Osteoporosis develops when more bone is lost (resorbed) than is replaced in the normal bone remodeling process. Several factors contribute to the development of osteoporosis, but the exact reason why the remodeling process becomes unbalanced is unknown. Factors that often lead to osteoporosis include aging, physical inactivity, reduced levels of estrogen, excessive cortisone or thyroid hormone, smoking, and excessive alcohol intake. Loss of bone calcium accelerates in women after menopause.