Since 40 of bone accrual occurs during adolescence, building bone during this time is critical. Ways to improve bone accrual in adolescents include:
1. Use of bisphosphonates early if dual energy X-ray absorptiometry (DEXA) scans show limited bone accrual
2. Encouraging a daily dietary intake of 1,300 mg of calcium and 400 IU of vitamin D
3. Avoiding all birth control methods that include progesterone
4. Fostering the intake of iron mainly in green and leafy vegetables
Question 2
Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the pathology behind PMDD that are supported in research include:
1. Altered sensitivity in the serontonic system
2. Inhibition of the cyclooxygenase system
3. Fluctuations of the gonadal hormones
4. All of these are theories supported by research
Bone Scan
Critical lab Values
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