In case of loss of body height of more than 3 cm,
Proper DXA findings, where there is clinical suspicion of osteoporosis.
Besides physician specialist, the team of osteoporosis is also formed of specialist in medical biochemistry, nurses, physiotherapists, work therapists, psychologists, RTG technicians, and laboratories. If necessary, an endocrinologist, orthopedist, gynecologist and social worker are engaged.
Laboratory analyzes are needed to exclude secondary causes of osteoporosis. Laboratory tests are performed in the Biochemical-Hematological Laboratory (SE, blood test results, creatinine, alkaline phosphatase, calcium and phosphorus in serum and 24 hour urine, transaminases, protein electrophoresis, determination of vitamin D (25-OH) in serum, markers of bone building and decomposition , most commonly Osteocalcin and Beta Crosslaps.
Bone markers evaluate the speed of bone remodeling, the therapeutic response, and the risk of fracture.