Patient discussions
Smoking may worsen pulmonary obstruction.
Measures to prevent osteoporosis should be implemented for patients starting corticosteroids. Special care must be taken if vitamin D or calcium is supplemented in patients with sarcoidosis, because the disease may cause hypercalciuria and hypercalcaemia by increased endogenous vitamin D. Serum calcium and 24-hour urinary calcium should be monitored before and 1 month after commencing therapy.[74] US guidelines suggest measuring both 25- and 1,25-OH vitamin D levels before vitamin D replacement therapy is started.[31]
Bisphosphonates are beneficial in reducing the risk of vertebral fractures and preventing and treating corticosteroid-induced bone loss at both the lumbar spine and the femoral neck.[90]
Some people may find online patient information helpful, such as that produced by the Foundation of Sarcoidosis Research. Foundation for Sarcoidosis Research Opens in new window
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