Shimon et al evaluated men with osteoporosis secondary to hypogonadism. The authors are from Chaim Sheba Medical Center in Tel-Hashomer, Israel.
Patient selection: hypogonadal male with osteoporosis (T score < -2.0 at the lumbar spine or femoral neck)
Recommendations:
(1) Provide androgen replacement with testosterone.
(2) Treat with alendronate.
Additional interventions:
(1) Discontinue smoking if practiced.
(2) Do not drink alcohol to excess.
(3) Avoid or minimize therapy with corticosteroids and other drugs associated with osteoporosis.
(4) Provide adequate intake of vitamin D and calcium (600 IU vitamin D and 800 mg calcium per day in study).
Exception: Hypogonadism induced in the treatment of prostate cancer
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Specialty: Surgery, orthopedic, Endocrinology, Nutrition
ICD-10: ,