In this podcast episode, the focus is on diagnosing and managing osteoporosis in adults, with an emphasis on the latest Canadian guidelines. Key factors for assessment include age, history of fragility fractures, risk factors such as glucocorticoid use and low BMI, and family history. The episode suggests using Bone Mineral Density (BMD) testing via DEXA scan carefully, prioritizing risk assessment tools like FRAX and CAROC, especially for individuals under 65. It also covers prevention strategies like lifestyle changes—improving diet, exercising, and quitting smoking—as well as treatment options, including bisphosphonates and newer medications like Romosozumab. The importance of personalized patient management and collaborative decision-making is highlighted throughout the discussion.
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