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Table of Contents
Guidelines for the Physician
Foreword
Introduction
Background
Osteoporosis Overview
Prevalence
Cost of Osteoporotic Fractures
Evaluation
Risk Factors
Bone Mass Measurement (BMM)
Purpose
Methods
Interpreting Results
Who Should Be Tested
Discordance
Frequency
Interpreting BMM Results
Alternative Risk Prediction
Physical Examination
Laboratory Tests
X-ray
Fracture Risk Stratification
Specific Groups
Children and Adolescents
Premenopausal Women
Perimenopausal Women
Postmenopausal Women
Men
Glucocorticoid-Induced
Osteoporosis
Treatment
Summary of Current Pharmacologic Therapies
Calcium
Vitamin D
Estrogen Replacement Therapy (ERT) /
Hormone Replacement Therapy (HRT)
Selective Estrogen Receptor
Modulators (SERMs)
Bisphosphonates
Calcitonin
Fluoride
Parathyroid Hormone
Prevention
Education
Fall Prevention
Exercise
Appendices
A Drugs and Diseases as Risk Factors
B Bone Density Testing Equipment
C Calcium Intake and Supplements
D NAMS Preliminary Response Statement
E Low-dose HRT Summary and Chart
F American Heart Association HRT Recommendations
G DXA Sites in Northern California
H Education Resources for Patients
I Fall Prevention
J FORE Patient Management Summary for Inclusion in Patient Chart