Letters To The Editor

In reply: Glucocorticoid-induced osteoporosis

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In Reply: I could find references for the use of testosterone in glucocorticoid-induced osteoporosis and could not find any references for the use of estrogen in this condition, except for the outdated American College of Rheumatology guidelines from the 1990s, which included Dr. Nancy Lane’s work. So perhaps it is the research that is gender-biased rather than my article. I agree that in osteoporosis that is not glucocorticoid-induced, estrogen has great fracture efficacy even in those without osteoporosis, as you stated, but I tried to keep my article evidence-based and on-topic regarding glucocorticoid-induced osteoporosis. As usual, topics that involve estrogen are highly volatile, and I did not mean to fuel the fire.

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