A 55-year-old postmenopausal woman is found to have a T-score of -2.8 at the lumbar spine. She has no prior fractures. FRAX 10-year hip fracture probability is 4%. What is the most appropriate next step?
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A
Initiate bisphosphonate therapy immediately
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B
Reassess with FRAX including bone mineral density and treat if major osteoporotic fracture risk ≥20% or hip ≥3%
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C
Start teriparatide given T-score below -2.5
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D
Repeat DEXA scan in 1 year