Have her get a DEXA scan to assess her osteoporosis. Vitamin d +calcium is common first line. A dexa scan will guide her treatment regiment though

There are many medications that treat osteoporosis. There is not actually not that much data showing extra calcium or vitamin D changes the results from a dexa scan unless there is a deficiency. Weight bearing exercises definitely are important for treatment. Bisphosphonates (such as fosamax and boniva) and rank-ligand inhibitors ( prolia) have good data for the treatment of osteoporosis. Depending on risk for falls and fractures will affect how aggressive treatment should be.

There are several options. I recommend you have your grandmother see her primary care physician to discuss options.

To Our Health and Success,

Kathleen E. Sharp, MD

She needs a DEXA scan to determine the degree of osteoporosis in her hips & spine. She needs daily supplemental vitamin D. There are multiple medications available to help treat her osteoporosis. She may need to see an endocrinologist for aggressive treatment.