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Since her forties Joan has had several wrist fractures that were not investigated for osteoporosis. It was only when she fell and fractured both her arms that the diagnosis came about. She was put on medication; alendronic acid but due to side effects it was changed to Strontium ranelate.
Dr Ashok Bhalla is a consultant rheumatologist at Royal National Hospital for Rheumatic Diseases, Bath.
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