Do you get DEXA scans routinely before starting ADT for prostate cancer or endocrine therapy for breast cancer?

When initiating long-term ADT, I order a DEXA scan, check vitamin D level, ensure adequate dietary calcium intake, and discuss weight-bearing exercise/refer to PT when appropriate. I also continue check DEXAs every 2 years unless they otherwise meet criteria for a bone-modifying agent (mCRPC with bo...

DEXA scans are not routinely used for prostate cancer prior to initiating ADT.