T-score comparison with baseline
25-OH vitamin D and corrected calcium
10-year major fracture probability
Bisphosphonate
denosumab
Every 2 years if T-score >-2.5; yearly if on treatment.
Calculates 10-year fracture risk with BMD and clinical factors.
Orthopedic for fractures; endocrinologist for meds.
Yes, denosumab 6-monthly or zoledronate yearly.
Yes, walking, yoga, tai chi; avoid forward bends.
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