Assure adequate nutrient intake and supplementation if needed
Calcium
Vitamin D
Adequate nutrition and/or supplementation in vegan and vegetarian patients
Consider comorbidities
Gastritis and peptic ulcer
Hepatic insufficiency
Chronic kidney disease
Solid organ transplants
Malignancies
Chronic inflammatory conditions
Dementia and cognitive impairment conditions
Polypharmacy
Lack of resources: socioeconomic and caregiving factors
Avoid mistakes related to DXA measurements
Problems in quality control, acquisition, analysis, interpretation and reporting of DXA studies
Quantitative comparison of BMD values on the same instrument cannot be made unless a precision assessment has been done and the least significant change calculated
Quantitative comparison of BMD values obtained on different instruments cannot be made unless a cross-calibration study has been done
Poor-quality DXA reports may result in inappropriate patient care decisions that can be costly and sometimes harmful to patients
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