A 22-year-old competitive gymnast has experienced amenorrhea for the past 5 years.
Her PCP is suspecting that she may have premature osteoporosis. Would you expect
her OPG levels to be high, normal, or low? Explain why her levels would be at this
level.
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, Her OPG levels would be low. Amenorrhea results in lower estrogen
levels. Estrogen increases the production of OPG in turn decreasing
osteoclast activity. If estrogen levels are low, OPG levels would also be
low resulting in increased osteoclast activity.
Premature Osteoporosis is characterized by which of the following? (mark all that
apply)
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often a result of chronic corticosteroid use,
premature birth
In the liver, the inactive form of Vitamin D is converted to which of the following?
(mark all that apply)
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25-hydroxyvitamin D3
A 68-year-old, white Caucasian female has a DEXA scan at the recommendation of
her PCP. Her scan yielded a T-score of -0.9. Interpret the results of her DEXA scan.
Develop a treatment plan giving a pharmacologic recommendation if applicable (be
specific with name of supplement and/or class of drug), and a non-pharmacologic
recommendation.
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