Supplementation with calcium and vitamin D can be effective ways to prevent skeletal or teeth-related issues during treatment for bone metastasis or multiple myeloma, according to Sheetal Malhotra, MD, of the James J. Peters VAMC in the Bronx, New York.
“Data suggest that if you optimize vitamin D levels when you are giving patients bisphosphonates it can further improve response to bisphosphonate therapy,” Malhotra said. “Supplementation should be given to these patients who are on treatment with bisphosphonates unless there is some contraindication.”