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MediumRheumatologyOsteoporosisau-racgpau-amc

A 64-year-old woman with long-standing osteoarthritis sustains a minimal-trauma vertebral fracture. DEXA scan confirms osteoporosis (T-score -2.8). She has normal renal function and no contraindications. According to Osteoporosis Australia recommendations, what is the most appropriate first-line pharmacological treatment?

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