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The answer is option C- “I take a calcium and vitamin D supplement daily.”
Option C is the right answer because the use of glucocorticoids will decrease intestinal calcium absorption and increase renal calcium excretion. Also, glucocorticoids will enhance bone resorption and decrease bone formation, thereby decreasing the bone mass and increasing the risk of developing fractures. Vitamin D supplementation is important in patients with glucocorticoid therapy to prevent the formation of glucocorticoid-induced osteoporosis.
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