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Premenopausal bone health: osteoporosis in premenopausal women
Alice Abraham1, Adi Cohen, Elizabeth Shane
1Department of Medicine, Division of Endocrinology, College of Physicians & Surgeons, Columbia University, New York, New York.
Abstract:
This article will discuss the diagnosis of osteoporosis in premenopausal women and the evaluation and management of those with low-trauma fractures and/or low bone mineral density. As secondary causes (glucocorticoid excess, anorexia nervosa, premenopausal estrogen deficiency, and celiac disease) are commonly the underlying cause of osteoporosis in this population, treatment of the underlying condition should be the focus of management. Additional management options, generally reserved for those with major or multiple fractures and/or ongoing bone loss, will also be described.
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