• Women in first 5 years of menopause
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• BMO T Score < -2.5 at hip or spine (osteoporosis)
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• BMD T score between -1.0 and -2.49 at total hip or L1L4 spine (osteoporosis)
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• Increased hip and major fracture based on FRAX score
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• 19 years of age or older
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• Bisphosphonates in last 6 months
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• Health care provider’s permission to be in study
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• Currently on estrogen, tamoxifen, Aromatase Inhibitors, others
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• Weight > 300 pounds
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• Serum Vitamin D <10 ng/ml or >100 ng/ml
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• Any conditions that prohibit optimal CaD, risedronate, or exercise
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