menopause supplements
- Postmenopausal women who are getting adequate calcium from dietary intake alone (approximately 1200 mg daily) do not need to take calcium supplements.
- Women with inadequate dietary intake should take supplemental elemental calcium (generally 500 to 1000 mg/day), in divided doses at mealtime, such that their total calcium intake (diet plus supplements) approximates 1200 mg/day.
- Women should also ingest a total of 800 international units of vitamin D daily. Higher doses are required if they have malabsorption or rapid metabolism of vitamin D due to concomitant anticonvulsant drug therapy. Most postmenopausal women with osteoporosis require vitamin D supplementation as it is difficult to achieve goals with diet alone.
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Menopause
menopause
Hot flash
- first line: estrogen based hormone replacement therapy
- add progestone for people with intact uterus
- CI include history of thromboembolism, coronary heart disease, breast cancer, and endometrial cancer.
- nonhormonal treatment: selective serotonin reuptake inhibitor (eg, fluoxetine) or serotonin-norepinephrine reuptake inhibitor (eg, venlafax
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Osteoporosis
Osteoporosis
- screening
- women age >65
- women postmenopausal, < 65 with following risks
- low body weight
- smoker
- fhx of hip fracture
- steroid use
- treatment: