Low Bone Mineral Density; Osteoporosis

Accelerated bone loss can be caused by:

  • Chemotherapy
  • Use of aromatase inhibitors such as anastrazole, letrozole or exemestane

Recommendations:

  • Bone mineral density scans are recommended every 2 – 3 years
  • Weight bearing exercise, cessation of smoking if appropriate and limited caffeine intake
  • Sufficiency of calcium in diet and / or use of supplements
  • Calcium 500 mg daily if risk of heart disease
  • 1200 mg daily if osteopenic or osteoporotic
  • Vitamin D: 1000 – 2000 iu daily
  • May require bisphosphonate therapy if osteoporotic