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afya
Osteoporosis
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> hx of fragility fracture .. over 75 give bisphosphonates under 75 do dexa (T score <-2.5) and treat if positive using score - FRAX or Q fracture All take Vit D and Ca unless convinced adequate 1st line alendronate 25% don't tolerate alendronate (GI upset) - switch to risedronate or etidronate strontium and raloxifene if bisphosphonates not tolerated Denosumab - strictest guide complex tables to use if alendronate not tolerated - look at age, Tscore, parental Hx fracture, alcohol (>4u/day), RA
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slimindex, index, Musculoskeletal