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24th July 2023
A 72-year-old lady goes to see her GP because she is worried about osteoporosis as her mother fractured her hip in her 70s.
A 72-year-old lady goes to see her GP because she is worried about osteoporosis as her mother fractured her hip in her 70s. Her FRAX® score is 18% for a 10-year probability of a major osteoporotic fracture. She was therefore referred for a DEXA scan which confirmed osteoporosis. Due to her past medical history of oesophageal strictures, she will be commencing IV zoledronic acid.
| Haemoglobin | 125 g/L (115-160 g/L) |
| White cell count | 7.8 x10⁹L (4.0-11.0 x10⁹L) |
| Adjusted Calcium | 2.2 mmol/L (2.1-2.6 mmol/L) |
| PTH (parathyroid hormone) | 50 ng/L (10-65 ng/L) |
| Vitamin D | 12 nmol/L (>50nmol/L) |
| ALP | 124 iU/L (30-130 iU/L) |
| ALT | 18 iU/L (3-40iU/L) |
Given her blood tests, what is the appropriate vitamin D treatment?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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