Osteoporosis care guide

Review osteoporosis tablet treatment online

For adults 50 and older with a diagnosis based on bone density, a hip or spine fracture, or a qualifying fracture-risk assessment.

Start online

Start a $59 online review for Osteoporosis treatment.

This visit is for adults 50 and older with diagnosed osteoporosis who want to start or continue a tablet treatment. The physician reviews your records and safety concerns before deciding whether alendronate or risedronate is appropriate. Care includes a plan for calcium, vitamin D, fall prevention, and monitoring.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

A bone density report showing osteoporosis without treatment yet
Wanting to continue alendronate that has been well tolerated
Questions about pausing treatment after 5 years
A planned tooth extraction and questions about when to start treatment

May fit online care

Adults 18 and older
You are 50 or older with osteoporosis already diagnosed
Your diagnosis is based on a DXA bone density report, hip or spine fracture, or qualifying FRAX fracture-risk estimate
You want to start or continue oral alendronate or risedronate
You can share your bone density report or fracture record
You can share recent calcium, vitamin D, and kidney results, if available

Look for another care setting

Sudden severe back pain after a fall or lifting with new leg weakness, numbness in the saddle area, or new loss of bladder or bowel control (possible cauda equina: call 911), being unable to stand or walk, new hip or groin pain with inability to bear weight, or severe chest pain, pain on swallowing or vomiting blood after taking an osteoporosis tablet (emergency).
Sudden severe back pain after a fall WITHOUT those nerve symptoms, if you can still walk, still needs a same-day in-person evaluation for a possible fracture, just not 911.
Trouble swallowing, an esophageal stricture, achalasia, Barrett's esophagus, an active stomach ulcer, significant acid reflux, or prior bariatric/upper-GI surgery.
Being unable to sit or stand upright for at least 30 minutes after a tablet.
Kidney disease your doctor has told you is significant, or low blood calcium.
An active dental infection or loose teeth.
New thigh or groin pain while taking a bisphosphonate, or a past atypical femur fracture or jaw osteonecrosis.
Pregnancy, breastfeeding, or still having periods.
Cancer in the bones, high blood calcium, hyperparathyroidism, Paget's disease, overactive thyroid, or treatment with denosumab, teriparatide, romosozumab, or zoledronic acid.
Malabsorption or celiac disease, significant liver disease, or multiple myeloma.
A fracture since your last bone density test, losing 1.5 inches (4 cm) or more of height, or taking a steroid like prednisone for 3 months or more. These need to be reviewed before a plan is finalized.
No bone density test, fracture, or FRAX-based risk assessment yet.

What to have ready

Your DXA bone density report or fracture record
Any recent calcium and vitamin D results
Any recent kidney test results
Details of planned dental work

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

What records can support an online osteoporosis visit?

The doctor looks at your DXA bone density report or your fracture record. Low bone density that is not yet osteoporosis (osteopenia) may also qualify, if a FRAX score (an estimate of your fracture risk) is high enough for treatment. Please share any recent calcium, vitamin D, and kidney test results.

Can I get injections or a bone density test through this visit?

This option reviews oral alendronate or risedronate when medically appropriate. It does not order bone density tests, treat fractures, or prescribe injectable osteoporosis medicines.

Should I mention planned dental work?

Yes. The physician checks for planned dental work as part of the review before deciding whether tablet treatment is appropriate.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Achilles tendinitis Acute low back pain Acute muscle strain Ankle / wrist sprain Bursitis Costochondritis support