I contacted the Mayo appointment desk first and they directed me to endocrinology department. Since there were no appts open for 6+ months they asked if I would like Mayo alumni in my area. Dr Soares-Welch in Gainesville is marvelous. The first thing she told me after seeing my -4.0 spine score, was “Let’s not talk medication until we can learn why you are losing so much calcium.” A 24 hr urine collection test showed a kidney issue where excessive calcium was being excreted. A change in blood pressure meds was the first step. Next was a consultation on treatment options from most aggressive to least. She talked of the art of medicine - finding the best option to fit each individual without a one size fit all solution.