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A 50-year-old is insistent on starting hormone replacement therapy (HRT) for her hot flashes, which she can’t stand. You’ve discussed the pros and cons and given her some alternative suggestions. She has a family history of osteoporosis. You have decided to initiate therapy for 1 year. She asks you if she also needs to take calcium or vitamin D for the prevention of osteoporosis. How do you respond? Question 7Answer a. “If you decide to take calcium and vitamin D, you can stop the HRT.” b. “If you are getting sufficient exercise, you don’t need to take calcium and vitamin D.” c. “Yes, calcium intake should be increased to 1200 mg/day along with 600 mg of vitamin D to decrease bone turnover and increase intestinal absorption.” d. “Research has shown that HRT alone is sufficient to protect against osteoporosis.”
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