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Each should decide for themselves. To get a FRAX number you fill out the form, including your DEXA scan results. Then you get a FRAX number. I believe the bottom line is, unless you have significant bone lose approaching the levels for osteoperosis, then you should wait to take biphosphonate drugs. The effectiveness of biphosphate drugs is most during the first 5 yrs, then you body develops tolerance to it, and it doesn't have as much effect. So the bottomline, is if your numbers are not that severely, wait until you are older (like after 65 yrs), when you are more likely to have an actual problem with fractures due to bone loss.
"Using the cut off value over 10 years of a ≥ 3% risk of fracture of the hip and ≥ 20% risk of any major osteoporosis related fracture, we can now make a more educated decision regarding therapy."
This statement is not very clear to me. Are you saying that based on Frax calculation of % risk, all above 3% for hip and above 20% for any major osteoporsis risk area, should receive treatment preferably biphosphonates plus calcium and Vitamin D. Why such a divergence in the % risk that needs treatment. Is the hip very likely to be fracture more than any other bone?
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so what's the answer. the doctor's comments give no information at all. he should at least summarize the answer. not helpful