What do you counsel her?
D) Obtain a BMD measurement and assess the need for therapy.
Correct!
A BMD study will accurately predict the risk of fracture. This action would confirm the need for treatment, allow to tailor therapy and to follow up the response to therapy. Most of the data for calcitonin has been shown to be beneficial in the spine only while the magnitude of BMD preservation, in the spine as well as in the hip, seems to be higher with bisphosphonates, particularly alendronate.