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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?
Answer from: at Academic Institution
When ZA is in its early days patients had to have a D level of 15ng/ml. To be on the safe side most of us want a 25 ng/ml level which is easy to obtain.
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Answer from: at Community Practice
Yes. Low vitamin D levels reduce the efficacy of osteoporosis drugs. Frederick Singer, M.D.