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Osteoporosis Plan

‍‍Weight bearing exercise
‍‍Lifestyle changes: tobacco cessation, limit alcohol, limit caffeine, sunlight exposure 30 minutes daily on at least 5 days/week
‍‍Fall and hip fracture prevention discussed
‍‍﻿‍Calcium and vitamin D supplementation﻿ 
‍‍﻿‍BisphosphonatesAlendronate (Fosamax) 10 mg PO daily or 70 mg weekly﻿ consider stopping oral bisphosphonates after 5 years
‍‍﻿‍CBC, Creatinine, Calcium, ALP, AST, ALT, Albumin, TSH, Vitamin D﻿ 
‍‍﻿‍PTH﻿  ‍Testosterone﻿  ‍SPEP﻿  ‍Transglutaminase and endomysial antibodies﻿  ‍Ferritin, serum iron﻿ 
‍‍﻿‍24h urine cortisol﻿   ‍24 hour urine calcium excretion﻿ 

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