Please select the option that best describes you:
In a patient with severe osteoporosis (T-score -3.9) and multiple vertebral fractures in the setting of multiple myeloma with bone involvement, would you consider adding an anabolic agent such as romosozumab or teriparatide despite concerns about osteosarcoma risk?
Pt is on zolendronic acid (but given this will not build bone, would you consider an anabolic?)