A homecare nurse visits a patient who is 78 years old, weighs 210 pounds and lives alone. The patient has a family history of fractures. She is an excessive smoker. She doesn't drink alcohol, but loves coffee. She orders coffee and French fries from grub hub every day because she has a fear of birds. She is allergic to shellfish and has a prosthetic knee. Which factors should the nurse identify as modifiable risk factors for osteoporosis? Select all that apply.