Which is a healthy practice recommended for a person at risk for osteoporosis?
a. Milk and orange juice at breakfast; cheese pizza at lunch; spaghetti served with spinach covered with melted cheese for dinner; and ice cream for dessert
b. Long-term estrogen administration as adjunct therapy
c. Alendronate (Fosamax) taken with a snack just before bedtime
d. Coffee, raisin bran and milk, and sausage at breakfast; a can of cola and a hot dog on a high-fiber bun at lunch; cocktails before dinner; steak with brown rice, ce-lery, and red wine for dinner
A
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A Correct. These foods in these quantities supply 1204 mg of calcium.
B Incorrect. Administering estrogen can increase the risk of cancer and heart dis-ease.
C Incorrect. Alendronate (Fosamax) must be taken on an empty stomach after awakening with a full glass of water. Afterward, the patient must sit upright and refrain from eating or drinking for 30 minutes.
D Incorrect. Alcohol and high amounts of protein and salt inhibit calcium uptake, whereas caffeine, excess fiber, and phosphorus (in the cola) promote calcium excretion.
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