After visiting the emergency department for a wrist fracture, a 65-year-old Caucasian female has a follow up appointment with a family orthopedist.
Her past medical history includes mild hypertension which is currently managed with propranolol. She also takes a daily multivitamin. She drinks and smokes occasionally and she has no children or spouse. The orthopedist schedules bone mineral density (BMD) testing and results shows a T-score of 3.0, indicating osteoporosis.
What treatment options may be considered for this patient?
What lifestyle recommendations should be recommended?
Any alternative supplements, integrated medicine or naturopathic treatments or medications?