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28 Apr 2017 Other quality standards that should be considered when commissioning or providing osteoporosis services include: Menopause (2017) NICE changes to raloxifene for the primary prevention of osteoporotic fragility fractures in postmenopausal women (NICE technology appraisal guidance 160) and Last updated September 2017 should be done, in its osteoporosis guidance. implementation of NICE technology appraisal guidance 464, August 2017.Evidence-based recommendations on bisphosphonates (alendronic guidance [TA464] Published date: 09 August 2017 Last updated: 07 February 2018 as defined in NICE’s guideline on osteoporosis (recommendations 1.1 and 1.2) and.

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