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. 2022 Jul 2;24(11):2090–2106. doi: 10.1007/s12094-022-02872-1

Table 3.

Pharmacological and non-pharmacological measures for the prevention and treatment of osteoporosis in patients with cancer

Non-pharmacological measures Pharmacological measures
Smoking cessation Hormone replacement therapies
Avoid excess alcohol intake Antiresorptive agents
Avoid excess caffeine intake Selective estrogen receptor modulators (SERMs)
Avoid sedentary lifestyle Calcitonin
Prevent falls Bisphosphonates (alendronate, risedronate, ibandronate, zoledronate)
Balanced diet Denosumab (anti-RANKL biologic)
Adequate intake of:
Trace minerals
Proteins
Vitamin D

Calcium

Combination of calcium and vitamin D

Physical therapy (improve muscle strength and balance)

RANKL receptor activator of NF-κB ligand, SERMs selective estrogen receptor modulators