When do you start bisphosphonates empirically, irrespective of DEXA results, in patients going on chronic glucocorticoids?

I think this is an important question. I personally got really interested in bone in large part because of all the glucocorticoids that I was using to treat serious inflammatory diseases. I was fortunate to spend time with Dr. Howard Polley from Mayo when I was a fellow. He was on the team that gave...