Stephanie, a woman whose family history contains severe osteoporosis, asked her doctor to prescribe estrogen after she reached menopause to reduce her risk of osteoporosis. In her family, she noted that her grandfather died of prostate cancer and her mother's sister died of breast cancer. The doctor refused to provide long-term estrogen replacement therapy.
a) What are some reasons why the doctor refused to provide estrogen therapy?
b) Does anything in her family history play a role in the doctor's decision? If so, what is it?
c) Can the doctor provide alternative measures to prevent osteoporosis? What might those other measures be?
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