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7/17/2015 OSTEOPOROSIS 1 The Risk of a Woman Suffering a Hip Fracture During Her Lifetime … … is equal to the Combined Risk of getting Breast, Uterine & Ovarian Cancer 7/17/2015 OSTEOPOROSIS 2 Comparative health care expenditures for osteoporosis, heart failure, and asthma >$10 Billion $7.5 Billion OSTEOPOROSIS 7/17/2015 CHF OSTEOPOROSIS $6.2 Billion ASTHMA N Engl J Med 3 Future Projections Direct costs of Osteoporosis by 2040 $50 billion 7/17/2015 OSTEOPOROSIS 4 P a 7/17/2015 t Bone remodeling h o p The Skeleton is h y ... Under s Construction i …from Birth ... o l Until Death o g y OSTEOPOROSIS 5 7/17/2015 OSTEOPOROSIS 6 You can not diagnose Osteoporosis by looking at the teeth 7/17/2015 OSTEOPOROSIS 7 Testing Bone Strength 7/17/2015 OSTEOPOROSIS Oh, no 8 Treatment Of Osteoporosis 7/17/2015 OSTEOPOROSIS 9 … the warning came 7/17/2015 from the HERStudy OSTEOPOROSIS 10 Selective Estrogen Receptor Modulators … small increase in Bone Mineral Density … Y EVISTA Raloxifene HCI E S … and reduced risk of Fractures? 7/17/2015 OSTEOPOROSIS 11 ? … then, what about the H.R.T Bar ...? Plant Estrogens (Phytoestrogens) 7/17/2015 OSTEOPOROSIS 12 … and always remember ... … to stay up right … 7/17/2015 OSTEOPOROSIS 13 Calcitonin … for the bears … comes with the meal salmon … no need for intranasal spray 7/17/2015 OSTEOPOROSIS 14 Vitamin D Calcium 7/17/2015 OSTEOPOROSIS 15 Exercise 7/17/2015 …. strongly recommended OSTEOPOROSIS 16 Non-Surgical Treatment of Compression Fractures 7/17/2015 OSTEOPOROSIS 17 PARATHYROID HORMONE Parathyroid Gland Thyroid 7/17/2015 OSTEOPOROSIS Gland 18 Treatment of Osteoporosis One injection of Zoledronic Acid a year ? 7/17/2015 OSTEOPOROSIS 19 Is there a link ? Atherosclerosis Coronary artery 7/17/2015 OSTEOPOROSIS 20