Sally is a 60-year-old female who weighs 300 pounds. Her last menstrual cycle occurred at age 47. She has been told that she could not get osteoporosis because of her size; however, she recently read an article that made her anxious that this may not be true. She has never been active in sports and is lactose intolerant. What is the evidence about chronic obesity and bone health during menopause? Would she be a candidate for HRT as osteoporosis prevention/treatment? Because she is lactose intolerant, what are some calcium alternatives to dairy? Use evidence-based research to support your patient recommendations.
