Do you recommend osteoporosis medication in postmenopausal females on anastrozole with very low Vitamin D (4.5)?

After replacing Vitamin D, what will be your first treatment of choice? Labs including ALP and calcium levels are normal. T scores are -3 or above. The patient has a history of fibula fracture after a fall. Her daughters also have very low Vitamin D.

Answer from: at Community Practice

A vitamin D level of 4 is very low and should be corrected before any osteoporosis therapy is considered. Severe low D is associated with decreased Ca absorption and sometimes low serum Ca. Giving an anti-resorptive could result in hypocalcemia. Sometimes D levels that low are associated with muscul...

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at Raleigh Endocrine Associates
Thank you very much for your detailed response. It...

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Do you recommend osteoporosis medication in postmenopausal females on anastrozole with very low Vitamin D (4.5)?

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