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Previous Volume 341:614-616 August 19, 1999 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Having read the erudite review of eating disorders by Becker et al. (April 8 issue),¹ I would like to emphasize the major differences between postmenopausal osteoporosis and that associated with anorexia nervosa. The osteoporosis associated with anorexia nervosa, which is characterized by high cortisol levels, is analogous to osteoporosis due to long-term corticosteroid therapy. Yet I frequently see patients with anorexia and amenorrhea who have received estrogen-replacement therapy alone. In patients with corticosteroid-induced osteoporosis, daily supplementation with 1500 mg of calcium plus vitamin D₃ (800 IU per day) has been shown to stabilize bone mineral density,² as . . . [Full Text of this Article]

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