I only screen patients with osteopenia. We screen all of our patients at age 50 for bone density and if this is abnormal then get a vitamin D level. If not normal; and it almost never is we supplement to correct this deficiency along with optimizing ART to minimize impact on bone density. We also address any other risks for decreased bone density such as smoking and excess ETOH, poor calcium diet etc. This in the majority of our patients improves bone density or at least stabilizes it.