Osteoporosis general management and myth

A talk by enocrinologist from netherland named prof Socrates papapoulas regarding osteoporosis. He outlined biphosphonates and Hrt (forfemale) is the option for osteoporosis. Bisphosphonates better in the sense of risk of breast ca for Hrt. He outlined the risk factor for osteoporosis such as smoking, alcoholic , low BMI, low calcium intake, advancing age, race and etc. he stress the important of vit D (800micro grame) per day. Regarding the myth of atypical fracture and slower healing of hip fracture by biphosphonates, evidence proves that it is unrelated for biphosphonates vs placebo. Regarding the long term uses of biphosphonates for osteoporosis, he stated that for 5years treatment with biphosphonates, it will remain for the next 5 year. Evidence proves that no increased fracture risk compared 5 year biphospphonates and 5 year placebo and 10 year biphosphonates in FLEX study for alendronates.another study for Iv zoledronic acid annually showed similar results. It also critised orthopods not using biphosphonates for hip fracture pt. It stated a old people with fracture needs treatment for osteoporosis without checking Bone mineral density as it is proven by fracture.