# The Evaluation and Management of Osteoporosis

An episode of [ACR on Air](https://invisiblenetwork.ai/podcast/1473160907), 13 Jan 2026, 56 min.

Audio: https://traffic.libsyn.com/secure/acronair/ACR_on_AIR_-_The_Evaluation_and_Management_of_Osteoporosis_-_Mix.mp3?dest-id=1238600

In this episode, our expert guest challenges a common assumption by explaining why the T-score—despite being central to osteoporosis diagnosis—is surprisingly easy to misinterpret. He walks us through how to read a DEXA scan like a detective, highlighting subtle clues that can dramatically improve diagnostic accuracy for your patients. Once osteoporosis is identified, the conversation turns to clinical decision-making: how to choose between anabolic agents, denosumab, and bisphosphonates, and why that choice depends on thoughtful risk stratification and patient-specific comorbidities. We also dive into the often-overlooked importance of sequencing osteoporosis medications correctly, including a compelling discussion on why starting with an anabolic agent may offer greater long-term benefits than reserving it as a last-line option.

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