review of your health profile rather than relying on assumptions or generalized recommendations.

Benefits of Early Lung Cancer Detection

One of the greatest advantages of early lung cancer screening is the possibility of identifying concerns at a stage when more treatment options may be available. Early detection can help physicians recognize abnormalities before symptoms develop and before a condition potentially becomes more complex to manage. Screening is not intended to create unnecessary worry—it is designed to provide valuable information that supports informed healthcare decisions. For many patients, peace of mind alone can be an important benefit of understanding their risk profile and taking a proactive approach to their health.

Why Your Primary Care Physician Plays an Important Role

Your primary care physician serves as the central point for preventive care and long-term health planning. Unlike isolated testing, a physician-guided lung cancer screening assessment considers your complete health picture, including medical history, medications, family history, lifestyle habits, and other chronic health conditions. This approach helps determine whether screening may be appropriate while ensuring recommendations align with your overall wellness goals. Preventive healthcare is most effective when it becomes part of a personalized strategy rather than a single test or appointment.

Concierge Internal Medicine Associates and Preventive Healthcare for Adults 55+

At Concierge Internal Medicine Associates, we believe healthcare should focus on prevention, early detection, and individualized care for adults seeking a proactive approach to aging well. Many Generation X adults and seniors are prioritizing longevity, maintaining quality of life, and protecting their future health. Early lung cancer screening assessments may become an important part of that strategy. Through comprehensive evaluations and personalized guidance, patients can gain greater insight into their individual health risks and take meaningful steps toward protecting their long-term wellness.

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Pre-diabetes: Why Early, Personalized Care Matters—Especially for Those at Higher Risk

Dr. Deshommes primary care concierge doctor

Diabetes – Lifestyle and Genetics

Pre-diabetes affects millions of adults and often develops quietly, without noticeable symptoms. For many, it is discovered incidentally during routine lab work—yet it represents a critical warning sign. Without timely intervention, prediabetes frequently progresses to type 2 diabetes, significantly increasing the risk of heart disease, stroke, kidney disease, nerve damage, cognitive decline, and loss of independence later in life.

For active adults, executives with demanding schedules, and older adults focused on longevity, early and proactive management of prediabetes is essential—and highly effective when guided by the right physician.

What Is Prediabetes?

Prediabetes occurs when blood glucose levels are elevated but not yet in the diabetic range. Common indicators include:

  • Elevated fasting glucose
  • Increased hemoglobin A1C
  • Insulin resistance
  • Family history of diabetes
  • Abdominal weight gain
  • Fatigue, brain fog, or sugar cravings

Many patients—especially those who remain active—are surprised by this diagnosis. Genetics play a powerful role, and even individuals who exercise regularly and eat well may be at risk due to inherited metabolic tendencies.

Genetics, Aging, and Lifestyle: Why a One-Size-Fits-All Approach Fails

Patients with a genetic predisposition to diabetes often require more than generic advice. This is particularly true for:

  • Active adults and retirees in Jupiter and Tequesta who want to preserve mobility and independence
  • Executives and professionals in Palm Beach Gardens balancing stress, travel, and long workdays
  • Geriatric patients in Juno Beach aiming to prevent complications that threaten quality of life
  • Without individualized medical oversight, many patients are told to “watch and wait”—allowing disease progression rather than prevention.

The Role of Preventive Concierge Medicine in Prediabetes

Preventive medicine focuses on identifying risk early and intervening strategically—before irreversible damage occurs. A concierge primary care physician is uniquely positioned to do this.

By working closely with a physician, patients benefit from:

  • Advanced metabolic and cardiovascular testing
  • Early identification of insulin resistance trends
  • Personalized nutrition strategies based on genetics and lifestyle
  • Safe, medically guided weight optimization
  • Ongoing monitoring and proactive adjustments


This level of care is particularly valuable for older adults managing multiple health considerations and high-performing professionals who need efficient, coordinated medical guidance.

A Personalized Care Plan—Not Just Lab Results

Effective prediabetes management requires a comprehensive, individualized strategy:

  • Precision Testing
    Detailed metabolic, inflammatory, and cardiovascular markers help identify early dysfunction—often years before diabetes develops.Nutrition Tailored to the Individual
    Dietary guidance must align with insulin response, hormonal balance, activity level, and cultural preferences—not trends or fads.
  • Targeted Movement
    Exercise plans should improve insulin sensitivity while supporting joint health, muscle mass, and cardiovascular endurance—especially important for aging adults.
  • Weight & Body Composition Optimization
    Even modest reductions in visceral fat can significantly improve blood sugar control when done safely and under medical supervision.
  • Ongoing Physician Partnership
    Prediabetes is dynamic. Regular follow-up allows the care plan to evolve with age, stress levels, travel schedules, and changing health goals.

Concierge Preventive Care With Dr. Beatrice Deshommes, M.D., FACP

As a board-certified internal medicine physician, Dr. Beatrice Deshommes, M.D., FACP provides concierge primary care with a strong focus on prevention, metabolic health, and long-term wellness. Her approach is ideal for patients who are genetically predisposed to diabetes and want to take control of their health before chronic disease develops.

Dr. Deshommes partners closely with her patients to:

  • Identify early metabolic risk factors
  • Develop realistic, sustainable lifestyle strategies
  • Prevent progression to type 2 diabetes
  • Support cardiovascular, cognitive, and functional health as patients age
  • Her concierge model allows for longer visits, deeper analysis, and proactive care—particularly beneficial for geriatric patients, active retirees, and busy executives who value continuity and personalized attention.

Serving Northern Palm Beach County’s Active & Aging Population

Dr. Deshommes proudly provides concierge primary care for residents of:

Jupiter
Palm Beach Gardens
Tequesta
Juno Beach
Whether you live in Admirals Cove, Jonathan’s Landing or PGA National, these communities are home to South Florida individuals who prioritize longevity, independence, mental clarity, and an active lifestyle—well into later decades of life.

Prediabetes Is an Opportunity for Prevention

Prediabetes is not a failure—it is an early warning and an opportunity. With the guidance of a preventive, concierge internist, patients can often reverse course, preserve vitality, and avoid the complications that diminish quality of life.

For those seeking a trusted, personalized medical partner in Northern Palm Beach County, concierge preventive care offers a smarter, more proactive path forward.

Senior Care Resources

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Health Risk Assessment

At Concierge Internal Medicine Associates, we believe that proactive care leads to better outcomes. One of the most effective tools we use to help patients understand and manage their health is the Health Risk Assessment (HRA). This short but powerful evaluation is a cornerstone of preventive care—especially for Medicare patients—and can help uncover health risks before they become more serious problems.

What is a Health Risk Assessment?

A Health Risk Assessment is a structured questionnaire designed to evaluate your current health status, personal and family medical history, lifestyle habits, and potential health risks. This assessment is typically offered as part of your Medicare Annual Wellness Visit, and it provides a valuable snapshot that helps guide your care plan going forward.

Why It Matters

Many chronic conditions like high blood pressure, diabetes, or heart disease can develop silently. The HRA helps our team identify areas of concern early so that we can work together to keep you healthy and out of the hospital. It also helps us tailor your care to your unique needs, whether that means scheduling preventive screenings, adjusting medications, or supporting lifestyle changes.

The Benefits of Completing an HRA

  • Early Identification of Health Risks: Find out what may be impacting your health—before symptoms begin.
  • Customized Care Planning: We use your responses to create a care plan that’s designed specifically for you.
  • Improved Communication: An HRA opens the door to better conversations with your doctor and clinical team.
  • Better Long-Term Outcomes: Patients who participate in regular assessments and follow-up care tend to experience fewer hospitalizations and enjoy better overall health.
  • Serving Patients Across the Jupiter Area
  • Whether you live in Jupiter, Palm Beach Gardens, Tequesta, or Juno Beach, Dr. Daniel Boss is here to help you stay ahead of health concerns and enjoy peace of mind. Our office is conveniently located just north of Donald Ross Road, making it easy to access high-quality, personalized medical care close to home.

Schedule Your Health Risk Assessment Today

If you haven’t yet completed your Health Risk Assessment, or if it’s time for your Annual Wellness Visit, we invite you to follow up with our team. These visits are fully covered for Medicare patients and play a key role in maintaining long-term wellness.

Call us today and take the first step toward better health with Dr. Daniel Boss.

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Vaping and Blood Glucose: Understanding the Connection

Vaping and blood glucose concierge internal medicine doctor Daniel Boss, MD Jupiter, FL

As a Board-Certified Internal Medicine physician, Daniel Boss, MD, takes a personalized approach to patient care. He focuses on understanding each patient’s habits and stress triggers, recognizing how these behaviors can impact overall health. Dr. Boss is passionate about helping patients identify and break away from addictive patterns, like vaping, and supports them in developing healthier, more productive choices.

How Vaping Affects Blood Glucose

Vaping, or the use of electronic cigarettes (e-cigarettes) to inhale substances such as nicotine, has become increasingly common. Although promoted as a less harmful alternative to traditional cigarettes, research has uncovered potential risks, including its effects on blood glucose levels. This issue is especially significant for adults between the ages of 30 and 65, as they are more likely to develop chronic health conditions, including diabetes.

Nicotine, a key ingredient in many vaping liquids, has a notable effect on the body’s endocrine system. It prompts the release of stress hormones like adrenaline and cortisol, which signal the liver to release glucose into the bloodstream. This process can cause temporary elevations in blood sugar levels. For individuals with diabetes or prediabetes, such changes make it more challenging to maintain stable glucose levels and can heighten the risk of complications over time.

In addition to nicotine, other substances found in e-cigarette liquids, such as flavoring agents, may contribute to blood sugar imbalances. These ingredients have been linked to oxidative stress and inflammation, both of which can reduce insulin sensitivity and impair the body’s ability to regulate glucose.

Risks for Midlife Adults

For people aged 30 to 95, a life stage often associated with weight changes, decreased physical activity, and hormonal shifts, vaping can pose additional risks. This age group is already more vulnerable to developing type 2 diabetes, and the strain that vaping places on the body’s metabolic systems can exacerbate these risks.

The addictive nature of vaping makes it particularly concerning. Consistent nicotine use can result in frequent blood sugar fluctuations, forcing the pancreas to work harder to produce insulin. Over time, this added strain may lead to insulin resistance, a decline in pancreatic function, and an increased likelihood of metabolic disorders.

Making Informed Choices About Vaping

While vaping may offer some benefits for those trying to quit smoking, it is not free of health risks. Dr. Boss encourages adults, especially those with a family history of diabetes or other metabolic concerns, to carefully weigh the potential downsides. For individuals who vape, regular monitoring of blood glucose levels and consulting with a healthcare provider can help identify and manage risks early on.

Shifting from Addiction to Healthy Habits

Dr. Boss is dedicated to guiding patients away from harmful behaviors like vaping. By addressing underlying stressors and promoting healthier alternatives—such as stress-reducing activities, exercise routines, and dietary improvements—he helps patients replace detrimental habits with ones that support long-term health. Understanding the link between vaping and blood glucose levels is essential for making informed decisions about health. Nicotine and other compounds in e-cigarettes can disrupt glucose metabolism, increasing risks for both diabetic and non-diabetic individuals. For adults in midlife, choosing healthier behaviors and seeking professional support can help prevent chronic health conditions and promote overall well-being.

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Member Based Medicine

Concierge Primary Care

The Benefits of Member-Based Medicine: Personalized Healthcare for Your Family

Having Dr. Daniel Boss, a well-connected physician in Jupiter, FL, as your family’s primary healthcare provider can significantly enhance your healthcare experience. Dr. Boss’s extensive network within the local medical community from Jupiter Medical Center and Palm Beach Gardens Medical Center ensures that you receive timely and coordinated care. Dr. Daniel Boss follows his patients should they require hospitalization at Jupiter Medical Center. When specialized treatment or diagnostic services are needed, with over 23 years experience in Palm Beach County, Dr. Boss can refer you to the best specialists in the area, facilitating prompt and efficient medical attention. His ability to streamline referrals to skilled nursing and rehabilitation centers or coordinate home health care services reduces wait times and ensures that your family’s healthcare journey is smooth and stress-free, allowing you to focus on recovery and well-being.

Informed About Cutting-Edge Research

Dr. Daniel Boss’s strong connections mean he is always up-to-date with the latest medical advancements and treatments. By staying informed about cutting-edge research, innovative procedures, and emerging healthcare technologies, Dr. Boss can integrate the most current and effective medical care into his practice. This is particularly beneficial if your family faces chronic health conditions or complex medical issues, as you can be confident that you are receiving the best possible care. Dr. Boss’s commitment to ongoing education and professional development ensures that your family benefits from the latest in medical science.

Primary Care Concierge Physician Dr. Daniel Boss of Concierge Internal Medicine Associates
Primary Care Concierge Physician Dr. Daniel Boss of Concierge Internal Medicine Associates

Comprehensive and Personalized Care

Another significant advantage of having Dr. Daniel Boss as your physician is his ability to provide comprehensive and personalized care. His collaboration with other healthcare providers allows for a multidisciplinary approach to treatment, addressing all aspects of your health. Whether it involves coordinating at home physical therapy with medical treatment or combining nutritional counseling with routine check-ups, Dr. Boss ensures that no aspect of your health is overlooked. This holistic approach leads to better health outcomes and promotes overall well-being for your entire family, making sure that each member receives the care they need.

Navigating the healthcare system can be complex and overwhelming, especially when dealing with insurance policies, scheduling appointments with specialists, and managing healthcare paperwork. Dr. Daniel Boss’s extensive network and experience in the local medical community allow him to assist with these administrative challenges, offering valuable guidance and simplifying the process. This support is particularly beneficial for families with elderly members who may require frequent medical attention. Dr. Boss’s ability to streamline these processes ensures that all necessary healthcare services are accessed efficiently, reducing the burden on caregivers and patients alike.

Having Dr. Daniel Boss as your primary care physician fosters a sense of trust and continuity in your healthcare. Building a long-term relationship with Dr. Boss, who understands your family’s medical history, preferences, and needs, creates a foundation of trust and communication. This continuity of care is crucial for effective healthcare management, as Dr. Boss can make informed decisions based on a comprehensive understanding of your health over time. In times of medical emergencies or significant health changes, having a trusted physician who is well-integrated into the Palm Beach Gardens and Jupiter healthcare network can make a substantial difference in the quality and responsiveness of the care you receive, ensuring your family’s health is in capable and compassionate hands.

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The Power of Physical Therapy in Fighting Osteoporosis

Osteoporosis

Osteoporosis is a condition that weakens bones, making them more likely to fracture or break. This can be a serious and debilitating condition, especially as we age. While there is no cure for osteoporosis, there are treatments that can help slow its progression and reduce the risk of fractures. Physical therapy is one such treatment that can be incredibly effective in managing osteoporosis.

Outpatient Physical Therapy or Home Physical Therapy for Osteoporosis

Physical therapy for osteoporosis typically involves exercises that are designed to improve bone density, strength, and balance. These exercises can help to prevent falls and fractures, which can be particularly important for individuals who are at a higher risk for osteoporosis-related injuries. Additionally, physical therapy can help to improve overall mobility and quality of life.

One of the primary goals of physical therapy for osteoporosis is to improve bone density. Weight-bearing exercises, such as walking, jogging, and weightlifting, have been shown to be particularly effective in increasing bone density. Your physical therapist can work with you to design an exercise program that is tailored to your individual needs and abilities.

Balance and Stability

Another important aspect of physical therapy for osteoporosis is improving balance and stability. This can help to prevent falls, which can be particularly dangerous for individuals with osteoporosis. Your physical therapist may recommend exercises such as standing on one foot or practicing yoga poses to improve your balance and coordination.

In addition to exercise, physical therapy for osteoporosis may also involve other treatments, such as manual therapy or electrical stimulation. These techniques can help to reduce pain and improve mobility, making it easier for you to engage in physical activity and maintain your bone health.

It is important to note that physical therapy for osteoporosis is not a one-size-fits-all treatment. Your physical therapist will work with you to develop a personalized treatment plan that takes into account your age, overall health, and any other medical conditions you may have. Additionally, it is important to work closely with your doctor to ensure that any medications or other treatments you are receiving are compatible with your physical therapy program.

If you have been diagnosed with osteoporosis, physical therapy may be an important part of your treatment plan. Be sure to speak with Dr. Boss about treatment options whether in an outpatient center or regarding home health services. At your initial consultation, your physical therapist will evaluate your overall health and fitness level, and work with you to develop a personalized plan for managing your osteoporosis. With the right treatment plan, you can reduce your risk of fractures and maintain your mobility and independence for years to come.

Medical Care Resources