There are no other medical problems. She reports 3 falls in the past year. Which of the following would you recommend for treatment?

You are seeing a 57year old female with osteoporosis ( T-score of - 1.2 vertebral and - 2.7 femoral neck). She has family history of breast cancer in her grandmother at 58 years of age. There are no other medical problems. She reports 3 falls in the past year.

Which of the following would you recommend for treatment?

A. Raloxifene 60 mg PO daily.
B. Teriparatide 20 mcg SQ daily.
C. No treatment other than calcium and vitamin D.
D. Ibandronate 150 mg PO q month.
E. Alendronate 70 mg PO q week.