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Re: OsteoporosisFrom: Zach Newton (zbnewton@mindspring.com)Tue Apr 24 19:30:52 2001
ainsron@msn.com wrote: > > In a 48 y.o female, premenopausal woman who is on chronic steroids after > a renal transplant, with documented osteoporosis, would anyone place > this type of patient on HRT as well as fosomax? I'm seeing such a > patient now who was started three years ago on Prempro+ 0.3mg of > Premarin by her GP and its hard for me to see the rationale behind it. > Her cycles have continued to be regular, although over the last six > months she is every 3-6 weeks, rather than the 4 week cycles she used to > have. She is probably beginning menopause now, so I doubt I'll > discontinue HRT, but under those circumstances, would anyone have even > started it? ----------------------------------------------------------------------- The bleeding episodes can not be ascribed to a native cycle, if she is ----------------------------------------------------------------------- adhering to the schedule described. She is having abnormal uterine ----------------------------------------------------------------------- bleeding, which demands evaluation. The regimen described does afford exogenous stability. The additive value of biphosphanates to HRT for treatment of osteoporosis has been established. Absent the input of tj, I defer to Medline as a source of support. Calcium supplementation is not mentioned. It w/ D is an important part of the dynamics.
-- Zach Newton Z. B. Newton, III, M.D. Atlanta/Gyn
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