What to do when BMD falls significantly during osteoporosis therapy?
The common causes of BMD loss on treatment and their management are listed below.
| Cause | Management |
|---|---|
| Nonadherence→ | Encourage adherence |
| Calcium deficiency→ | Adequate calcium intake |
| Vitamin D deficiency→ | Adequate vitamin D intake |
| Secondary bone loss→ | Treat the cause |
| Treatment failure→ | Change medication |
