5th May 2024

A 68-year-old woman presents with a recent history of a low-trauma wrist fracture after a minor fall.

A 68-year-old woman presents with a recent history of a low-trauma wrist fracture after a minor fall. She reports a gradual height loss over the past few years and occasional back pain, which she attributes to ‘ageing’. She is a non-smoker, has a balanced diet, and enjoys regular walks. Her medical history includes hypertension and type 2 diabetes, for which she is on medication. A DXA scan reveals a T-score of -2.7 at the lumbar spine.

Which of the following is the most appropriate initial treatment for her osteoporosis?