Bisphosphonates
Quick Reference
Calcium calculator
https://webapps.igc.ed.ac.uk/world/research/rheumatological/calcium-calculator/
Calcium patient information page from Osteoporosis society
https://theros.org.uk/information-and-support/bone-health/nutrition-for-bones/calcium/
Osteoporosis prevention and lifestyle advice links.
https://www.nhs.uk/conditions/osteoporosis/prevention/
https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions/osteoporosis#preventing-osteoporosis
Steroids and risk
Copied verbatim (Feb '24) from NOGG Full Guideline Section 7
16. Because bone loss and increased fracture risk occur early after initiation of oral glucocorticoids, bone-protective treatment should be started in the following people, at the same time as glucocorticoid therapy without waiting for bone density assessment, which should follow later (Strong recommendations):
1. anyone with a prior fragility fracture,
2. women age ≥70 years,
3. postmenopausal women, and men age ≥50 years, prescribed high doses of glucocorticoids, i.e., ≥7.5 mg/day of prednisolone or equivalent over 3 months (N.B., this is equivalent to ≥30mg/day of prednisone for 4 weeks over 3 months)
4. postmenopausal women, and men age ≥50 years, with a FRAX probability of major osteoporotic fracture or of hip fracture exceeding the intervention threshold.