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Topics:
Internal Medicine
•
Endocrinology
•
Bone and Calcium Disorders
How long should a patient be treated with a bisphosphonate after a course of an anabolic medication has been completed?
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How do you manage osteoporosis treatment following parathyroidectomy for primary hyperparathyroidism?
Is there any contraindication for use of Invisalign teeth aligners in patients undergoing treatment for osteoporosis?
Do you recommend parathyroid imaging testing for patients with recurrent nephrolithiasis who are incidentally found to have an elevated PTH but who do not have hypercalciuria, hypercalcemia, hypovitaminosis D, or chronic kidney disease?
Would you recommend waiting for a low Vitamin D level to correct to goal prior to giving a scheduled Prolia injection when transitioning a patient from Zolendronic acid to Prolia therapy for worsening osteoporosis?
Would you consider exploratory surgery in a young patient with normocalcemic hyperparathyroidism that meets one or more criteria for parathyroidectomy but has no localized pathology on advanced neck imaging?
In patients presenting with classical findings of primary hyperparathyroidism (i.e mild hypercalcemia, high 24hr urine calcium, elevated 1,25 Vit D but normal PTH), can spontaneous normalization of calcium be explained by episodic hypersecretion of PTH?
Do oral contraceptives lower bone mineral density in women with hypothalamic amenorrhea by lowering IGF-1?
How do you distinguish between primary and tertiary hyperparathyroidism in a patient with ESRD?