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In an otherwise healthy 69 year old patient with osteoporosis (lumbar spine T-score −3.0) and no prior fragility fractures, how do you decide between initiating anabolic therapy versus antiresorptive treatment as first-line management?

In an otherwise healthy 69 year old patient with osteoporosis (lumbar spine T-score −3.0) and no prior fragility fractures, how do you decide between initiating anabolic therapy versus antiresorptive treatment as first-line management? | Mednet