Q. A 70-year-old female presents to your clinic for routine care and to discuss the results of her recent DXA scan. She has no significant past medical history and is not taking any medications. During a recent visit, the patient reported that she had been experiencing some back pain and had recently fractured her wrist after a minor fall. She also reported a height loss of 2 inches over the past few years. You referred her for a DXA scan (see image), which shows a T-score of -2.5 in her lumbar spine and a T-score of -2.6 in her left hip, indicating osteoporosis. You advise her on the importance of falls prevention measures and provide her with information on exercises that can help improve her bone strength. You also start her on calcium and vitamin D supplementation, as well as a bisphosphonate medication to help slow the progression of her osteoporosis. Further investigations are done to identify potential secondary causes of osteoporosis. Laboratory tests reveal normal calcium and vitamin D levels, and a negative celiac disease screen. You also order a thyroid function test that reveals subclinical hypothyroidism. Other tests are still pending at this time. Which of the following risk factors are you able to advise her is NOT associated with development of her condition?