A 62-year-old postmenopausal woman presents for evaluation o…
A 62-year-old postmenopausal woman presents for evaluation of osteoporosis. She has no history of fractures but reports a family history of hip fractures in her mother. Her dual-energy X-ray absorptiometry (DEXA) scan shows a T-score of -2.6 at the lumbar spine. She has no significant renal or liver disease. Laboratory tests, including calcium, vitamin D, and renal function, are within normal limits. Which of the following is the most appropriate initial treatment for this patient?