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  <Article>
    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 4; Issue 5</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Sep-Oct, 2023)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Pregnancy and Lactation Associated Osteoporosis: A Case Report</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>8</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Hadil</FirstName>
          <LastName>Basma</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Sara</FirstName>
          <LastName>Dbouk</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Zeinab</FirstName>
          <LastName>Issa</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>Pregnancy and lactation associated osteoporosis (PLO) is an uncommon condition that may present with fragility fractures occurring during pregnancy or the post-partum period. Here, we report a case of 37-year-old woman who presented for lower back pain that started in her third trimester. Her body mass index (BMI) was 22.4, her menarche was at the age of 14 years, and she had no family history of osteoporosis. She sustained several vertebral fractures in her second month postpartum while lactating and then diagnosed with PLO. She was treated with teriparatide for two years. This is the first case of PLO reported in Lebanon to our knowledge. PLO should be suspected in pregnant women with back pain during pregnancy and the postpartum period. Stopping breastfeeding, supplementation with calcium and vitamin D, and treatment with anti-osteoporotic medications are the mainstays of the management of PLO.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Osteoporosis,Pregnancy,Lactation</Keywords>
      <URLs>
        <Abstract>https://www.jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=14873&amp;title=Pregnancy and Lactation Associated Osteoporosis: A Case Report</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
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Sanz-Salvador L, Garcand;iacute;a-Pand;eacute;rez Mand;Aacute;, Tarand;iacute;n JJ, Cano A. Bone metabolic changes during pregnancy: A period of vulnerability to osteoporosis and fracture. Eur J Endocrinol 2015; 172: R53-R65.</References>
      </References>
    </Journal>
  </Article>
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