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Re: ankylosing spondylitis and ...From: Douglas Krell (sfth@roadrunner.com)Sun Apr 28 08:34:26 1996
Ealgail@aol.com wrote:
> we can help that Thanks for your enthusiastic stop smoking tips. I'm quite certain that all of us have patients who will appreciate these tips when "they're ready". Peter V Weston wrote: I would start her on appropriate Estrogen therapy and give her Fosamax. I would contact Merck and ask them whether they have any info on AK and Fosamax. If you want to be academic you can order Bone Mineral Density studies but I would put money on her having significant demineraliztion. I would consider the test an unnecessary expense. That's also my feeling about bone densitometry in general although I've felt that if a patient carried the diagnosis and is on therapy that BD studies could help us follow the progression or regression of disease. I will contact Merck about Fosamax and Ankylosing Spondylitis. Usually the reps have nothing to say about E2 and Fosamax together. Dr. Freeland wrote: I would want strong affirmation by the patient that the prednisone is making a significant difference in order to keep her on it. NSAIDS do virtually nothing for AS. Yes. I agree that we should challenge her MD's dosage of prednisone. Thanks,
-- Douglas Krell MD sfth@roadrunner.com
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