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calcitonin.
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hormone replacement therapy.
teriparatide.
bisphosphonate therapy.
observation.
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A patient with a bone mineral density t-score of between -1.0 and -2.5 should be considered for osteoporosis prevention therapy. This would consist of calcium (1,200 to 1,500 mg daily), vitamin D (800 to 1000 IU daily), and a bisphosphonate. Calcitonin and teriparatide are used to treat established osteoporosis (t-score of -2.5 or lower). Observation is not recommended with a t-score of less than -1.0. Hormone replacement therapy is associated with an increased risk of cardiovascular disease and breast cancer.
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