Please reply to both posts with a minimum of 5 sentences with reference links. A

Please reply to both posts with a minimum of 5 sentences with reference links. Also, please refer to the attachment as a visual reference when replying.
The first pro of taking bisphosphates is that they prevent loss in bone density as well as they lower the risk of the deterioration of bone structure. Bisphosphonates have also been shown to reduce the risk of fractures in patients with osteoporosis. The disadvantages are that in prolonged use of bisphosphates it was seen to cause brittle bones in 1 out of 500 women who used bisphosphates for more than 5 years. Another con of taking bisphosphates is that in 1 out of 10,000 patients taking bisphosphates were shown to develop osteonecrosis of the jaw. I would recommend that it is worth the risk unless the patient has has recent dental work.
I believe that doctors are prescribing less of this medication now because of the adverse side effects that occur and prescribing other medications for osteoporosis with less serious adverse side effects. I believe that they should not be switching this medication yet as it has been used for years and proved to be very effective in many individuals with the adverse effects, although severe, being a low chance of occurring. I believe that the physicians responsibility in preventing fractures related to osteoporosis is considering the risk factors the patient has and if bisphosphates will outweigh the risks for this patient.
Other strategies I would recommend to patients to prevent and treat osteoporosis would be increasing vitamin D as well as increasing calcium. Vitamin D can be increased by going outside more often or by taking Vitamin D supplements. Calcium can be found in many dairy products and dark leafy green vegetables. I would also recommend exercising more often to keep bones strong.
Osteoporosis is a very serious condition in the elderly and if not treated can lead to further complications. When an elderly person takes a fall it can leave them bed bound and this can cause even more complications that can lead to death. When trying to decide if taking a medication is right for you, it can be scary. All medications have side effect and the most important thing is to ask yourself, Do the benefits outweigh the risks. Based on the information that I have read, I think that I would try to express that question to the patient. To me I think that the benefits do outweigh the risks. While there are side effects to taking bisphosphonates, and some of them are really risky, it is something that can be monitored. The risk of fracture is so much high if not taking anything. A yearly bone density test can watch for any changes and if needed then adjustments can be made to the medication. I think that the medication is not being prescribed as much because the patients are afraid and they are refusing the medications. I do however think that the prescriber should be educating patients on how the benefits outweigh the risks of this medication.