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The oral bisphosphonates alendronate and risedronate and the selective oestrogen receptor modulator raloxifene increase BMD and decrease fractures in osteoporotic sufferers. Hormone substitute therapy increases BMD but its effect on fracture prevention is less clear. Calcitriol is no more recommended as first line treatment of osteoporosis.. An update on osteoporosis Simple strategies for the prevention of osteoporosis continue being underutilised, and a fitter elderly people with higher person bone mineral density may potentially reduce the incidence of morbidity due to osteoporosis. Assessment of bone mineral density by dual energy x-ray absorbtiometry remains the gold standard for medical diagnosis of osteoporosis.

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