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Editorial
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Volume 349:1277-1279 September 25, 2003 Number 13
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Parathyroid Hormone plus Alendronate — A Combination That Does Not Add Up
Sundeep Khosla, M.D.

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 by Black, D. M.
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 by Finkelstein, J. S.
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The past 10 years have witnessed tremendous advances in our ability to treat osteoporosis. The old mainstays of therapy, estrogen and calcitonin, have fallen out of favor because of concern about long-term safety or lack of efficacy. In their wake have come a selective estrogen-receptor modulator (raloxifene), bisphosphonates (alendronate and risedronate), and most recently, parathyroid hormone. Raloxifene and the bisphosphonates belong to the class of antiresorptive drugs: by inhibiting bone resorption, they prevent further bone loss, and since bone formation and further mineralization continue for some time, these agents also result in moderate increases in bone mineral density. In contrast, . . . [Full Text of this Article]


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From the Endocrine Research Unit, Division of Endocrinology, Metabolism, and Nutrition, Mayo Clinic, Rochester, Minn.

This editorial was published at www.nejm.org on September 20, 2003.


Related Letters:

Effects of Parathyroid Hormone and Alendronate Alone or in Combination in Osteoporosis
Vegni F. E., Corradini C., Privitera G., Sugiyama T., Tanaka H., Kawai S., Miller P. D., Fuller K. E., Black D. M., Bilezikian J., Rosen C. J., the PaTH (Parathyroid Hormone and Alendronate) Study Investigators , Finkelstein J. S., Neer R. M.
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N Engl J Med 2004; 350:189-192, Jan 8, 2004. Correspondence

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