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guidance based on 2002 RCP guidelines

 >7.5mg daily for >3/12 - osteoporosis risk inc lots

anticipate and start bone protection early eg Polymyalgia rheumatica
over 65 or previous fragility fracture - bone protection
under 65 - bone density scan and 0 - reassure, 0 to -1.5 repeat in 1-3yrs, <-1.5 bone protection

Mx - alendronate and vit D/ Ca