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Early Post
Early postmenopausal women
For healthy women between 50 and 60, osteopenia is not an immediate threat, but if no preventive medications are given, women will develop osteoporosis as they get older. Calcium, vitamin D and exercise are important but probably not enough to prevent osteoporosis in later life. Estrogen is also a good choice for women with menopausal symptoms. Calcitonin (Miacalcin) has been used for many years and is a safe medication, but is not quite as effective, so it is an alternative. Raloxifene (Evista) acts like estrogen on the bone, but we don't know long-term effects, and it does not help with hot flashes.
Once women are beyond age 60, hot flashes are usually not so much of a problem and raloxifene can be used in women concerned about breast cancer. Studies about prevention of breast cancer are currently underway. Alendronate (Fosamax) or risedronate (Actonel) prevent bone loss, but the long-term safety of these medicines is unknown, and the decrease in bone formation rate is 95%.
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PURCHASE |
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Why Are America’s Bones Shrinking
by Thomas G. Kotronis, Rph |
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