Protect your bones with a specialist’s plan.
A bone density report is just the start. Dr. Dixit, who led a quality-improvement project on osteoporosis care after hip fracture during her fellowship, helps you understand your real fracture risk and the right next step.
Who should come in
You’ve been told you have osteopenia or osteoporosis
You’ve had a fracture from a minor fall
You’re postmenopausal, or have taken steroids, have thyroid or parathyroid issues, or have a family history of hip fracture
You’re unsure whether to start, continue, switch, or take a break from bone medication
You’ve been told you may need an infusion or injection and want a specialist’s opinion
What we do
DEXA review: A careful read of your bone density report, including trends over time and whether your scans are truly comparable.
Fracture-risk assessment: Your 10-year fracture risk (FRAX), plus factors FRAX doesn’t fully capture, such as prior fractures and fall risk.
Secondary-cause workup: Testing when appropriate for contributors such as low vitamin D or calcium, parathyroid and thyroid conditions, and medication effects.
Nutrition, exercise, and fall-prevention guidance
DEXA scans coordinated at a nearby imaging center
Treatment options, matched to your risk
There is no single right medication for everyone. Based on your fracture risk, history, and preferences, options may include:
Oral medications, such as weekly or monthly bisphosphonate tablets (for example, alendronate or risedronate).
Injectable medications, such as denosumab (an injection every six months) or, for people at very high fracture risk, bone-building (anabolic) treatments such as teriparatide, abaloparatide, or romosozumab, where appropriate.
IV infusion therapy, such as zoledronic acid, typically given once a year or less often.
Treatment planning over time, including how long to treat, when a drug holiday may be reasonable, and how to transition safely between medications (for example, denosumab should not be stopped without a follow-on plan).
Injections and infusions, coordinated for you
When a clinic-administered injection (such as denosumab or romosozumab) or IV infusion (such as zoledronic acid) is appropriate, Dr. Dixit arranges it through a trusted partner infusion center on the Upper East Side. Your evaluation, treatment, injections, and infusions can all be done outside a hospital, in a comfortable outpatient setting. She continues to manage your overall bone plan, including pre-infusion labs, follow-up, and repeat DEXA timing.
A note on medication
All bone medications have benefits and risks. Treatment is recommended only when it is medically appropriate for you, and the choice is made together after reviewing your personal fracture risk. Medication, injection, and infusion costs are separate from your visit fee and can go through your insurance. Coverage is up to your plan, but we’ll help you through the process.
Frequently asked questions
Who needs a bone density scan?
Generally women 65 and older, and younger postmenopausal women or men with risk factors. We’ll tell you if and when you need one.
Are bone medications safe?
All medications have benefits and risks. Serious side effects are uncommon, and we review both the benefits and the risks against your personal fracture risk.
Where are injections and infusions given?
When a clinic-administered injection or an infusion such as zoledronic acid is the right fit, Dr. Dixit arranges it at a trusted partner infusion center on the Upper East Side, so there’s no need to go to a hospital, and she continues to oversee your care.
Can bone health care be done by telehealth?
Much of it can. Your DEXA scan and labs can be done locally, and we review the results with you by video or in office.