A 66-year-old wom an su ering from osteoporosis and hypertension has been treated for the past year.

A 66-year-old wom an su ering from osteoporosis and hypertension has been treated for the past year w ith raloxifene and calcium carbonate for osteoporosis and w ith hydrochlorothiazide for hypertension. Despite the therapy, a recent bone m ineral density test showed a signi cant decrease in bone m ass. Which of the follow ing would be an appropriate change in the treatm ent plan of this patient? A. Substitute hydrochlorothiazide w ith propranolol. B. Substitute raloxifene w ith ethinyl estradiol. C. Add calcitonin to the current regim en. D. Increase the daily dose of calcium carbonate. E. Add prednisone to the current regim en. F. Add alendronate to the current regim en.

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