three weeks prior to this visit, NV had started to
experience temporomandibular pain, which she
believed had been a result of the alendronate. As a
result, she had decided to stop taking this osteoporosis
medication. the jaw pain resolved with
cessation of the medication. Because NV had discontinued alendronate, calcitonin (200 IU, 1
spray intranasally daily, alternating nostrils) was
added, and she was asked to start gentle weight-bearing
exercises as interventions for osteoporosis.