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Topics:
Rheumatology • Osteoporosis • Endocrinology • Bone and Calcium Disorders • Primary Care • Geriatric Medicine • General Geriatric Medicine • General Primary Care
What patient factors are most important when considering who needs a broader workup for osteoporosis prior to starting therapy?
Do you routinely rule out secondary causes of osteoporosis (i.e., TSH) in all patients prior to starting therapy? If you work up all patients, what labs do you find most helpful to start with?
Answer from: at Community Practice
A workup to rule out secondary causes must be done prior to starting therapy for osteoporosis. A good history and exam are recommended to look for any clues for modifiable factors. At a minimum, one should do CMP, 25-OH vitamin D, TSH, and a 24-hour urinary calcium or calcium/creatinine ratio should...
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