A lack of clinical trials and limited pharmaceutical options mean that management of this complication poses therapeutic challenges.
PPI users face a potential rise in the risks of fractures and bacterial infection.
Adherence to daily supplements can be problematic for older patients.
The response to vitamin D3 supplementation is not affected by age or usual calcium dietary intake.
Is long-term use of medroxyprogesterone acetate (Depo Provera) safe in perimenopausal women for whom estrogen-containing contraceptives are contraindicated (e.g., smokers)? At what age would you recommend a dual energy x-ray absorptiometry (DEXA) scan for these patients? —NICOLE McHUGH, MSN, CRNP, Narberth, Pa. While depot medroxyprogesterone acetate (DMPA) provides highly reliable birth control and can alleviate…