Osteoporosis

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1. Risk factors:

    1. >50 y/o ⇒ start screening in all >65y/o

    2. menopause

    3. on steroids

    4. use of cig. and alcohol

2. Prophylaxis (Z score>-2, T score >-2.5)

    1. Tab osteofos 35mg #15 weekly

        1. or Tab risedronate 35mg #15 weekly

        2. or Amp Prolia 60mg #4 q6m SQ

3. Treatment (Z score←2, T score←2.5)

    1. Tab osteofos 70 mg #15 weekly

        1. Alendronate ⇒ Fosamax, Osteomax, Osimax

        2. or tab risedronate 150mg #15 monthly

            1. or tab risedronate 35mg #15 weekly

    2. Pearl Vit-D 50,000 unit #50 weekly

        1. or Amp Prolia 60 mg #4 q6m SQ

    3. Tab Ca-D 500mg #100 qd