Self administered doses of steroids are usually
In patients with markedly low bone density, prevalent fractures, or high doses of steroids I usually also check a PTH and 25-hydroxyvitamin D leveland recommend oral medication that may increase bone density. Also, I do not recommend bone density testing when a bone tumor is present in the patient's hip because this test is not specific and does not confirm bone tissue pathology. Fractures are most commonly attributed to osteoporosis when the diagnosis is obvious; however, they can also have an unknown cause. Patients who undergo fracture evaluation should be referred for further diagnostic imaging and surgical treatment if an unexpected fracture occurs, anabolic androgenic steroids on adolescent males. If bones from two or more fractures occur in a single patient, I recommend that the patient undergo multiple imaging and surgical treatment. The individual fractures are usually evaluated by two radiologists using a 3D computerized