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MediumEndocrinologyOsteoporosisukmlamrcgp aktpanemrcp part 1prescribing safety assessment

A 70-year-old woman is diagnosed with osteoporosis following a DEXA scan (T-score -2.8 at the hip). She has no history of fragility fractures. Her renal function is normal (eGFR >60) and serum calcium and vitamin D levels are adequate after initial supplementation. According to NICE TA161, what is the most appropriate first-line pharmacological treatment?

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