This undated article was downloaded from http://orthohelp.com/osteoprx.htm in 2003, and appears to have been written about 1997. Dr. Malka retired in 2000. -DAB
 

Treatment of Osteoporosis
Today

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by Jeffrey S. Malka, M.D., F.A.C.S., F.A.A.O.S.

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The topic of treating osteoporosis is confusing and frequently controversial. I will try to explain in these pages what modalities are available for physicians to treat and prevent this condition and what the pros and cons for each might be.

Before reading this page I believe it will be helpful to first read the page explaining what osteoporosis is. Just click on the word osteoporosis to go there. You can then press the "back" button on your browser to return here.

EXERCISE

CALCIUM & VITAMIN D

ESTROGEN REPLACEMENT

PHOSPHONATES

CONCLUSION

In summary one could say that
    --Everyone should exercise to maintain bone mass, especially after menopause.
    --1,000-1,500 mg of calcium supplements a day (with Vit D) in women 5 years after menopause.
    --Estrogen-Progestin replacement therapy 5 years after menopause, unless there are risk factors for breast cancer.
    --Fosomax is reserved for special cases that cannot take estrogens and have evidence of osteoporosis.

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