I am presenting a case of a patient in forum for expert advice. She is on transfer at distant place. Orthopedic surgeon prescribed her Teriparatide and sent a MR who charged Rs 25,000/ for three months course. When I came to know, I asked my her, not to have this treatment. She had premature menopause, gynecologist prescribed HRT.
After two to three years, she developed Diabetes Mellitus, Dyslipidemia with raised levels of triglycerides, uric acid, accidental testing of BD, confirmed osteoporosis, Besides, antidiabetic, she was on Allopurinol, Calcium and vitamin D supplements, within between of and on courses of Decadurabolin. Twice or thrice Bisphosphonate were tried but, she could not tolerate. Two years back vitamin D levels were 238 ng/ ml but now these were in normal range. She is also having GERD. Now she is having reduced muscle mass and bony pain, urethral obstruction of and…
