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Calcium  and Vitamin D supplementation are essential to bone health and the  management of osteopenia and osteoporosis.  In the past few years,  information regarding the potential risks of too much calcium (such as  cardiovascular disease and/or events) have been emerging.  

Using an article from a medical journal, evaluate and discuss the  risks and benefits of calcium supplementation for a patient with a bone  disease.
What would you recommend for is a 59-year-old postmenopausal woman  with a T-score of − 2.3. Her past medical history is unremarkable and  she only takes a multivitamin with additional calcium and vitamin D. Her  family history is remarkable for a mother who had osteoporosis and died  of breast cancer and a father who has diabetes

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Gout is a common form of inflammatory arthritis that is very  painful. It usually affects one joint at a time (often the big toe  joint). Although there is no cure for gout, it can be effectively  treated and managed with medication and self-management strategies   

A 45-year-old white man presents to your office complaining of left  knee pain that started last night. He says that the pain started  suddenly after dinner and was severe within a span of 3 hours. He denies  any trauma, fever, systemic symptoms, or prior similar episodes. He has  a history of hypertension for which he takes hydrochlorothiazide  (HCTZ). He admits to consuming a great amount of wine last night with  dinner

Provide an evaluation of the patient including possible risk factors  and treatment options, including non-pharmacologic interventions
Would this patient be a candidate for prophylactic therapy?

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