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Osteoporosis is a common side effect of being underweight. Osteoporosis, which means porous bones, is a disease that causes bones to become fragile and to break. In most people, the bone breaks occur in the hips, spine and wrist. Osteoporosis is caused by not ingesting sufficient calcium, not getting enough exercise, insufficient vitamin D, alcohol abuse and smoking. A balanced diet, with plenty of calcium will help prevent osteoporosis.