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MediumRheumatologyGlucocorticoid‑induced osteoporosisau-amcau-racp

A 68‑year‑old woman presents after a low‑impact fall causing a Colles fracture. She has a history of rheumatoid arthritis treated with long‑term prednisone 7.5 mg daily. A DXA scan shows T‑score −2.8 at the femoral neck. According to Australian osteoporosis guidelines, what is the most appropriate pharmacological management?

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