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Re: Osteoporosis From: Larry Glazerman (l.glazerman@rcn.com) Tue Apr 24 20:04:20 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Len2976@aol.com: "Re: Practice Philosophy" Previous message: Zach Newton: "Re: Osteoporosis" In reply to: Zach Newton: "Re: Osteoporosis" Next in thread: ainsron@msn.com: "Re: Osteoporosis" Why can't these bleeding episodes be ascribed to a "native cycle?" At age 48, 3-6 week cycles are very typical At 07:31 PM 4/24/01 -0500, you wrote: >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 -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown 610-402-0161 l.glazerman@rcn.com Next message: Len2976@aol.com: "Re: Practice Philosophy" Previous message: Zach Newton: "Re: Osteoporosis" In reply to: Zach Newton: "Re: Osteoporosis" Next in thread: ainsron@msn.com: "Re: Osteoporosis"

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