Androgen deprivation therapy speeds bone loss. Before it starts, record fracture history, falls, steroid use, smoking and alcohol, and consider how bone density will be monitored.
- Take a fracture and fall history.
- Check calcium intake and vitamin D status.
- Advise weight-bearing exercise, stopping smoking and limiting alcohol.
- Plan bone density testing according to your local protocol.
Why it matters
Bone loss is silent, and a fracture is the first sign if nobody looks for it.
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