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Fracture Liaison Service - The British Society for Rheumatology

Fracture Liaison Service - The British Society for Rheumatology

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FLS treatment protocols<br />

Lowest T-score (at femoral neck / total<br />

hip / total spine)<br />

Site<br />

of fracture<br />

Age 50-59 Age 60+<br />

Non-vertebral ≤-3.0 ≤-2.5<br />

Vertebral ≤ –2.5 ≤-2.5<br />

First choice treatment: alendronic acid 70mg/w & 1g calcium carbonate + 800IU vit D/d.<br />

Second line: options include IV zoledronic acid, SC denosumab

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