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Strontium ranelate can be considered as a second-line treatment option (level I).
Strontium ranelate should not be coprescribed with other osteoporosis treatments except calcium and vitamin D (level V).
Strontium ranelate should not be used in those with established cardiovascular disease or thromboembolic disease risk or those who are immobile (level III).
Teriparatide should be considered as a treatment for those with severe osteoporosis (T score ≤ −3.0 SD, with a recurrent fracture despite ≥ 12 months of antiresorptive therapy), and (level II).