[Verified Answer]: SR is a 55-year old woman who completed…

SR is a 55-year old woman who completed menopause 5 years ago. One year ago, she was diagnosed with osteoporosis based on a DEXA Scan that indicated a T-score of -2.7 in the lumbar spine and -1.5 in the hips. She was started on alendronate sodium (Fosamax) at that time. She fractured her right wrist 4 weeks ago when she fell on black ice. She was a secretary but has been out of work because she can no longer use the keyboard on the computer. She is having trouble with normal activities of daily living due to her inability to use her dominant hand. She is 5 feet, 4 inches and weighs 117 pounds. She has a history of lactose intolerance and reports avoiding many dairy products due to nausea and gas. She admits that she has never tried lactose-reduced milk and is unaware of alternate dietary sources of calcium. She reports that she doesn’t enjoy cooking, so she eats fast foods or dines out frequently. Since her wrist fracture, she has been eating mostly finger foods. She smokes and has a sedentary lifestyle.