tokens: After adjusting for the stage of sexual development and height and BMI z scores , serum prolactin was negatively associated with trabecular volumetric BMD at the ultradistal radius ( P <. 03 ). Controlling for relevant covariates , we also found treatment with selective serotonin reuptake inhibitors ( SSRIs ) to be associated with lower trabecular BMD at the radius ( P =. 03 ) and BMD z score at the lumbar spine ( P <. 05 ). These findings became more marked when the analysis was restricted to non - Hispanic white patients .