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How do you manage osteoporosis in patients with anorexia nervosa (who often are young women < 40)?
Answer from: at Academic Institution
There are several considerations when a diagnosis of osteoporosis is made in an anorexic female.
1. The bone mineral density study simply provides you with information for how much calcium per unit area is present in the bone. Based on this information a T score is provided. However, a T score of -...
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Answer from: at Community Practice
There are no accepted guidelines for treating osteoporosis associated with anorexia. If there is a marked reduction in muscle mass the bone density could be influenced to appear lower than it actually is. Studies show that gaining weight and return of menstrual periods, if absent, result in signific...