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18ryanmandich 18ryanmandich
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6 years ago
A 60-year-old woman is in the clinic for an annual well-woman examination. She has been taking alendronate (Fosamax) 10 mg daily for 4 years. Her last bone density test yielded a T-score of 2.0 . Her urine NTx level today is 22 . She walks daily.
 
  Her fracture risk is low. The primary care NP should recommend that she: a. take a 1- to 2-year drug holiday.
  b. change to 70 mg of alendronate weekly.
  c. decrease the alendronate dose to 5 mg daily.
  d. change to ibandronate (Boniva) 3 mg IV every 3 months.
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eenzxxeenzxx
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6 years ago
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18ryanmandich Author
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6 years ago
Smart ... Thanks!
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Yesterday
Thank you, thank you, thank you!
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2 hours ago
this is exactly what I needed
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